Accounting Services for Healthcare in Thurso Caithness
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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 finance tends to be more layered than it first appears. The challenges below are the ones we see most often when clinicians and healthcare businesses review their accounts and tax position.
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 same core compliance work as any accountancy service — Self Assessment, annual accounts, Corporation Tax, bookkeeping, payroll and VAT — but applied to the way healthcare income and costs behave. For a clinician that means correctly reporting NHS salary alongside private fees, identifying allowable expenses such as indemnity cover and professional registration, and understanding which services are VAT exempt. For a practice it means payroll for staff, pension duties, management accounts and accurate financial reporting.
In most cases, yes. Private fees, locum earnings, medico-legal work and untaxed income generally need to be reported through Self Assessment, even where tax has already been deducted from your NHS salary through PAYE. The return reconciles everything and calculates any balance due. We can prepare the return, check that all income sources are included and review the expenses you are entitled to claim against private and self-employed earnings.
Yes. Most medical and clinical care is exempt from VAT, but private cosmetic treatments, retail sales, non-clinical services and some goods are not. Where a business makes both exempt and taxable supplies, partial exemption rules apply and the calculations depend on reliable records. We review your income streams, advise on the correct treatment and put a record-keeping routine in place so VAT returns and any partial exemption calculations are supportable.
They can affect it considerably. Locum work may be treated as self-employment, employment or something in between, and off-payroll working rules can apply where services are provided through a limited company. For practices engaging associates, sessional doctors or hygienists, the employment status question determines whether payroll should be run and what tax must be withheld. We review the arrangement as it actually operates and advise on the correct reporting position.
Not always, and it depends on your circumstances rather than your job title. Operating through a limited company can suit some private practitioners and consultants, particularly where profits are retained or shared, but it brings additional filing obligations, Corporation Tax, dividend considerations and potential IR35 or off-payroll questions. For many NHS-heavy clinicians a sole trader or partnership structure remains simpler and equally tax-efficient. We look at your income mix and plans before recommending a change.
Keep clinical and business income records, bank and card statements, invoices, receipts, mileage logs and any contracts or associate agreements. It is also worth retaining details of professional subscriptions, indemnity insurance, registration fees, CPD costs and equipment purchases. Records generally need to be kept for at least six years after the relevant tax year, and longer where property or capital items are involved. We can set up a simple digital process that keeps everything in one place.
Yes. Accounting work is well suited to remote delivery. Documents can be shared securely, bank feeds connected directly, and questions handled by phone, email or video call at times that fit around clinics and on-call commitments. Many healthcare clients prefer this because it removes travel from the equation and keeps communication quick. Where an in-person discussion is more useful, that can be arranged.
Start with a conversation about how you currently work and what is causing difficulty. Bring or send whatever you have — recent returns, accounts, payroll records or simply a summary of your income sources — and we will review your position, outline what needs to be done and explain how the ongoing service would work. There is no obligation to proceed, and you will leave with a clearer picture of your accounting and tax position either way.
