Accounting Services for Healthcare in Smallfield
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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 tend to face a distinctive set of financial pressures that generalist accountants can overlook. The issues below come up repeatedly, and each one has a practical solution once it is properly understood.
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 day-to-day work is similar to any good accountancy service — bookkeeping, accounts, tax returns, payroll and VAT — but the detail is tailored to healthcare. That means handling NHS and private income correctly, understanding which professional costs are allowable, dealing with the VAT exemption rules that apply to much of healthcare, and preparing accounts that reflect how a practice or clinician genuinely earns. It also means being able to answer questions about structure, drawings, pension contributions and record keeping without you having to explain the sector from scratch.
It can, mainly because the sources behave differently. NHS income may arrive through a trust or practice with deductions already made, while private fees come directly from patients or insurers, and locum work may be paid through an agency or umbrella company. Some payments have tax deducted at source, others do not, and all of it generally needs to be reported accurately on your Self Assessment return. Pulling those threads together properly usually saves both time and unnecessary tax.
Yes. Partnership work involves its own accounting, including profit allocation between partners, capital accounts, drawings and the partnership tax return that sits alongside each partner's personal return. There are also decisions about premises, staff costs and how practice income is shared. We can prepare the partnership accounts, calculate each partner's profit share and make sure the personal returns reflect it correctly.
It depends on your role and how you work, but common categories include professional body and registration fees, professional indemnity insurance, specialist equipment and instruments, continuing professional development, professional journals, and a reasonable proportion of home office costs where you genuinely work from home. Uniforms, where they are required and not ordinary clothing, can also qualify. The key is that costs must be incurred wholly and exclusively for your work, and mixed personal and professional expenses need apportioning sensibly.
Not always. Many healthcare services are exempt from VAT, which means they do not count towards the registration threshold in the usual way. However, if a practice also makes standard-rated supplies — cosmetic treatments, retail sales, some non-medical advisory work — those do count, and registration may become necessary once turnover from taxable supplies passes the threshold. Once registered, businesses making both exempt and taxable supplies need to handle partial exemption, which is where specialist advice tends to pay for itself.
Yes. Payroll for healthcare businesses often involves a mix of salaried clinicians, part-time administrative staff, receptionists and short-term locum cover, and each can be treated differently for tax and pension purposes. We can handle payslips, PAYE reporting to HMRC, statutory payments, auto-enrolment duties and year-end forms, so the payroll runs consistently even when staffing patterns change from month to month.
Absolutely. Most of the information an accountant needs — bank statements, invoices, payroll data, HMRC correspondence — can be shared securely online, and cloud accounting software makes it straightforward to keep records up to date and visible in real time. Many healthcare clients prefer this because it fits around clinics and on-call commitments. Where a face-to-face meeting is genuinely useful, that can be arranged separately.
It usually starts with a conversation about how you currently work, what is causing you concern and what you want from an accountant. From there, we review your existing records, returns and filing position so there are no surprises, then agree a professional clearance request to your current accountant so we can take over formally. Once everything is transferred, we set out a clear schedule for bookkeeping, payroll, VAT and filing deadlines so you know exactly what happens and when.
