Accounting Services for Healthcare in Melksham
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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 work rarely produces a simple tax position. Income arrives from different sources, expenses are profession-specific, and the rules around what is taxable and what is allowable are not always obvious. These are the challenges 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 work covers both compliance and advice. In practice, that usually means preparing and filing Self Assessment returns, drawing up annual accounts, calculating and submitting Corporation Tax returns for incorporated practices, managing bookkeeping, running payroll for clinical and support staff, handling VAT returns where applicable, and providing tax planning and business structure advice. For healthcare clients specifically, we also look at how NHS income, private fees, locum earnings and dividends interact on a return, and which clinical expenses are genuinely allowable.
It suits anyone working in healthcare with financial or tax responsibilities. That includes GPs and GP partners, dentists and dental associates, pharmacists, consultants, nurses and nurse practitioners, physiotherapists, optometrists, podiatrists, carers, locums and other allied health professionals. It is equally relevant to healthcare businesses — private clinics, medical and dental practices, care providers and similar organisations with employees, VAT considerations or multiple partners.
Not everyone does, but many healthcare professionals do. If you have income that is not taxed through PAYE — private consultation fees, locum payments, partnership profits, dividends from a practice company, rental income or untaxed savings interest — a return is usually required. HMRC can also ask you to file for other reasons. We look at your full income picture and confirm whether a return is needed, then prepare it accurately if it is.
Both are generally taxable, but they arrive through different routes and can require different records. Salaried NHS income is usually taxed through PAYE, while private fees, locum sessions and practice profits may need to be declared separately. The main risk is not the tax rate itself but the record keeping — if income streams are not clearly separated, a return can end up inaccurate. We help set up a structure that keeps each stream identifiable and reconciles properly at year end.
Typical claims include professional indemnity and medical defence cover, GMC, NMC, GDC or equivalent registration fees, CPD and mandatory training, specialist uniforms that are not everyday clothing, clinical equipment and instruments, professional subscriptions, and a proportionate share of home running costs where a genuine business space is used. Expenses must be incurred wholly and exclusively for the work. We review claims carefully so you are not paying more tax than necessary, while keeping the position defensible.
It depends on the mix of services you provide. Most medical care is exempt from VAT, but dispensing, cosmetic treatments, retail sales and certain non-medical or advisory services are typically taxable. Where a business has both exempt and taxable income, registration and VAT treatment need careful thought, including how input tax is recovered. We can review your turnover position, advise on whether registration is required or beneficial, and handle returns and partial exemption calculations where they apply.
Yes. We can run payroll for permanent employees, part-time and bank staff, and administrative teams, covering PAYE, National Insurance, statutory payments, pension auto-enrolment and payslips. Practices often have a mix of contracts and varying hours, so payroll is set up around your actual staffing pattern rather than an assumed one, with the key dates built into a clear schedule.
Yes. Most of what we need can be shared digitally, and meetings can be held by phone or video, which suits healthcare professionals whose working day rarely allows for daytime appointments. Records can be uploaded securely and queries handled by email or a scheduled call. If you prefer to meet in person at some stage, that can be arranged as part of the initial conversation.
