Accounting Services for Healthcare in Greater London
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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 work rarely produces a simple, single-stream income. These are the issues we see most often when clinicians and healthcare businesses 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 goes well beyond filing a tax return. It typically includes preparing Self Assessment returns and annual accounts, calculating tax liabilities, maintaining bookkeeping, running payroll, reviewing VAT treatment, advising on business structure, and providing management information so you can see how your practice is performing. For clinicians with mixed income, it also involves separating NHS, private and other income streams so each is reported correctly.
Yes. This is one of the most common situations we deal with. NHS salary and pension income is usually taxed through PAYE, while private fees, self-employed sessions and some locum work are reported through Self Assessment. We help you bring those together accurately, estimate the tax due, and plan for payments on account so the January and July bills do not catch you out.
Not always. Many clinicians operate as sole traders or through partnerships, while others trade through a limited company. The right answer depends on your income level, how you contract with hospitals, insurers or private patients, your attitude to administration, and how you want to draw money from the business. We can compare the practical implications of different structures based on your own circumstances rather than applying a blanket rule.
Broadly, you can claim costs that are wholly and exclusively incurred for your professional work. Commonly relevant items include professional body and registration fees, indemnity or medical defence insurance, CPD and training that maintains existing skills, specialist equipment, clinical clothing, professional journals, and a reasonable proportion of home office and travel costs where justified. Some items are restricted, so it is worth reviewing your specific outgoings rather than assuming.
Many healthcare services provided by registered professionals are exempt from VAT, but not all of them. Cosmetic treatments, non-medical services, retail sales and some products can be standard-rated, and a practice offering a mix of exempt and taxable supplies may need to account for partial exemption. Getting this wrong can lead to unexpected liabilities, so it is worth reviewing your income streams and pricing from the outset.
Yes. We can run payroll for practice managers, receptionists, nurses, associates, locum staff and other team members, covering PAYE, National Insurance, statutory payments, auto-enrolment pension duties and payslips. We can also help you think through the employment status of regular locums and associates, since this affects how payments should be treated.
Yes. Much of the accounting process can be handled remotely through secure document sharing, email and video calls, with records submitted electronically. What matters is that information reaches us in a usable format and that deadlines are met. Many healthcare clients prefer this approach because it fits around clinic lists, theatre sessions and patient appointments.
Begin with an initial conversation about your situation — how you are structured, what income you receive, who handles your books at present and what you would like to improve. From there we can review your existing position, identify any urgent compliance points, and set out how bookkeeping, payroll, VAT and tax filings would be managed going forward. If you are switching accountants, we can explain what information is needed and how the handover usually works.
