Accounting Services for Healthcare in Lancaster
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 work often produces income streams and working patterns that standard accounting templates do not handle well. These are some of the challenges we see most often in the sector.
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 day-to-day work covers the same core areas as any accountancy service — Self Assessment, annual accounts, bookkeeping, payroll, VAT and Corporation Tax — but it is applied to healthcare circumstances. That means understanding how NHS income, private fees, locum work, associate agreements and practice profits are reported, which expenses are allowable for clinicians, and how pension contributions and regulatory fees interact with your tax position. It also means knowing when a practice needs to register for VAT, how to treat exempt and non-exempt services, and how to present accounts in a way that helps you run the business rather than just satisfy HMRC.
In most cases, yes. If you receive income that is not taxed through PAYE — locum fees, sessional payments, private consultation income or subcontracting work — you will normally need to report it through Self Assessment, even if you also hold a salaried or NHS post. The return needs to bring together all your income sources correctly, account for tax already paid, and calculate any liability or repayment due. We can prepare and file the return, advise on the expenses you can claim against self-employed income, and help you plan for payments on account so they do not come as a surprise.
Yes — mixed income is one of the most common situations we deal with in healthcare. NHS employment income, NHS pension contributions and private practice profits are treated differently for tax purposes, and the interaction between them affects your overall liability and your payments on account. Getting this right usually involves reviewing payslips, pension records and practice accounts together rather than in isolation, so the return reflects your actual position. We can also advise on whether restructuring private work — for example, moving it into a limited company — would be sensible for your circumstances.
There are overlaps, but the detail differs. Dental and pharmacy businesses often deal with high-value stock, equipment finance, associate or locum payments, and premises costs that need careful treatment in the accounts. Clinics and care providers typically have payroll at the centre of their finances, with variable shift patterns, pensions and staff-related costs to manage. Many also have a mix of exempt and standard-rated supplies for VAT. An accountant who understands these patterns can structure the bookkeeping and reporting so the figures are meaningful and the compliance side is handled without last-minute panic.
Common allowable expenses include professional body and regulatory fees, professional indemnity insurance, continuing professional development, specialist equipment and instruments, uniforms or protective clothing, mileage and travel between work sites, and a proportionate share of home office costs where administrative work is genuinely carried out at home. The rules depend on whether you are employed or self-employed, and some costs are restricted or disallowed entirely. Because HMRC expects claims to be evidenced, we help clients keep records in a format that supports the figures in the return rather than trying to reconstruct them months later.
It depends on your turnover and the nature of your services. Many healthcare services are exempt from VAT, but not all — and businesses supplying a mixture of exempt and standard-rated goods or services, such as some pharmacy, cosmetic or retail elements, need to look at this carefully. Registration is mandatory once taxable turnover crosses the threshold, and voluntary registration can sometimes be beneficial. If you are approaching the threshold, or are unsure how your supplies should be treated, we can review your position and explain the practical implications before you make a decision.
Yes. Payroll for healthcare employers often involves salaried clinicians, part-time administrative staff, locum or sessional payments, overtime and pension contributions, all of which need accurate calculation and timely reporting to HMRC under RTI. We can run payroll on a regular schedule, produce payslips, handle starters and leavers, and keep the associated records tidy so year-end reporting is straightforward. If you currently manage payroll yourself and it is taking up clinical or management time, moving it across is usually a simple transition.
It begins with a conversation. Tell us about your role or practice, how your income is structured, what accounting work is currently being done and where the pressure points are. We will then review your position — including any outstanding returns, bookkeeping records, payroll arrangements and upcoming deadlines — and set out what support would look like and what needs to happen first. From there, we agree responsibilities and timescales and put the arrangements in place, so you have a clear picture of who is handling what and when things are due.
