Accounting Services for Healthcare in Hoddesdon
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 income rarely arrives in one neat monthly payment, and that is where most accounting and tax difficulties begin. Common pressure points include the following.
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.
It depends on how you work, but typically the work covers Self Assessment returns that combine NHS, private, locum and any employment income; annual accounts and Corporation Tax for incorporated practices and clinics; bookkeeping and Making Tax Digital-compatible records; payroll and pension auto-enrolment for practice staff and associates; VAT advice where exempt healthcare services sit alongside non-exempt activities; and tax planning around drawings, payments on account and business structure. The common thread is income that arrives from several sources under several sets of rules.
Both streams are usually reportable, but they can be treated differently. Salaried NHS income typically comes through PAYE, while private fees, locum sessions and any self-employed practice income are reported through Self Assessment, with expenses claimed against the relevant stream. Because payments on account are calculated from your overall tax bill, private income can push up the payments due in January and July. Keeping the streams separately recorded makes the return far easier to prepare and much simpler to support if HMRC asks questions.
Not necessarily. Many clinicians and practitioners operate perfectly well as sole traders or through a partnership, and incorporating adds filing, payroll and record-keeping obligations that only make sense if the tax and commercial benefits clearly outweigh the admin. Others find a limited company suits locum work, larger private practices or arrangements with multiple contracts. The right answer depends on your profit levels, how you extract income, your pension position and your long-term plans, which is why a structure review is worth doing before making a change.
Broadly, costs that are incurred wholly and exclusively for your work. In practice this often includes professional indemnity insurance, annual registration fees with bodies such as the GMC, NMC, GDC or HCPC, mandatory CPD and training, clinical equipment and specialist clothing, professional subscriptions, business mileage and a reasonable proportion of home costs if you do administrative work there. Good records matter more than a long list — claims need to be evidenced, and the rules differ slightly depending on whether you are employed or self-employed for that particular income.
Yes. Payroll support covers salaried staff, reception and admin teams, nurses and associates on payroll, plus variable hours, overtime, statutory sick pay and holiday pay calculations. It also includes pension auto-enrolment duties — assessing staff, processing contributions and keeping the required records. Running payroll monthly rather than in a rush at year end tends to reduce errors, and it keeps your RTI submissions and P60 or P11D obligations on schedule.
Most medical and healthcare services provided by registered professionals are exempt from VAT, which means you generally cannot register and reclaim input VAT on those services. Where things get complicated is when you also provide non-exempt work, such as cosmetic treatments, some occupational health reports, retail sales, dispensing or non-clinical consultancy. In that situation you may be partially exempt, and the apportionment of VAT and recovery of related costs needs to be calculated and documented properly. It is worth reviewing before you cross a registration threshold.
Yes — most of the day-to-day accounting work can be handled remotely using secure digital record keeping and document sharing, which suits clinicians who cannot easily step out of a practice during working hours. Appointments can be arranged around clinic sessions, and queries can usually be dealt with by email or a scheduled call. What matters most is that records get to us consistently through the year rather than in a single pile before the filing deadline.
Start with a short initial conversation about how you work and what is currently causing difficulty — an overdue return, unclear practice accounts, payroll that has become unmanageable, or simply uncertainty about whether your structure still fits. We then review your existing records, filings, VAT and payroll position, and confirm which services you actually need. From there we agree a schedule for bookkeeping, returns and payroll runs, and set up the relevant HMRC authorisations so everything is properly in place before the next deadline arrives.
