Accounting Services for Healthcare in Sunbury-on-Thames
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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 often have more complicated finances than their income level alone would suggest. These are the issues we see come up most often when reviewing healthcare tax affairs.
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 core services are similar — accounts, tax returns, bookkeeping, payroll and VAT — but the detail differs. Healthcare accounting involves understanding how NHS income, private fees, locum work and associate arrangements are taxed, which professional costs are allowable, how NHS pension contributions and private earnings interact, and where VAT exemption rules apply to medical services. It also means familiarity with the business structures common in healthcare, such as partnerships between clinicians, limited companies running practices, and sole traders providing services to several providers.
In most cases, yes. Income from self-employment, private fees, locum work and untaxed sources generally needs to be reported through Self Assessment, even where some of your NHS income has already been taxed through PAYE. The return brings all of your income together and works out whether further tax is due or a refund is owed. We review each source, check that expenses are supported, and make sure the figures reported match what HMRC can see elsewhere. Filing is completed electronically and we confirm what you owe and by when, including any payments on account.
Yes. Mixing sources is one of the most common reasons healthcare tax returns become complicated. We help you record private fees, NHS earnings, teaching, medico-legal work or other income separately, so each amount is reported in the correct place and any tax already deducted is properly credited. We also look at whether expenses relate to one source, another, or both, and apportion them on a sensible and defensible basis. Where you have several income streams, we can set up a recording routine that keeps everything tidy through the year rather than reconstructing it months later.
Claims depend on your role, but commonly considered items include professional indemnity and insurance cover, registration and revalidation fees, professional body memberships, CPD and training relevant to your existing work, specialist equipment, uniforms, medical journals, and a proportionate share of home office and travel costs where genuinely used for work. Each claim must be wholly and exclusively for your work, and you need records to support it. We help you distinguish between costs that are clearly allowable, those that need apportioning, and those that are personal and should not be claimed.
It depends on what you provide and how much taxable turnover you generate. Many medical services are exempt from VAT, but not everything a clinic sells falls into that category — retail products, some cosmetic or non-medical treatments and certain administrative services can be taxable. If your taxable turnover crosses the registration threshold, registration is normally required, and once you are registered you may need to deal with partial exemption rules when recovering VAT on costs. We review your income mix, advise on whether registration is required or worth considering voluntarily, and handle returns and record keeping once registered.
Yes. We can run payroll for practice employees, reception and admin teams, nurses, and associates paid through the payroll, calculating PAYE and National Insurance, issuing payslips, and handling auto-enrolment duties and pension contributions. We also prepare and submit the necessary payroll reports to HMRC, including any final submissions after the tax year ends. If associates or partners receive profit shares rather than salary, we can advise on how those should be treated, as the tax position differs considerably from employment.
Absolutely. Accounting for healthcare clients works well remotely because records can be shared securely online and meetings arranged around clinic commitments rather than fixed office hours. Digital bookkeeping tools allow us to see your transactions as they are recorded, and documents can be sent and signed electronically. For most clients this means fewer administrative round trips and quicker answers. Where a conversation is easier than an email, we arrange a call or online meeting at a time that fits your working pattern.
The first step is a conversation about your current position. It helps to have a rough idea of how you are structured, where your income comes from, whether you employ anyone, and what accounting or tax matters are causing you concern. If you already have accounts, tax returns or bookkeeping records, sharing these helps us review your situation properly. From there we outline which services would be relevant, agree how records will be kept, and set out the timescales for upcoming filings so you know exactly what happens next.
