Accounting Services for Healthcare in Great Missenden
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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 they first appear. A few common pressures come up repeatedly when clinicians and practice owners review their accounting arrangements.
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 work covers the same core disciplines as general accounting — bookkeeping, annual accounts, Self Assessment, Corporation Tax, payroll, VAT and tax planning — but it is applied with an understanding of healthcare income. That includes handling NHS salary and pension records alongside private fees, treating locum and associate arrangements correctly, recognising allowable clinical expenses such as registration, indemnity and CPD costs, and advising on how a practice or clinic should be structured. The practical difference is fewer unnecessary questions and fewer assumptions made about how you earn.
Your NHS salary is usually taxed through PAYE, but private fees, medico-legal work, teaching or additional sessions are typically reported through Self Assessment, with payments on account potentially applying. The key tasks are making sure all income sources are captured, that expenses are allocated sensibly against the right income, and that any tax already paid through PAYE is properly credited. Getting the reporting right also helps with pension annual allowance considerations, which is why many GPs prefer to have the whole picture reviewed together rather than in isolation.
It depends on what you provide. Most medical care is exempt from VAT, but associated supplies can be treated differently — cosmetic or non-medical treatments, retail sales within a pharmacy, some equipment sales, room hire and certain consultancy arrangements may fall outside the exemption. Registration thresholds and partial exemption rules can then apply where you have a mix of exempt and taxable income. The sensible approach is to review your services as a whole and confirm the treatment before turnover approaches a threshold, rather than after.
Yes. Locum work usually means several contracts, varying rates, travel between sites and expenses spread across the year, all of which need to be tracked and reported accurately. Alongside Self Assessment, locums often need advice on whether a contract sits inside or outside IR35, whether it makes sense to operate through a personal service company, and what records to keep for mileage, equipment and professional costs. Reviewing arrangements early is usually simpler than correcting a position after a tax enquiry has begun.
Common examples include professional registration and revalidation fees, professional indemnity insurance, specialist equipment and instruments, clinical clothing such as scrubs and uniforms, CPD courses, professional journals and subscriptions, and travel between work sites where it is not ordinary commuting. Costs must be wholly and exclusively for the purpose of your work, and mixed-use items need apportioning. Because the rules reward careful record keeping, the earlier you know what to log, the easier your return becomes.
There is no universal answer, and it changes as your circumstances change. Sole trader status is straightforward but offers limited flexibility on profit distribution. Partnerships suit many practices where several clinicians share premises, costs and responsibility, though the structure and agreement matter as much as the tax. A limited company can be beneficial for higher profits and retained earnings, but brings additional compliance obligations and considerations around salary, dividends and IR35. We review the tax and administrative consequences of each option against your actual income and plans.
Yes. Payroll support can cover salaried staff, practice managers, reception and administrative teams, and, where relevant, associate payments handled through payroll. This includes payslips, real-time information submissions to HMRC, statutory payments and pension auto-enrolment duties. Having payroll handled alongside your bookkeeping and accounts keeps employee records consistent with the figures reported in your year end, which reduces the chance of discrepancies emerging later.
It usually begins with a short conversation about how you work and what you need — whether that is catching up on overdue filings, taking bookkeeping off your desk, reviewing your structure or preparing for growth. From there we look at your existing records and tax position, identify anything that needs attention, and agree what ongoing support should look like. If you have copies of recent returns, accounts, VAT records or payroll information to hand, they help us give you a much more grounded view from the outset.
