Accounting Services for Healthcare in London
4.9/5.0
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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 finance tends to be complex in ways that are not always obvious until a deadline arrives or a tax return does not add up. These are the issues we see most often.
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 services are familiar — bookkeeping, payroll, VAT, annual accounts, Corporation Tax and Self Assessment — but the way they are applied is not. Healthcare clients often have NHS income, private fees, insurance-funded work and sessional or associate payments arriving through different routes, alongside complex expense rules and VAT questions that turn on the precise nature of the service provided. Healthcare accounting means structuring all of that correctly rather than forcing it into a generic small-business template.
It is worth having one. Where you have employment income plus self-employment, the interaction between PAYE, Class 1 National Insurance and Class 2 and 4 National Insurance is easy to get wrong, and it is common to miss expenses that are genuinely claimable against private or locum earnings. An accountant also helps with payments on account, so you are not caught out by a larger-than-expected bill partway through the year.
The two are recorded and reported separately so the picture stays clear, whether you are a sole trader, a partner or trading through a limited company. We reconcile practice statements, private invoices, insurance receipts and pension contributions so the tax return reflects your true position, and we look at which costs relate to which income stream so deductions are claimed sensibly and defensibly.
Reasonable, wholly and exclusively business-related costs may be claimable — professional registration and indemnity cover, clinical equipment, CPD and mandatory training, specialist software, professional subscriptions and travel between sites, among others. Mixed-use items such as a home office or a car need apportioning properly. Being accurate matters more than being aggressive: the aim is to claim everything you are entitled to while keeping the records that support it.
It depends on what you provide and how much you earn from taxable supplies. Many core medical and healthcare services are exempt, but private cosmetic treatment, dispensing, retail sales, some diagnostic work and non-healthcare services can be standard-rated, and mixed businesses often need careful analysis. If your turnover approaches the registration threshold, it is worth reviewing the position before rather than after you register.
Yes. Payroll in a practice rarely covers one type of worker, so we handle the different arrangements — salaried employees, hourly clinical staff, practice managers and receptionists — along with auto-enrolment pension duties, statutory payments and the correct reporting for each. We also help clarify when a clinician should be engaged as self-employed rather than on payroll, since getting that wrong carries real risk.
Absolutely. Most records can be kept digitally, with bank feeds, scanned receipts and cloud accounting software replacing paper books. Appointments can be held by phone or video, which suits clinicians with unpredictable schedules, and we agree a document-sharing method that keeps your data secure and your paperwork minimal.
There is no single answer. Sole trader or partnership status can be simpler and cheaper to administer, while a limited company may be more tax-efficient once profits rise, or where you want to retain earnings, protect a brand name or bring in co-owners. The right choice depends on your income levels, whether you have partners, and your plans for growth, which is why we review structure alongside your accounts rather than in isolation.
