Accounting Services for Healthcare in Marlow
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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 rarely follows one tidy pattern, and that is where most financial pressure builds. These are the areas where clinicians and practice owners most often need support.
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 difference is mostly in the questions asked. A healthcare-focused accountant will want to know how your income splits between NHS employment, private fees, locum sessions and any teaching or medico-legal work, because each is treated differently for tax. They will also consider healthcare-specific issues such as the VAT exemption that applies to qualifying medical care, the correct treatment of associate or partner profit shares, pension contribution figures when planning tax, and the off-payroll rules that can affect locums engaged through agencies. The result is a return and a set of accounts that reflect your actual working pattern rather than a generic self-employed template.
Many locums are self-employed for tax purposes, which means registering with HMRC, filing a Self Assessment return each year and keeping evidence of business costs such as indemnity insurance, travel between sites, registration fees and equipment. It also means understanding payments on account, so you are not caught out by two tax bills close together. If you work through an agency or an intermediary, off-payroll working rules may apply and the position can be more complex. An accountant can confirm your status, handle the filings and make sure your records support the figures being reported.
VAT in healthcare is not a single answer. Medical care provided by a qualifying health professional is generally exempt, but other activities in the same business may be standard-rated — cosmetic or non-medical treatments, retail sales, room hire or training, for example. Businesses with a mixture of exempt and taxable income may need to apply partial exemption rules, which affect how much input VAT can be recovered. Registration also depends on your taxable turnover and the nature of your services, so it is worth reviewing the position before assuming you are outside the system.
Costs must be incurred wholly and exclusively for your work, but a useful range typically qualifies. That can include professional registration and indemnity insurance, CPD and mandatory training, professional body subscriptions, specialist equipment and instruments, uniforms and laundering where relevant, business mileage between sites, and a proportionate share of home running costs if you maintain a dedicated workspace. The key is keeping receipts and being able to explain the business purpose of each item if HMRC asks. Overclaiming creates risk, and underclaiming simply costs you money, so the list is worth reviewing each year.
Yes, and this is one of the most common situations in healthcare. Your NHS salary is taxed through PAYE, while private fees, locum sessions and similar income are reported through Self Assessment. Because tax is collected on the combined total, a shortfall can arise on the PAYE element, which often leads to payments on account for the following year. Planning around that is important, particularly when income fluctuates, and pension contribution figures can also affect the overall picture. We bring both streams together into one coherent calculation so you know what is owed and when.
Remote working is entirely normal for accounting, and it suits clinicians who struggle to find time during surgery hours. Documents can be shared securely, records kept in cloud accounting software, and meetings held by video or phone at a time that fits your rota. Many healthcare clients find this more efficient than posting paperwork, because records are updated continuously and there is no scramble at the deadline. If you prefer a face-to-face discussion, we are happy to arrange that too.
For Self Assessment, HMRC generally expects records to be kept for at least five years after the 31 January filing deadline for the relevant tax year. Limited companies are usually expected to retain accounting records for six years from the end of the accounting period. In practice, digital records are now the norm, and Making Tax Digital requires compatible software for VAT and increasingly for income tax. Keeping bank statements, invoices, receipts and contracts organised as you go makes the year-end process far quicker and gives you evidence to hand if HMRC ever raises a query.
It starts with a short conversation about your role, your income sources and what you would like to change — whether that is catching up on overdue records, moving to digital bookkeeping, or getting clearer reporting from a practice. We then review your current accounts, tax returns, payroll and VAT position to identify what needs attention and when. From there, we agree the services that suit you and set up the records and deadlines. You do not need to have everything perfectly organised beforehand; bringing what you have is enough to begin.
