Accounting Services for Healthcare in Gerrards Cross
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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 professionals often carry a heavier administrative load than most other self-employed groups, and the tax rules that apply to clinical income are not always intuitive. These are the issues we see most often.
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.
In practice, the work covers a wide range. For salaried clinicians that may mean Self Assessment returns combining NHS pay with private or locum income, plus pension annual allowance checks. For practice owners it usually includes annual accounts, bookkeeping, payroll for staff, VAT where applicable, and management information on how the practice is performing. For limited company locums and consultants it involves statutory accounts, Corporation Tax, confirmation statements and dividend planning. The common thread is that the advice is tailored to how healthcare income is earned, rather than applied as a generic small business template.
Your NHS salary is taxed through PAYE, but private fees, locum sessions and any partnership profit share are not. That means the tax already deducted through PAYE is unlikely to cover your full liability, which is why a Self Assessment return is needed. The combined figure can also push you into a higher band, reduce your personal allowance, or trigger pension annual allowance consequences. Getting the calculation right, and understanding what it means for your pension contributions, is one of the main reasons healthcare professionals seek specialist support rather than filing the return themselves.
There is no universal answer, because it depends on your income level, how many partners or shareholders are involved, your appetite for administration, and how you want to take money out of the business. A sole trader arrangement is simple but offers no liability protection. A partnership suits GP and dental practices where profits are shared. A limited company can be tax-efficient at certain profit levels and offers limited liability, but brings Corporation Tax, statutory accounts, confirmation statements and payroll obligations. We work through the numbers for your circumstances and revisit the question as your income changes.
Typically allowable costs include professional indemnity insurance, GMC, NMC, GDC or equivalent registration fees, medical defence subscriptions, specialist equipment, professional journals, continuing professional development where it is directly related to your existing work, and a reasonable proportion of home running costs where a room is genuinely used for practice administration or consultations. Travel between sites can also count. What matters is that the expense is incurred wholly and exclusively for your work, and that any mixed personal and professional use — a phone, a car, a home office — is apportioned sensibly and can be supported if HMRC asks.
It depends on the mix of services. Most medical care provided by registered health professionals is exempt from VAT, which means it does not count towards the registration threshold. However, standard-rated services such as cosmetic treatments, some non-medical therapies, medico-legal reports and retail sales of certain products do count. If your taxable turnover crosses the registration threshold, you need to register — and once registered, a practice providing both exempt and standard-rated services has to deal with partial exemption, which is not a calculation to improvise.
Yes. Practice payroll commonly covers receptionists, practice managers, nurses, hygienists, dental nurses, associates and locums. We can run the full cycle — PAYE, National Insurance, pension auto-enrolment, statutory payments, payslips and year-end reporting — on whatever schedule suits the practice. Where locums or associates work through their own limited companies, we can also help assess employment status under the off-payroll working rules so the practice understands its position before an engagement begins.
Remote working is entirely practical for accounting and tax support, and many healthcare clients find it easier given shift patterns and clinical commitments. Records can be shared securely, meetings held by phone or video, and documents signed electronically. What matters is not proximity but whether your accountant understands healthcare income and responds promptly when a question arises. If you prefer to meet in person at some stage, that can be arranged alongside the remote process rather than instead of it.
Start with a conversation about how you currently work: your income sources, your practice or employment structure, whether you have outstanding filings, and what you want from an accountant. From there we review your existing accounting and tax position, identify anything that needs attention, and agree which services are relevant — it may be a straightforward Self Assessment arrangement, or full bookkeeping, payroll, VAT and accounts support for a growing practice. Once agreed, we set up the processes and the compliance calendar, and you have a clear picture of what happens and when.
