Accounting Services for Healthcare in Gorebridge
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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 and healthcare businesses tend to face a distinctive set of financial pressures. These are some of the issues we see most often, and each one can affect your tax position, your cash flow or your compliance obligations if it is not managed properly.
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.
Healthcare accounting covers the same core disciplines as any accountancy service, including bookkeeping, annual accounts, Self Assessment, Corporation Tax, payroll and VAT, but it is applied with an awareness of how healthcare income works. That means understanding the distinction between NHS and private earnings, the VAT exemption rules that apply to many clinical services, the expenses that are typically allowable for practitioners such as indemnity cover and professional registrations, and the payroll arrangements common in practices with associates and support staff. The technical rules are the same as anywhere else, but the context and the recurring problem areas are quite different.
They suit anyone working in or running a healthcare business, from a single practitioner to a larger clinic. That includes GPs and doctors with private or locum income, dentists in NHS, private or mixed practice, pharmacists, nurses and advanced practitioners, consultants, physiotherapists and allied health professionals, carers and care providers, and the medical practices and clinics that employ them. If your income comes from clinical work, whether as a sole trader, a partner or a limited company director, the general approach is the same: accurate records, correct tax treatment and practical planning.
Both streams are taxable, but they often arrive in different ways and at different times. NHS income may be paid through payroll with tax already deducted, while private fees are usually received gross and reported on your Self Assessment return. The main practical issues are keeping the records clearly separated, ensuring nothing is duplicated or missed, and understanding whether tax already paid through PAYE covers your total liability. Where private income is significant, payments on account may apply, so it helps to plan for those in advance rather than being caught out when the bill arrives.
Common claims include professional indemnity insurance, registration and professional body fees, specialist equipment and its maintenance, clinical clothing such as scrubs, relevant training and continuing professional development, mileage and travel between sites, and a reasonable proportion of home or practice running costs where genuinely used for work. The rules require expenses to be wholly and exclusively for the purpose of your work, so the detail matters. Under-claiming is common because practitioners are unsure what qualifies, but over-claiming creates its own risk, which is why it helps to have records reviewed rather than guessed at.
It depends on the nature of the services you provide and your turnover. Many healthcare services provided by registered professionals are exempt from VAT, and exempt services do not count towards the VAT registration threshold in the same way standard-rated supplies do. However, some goods and services supplied by a practice, such as certain cosmetic treatments, retail items or non-clinical income, may be standard-rated. Mixed practices need to look at this carefully, because treating supplies incorrectly can lead to unexpected liabilities or penalties, and we would normally review the specific services being offered before advising.
Yes. Payroll for practices typically involves a mix of salaried employees such as reception and nursing staff alongside associates whose arrangements may work differently. Getting this right means correct tax codes, pension auto-enrolment duties, accurate payslips and timely RTI submissions to HMRC, as well as understanding the employment status questions that sometimes arise with associates. Because payroll feeds directly into your accounts and tax position, handling it alongside bookkeeping tends to produce cleaner, more reliable figures overall.
Digital record keeping is now the standard approach for most businesses, and Making Tax Digital requires compatible digital records for VAT. That said, the underlying obligation is to keep accurate records of income and expenses, whether the original documents are paper or electronic. In practice, most healthcare clients find that scanning receipts and using software to categorise transactions saves considerable time and reduces the scramble at year end. What matters most is that records are complete, dated and can be produced if HMRC asks to see them, so the method should suit how you actually work.
Yes. Much of the information needed for accounts, tax returns and payroll can be shared securely online, and questions can be handled by email, phone or video call. Many healthcare professionals find remote working convenient precisely because their working hours make travel difficult. What tends to matter most is having a clear understanding of what you need to send, when it is due, and who to contact when something changes in your practice or your circumstances. We aim to make that straightforward regardless of how we communicate.
