Accounting Services for Healthcare in Tenby
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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 accounting rarely involves a single, simple income stream. The challenges below come up regularly among clinicians, practitioners and practice owners, and each one can affect your tax position if it is not handled carefully.
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.
Healthcare accounting covers the same core areas as any accountancy service — bookkeeping, annual accounts, tax returns, payroll and VAT where relevant — but it is tailored to how healthcare income and costs arise. For a clinician, that might mean reporting NHS salary alongside private fees, locum income and sessional work on a single Self Assessment return, and identifying which professional costs are genuinely allowable. For a practice, it typically includes full accounts, payroll for clinical and support staff, pension auto-enrolment, and advice on the VAT treatment of different income streams. The service is designed around your working pattern rather than a standard business template.
In most cases, yes. Locum work is generally treated as self-employed income, and if you also receive NHS salary or pension income, you will usually need to report everything through Self Assessment. The return needs to capture all sources accurately, including any tax already deducted, and to claim the expenses you are entitled to — travel between sites, professional indemnity, registration fees, equipment and similar costs. Because locum income can vary considerably from year to year, we also look at whether payments on account are set at a sensible level to avoid cash flow strain.
Common claims include professional body and registration fees, professional indemnity insurance, clinical equipment and instruments, specialist clothing such as scrubs or uniforms, medical reference materials and software, and travel that is genuinely for work purposes rather than ordinary commuting. Study and training costs may be claimable where they maintain or update existing professional skills rather than train you for an entirely new career. What is allowable depends on whether you are employed, self-employed or operating through a company, and on how the expense is used in practice. We review expenses carefully to keep claims accurate and defensible.
Many healthcare services provided by registered professionals are exempt from VAT, which means no VAT is charged and input VAT generally cannot be reclaimed on related costs. However, the position changes where a business provides non-exempt services — for example certain cosmetic treatments, retail sales, dispensing of over-the-counter goods, or the sale of products alongside clinical care. Those mixed income streams can affect whether registration is required and how records must be kept. Because the rules depend on the precise nature of each service, this is an area worth reviewing properly rather than assuming a blanket exemption applies.
Yes. Practice payroll often includes salaried GPs, practice nurses, healthcare assistants, receptionists and part-time or occasional staff, each with different tax codes, contracted hours and pension arrangements. We handle payslips, Real Time Information submissions to HMRC, statutory payments and auto-enrolment duties for eligible staff. Where employees are members of the NHS Pension Scheme, employer and employee contributions need to be recorded correctly, and we make sure the payroll information you receive is presented clearly enough to feed into your practice accounts without duplication.
There is no single answer — it depends on your level of profit, how you take money out of the business, whether you hold NHS pension membership, and your plans for the future. A limited company can offer tax efficiency in some circumstances, but it also brings additional filing obligations, payroll requirements for directors and greater administrative formality. A sole trader or partnership structure is simpler to run but offers fewer planning options. We look at your actual figures and circumstances, then explain the practical implications of each route so the decision is made with proper information rather than general assumptions.
This is one of the most common practical problems we see. The workable approach is usually to simplify the process as much as possible — a dedicated bank account for practice or locum income, a consistent method for capturing receipts, and a routine for sending information across on a regular schedule rather than at year end. Digital bookkeeping tools can help, and where you would rather not handle records at all, we can take on the bookkeeping directly if you provide the underlying documentation. Whatever the arrangement, the goal is a system that survives a busy rota without falling apart.
Yes. Accounts, tax returns, payroll and bookkeeping can all be managed remotely, with documents shared securely and questions handled by email, phone or video call. Many healthcare clients find this suits them well given unpredictable clinical schedules. To get started, the first step is a conversation about how you work, what income you receive and what support you currently have in place. From there, we review your position, outline the services that fit and agree a way forward. If you already have an accountant, we can manage the handover so nothing is missed.
