Accounting Services for Healthcare in Silsoe
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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 tend to be more layered than most. These are the issues we see most often when healthcare professionals and practices in Silsoe bring their records to us.
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.
Healthcare accounting is less about a different set of rules and more about applying the standard ones to complex income patterns. In practice, that means preparing and filing your Self Assessment return when you have multiple income sources, drawing up annual accounts and Corporation Tax computations for practices and clinics, maintaining bookkeeping so records are accurate throughout the year, running payroll for staff and locums, handling VAT where your activities require registration, and advising on tax planning, business structure and pension contributions. The detail matters: a locum consultant, a dental practice partnership and a private clinic each need a different emphasis.
Yes. Many healthcare professionals work independently at least some of the time, whether as a locum GP, a self-employed consultant, a physiotherapist with a private caseload or a carer running a small business. In those situations the priority is usually getting Self Assessment right, keeping clean records of fees and expenses, and understanding how your self-employed income interacts with any employment income you also receive. We can also review whether a different structure might suit you better as your work develops.
That is one of the most common situations we deal with. NHS salary, practice contract income, profit shares and private fees can each be treated differently for tax purposes, and the costs attached to each stream need to be identified rather than lumped together. We work through your income sources individually, allocate expenses sensibly, and make sure your returns and accounts reflect what you have actually earned and spent. This also helps when you need a clear record of earnings for pension or mortgage purposes.
Broadly, expenses must be wholly and exclusively for the purposes of your work, which covers items such as professional registration and indemnity insurance, mandatory training and continuing professional development, specialist equipment and its maintenance, professional subscriptions, and travel between work sites. Items such as uniforms and laundering, or a proportion of home costs where you genuinely work from home, can also be relevant. There are limits and conditions attached to all of these, so we review your actual costs rather than applying a blanket approach.
It depends on what you do. Many healthcare services provided by registered professionals are exempt from VAT, which means you may not need to register even at higher turnover levels. However, VAT becomes relevant where you supply standard-rated goods or services — for example certain cosmetic treatments, retail sales in a pharmacy or clinic, or non-medical products. Businesses with a mix of exempt and standard-rated activity can face partial exemption calculations, so it is worth reviewing your position before assuming you are outside the system.
We manage the full payroll cycle for healthcare employers — calculating pay, deducting tax and National Insurance, processing starters and leavers, handling variations in hours and overtime, issuing payslips and dealing with pension auto-enrolment duties. This applies equally to clinical staff, administrative teams and locums paid through the payroll. Keeping this running accurately matters not just for compliance but for staff confidence and for the reliability of your practice accounts.
You should keep records that support every figure on your tax return and accounts — income records such as invoices, fee statements and NHS payment advices, plus receipts and documentation for expenses, mileage logs, bank and credit card statements, and payroll records where you employ staff. HMRC generally expects records to be retained for a set number of years after the relevant tax year, and if you are VAT registered there are separate requirements. We can help you set up a straightforward system — digital where it suits you — so record keeping becomes routine rather than a yearly scramble.
It begins with an initial conversation about your circumstances: how you work, how your income is structured, what is already in place and what is causing you difficulty. We then review your accounting and tax position, identify anything that needs attention — from overdue filings to missed expenses or an unsuitable business structure — and set out how we would work together going forward. If you are currently with another accountant, we can also manage the handover of your records so the transition is smooth.
