Accounting Services for Healthcare in Newcastle
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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 finances rarely fit a single, simple pattern. Income arrives from several directions, expenses are unusual compared with most sectors, and the tax rules that apply can shift depending on how you are engaged.
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.
In practice, the work covers both compliance and advice. That means preparing and filing Self Assessment returns that combine NHS salary, locum fees, private income and pension figures correctly; producing annual accounts and Corporation Tax returns for incorporated practices and healthcare businesses; running bookkeeping and payroll; handling VAT returns and partial exemption calculations where services are mixed; and advising on business structure, expenses and tax planning. The emphasis is on accounting that reflects how healthcare income genuinely works rather than forcing it into a generic format.
A specialist background helps considerably. Locum and sessional work often means multiple contracts, agency arrangements, expenses that travel between sites, and interaction with NHS pension rules. Getting the reporting right matters, particularly where income crosses tax bands or where the annual allowance is in play. An accountant familiar with these patterns can spot deductions that might otherwise be missed and flag issues before they become expensive.
Both sources are reported on the same return. Your NHS pay is usually taxed through PAYE, while private fees often arrive gross and need to be declared, with any tax due collected through the return. The complexity usually sits in matching the income to the correct tax year, accounting for expenses that relate to private work only, and making sure payments on account are set at a sensible level so you are not facing an unexpectedly large bill in January.
Common examples include professional registration and indemnity insurance, medical equipment and instruments, specialist clothing that cannot be worn outside work, relevant training and CPD, professional subscriptions, and a reasonable proportion of home office costs where admin is done at home. Travel between sites is often claimable while ordinary commuting generally is not. The key is that expenses must be wholly and exclusively for the business or profession and must be backed by records.
It depends on your turnover and the nature of your supplies. Many medical services are exempt from VAT, but others — such as cosmetic treatments, some non-medical therapies and retail sales — are standard-rated. If you provide a mixture, you may need to consider registration once turnover passes the threshold, and you will also need to handle partial exemption so that VAT on costs is treated correctly. This is an area where the detail matters a great deal.
There is no universal answer. Sole trader status suits many clinicians with straightforward income and low administrative appetite, partnerships are common in general practice and shared clinics, and limited companies can offer tax efficiencies and limited liability in the right circumstances — though they bring additional filing and compliance obligations. The right choice depends on your income level, how profits need to be drawn, your plans for the practice and how much administration you want to take on.
Yes. Practice payroll typically includes salaried clinicians, practice managers, reception and administrative staff, plus locum payments where these run through the payroll. That involves real-time information submissions to HMRC, payslips, statutory payments, auto-enrolment pension contributions and year-end reporting. For those in the NHS Pension Scheme, there are separate contribution and annual allowance factors worth reviewing alongside the payroll itself.
Remote working is perfectly workable. Documents can be shared securely, records kept digitally and meetings held by phone or video, which suits clinicians whose hours rarely align with office opening times. To get started, we begin with an initial conversation about your circumstances and income sources, followed by a review of your current accounting and tax position. We then set out what support is appropriate and put it in place.
