Accounting Services for Healthcare in Fleetwood
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
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 professionals often carry financial and administrative responsibilities that go well beyond clinical work. These are some of the recurring issues we see, and they are usually easier to manage when they are addressed consistently rather than at the last minute.
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.
It depends on how you work, but the most common requirements are Self Assessment tax returns covering NHS salary, locum income and private fees; bookkeeping to keep records in order; payroll for practice staff; VAT returns where applicable; and annual accounts with Corporation Tax computations if you trade through a limited company. Practice owners often also want management accounts to track profitability and cash flow, and advice on structuring their income tax efficiently.
You are not legally required to appoint an accountant, but self-employment brings responsibilities that are easy to get wrong. You will need to register with HMRC, keep records of income and expenses, complete a Self Assessment return each year and pay the correct tax and National Insurance. Where you work through an agency, have multiple contracts or receive NHS pension income alongside locum work, an accountant can help ensure income is reported accurately and that allowable expenses are not overlooked.
Both are generally taxable, but they are reported differently. NHS salary is taxed through PAYE, while private practice, locum and self-employed income is usually reported through Self Assessment, with tax and Class 4 National Insurance calculated on the profits. Where you have both, the two need to be brought together correctly in your return. If you operate through a company or partnership for private work, the treatment changes again, so it is worth reviewing your structure before the year end rather than afterwards.
Broadly, you can claim costs that are incurred wholly and exclusively for your professional work. Typical examples include professional registration fees, medical indemnity insurance, professional body subscriptions, relevant CPD and training, specialist equipment and uniforms, mileage or travel between sites, and a proportionate share of home costs where you carry out administrative work there. Records such as receipts, invoices and mileage logs are essential, and it is worth checking specific items with an accountant because some costs, such as routine commuting, are not allowable.
Registration depends on your taxable turnover and the nature of your supplies. Most medical care provided by registered healthcare professionals is exempt from VAT, but other activities, such as certain cosmetic or aesthetic treatments, retail sales from a pharmacy or clinic, and some non-medical reports, can be standard-rated or reduced-rated. If you have a mix of exempt and taxable income, the position needs careful analysis, as partial exemption rules may apply and the way you account for VAT can affect what you can reclaim.
If you employ salaried clinicians, nurses, receptionists or administrative staff, you will need to operate PAYE, issue payslips, report to HMRC in real time, calculate and pay employer National Insurance, and comply with pension auto-enrolment duties. Different contract types, such as associates or locums, may be treated differently, and getting that classification wrong can create unexpected tax liabilities. We manage the payroll cycle, produce the necessary reports and keep an eye on the deadlines so payments and submissions are made on time.
Yes. Accounting work is well suited to remote arrangements, and many healthcare professionals prefer it because of shift patterns and limited spare time. Documents can be shared securely online, questions can be answered by email or video call, and bookkeeping software allows records to be kept up to date without paperwork changing hands. What matters is that communication is clear, deadlines are tracked and you still have a named contact for the questions that arise through the year.
It begins with an initial conversation about how you work, what income you receive and what you currently have in place. From there we review your existing accounting and tax position, including any outstanding returns or records, and explain which services would be most useful to you. Once we agree the scope, we set up a straightforward schedule covering bookkeeping, payroll, VAT and filing deadlines, and confirm who to contact when something changes. There is no obligation at the first stage, and no question is too basic to ask.
