Accounting Services for Healthcare in St Columb
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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 straightforward, and the same themes come up again and again. These are the areas where good advice tends to make the biggest practical difference to practitioners and practice owners.
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 work spans both compliance and advice. On the compliance side that means preparing and filing Self Assessment returns, annual accounts and Corporation Tax returns, running payroll, handling VAT returns and keeping records in order. On the advisory side it includes checking you are claiming the right expenses, reviewing whether your business structure still suits you, planning for tax bills before they arrive and helping you understand what your practice numbers are telling you. For healthcare clients specifically, we also look at how mixed NHS, private and locum income is reported and how different clinical services are treated for VAT.
It suits anyone whose income or business comes from healthcare. That includes GPs and salaried doctors with additional private or locum work, dentists and dental associates, pharmacists, nurses and advanced practitioners, consultants, physiotherapists and other allied health professionals, as well as clinics, medical practices and care providers that employ staff. If you are newly self-employed following a career in the NHS, or you have run a practice for years, the same core issues tend to apply: multiple income streams, specific allowable expenses and compliance deadlines that fall alongside a demanding clinical schedule.
The essentials are registering for Self Assessment if you have not already, keeping a clear record of every source of income, and setting money aside for tax as you earn it rather than at the end of the year. Expenses matter too — travel between sites, professional registration, indemnity insurance and equipment are all worth reviewing. The first year of self-employment often brings a larger tax bill than expected because of payments on account, so it helps to plan ahead. We can review your position, confirm whether your arrangement is genuinely self-employed, and put a reporting routine in place.
Both are taxable and both need to be reported, but they arrive in different ways and may be taxed through different routes. Salaried NHS income is usually taxed through PAYE, while private fees, locum payments and self-employed income are reported through Self Assessment and taxed according to your overall position. The complexity comes from combining them correctly and applying the right expenses to the right income stream. Where the picture is mixed, we work through each source so nothing is omitted and no allowance is missed.
Common claims include professional body and registration fees, indemnity or professional insurance, specialist uniforms, clinical equipment and its maintenance, relevant training and continuing professional development, mileage for travel between work locations, and a proportionate share of home costs where you use part of your home for administration. Some items are only partly allowable, and others depend on your employment status, so it is worth checking before you claim. We review your spending to make sure claims are both accurate and complete.
It depends on your level of profits, how you take money out of the business, whether you have partners or associates, and what you plan to do next. Operating through a limited company can suit some healthcare businesses, particularly where profits are consistent and reinvestment is planned, while sole trader or partnership structures often remain simpler for individual practitioners. There is no single answer that fits everyone, and the right choice can change as your income grows. We look at your actual figures and explain the tax and administrative implications of each option.
Yes. Payroll support covers clinical and administrative staff, including payslips, pension contributions and submissions to HMRC, along with the employment status questions that come up with locums and associates. On VAT, the important issue for healthcare is that some services are exempt while others are not, and a practice mixing clinical care with commercial products or non-clinical treatments may fall into partial exemption. We review how your services are treated, handle registration and returns where required, and keep the position under review as your offering changes.
It starts with a conversation about how you work and what you need. We will ask about your income sources, current structure, existing records and any deadlines or issues you are worried about. From there we review your accounting and tax position, explain what needs to be done and put a clear plan and timetable in place, including how records will be shared and who to contact. If you are moving from another accountant, we can help manage the handover of information so the transition does not disrupt your filing obligations.
