Accounting Services for Healthcare in Shetland
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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 sit neatly in one box. The challenges below are the ones we see most often when practitioners and clinic owners review their accounting arrangements.
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 core accounting work is broadly similar, but the context is different. Healthcare clients often have layered income from NHS employment, private fees, locums, medico-legal work or insurance-funded treatments, and each element may be reported differently. There are also profession-specific expenses to consider, such as registration and indemnity costs, and technical areas like VAT treatment of exempt healthcare services. An accountant familiar with these areas spends less time working out what your payslip or remittance advice means and more time helping you reduce risk and plan ahead.
It suits any healthcare professional or healthcare business with UK tax obligations. That includes GPs and hospital consultants with private or locum income, dentists and dental practices, pharmacists, nurses and advanced practitioners with agency or bank earnings, physiotherapists, podiatrists, chiropractors and other allied health professionals in private practice, as well as care providers, clinic owners and multi-practitioner partnerships. Whether you are newly self-employed or running an established practice with staff, the support is shaped around your circumstances rather than a fixed package.
Many healthcare professionals do, particularly if you have self-employed income from private practice or locum work, income from multiple employments, untaxed savings or investment income, or earnings above certain thresholds. PAYE on your main salary does not automatically account for additional income streams, and HMRC may not know about all of them. Filing a return ensures everything is declared and that any extra tax is calculated correctly. If you are unsure whether a return is required, we can review your situation and confirm the position.
Commonly claimed items include professional indemnity or medical defence insurance, professional body and registration fees, clinical equipment and uniforms, specialist software and journals, a reasonable proportion of home office costs where you genuinely work from home, and business mileage for travel between sites. The rules require that costs be wholly and exclusively for your work, and some items need apportionment or have specific restrictions. Accurate records matter, so we help clients build a simple system that captures receipts and mileage as they go rather than reconstructing everything at year end.
Yes. Mixed income is one of the most common situations we handle. NHS employment is usually taxed through PAYE, while private fees, insurer payments and locum income are typically reported as self-employment or as additional income on a tax return, depending on how the work is arranged. We look at each source, confirm the correct treatment, and make sure the total picture is consistent. This also allows us to consider whether your current structure still works well as private income grows.
VAT depends on your turnover and the nature of your services. Many healthcare services are exempt from VAT, but not all activity is, and a clinic selling retail products, providing cosmetic treatments or offering certain non-medical services may need to register or could benefit from voluntary registration. Mixed supplies and partially exempt businesses need careful handling, because the rules affect how much input VAT you can recover and how prices should be set. We review your services and turnover to advise on the right approach.
Yes. We handle PAYE, National Insurance, statutory payments, auto-enrolment pension duties, payslips and Real Time Information submissions for practices employing a mix of full-time, part-time and bank staff. Clinical settings often have variable hours and additional payments to track, so we set up a payroll routine that captures changes cleanly and keeps you compliant with pension obligations and reporting deadlines throughout the tax year.
Absolutely. Much of the work we do is handled remotely using secure digital document sharing, with conversations by phone, email or video call at times that fit around clinics and patient lists. You can send records electronically, review accounts online, and raise questions whenever they arise. Many healthcare clients prefer this arrangement because it removes travel time and fits better around irregular working patterns, while still providing direct access to your accountant when you need it.
