Accounting Services for Healthcare in Romiley
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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 professionals often carry the same accounting burdens as other business owners, but with added layers created by NHS systems, private work and mixed income sources. Here are the issues we see most frequently.
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 standard accountancy and the healthcare-specific details that affect it. That typically includes Self Assessment for individuals and partners, annual accounts and Corporation Tax for limited companies and incorporated practices, bookkeeping, payroll, VAT registration and returns, and tax planning. The healthcare element sits in how those services are applied — recognising the mix of NHS and private income, understanding how pension contributions and annual allowance considerations feed into your tax position, and distinguishing exempt medical care from standard-rated services for VAT.
It suits anyone earning income from healthcare work, whether as an employee, a sole trader, a partner or a company director. That includes GPs and GP partners, hospital doctors and consultants, dentists and dental associates, pharmacists, nurses and nurse practitioners, physiotherapists, chiropractors, registered carers, locum practitioners, and the owners of clinics, medical practices and care businesses. The common thread is a financial position that is more complicated than a single salary — usually because of private fees, multiple engagements, staff costs or a partnership structure.
Both are reportable, but they are not treated identically. NHS salary is usually taxed through PAYE and appears on your return as employment income, while private fees and locum work are typically self-employment or miscellaneous income that you report and on which you may need to make payments on account. Getting this right means keeping clear records of each stream, separating business costs from personal spending, and understanding how NHS pension contributions interact with your overall taxable income. Because the combination affects both your tax bill and your payments on account, it is worth reviewing before the filing deadline rather than after.
Commonly claimed items include professional registration and regulatory body fees, indemnity or professional insurance, CPD courses and training, professional subscriptions, medical equipment and instruments used for work, protective clothing and uniforms, business mileage, and a reasonable proportion of home running costs where you use part of your home for work. Each claim needs to be genuinely incurred for the purposes of your work and supported by records. Personal costs, ordinary commuting and general living expenses are not allowable, and treating them as if they were is one of the most frequent causes of problems.
There is no single answer, because it depends on your profit level, whether you work through agencies or directly for NHS bodies, how you feel about administrative obligations, and how your pension position interacts with dividend income. A limited company can offer tax planning flexibility, but it also brings statutory accounts, Corporation Tax, payroll as a director, and potential off-payroll working considerations to manage. Many healthcare professionals review their structure as their income grows or as their working pattern changes, and it is worth looking at the numbers properly before making the switch in either direction.
VAT treatment depends on what is being supplied and by whom. Certain medical care provided by appropriately qualified professionals can be exempt, while treatments that are primarily cosmetic are generally standard-rated. A practice offering both types of service may need to work through partial exemption rules, which determine how much input VAT can be recovered. Because the boundaries are not always obvious, it is worth having your services reviewed rather than assuming a single treatment applies to everything you do.
Yes. Payroll for a healthcare practice usually involves PAYE and real-time reporting, auto-enrolment pension duties, and in some cases NHS pension arrangements for eligible staff. Paying locums and associates brings its own questions about how those payments should be treated and what information needs to be gathered from each individual. Handling this consistently each month avoids the corrections and queries that build up when payroll is run informally.
Remote working is entirely practical. Cloud accounting software and secure document sharing mean records, invoices and payroll information can be exchanged without needing to visit an office, and questions can be answered by phone, email or video call. To get started, the first step is a conversation about your circumstances — how you work, where your income comes from and what is currently causing difficulty. From there, your accounting and tax position is reviewed and an appropriate support arrangement is put in place.
