Accounting Services for Healthcare in Maida Vale London
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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 income is rarely simple, and the tax rules that apply to it are rarely straightforward either. These are the pressure points we see most often in healthcare accounting.
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 same core areas as any accountancy service — Self Assessment, annual accounts, Corporation Tax, bookkeeping, payroll and VAT — but applied to the way healthcare income and costs behave. In practice that means handling a mix of NHS salary, private fees, locum payments and consultancy income correctly on a tax return, identifying healthcare-specific allowable expenses such as professional registration fees and indemnity insurance, and advising on structure where a practitioner moves from sole trader to a practice partnership or limited company.
Once you have any self-employed or untaxed income, you generally need to file a Self Assessment return and declare it to HMRC, and the interaction between employed NHS income and self-employed private fees can affect your payments on account and your overall tax bill. An accountant can confirm how much you actually owe, which costs are deductible against private work, and how to avoid underpaying or overpaying across the year.
Yes. This is one of the most common situations we handle. The employed NHS income is taxed through PAYE, while private fees, locum work and consultancy earnings are declared through Self Assessment. We reconcile the two, apply the correct reliefs for job-related expenses, and calculate payments on account so you know what is due in January and July rather than discovering it suddenly.
Broadly, expenses must be wholly and exclusively for the purpose of your work. For self-employed healthcare practitioners this often includes professional registration and defence union or indemnity insurance, specialist journals and subscriptions, relevant training and continuing professional development, travel between work locations, and a proportionate share of home office costs where admin is done from home. For employed work the rules are tighter and generally require the cost to be necessary for the job. We will review your own circumstances rather than apply a generic list.
Many healthcare services provided by registered professionals are exempt from VAT, but exemptions depend on the nature of the service and the provider's registration status. Non-medical services — such as certain cosmetic treatments, report writing for third parties, or retail sales of products — can be taxable. Where a practice has both exempt and taxable income, we help monitor the VAT registration threshold and advise on partial exemption calculations.
It depends on your income level, how many partners or associates you work with, whether you own premises, and how you want to take money out of the business. A single locum working part-time may be perfectly well served as a sole trader, while a growing practice with multiple partners or higher profits might benefit from incorporation. We look at the numbers for your specific situation and explain the tax and administrative consequences of each option.
Yes. Payroll support typically includes payslips for receptionists, nurses, assistants and salaried clinicians, PAYE and National Insurance reporting to HMRC, and automatic enrolment pension administration for eligible staff. We can also advise on how associate or partner arrangements should be treated, since these are structured differently from standard employment and are a frequent source of HMRC queries.
Yes. Much of the accounting relationship is handled securely online — sharing documents, reviewing figures and holding meetings by video or phone at times that fit around clinics and surgery hours. Many clients find this more convenient than fixed in-person appointments, and it means records can be sent across as soon as they are available rather than saved up for a year-end rush. If you prefer to meet in person, we can arrange that too.
