Accounting Services for Healthcare in St Ives
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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 standard tax template. Income is often irregular, split across contracts and fee sources, and generated while you are focused on patients rather than paperwork. These are the pressures 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.
The work covers both compliance and advice. On the compliance side that means bookkeeping, annual accounts, Self Assessment, Corporation Tax or partnership returns, VAT returns and payroll with pension auto-enrolment. On the advisory side it includes tax planning, business structure reviews, management accounts and help understanding cash flow. For healthcare clients, much of the practical value is in correctly separating NHS income, private fees, locum payments and associate profit shares, and in applying the right VAT treatment to clinical and non-clinical services.
It is not a legal requirement, but self-employment brings obligations that are easy to underestimate. You need accurate records of income from each source, a defensible position on allowable expenses such as indemnity cover, registration fees, equipment and travel between sites, and correct Self Assessment figures including payments on account. Where you also hold an employed role, both sets of income have to be reflected properly in one return. An accountant helps you get the treatment right and plan for the tax bill before it arrives.
We set up your bookkeeping so each stream is recorded separately rather than combined into one total. That makes it possible to see the profitability of NHS work against private work, to apply the correct VAT treatment to each, and to prepare accounts and returns that stand up to scrutiny. If you receive payments from insurers, third-party providers or a practice under an associate or profit-share arrangement, those are tracked individually too.
Commonly allowable costs include professional indemnity insurance, GMC, GDC, NMC or equivalent registration fees, CPD and specialist training, medical equipment and its maintenance, uniforms, professional journals and subscriptions, and travel between work locations. If you work from home for administrative purposes, a reasonable proportion of household costs may be claimable. Apportionment matters — where something is used for both private and professional purposes, only the business element is deductible, and we help work out a sensible, defensible split.
It depends on the nature of the services and the level of taxable turnover. Much of the care provided by registered healthcare professionals is exempt from VAT, but other activities — including certain cosmetic or non-medical treatments and some retail sales — can be standard-rated. Those taxable supplies count towards the registration threshold, while exempt supplies generally do not. We review your service mix, explain how the rules apply to your situation and handle registration and Making Tax Digital record keeping if it is needed.
Yes. Payroll support typically covers salaried clinicians, practice managers, reception and admin teams, and hourly or ad hoc cover, with real-time reporting to HMRC, payslips, deductions and pension auto-enrolment duties handled as part of the service. Where locums are paid through the practice, we can advise on how those arrangements should be treated so payroll and tax reporting stay consistent.
Accountancy support does not depend on being in the same building. Records, bank information and documents can be shared securely online or by post, and meetings can be held by phone or video at times that fit around clinics, surgery hours and home visits. Many healthcare clients prefer this because their working day rarely allows a standard office appointment, and it keeps everything in one organised place.
It helps to have your most recent accounts or tax return, details of your income sources, any VAT or payroll records, and a note of your current bookkeeping arrangements. If records are incomplete, that is not a barrier — we can work through what exists and rebuild the picture from bank statements and payment schedules. The first step is a conversation about how you work and what you need, and we take it from there.
