Accounting Services for Healthcare in Otley
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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 and expenditure rarely follow a tidy monthly pattern, and the tax rules that apply are not always intuitive. These are the pressure points that most often cause difficulty.
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 tax and accounting tasks that come with clinical practice. That includes preparing and filing Self Assessment tax returns for locums, partners and clinicians with private income, preparing annual accounts and Corporation Tax returns for limited companies and LLPs, running bookkeeping and cloud accounting records, handling payroll for practice staff, advising on VAT and partial exemption where non-exempt services are provided, and planning around profit extraction, pensions and business structure. Just as importantly, it means interpreting the rules in the context of how you actually work.
It suits almost anyone earning income from healthcare. That includes salaried and locum doctors, GP partners, hospital consultants with private practice, dentists and dental practice owners, pharmacists and pharmacy contractors, nurses and advanced practitioners with additional income, physiotherapists, osteopaths, psychologists and other allied health professionals, plus private clinics, aesthetics providers, care homes and domiciliary care businesses. The common thread is income or business structures that are not straightforward to report.
Yes, and this is one of the most common situations we deal with. NHS salary is usually taxed through PAYE, while private fees are typically reported through Self Assessment, so the two need to be brought together correctly. Getting it right involves matching expenses to the right income stream, checking that any tax already deducted is properly credited, and reviewing whether payments on account are set at the correct level so you are not left with an unexpected bill in January.
It depends on the services provided. Many medical and healthcare services are exempt from VAT, but others, such as cosmetic treatments, medico-legal reporting, some training and retail sales from a dispensary, are standard-rated. If a business provides a mixture of exempt and taxable services, VAT registration may be required once taxable turnover reaches the relevant threshold, and partial exemption rules can then apply. Advice should be based on your specific mix of services rather than a general assumption.
Payroll for a practice usually involves several different groups: administrative staff, salaried clinicians, regular part-time staff and locums paid on varying terms. Each needs to be set up correctly for PAYE, National Insurance and pension auto-enrolment, with payslips issued on time and Real Time Information submissions made after each pay run. Where a clinician works through their own company, the arrangements are different again and need to be reflected accurately in both the practice's and the individual's records.
As an individual taxpayer, you should generally keep records for at least five years after the 31 January filing deadline for the relevant tax year. Limited companies are usually expected to keep accounting records for six years from the end of the accounting period. In practice, the most useful approach is to keep everything in a cloud accounting system throughout the year, so invoices, receipts, mileage logs and bank transactions are captured as they happen rather than reconstructed months later.
Yes. Much of the day-to-day accounting work is handled through cloud accounting software and secure document sharing, which means appointments, queries and record submissions can be dealt with without needing to visit an office. Many clinicians find this more convenient than traditional arrangements, particularly those working across multiple sites, doing regular locum shifts or running a practice alongside clinical duties.
It usually begins with a short conversation about your circumstances: how you earn your income, what structures are already in place, which deadlines are approaching and what is causing you the most difficulty. From there, your current accounts, returns and records can be reviewed, any immediate risks or outstanding filings identified, and a clear plan agreed for ongoing support. If you are considering a change of structure or an upcoming decision, that can be built into the same conversation.
