Accounting Services for Healthcare in Southworld
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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 work rarely fits a simple financial template. Income arrives from several directions, rules differ between NHS and private work, and clinical time leaves little room for paperwork. 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.
It covers the standard accounting and tax work — bookkeeping, annual accounts, Self Assessment, Corporation Tax, VAT and payroll — but applied with an understanding of how healthcare income and costs behave. In practice that means correctly identifying and reporting NHS income, private fees, insurer payments and locum earnings, recognising clinical expenses such as indemnity insurance, registration fees, equipment, training and professional subscriptions, and knowing how VAT exemptions apply to medical services. It also includes advisory work on business structure, profit extraction and practice finances.
You can prepare your own Self Assessment return, and many people do. The risk is not usually the form itself but everything behind it: whether all income sources have been captured, whether mixed NHS and private work has been treated correctly, whether your expenses would stand up to scrutiny, and how pension contributions and payments on account affect your cash flow. An accountant reviews the whole picture rather than just entering figures, and can flag issues before HMRC does.
The two are reported together on your tax return as part of your total taxable income, but they need to be tracked separately in your records because they behave differently. NHS income tends to follow a predictable schedule and may involve pension deductions, while private and insurance-funded income is often irregular and arrives with its own associated costs, from card processing fees to consulting room hire. Keeping the streams distinct makes it easier to see which parts of your work are genuinely profitable, to claim the right expenses against each, and to respond accurately if HMRC asks questions.
Many medical services are exempt from VAT, which leads some practitioners to assume VAT never applies to them. That is not always the case. Cosmetic or aesthetic treatments, retail sales, some equipment hire, and certain non-clinical or administrative services may fall outside the exemption. There are also rules on when registration becomes compulsory based on your taxable turnover, and on whether you can reclaim VAT on costs. Because the position depends on exactly what you provide, it is worth reviewing rather than assuming.
Yes. Payroll support typically covers salaried clinicians, practice managers, reception and admin teams, and other employees, including payslips, real-time information submissions to HMRC, statutory payments, auto-enrolment pension duties and end-of-year reporting. Associate arrangements can be more complex, since some are genuinely self-employed while others function more like employment, so we look at each arrangement individually and advise on how it should be treated.
Being behind on records is common, particularly in busy practices, and it is usually fixable. The first step is to establish what information exists — bank statements, card transactions, invoices, insurer remittances — and reconstruct the records from there. Once everything is up to date, we can set up a routine that keeps it that way, whether that means you send us information monthly, quarterly or annually, or we take over the bookkeeping entirely. Sorting records out early also gives more time to consider legitimate expenses rather than rushing a return.
There is no single answer, because it depends on your level of profit, how you take money out of the business, whether you employ staff, how the practice is expected to grow, and how a change of structure might interact with NHS pension arrangements. A limited company can offer different tax treatment on profits and dividends, but it also brings additional filing, reporting and administrative obligations. We look at your specific circumstances and set out the practical implications of each option so you can decide with a clear understanding of the trade-offs.
Yes — much of the work can be handled remotely, with documents and records shared securely and conversations held by phone or video at times that fit around clinics and surgery hours. Getting started usually begins with an initial discussion about how you work, how you are currently structured and what is causing you difficulty. From there we review your accounting and tax position, agree which services we will provide, and put a clear timetable in place for filings and reviews.
