Accounting Services for Healthcare in Threemilestone
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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 generates financial patterns that standard accounting templates often handle poorly. These are the issues we see most frequently raised by 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.
It covers the accounting, tax and compliance work specific to how healthcare income arises. In practice that usually means Self Assessment returns dealing with employment, self-employment, locum or associate income; annual accounts and Corporation Tax for incorporated practices and clinics; payroll for staff, associates and locums; VAT advice and returns where registration applies; bookkeeping; and tax planning around structure, drawings and equipment purchases. The most useful way to think about it is compliance plus the financial information you need to run the practice well.
They suit anyone whose income or business sits within healthcare. That includes GPs and hospital doctors with private or locum work, dentists and practice owners, pharmacists, consultants, nurses and carers working through agencies or independently, and allied health professionals such as physiotherapists, osteopaths and podiatrists. It also covers clinics, medical practices, care providers and partnerships that need accounts, payroll and VAT handled properly rather than as an afterthought to clinical work.
It can, because the two streams are not always treated in the same way and the correct treatment depends on whether you are employed, self-employed or operating through a company. Private fees and self-employed practice income need to be reported accurately, while employment income is usually taxed through PAYE with the return reconciling the two. Getting the split right matters, particularly if expenses relate to only part of your work, and it is one of the main reasons healthcare clients seek specialist support rather than a general filing service.
Common claims include professional registration and indemnity insurance, clinical equipment and instruments, specialist uniforms where not provided by an employer, professional training that maintains or updates existing skills, specialist software, and a reasonable proportion of home office or travel costs where the rules allow. Claiming depends on your employment status and the purpose of the expense, so the same item may be allowable for a self-employed practitioner but not for someone in employment. We review this properly rather than applying a blanket approach.
Not automatically, and the answer depends on what you provide. Some healthcare services are exempt from VAT, while others such as certain cosmetic, non-clinical or dispensing activities may be standard-rated or reduced-rated. If you provide a mixture, the taxable elements still count towards the registration threshold, which is why clinics offering a blend of services sometimes need to register sooner than expected. We can review your service lines and advise on the correct position and record keeping.
We process payroll for practice employees such as reception and management staff, applying the correct PAYE codes, pension auto-enrolment and reporting obligations. For associates and locums, the key question is whether the arrangement is genuinely self-employed or should be treated as employment, and that determination affects how payments are handled. Getting this wrong can lead to unexpected tax and National Insurance liabilities later, so we look at the actual working arrangements rather than assuming.
Yes. Most of the information we need can be shared securely online, which suits healthcare clients who cannot easily step away from patient-facing work. You can send records digitally, approve accounts and returns electronically, and contact us by email, phone or video call. Where it helps, we can also set up straightforward processes for capturing receipts and expenses through the year so the year-end does not depend on a box of paperwork.
It usually begins with a conversation about how you currently work and what is causing you difficulty, whether that is an overdue return, unclear VAT treatment, payroll for a growing team or a structure that no longer fits. From there we review your position, confirm what compliance deadlines apply and agree how much support you want, from full bookkeeping and payroll through to accounts, tax returns and ongoing advice. If you already have an accountant, we can handle the handover.
