Accounting Services for Healthcare in Greenwich
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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 income rarely comes from a single, simple source, and the tax rules that apply to it are more layered than the standard employed-or-self-employed split. The points below are the ones that most often need attention.
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 difference is familiarity with how clinical income is earned and reported. That includes understanding NHS salary alongside private and locum income, pension annual allowance considerations, the VAT exemption that applies to most medical services but not to cosmetic or non-medical treatments, and the structures commonly used by associates, partners and incorporated practices. A general accountant can often manage the mechanics, but sector knowledge tends to reduce the number of questions you have to explain from scratch each year.
It depends on how you are engaged. If you invoice through a limited company, work for several practices, or want to claim expenses confidently, professional support is usually worthwhile. Even as a straightforward sole trader, Self Assessment involves calculating taxable profit correctly, tracking multiple payers and dealing with payments on account. Off-payroll working rules can also apply where a practice engages you through your own company, and getting that wrong can be costly.
Your NHS salary is taxed through PAYE, and you receive credit for the tax already deducted. Private fees, locum earnings and other self-employed income are reported on your Self Assessment return, where they are added to your total income for the year. That combination can push you into a higher band, affect your personal allowance or create a pension annual allowance charge, so keeping accurate records of private income and related expenses throughout the year matters a great deal.
Yes. Many clinical services are exempt from VAT, while treatments such as cosmetic procedures are usually standard-rated, and that mix creates complications around registration, partial exemption and how input tax is recovered. We can monitor your turnover against the registration threshold, prepare returns on the correct basis and help you apportion VAT sensibly, so you are neither overpaying nor exposed to an avoidable assessment.
Commonly claimed items include professional registration and indemnity cover, CPD and training that maintains existing skills, specialist equipment and clinical clothing, professional body subscriptions, and travel between separate work sites. Ordinary commuting between home and a permanent workplace is not allowable. Directors of limited companies work within different rules from sole traders and partners, so it is worth checking your position rather than assuming the treatment is the same.
There is no single right answer. Income level, the level of professional risk you carry, how many partners are involved, how NHS contracts are held and your plans for the future all influence the decision. Incorporation can suit some clinicians and complicate matters for others, particularly around pension contributions and extracting profit. We can model the options and review the structure periodically as your circumstances change.
Either arrangement can work. Some clients want a complete service covering bookkeeping, payroll, VAT and year-end accounts, while others prefer to keep records in-house and use us for compliance and advice. We can recommend software suited to your practice, set up a deadline calendar and keep records in a format that makes year-end reporting far quicker for everyone involved.
Yes. Accounting work lends itself well to remote delivery: records can be shared securely, documents signed electronically, and questions answered by phone, email or video call at a time that fits around clinics and surgery hours. If you prefer to talk things through in person at key points in the year, that can be arranged, and many clients find a mix of both works best.
