Accounting Services for Healthcare in Market Deeping
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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 finance tends to be more layered than many other sectors. NHS work, private fees, employed roles and business ownership can all sit within one person's affairs, and each element carries its own tax treatment and record-keeping requirements. The challenges below come up regularly.
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 same core areas as any accountancy service, but applied to healthcare circumstances. That includes preparing Self Assessment tax returns for clinicians with employed, locum and private income, annual accounts and Corporation Tax returns for practices and clinics, bookkeeping and management accounts, payroll for clinical and administrative staff, VAT advice on mixed exempt and taxable services, and tax planning around business structure and profit extraction. In practice, much of the value lies in making sure mixed income streams are correctly reported, expenses are properly supported and deadlines are met without last-minute scrambling.
If you receive income that is not taxed through PAYE — for example locum fees, associate payments, private consultation income or earnings invoiced through your own company — you will usually need to report it. Even where tax has been deducted at source, HMRC may still expect a return. The safest approach is to review your total income sources, including any salaried post and pension income, and confirm your filing position rather than assume the tax already deducted settles the matter. We can review your circumstances and prepare the return if one is required.
NHS payments and private fees are both taxable, but they can behave differently in other respects. Private work is often invoiced directly, which raises questions about VAT registration thresholds and the nature of the supply, while NHS income frequently arrives through set payment mechanisms and may interact with pension contributions. Record keeping needs to keep the two streams clearly separated, because a single bank account with mixed deposits makes it difficult to demonstrate what relates to which activity. Getting the classification right from the outset avoids corrections later.
Yes. Payroll for a medical or dental practice typically includes a mix of clinical staff, reception and administrative teams, and sometimes locums or associates paid on a different basis. We can handle payslips, PAYE reporting to HMRC, statutory payments, pension auto-enrolment duties and the year-end processes that accompany them. Where individuals provide services through their own limited company, the tax status of that engagement may need separate consideration, so it is worth discussing the arrangement before it begins rather than after.
Common claims include professional registration and licence fees, professional indemnity insurance, mandatory training and CPD, specialist equipment and uniforms, business mileage and a reasonable proportion of home running costs where a workspace is genuinely used for practice administration. Items with mixed personal and professional use, such as vehicles, phones and computers, need a defensible basis for the business share claimed. The principle throughout is that the expense must be incurred wholly and exclusively for the purposes of the work, so records and receipts matter as much as the category itself.
It depends on what is supplied. Many healthcare services provided by registered professionals are exempt from VAT, but other activities — cosmetic treatments, some diagnostic work, non-medical reports, retail sales in a pharmacy or the sale of goods — may be standard-rated or zero-rated. A business with a mixture of exempt and taxable income needs to monitor its turnover carefully, because the VAT registration threshold applies differently to exempt supplies, and partial exemption rules can affect how much input VAT can be recovered. Advice before you cross a threshold is generally more useful than a review afterwards.
Yes. Most accounting work is now carried out through secure digital records, cloud bookkeeping software and online document sharing, so location is rarely a barrier. What matters is that records reach us accurately and on time, and that you have a clear point of contact for questions. Whether you prefer to send information digitally or discuss matters by phone or video, the process can be organised around your clinical schedule rather than a fixed appointment.
Start with a conversation about how you work. It helps to have a rough picture of your income sources, whether you employ anyone, whether you are VAT registered, and any upcoming deadlines or HMRC correspondence you are concerned about. From there we can review your current position, identify what needs attention and confirm what support would look like. If you already have an accountant, the handover is usually straightforward once we know what records and filings exist.
