Accountants for Healthcare in Purley

It covers the core compliance work plus the healthcare-specific detail that general accountants may not encounter often. In practice that means preparing Self Assessment tax returns that correctly report NHS, private, locum and insurance-funded income, producing annual accounts and Corporation Tax computations for incorporated practices, keeping bookkeeping organised, running payroll and pension auto-enrolment for practice staff, advising on VAT where registration applies, and providing tax planning and management information. It also means understanding how rules differ for exempt and standard-rated healthcare services, and which professional costs are treated as allowable expenses.

Yes. Many of our healthcare clients receive income from more than one source, and it is common to combine NHS salary or locum work with private fees, medico-legal reports, teaching or insurance-funded sessions. The key is keeping each stream separately documented so the tax return reflects what was actually received and any expenses are attributed sensibly. We can help you set up a straightforward system for recording this throughout the year, which makes the return far quicker to prepare and less likely to raise questions.

If you are self-employed, a partner in a practice, or you receive untaxed income such as private fees, you will normally need to file a Self Assessment tax return, even if you also hold a salaried position where tax is deducted through PAYE. The return will need to account for all your income and allowable expenses, and HMRC will often expect payments on account towards the following year. We can confirm your position, register you where necessary, prepare the return and help you plan for the payments so they do not come as a surprise.

Yes, and this is one of the areas where healthcare VAT gets genuinely tricky. Many medical and dental services are exempt from VAT, while other treatments or products may be standard-rated or zero-rated, and a practice providing a mixture can end up with partial exemption considerations and restricted input tax recovery. We can review what you supply, help you decide whether VAT registration is required or beneficial, advise on the treatment of individual services and maintain the records needed to support the position you take.

Common examples include professional indemnity insurance, registration and revalidation costs, subscriptions to professional bodies, CPD and training that maintains existing skills, specialist equipment and instruments, protective clothing, and travel between sites that is genuinely undertaken for work. Home working costs and mileage may also be relevant where the rules are met. The precise position depends on whether you are employed, self-employed or working through a company, so it is worth reviewing your own circumstances rather than assuming a standard list applies.

Yes. We can take on payroll for receptionists, nurses, dental hygienists, administrators, associates and other team members, including payslips, real-time information submissions, statutory payments and end-of-year reporting, alongside pension auto-enrolment duties for eligible staff. This is particularly useful for practices where the person handling payroll is also handling bookings, compliance or clinical work, and it reduces the risk of late or inaccurate submissions to HMRC.

There is no universally correct answer, and the right structure depends on your profit levels, how many people you work with, how you are engaged by hospitals or practices, and what you want to do with retained profits. Incorporation can suit some practitioners, while others are better off remaining unincorporated, and associate arrangements sometimes sit outside these choices altogether. We can review your circumstances, explain the tax and administrative consequences of each option, and help you restructure if your current arrangement no longer fits.

Yes. Accounting work is well suited to remote arrangements, with documents shared securely and meetings held by phone or video at times that fit around clinics, surgeries and on-call commitments. To begin, we would arrange an initial conversation about how you work and what you need, then review your existing records and returns before confirming which services would help and what we require from you. From there, we set up the ongoing bookkeeping, payroll, VAT or tax work and map out your key dates.