Accounting Services for Healthcare in Kingston upon Thames
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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 fits a single, simple financial pattern. These are the recurring issues we see clinicians and healthcare businesses working through.
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 tax and accounting needs that come with clinical careers and healthcare businesses. For individuals, that typically means Self Assessment returns dealing with NHS salary, private practice fees, locum income and professional expenses. For practices, clinics and healthcare companies, it means annual accounts, Corporation Tax or partnership returns, VAT, payroll for staff and associates, bookkeeping and management reporting. It also includes advice on structure, profit extraction and record keeping.
In many ways the rules are the same, but the circumstances are not. Healthcare income often combines employment, self-employment and company income in one tax year. Expenses are dominated by indemnity cover, professional registration, specialist equipment and training. VAT frequently involves exempt medical services mixed with taxable work. A specialist accountant recognises these patterns quickly, which usually means fewer questions, fewer errors and more useful advice.
Yes. This is one of the most common situations we deal with. Your NHS pay is taxed through PAYE, while private fees usually need to be reported through Self Assessment. We make sure the split is recorded properly, that the right expenses are claimed against the private income, and that any tax already paid through PAYE is correctly accounted for so you are not taxed twice on the same earnings.
Many medical and healthcare services are exempt from VAT, but not everything a practice does falls into that category. Dispensing, product sales, cosmetic treatments, room hire, training and consultancy can all be treated differently. Where a business has a mix of exempt and taxable income, we look at registration thresholds and partial exemption rules, then put a recording system in place so the VAT returns are accurate and defensible.
Not necessarily. Sole trader and partnership arrangements suit many clinicians, while a limited company can make sense for others depending on income levels, IR35 considerations, how many contracts you hold and how you want to take money out of the business. We review your particular circumstances before recommending anything, rather than assuming a company structure is automatically better.
Broadly, you need evidence that an expense was incurred wholly and exclusively for your work. That usually means receipts or invoices for indemnity insurance, professional body and registration fees, specialist equipment, clinical clothing, relevant training, professional journals and subscriptions, and a reasonable calculation for any home office or travel costs. We help set up a simple system so these are captured as they arise rather than reconstructed months later.
Yes. Many healthcare clients prefer to hand over the routine work entirely. We can manage bookkeeping using cloud accounting software, process payroll including RTI submissions and pension duties, prepare VAT returns where relevant, and then use those records to produce your Self Assessment or company accounts. Keeping everything with one team avoids gaps and duplicated effort.
It starts with a conversation about how you work and what you need, followed by a review of your current accounting and tax position. From there we set up the support that fits — whether that is a full bookkeeping and payroll service or simply help with your annual return. Remote working suits many clinicians, so documents can be shared digitally and meetings held by phone or video, alongside whatever contact method you prefer.
