Accounting Services for Healthcare in Knaresborough
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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 accounting rarely fits a standard template. The mix of public and private income, exempt and taxable activity, and complex pension arrangements creates questions that need proper answers rather than guesswork.
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 covers the standard accounting and tax work — Self Assessment, annual accounts, Corporation Tax, bookkeeping, payroll and VAT — but applied with an understanding of how healthcare income and costs behave. In practice that means handling a mix of NHS and private income, dealing with practice expenses such as indemnity insurance, registration fees and equipment, managing payroll for clinical and administrative staff, and advising on matters like pension contributions, practice structure and VAT exemption. The goal is the same as any good accountancy relationship: accurate records, filings submitted on time, and useful advice rather than a scramble every January.
Locums typically pay tax through Self Assessment, but where you work through your own limited company and provide services to public sector bodies such as NHS trusts, the off-payroll working rules can apply. That means the trust may make its own determination about the tax status of the engagement, and getting it wrong can lead to unexpected tax bills. We can review how you contract, whether sole trader or limited company is the better fit for your circumstances, and what records you should keep for each engagement.
In most cases, yes. GP partners report their share of practice profits, and private consultants and locums report fee income, so a return is normally required even where tax is also collected through PAYE on NHS salary. Practice expenses, pension contributions and other reliefs all need to be reported correctly, and the figures have to reconcile with the practice accounts. If you receive income from more than one source, a return is generally needed regardless of how small the amounts are.
Many clinical services provided by registered healthcare professionals are exempt from VAT, which is why most practices do not need to register. However, exemption does not cover everything. Aesthetic and cosmetic treatments, retail sales from a pharmacy or dispensary, some non-clinical services and certain business-to-business charges may be taxable, and a mix of exempt and taxable income can trigger registration or partial exemption rules. It is worth reviewing your activities rather than assuming everything falls under the exemption.
Yes. We can run payroll for your clinical and administrative team, calculate PAYE and National Insurance, issue payslips and handle the reporting obligations that go with them. We can also help assess whether automatic enrolment duties apply to your staff and support the administrative side of pension arrangements, including the paperwork that goes with locum pension contributions where relevant. Keeping this organised reduces the risk of last-minute problems with HMRC or your pension provider.
At a minimum, keep records of all income — NHS payments, private fees, locum invoices, dispensing or retail takings — alongside evidence for anything you claim as an expense. That includes professional indemnity insurance, GMC, NMC or GDC registration fees, medical equipment, mileage logs for travel between sites, home office costs if you work from home, and study or training costs. Digital records make this far easier, and HMRC expects supporting documentation to be retained. Well-kept records also make the year-end process quicker and less expensive.
Yes. Accounting and tax work is largely document-based, so we can support healthcare professionals and practices remotely, using secure methods to share records, accounts and correspondence. Calls and video meetings are usually the easiest way to cover more complex questions, such as structure changes or VAT treatment, while routine matters can be handled by email. Many clients find this fits better around clinic hours than fixed in-person appointments.
Start with a conversation about your situation — your role, how your income is structured, what records and systems you already have, and what you would like help with. From there we can review your current accounting and tax position, identify anything that needs attention, and set out a clear plan covering bookkeeping, payroll, returns, deadlines and ongoing advice. If you are switching accountants, we can also help manage the handover from your previous firm so nothing is missed.
