Accounting Services for Healthcare in Henley
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
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 most. These are the issues that come up most often 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 core work is tax and compliance, tailored to how healthcare income is earned. That typically includes preparing Self Assessment returns covering NHS salary, locum income, private fees and partnership profits, producing annual accounts and Corporation Tax returns for limited companies, maintaining bookkeeping records, running payroll for practice staff, and handling VAT returns where supplies are partly or wholly taxable. Beyond filing, it involves advising on allowable expenses, business structure, profit extraction and upcoming deadlines, so that decisions are made with the tax consequences already in view.
Two things usually dominate. The first is the off-payroll working rules, which determine whether an engagement is treated as inside or outside IR35; the answer depends on the specific contract and working arrangements, not just the label applied to it. The second is how you take money out of the company, balancing salary, dividends and pension contributions in a way that suits your income level and long-term plans. Both need reviewing as contracts change, because a determination that was correct last year may not be correct this year.
Not always, but more healthcare professionals need to than they expect. If you have untaxed income from locum sessions, private consultations, medico-legal reports, teaching, rental of consulting rooms or savings and dividends above the reporting thresholds, a return is normally required. Higher earners may also need one to report the High Income Child Benefit Charge or to reconcile pension annual allowance issues. Where PAYE has already collected the right amount of tax, a return still serves as the mechanism for declaring the extra income.
Broadly, costs incurred wholly and exclusively for your work. In practice that often includes professional indemnity and medical defence subscriptions, GMC, NMC or GDC registration and revalidation costs, continuing professional development, specialist equipment and its maintenance, professional journals, uniforms, business mileage between sites, and a proportionate share of home costs where you use a room substantially for administrative work. Reimbursed expenses and personal costs are not allowable, and records need to support every claim, which is why good bookkeeping matters.
It can be, and the boundary is not always obvious. Many services provided by registered health professionals are exempt from VAT, but cosmetic or non-medical treatments, products sold to patients, retail sales, and some administrative or consultancy services usually are not. Where you make both exempt and taxable supplies, you may need to register and account for VAT on part of your turnover, with partial exemption calculations and apportionment of input tax. It is worth reviewing your position before turnover approaches the registration threshold.
There is no universal answer, because it depends on your income level, how many contracts you hold, whether you need to retain profits, and your pension arrangements. A limited company can offer tax efficiency in some circumstances but brings additional compliance, including annual accounts, Corporation Tax, confirmation statements and payroll obligations for directors. A partnership or sole trader structure is simpler but taxed differently. We review the numbers and the practical implications before recommending a change, and revisit it if your circumstances shift.
Yes. Payroll for healthcare employers usually involves a mix of salaried staff, hourly reception or administrative teams, and sometimes associates or partners paid on a different basis. We can run the full payroll cycle, produce payslips, submit Real Time Information returns to HMRC, handle statutory sick and maternity pay, and manage pension auto-enrolment duties including re-enrolment. Keeping payroll and accounts aligned also makes it easier to reconcile staff costs in your management reporting.
Yes. Most of the information needed for accounts, tax returns, payroll and VAT can be shared securely online, and many clients prefer it because it fits around clinic lists and surgery hours. Documents, queries and approvals can all be handled remotely, with calls scheduled at times that suit you. If you would prefer to meet face to face at key points in the year, that can be arranged as part of the same service.
