Accounting Services for Healthcare in Sale
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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 simple template. Most clinicians are juggling several income sources, tight clinical schedules and tax rules that were not written with medical working patterns in mind. 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.
For healthcare clients, accounting usually covers annual accounts, Self Assessment tax returns, Corporation Tax returns for incorporated practices, bookkeeping and digital record keeping, payroll for staff and locums, VAT registration and returns where they apply, and tax planning. It also includes practical support such as splitting NHS and private income correctly, reviewing allowable expenses, advising on business structure, and producing management information so you can see how a practice or clinic is performing. The exact mix depends on whether you work as a sole trader, a partner or through a limited company.
Yes. Locum work, part-time contracts, bank shifts and private sessions often create several small income streams that still need to be reported accurately. If you are self-employed for some of your work, you will usually need to file a Self Assessment return, and many clinicians in this position are also able to claim expenses such as mileage, indemnity cover, professional registration fees and CPD. If most of your income is taxed through PAYE but you also have private fees, a partnership share, rental income or dividends, professional advice can help you avoid overpaying or missing a filing requirement.
Not always. If all of your income is taxed through PAYE and there is nothing unusual about your tax affairs, you may not need to file. However, a return is often required if you also earn private fees, locum income, partnership profits, dividends from a practice company, or significant savings and investment income. A return may also be needed if you are affected by the high income child benefit charge or by pension-related tax charges. It is worth checking your position rather than assuming either way, because penalties for failing to notify HMRC can apply even when no tax is ultimately due.
We can help with the accounting and tax side of this, which is where many clinicians run into difficulty. That includes gathering the figures needed for your Self Assessment return, working out how pension-related tax charges should be reported, and helping you understand how the tapered annual allowance may affect your position as a higher earner. Detailed pension scheme and investment decisions sit with a regulated pensions adviser, and we are happy to work alongside the adviser you already use so that the tax reporting and the pension planning stay aligned.
VAT treatment in healthcare depends on what is actually being supplied, not simply on who is supplying it. Many medical and dental services provided by appropriately qualified professionals are exempt, but services such as cosmetic or aesthetic treatments with no medical purpose, non-medical therapies, retail sales of goods, and some dispensing arrangements can fall outside that exemption and become standard-rated. Registration thresholds also matter, and voluntary registration sometimes makes sense even below the threshold. We review the specific services you provide and advise on how each should be treated, along with the record keeping needed to support that position.
Common claims include professional registration and indemnity insurance, professional body subscriptions, CPD and training relevant to your existing work, specialist equipment and clinical clothing, mileage between work locations, a proportionate share of home costs where you genuinely use space for administration, and accountancy fees. Items that are purely personal, or that only equip you for a new career, are generally not allowable. Because the detail matters and HMRC pays close attention to mixed personal and business costs, it is worth having your expenses reviewed rather than estimating them at the end of the tax year.
Yes. We can manage payroll for practice and clinic teams, including salaried clinicians, nursing and reception staff, part-time employees and locums, along with payslips, pension contributions and the reporting that goes with them. To get started, we begin with a conversation about your role, your income sources and how your practice or business is set up. We then review your current accounting, tax, payroll and record-keeping position, identify anything that needs attention, and agree which services you need. From that point, deadlines, contacts and processes are set out clearly so you know exactly what happens and when.
