Accounting Services for Healthcare in Shetland Islands
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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 are rarely simple. Income often comes from more than one place, expenses are not always obvious, and the tax rules can differ depending on how you are engaged. These are the issues 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.
It covers the same core services as any good accountancy practice — bookkeeping, annual accounts, Corporation Tax returns, Self Assessment, payroll, VAT and tax planning — but applied to healthcare circumstances. In practice that means handling NHS and private income correctly, identifying the expenses healthcare professionals can genuinely claim, understanding how partners in a practice are taxed, dealing with varying shift and locum pay in payroll, and advising on the VAT position where exempt clinical services sit alongside taxable supplies.
Yes. Locum and consultant work often means a mix of direct NHS payments, agency income, private referrals and possibly a limited company. We review how each arrangement is structured, make sure the right income is reported on the right return, and look at whether the current set-up remains appropriate. Where IR35 or off-payroll rules may apply to your engagements, we explain what that means for your tax position rather than leaving it to guesswork.
Many clinical services are exempt from VAT, but not everything a healthcare business does falls into that category. Where a practice sells standard-rated goods or services, or where turnover from taxable supplies crosses the registration threshold, VAT registration may be required. If you are registered, you can usually reclaim VAT on qualifying business costs. The detail matters, so we look at your specific income streams before advising.
Yes. We run payroll for healthcare employers, including salaried clinicians, part-time reception and admin teams, overtime and shift enhancements, statutory payments and pension auto-enrolment. Payroll is reported to HMRC in real time, and we provide payslips and the routine reporting your practice needs, so staff are paid accurately and on schedule.
Both need to be captured correctly in your accounts and tax return. We reconcile the different payment sources, check that income already taxed at source is treated properly, and make sure expenses relating to each stream are recorded sensibly. This is particularly important where income is spread across a partnership, a limited company and personal Self Assessment.
As a general rule, business and tax records should be kept for at least six years after the end of the relevant tax year, although certain records need to be retained longer. Practically, that means invoices, receipts, bank and card statements, payroll records, mileage logs and details of any equipment or professional costs. Digital record keeping makes this far easier, and we can help you set up a straightforward system that fits around your working week.
Yes. Accounts, payroll, VAT and tax work can all be managed remotely using secure document sharing and cloud accounting software, which suits healthcare professionals who travel or work irregular hours. We agree a preferred way of communicating up front, so you always know how to reach us and how quickly to expect a response.
It starts with a conversation about how you work, where your income comes from and what you need help with. We then review your current accounts, tax position and records, and set out the support that fits — whether that is a full accounting service, payroll and bookkeeping only, or one-off tax advice. From there, we agree responsibilities, timescales and how records will be shared, so the transition is orderly rather than disruptive.
