Accounting Services for Healthcare in Theale
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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 tax issues tend to sit where income streams, employment status and regulated record keeping overlap. These are the pressure points 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 depends on how you practise. A self-employed locum, consultant or therapist will typically need Self Assessment, bookkeeping support, guidance on allowable expenses, and help understanding payments on account. A practice structured as a limited company will usually need annual accounts, a Corporation Tax return, confirmation statements, VAT returns where registered, and director payroll. Practices with staff also need payroll processing, pension auto-enrolment administration and the reporting that accompanies both. Many healthcare clients want a combination of these, plus periodic advice on structure and profit extraction.
There is no legal requirement for a sole trader to use an accountant, but the tax position for locums is rarely simple. Income may arrive from several contracts and sites, travel between appointments needs to be recorded accurately, and expenses such as indemnity insurance, professional registration fees and equipment all need to be claimed correctly. Getting the treatment of a single item wrong can be costly over several years, and payments on account can create unexpected cash flow pressure if they are not anticipated. An accountant helps ensure the return is complete and the tax paid is the right amount.
NHS salary is normally taxed through PAYE, with tax deducted at source and reported on your payslip and P60. Private fees, locum sessions paid outside payroll, and income from medico-legal or teaching work are usually treated as self-employment income and reported through Self Assessment, with tax and National Insurance calculated on the profits. Where both exist, the interaction matters: expenses and losses need to be allocated sensibly, and the tax already paid through PAYE is offset against the final liability. Practice profits held through a partnership or limited company follow their own rules.
Yes. This is one of the more technical areas in healthcare accounting because NHS-funded services are often exempt or outside the scope of VAT, while private patient fees are usually standard-rated. That mix affects how much input VAT you can recover on costs such as equipment, premises, utilities and professional services, and partial exemption calculations may be required. Getting the treatment right avoids both overclaiming and leaving recoverable VAT unclaimed, and it keeps your VAT returns defensible if HMRC asks questions.
Broadly, costs incurred wholly and exclusively for your work. In practice that often includes professional body and regulatory registration fees, indemnity and professional insurance, clinical equipment and instruments, specialist clothing such as scrubs or uniforms, continuing professional development relevant to your field, and travel between work sites. Home office costs and mileage can also be claimed where the rules are met. What cannot be claimed is personal spending, ordinary commuting, or costs that have a dual purpose. Clear records and a consistent approach make the position much easier to support.
Yes. Practice payroll typically involves salaried clinicians, practice nurses, reception and administrative staff, and sometimes occasional locums, all with different contract terms and rates. Our payroll support covers payslips, PAYE and National Insurance calculations, statutory payments, pension deductions and auto-enrolment obligations, plus the reporting required to HMRC. We can also handle starters and leavers, changes to hours and rates, and the questions that arise when a locum's status needs clarifying.
There is no single answer that suits every healthcare professional. Sole trader status is simple and low cost, which often suits locums starting out. Partnerships and LLPs are common where clinicians share premises, profits and risk. A limited company can be tax-efficient at higher profit levels and offers limited liability, but it brings additional filing, payroll and administrative obligations, and it may not suit every contract arrangement. The right choice depends on your income level, how contracts are held, your plans for growth and your appetite for administration, so it is worth reviewing rather than assuming.
We begin with an initial conversation about your circumstances — how you practise, how income is structured, whether you employ anyone, and which deadlines are approaching. From there we review what needs doing and put a clear plan in place, dealing with anything urgent first. Much of the work can be handled remotely using secure document sharing and digital accounting software, which suits clinicians working across multiple sites or with limited time between sessions, and meetings can be arranged around your clinical commitments.
