Accounting Services for Healthcare in Farnham
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Supporting medical practices and private clinics with accounts, tax, bookkeeping, payroll and financial management.
Professional preparation of your annual financial statements.
Accurate and timely filing of all required tax submissions.
Accurate and up-to-date records for your practice.
Efficient payroll management for your staff.
Planning your tax position efficiently while staying compliant.
Healthcare finances tend to be more layered than most, and the tax rules that apply are not always obvious. These are the issues we see most often when clinicians and healthcare businesses review their accounts.
Specialised knowledge of NHS funding and healthcare business accounting.
Our team focuses on your financial needs and provides solutions tailored to your business.
We provide bespoke services to ensure your financial processes are accurate.
We deliver precise financial reports on time, giving you full compliance with HMRC.
Our services offer transparent, upfront pricing with no hidden costs.
We handle all your accounting and financial tasks efficiently.
We begin by getting to know your practice and your specific needs. This step ensures we have a clear picture of your challenges, goals, and the opportunities available to you.
Based on our initial discussion, we create a personalised plan designed specifically for you. Our aim is to keep your healthcare finances straightforward, with your numbers handled accurately and professionally by dedicated healthcare accountants.
From there, we take care of the ongoing work and keep you updated with clear, regular reports. We're always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
We use the latest technology to offer customised financial strategies. Thus, helping healthcare practices grow and thrive.
Our team offers dedicated accounting services tailored to your specific healthcare business. This ensures financial stability and growth for you.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our expert accountants handle everything. Here’s how easy it is to get started with us:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
The core services are similar to general accounting — accounts, tax returns, bookkeeping, payroll, and VAT — but the way they are applied is specific to healthcare. Income often arrives from several sources, such as NHS salary, private fees, locum payments, and associate profit shares, and each is treated differently for tax. Expenses follow their own pattern too, with professional registration, indemnity cover, CPD, and clinical equipment all requiring correct treatment. A healthcare-focused accountant also understands practice structures, associate agreements, and the VAT distinctions between exempt and standard-rated treatments, which reduces the risk of errors and missed claims.
Not always, but it often helps more than people expect. Even a single self-employed session per week, combined with employed income elsewhere, creates a Self Assessment position that needs reporting accurately. The expenses available to clinicians are not always obvious, and small omissions repeated over several years add up. If your work is straightforward and your records are tidy, the benefit may be modest. If you combine employment and self-employment, have variable income, or hold registration and indemnity costs, specialist support usually pays for itself in accuracy alone.
The two are reported in different ways depending on how they reach you. NHS salary is normally taxed through PAYE, while private fees and self-employed clinical work are declared through Self Assessment. Where NHS pension contributions or locum arrangements are involved, the reporting becomes more detailed. The practical approach is to keep clear records that separate the streams, reconcile payments received against what has been reported, and make sure the return reflects the full picture rather than just the employed element.
Yes. A typical practice payroll includes salaried clinicians, practice nurses, reception and admin teams, and possibly associates or locums, each with different tax and pension treatment. Payroll support covers calculating pay and deductions, submitting Real Time Information reports to HMRC, managing auto-enrolment pension duties, issuing payslips, and handling starters, leavers, statutory payments, and year-end submissions. Keeping this in one place alongside your accounts and tax work reduces the chance of inconsistencies between what payroll reports and what the accounts show.
Many healthcare services provided by registered professionals are exempt from VAT, but that exemption is not universal. Cosmetic and aesthetic treatments, retail sales from a pharmacy, some non-clinical consultancy, and certain products are commonly standard-rated. Where a practice supplies a mixture of exempt and taxable items, VAT registration may be required once turnover passes the relevant threshold, and partial exemption rules can then apply. The correct treatment depends on exactly what you provide, so it is worth reviewing before registration becomes unavoidable.
Keep records of all income received, whether from private fees, locum work, associate shares, or other self-employed activity, along with invoices or statements that support each figure. On the expenses side, retain receipts and documentation for professional registration and indemnity insurance, CPD and training, specialist equipment, mileage and travel between sites, professional subscriptions, and any costs directly attributable to your clinical work. Bank statements that show these transactions help too. Accurate, dated records make the return far quicker to prepare and give you something solid to rely on if HMRC ever asks questions.
Remote working is entirely workable for most healthcare accounting needs. Documents, records, and reports can be shared securely online, meetings can be held by video or phone, and cloud accounting software lets you and your accountant see the same figures in real time. Many clinicians find this easier to fit around clinic hours than travelling to appointments. If you prefer to meet face to face at key points in the year, that can be arranged alongside the remote workflow.
It begins with a conversation about how you work: your role, your income sources, your practice structure, your staff, and any current concerns about tax or record keeping. From there we review your accounting and tax position, including existing returns, bookkeeping arrangements, and VAT or payroll obligations, and identify anything that needs attention. We then set out the services that make sense for you and how the ongoing relationship will work, including what you need to send and when. If you are moving from another accountant, we can manage the handover of records on your behalf.
