Accounting Services for Healthcare in Hanham Bristol
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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 source of income, and that is where most accounting difficulty begins. The issues below are the ones we see most often among healthcare professionals and practice owners.
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 accounting and tax side of clinical practice rather than clinical matters themselves. In practice that usually means preparing and filing Self Assessment returns for private, locum and consultancy income, handling annual accounts and Corporation Tax for those trading through a company or partnership, running bookkeeping and record keeping, processing payroll for practice staff and associates, advising on VAT where supplies are mixed, and providing tax planning and management accounts. The common thread is making sure your financial affairs reflect the full picture of how you work, including any combination of NHS, private and non-clinical income.
Yes, in several important ways. Healthcare income often arrives through contracts, sessions, patient fees and locum work rather than simple invoices, and the tax year rarely lines up neatly with how those payments are structured. Many clinical services are exempt from VAT while related products or non-medical services are not, which introduces partial exemption calculations. Professional expenses such as indemnity cover, registration fees and equipment have their own rules, and pension considerations for NHS members can create tax charges that a general accountant may not routinely look for. An adviser who understands these areas tends to spot issues earlier.
Yes, and it is one of the most common situations we deal with. NHS employment income is normally taxed through PAYE, while private fees, locum earnings and self-employed income need to be reported through Self Assessment. The challenge is bringing both together accurately, making sure PAYE has been applied correctly, identifying the expenses that relate to the self-employed element, and understanding how your combined income affects your overall tax position. It also matters for pension purposes, because annual allowance considerations can be influenced by both employed and self-employed earnings.
Expenses that are wholly and exclusively for the purpose of your work, and supported by evidence, are generally the starting point. Typical examples include professional indemnity insurance, professional body and registration fees, continuing professional development, specialist equipment and uniforms, subscriptions to clinical journals, and travel between different work locations. Working from home, mileage and use of a vehicle need more careful treatment, and personal or dual-purpose costs should be separated out. We review your records and help you claim what is legitimate, with the documentation to support it.
Many healthcare services provided by registered professionals are exempt from VAT, but not everything a practice does is. Products sold to patients, some cosmetic and non-medical treatments, and certain other supplies can be standard-rated. Where a business makes both exempt and taxable sales, it becomes partially exempt, and the amount of VAT that can be reclaimed on costs has to be calculated. That calculation needs reviewing as your mix of services changes. We help practices identify which of their activities fall on each side and manage the reporting that follows.
Bookkeeping still has to happen regardless of who files the returns, because the figures have to come from somewhere accurate. We can take it on for you, which is often the most efficient route for clinicians with limited time, or we can work with records you or your practice administrator maintain. Either way, keeping income and expenses up to date through the year makes Self Assessment, VAT returns, payroll and year-end accounts considerably smoother, and it reduces the risk of missing a legitimate expense or understating income.
Yes. Most of the information we need is now exchanged digitally, and cloud accounting software allows records, receipts and reports to be shared securely without needing in-person meetings. Clients who work across multiple sites or have irregular working hours often find this far more practical than arranging appointments around clinical rotas. We still make time for proper conversations when decisions need to be made, whether that is about a change of structure, a pension question or practice finances.
It starts with a conversation about your circumstances: how you work, where your income comes from, what accounting arrangements you already have and what is causing you difficulty. From there we review your position, including recent returns, records and upcoming deadlines, then set out the support that fits, whether that is Self Assessment, bookkeeping, payroll, company accounts or a broader ongoing service. Once agreed, we put a clear schedule in place so you know what information is needed and when everything falls due.
