Accounting Services for Healthcare in Trafalgar
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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 rarely have a single, simple income stream, and that complexity is where most accounting problems begin. These are the issues we see most often when reviewing healthcare finances.
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 work covers the full range of accounting and tax tasks a healthcare professional or medical business faces. For individuals, that usually means Self Assessment tax returns that correctly report NHS income, private fees, locum earnings, pension contributions and allowable clinical expenses. For practices and clinics, it means annual accounts, Corporation Tax returns, bookkeeping, VAT where applicable, payroll for staff and associates, and management reporting that shows how the business is performing. The value is in having someone who recognises the typical healthcare income structures and asks the right questions before something is filed incorrectly.
No. We work with sole practitioners, individual clinicians, partners and larger healthcare organisations. A single-handed physiotherapist or a locum consultant completing a Self Assessment return needs the same accuracy as a multi-partner practice, just with a different scope of support. Equally, clinics with employees, associates, VAT registration and equipment finance generally need a broader package covering bookkeeping, payroll, accounts and reporting. The service is shaped around your circumstances rather than a fixed template.
The key is separation and consistency. NHS salary or pensionable earnings, private consultation fees, insurance work, teaching income and locum sessions each need to be recorded clearly and reported in the correct place on your return. Mixing them together makes it hard to claim the right expenses and harder still to prove your position if HMRC asks questions. We set up a straightforward way for you to record each income stream during the year, then reconcile everything before the return is prepared, including any pension contributions or professional fees you have paid.
Common examples include professional registration and indemnity insurance, specialist equipment and its maintenance, clinical clothing and laundry, medical journals and professional memberships, relevant training and continuing professional development, and travel between sites or to patients with proper mileage records. Where you run a practice, premises costs, staff wages, software, insurance and marketing may also be relevant. What can be claimed depends on your structure and how the expense relates to your work, so we review your spending rather than applying a generic list.
It depends on what you provide and how much you charge. Many medical and healthcare services are exempt from VAT, but not all — goods sold by a pharmacy, some cosmetic or non-medical treatments, and various products or services can be standard-rated. Once taxable turnover passes the registration threshold, registration becomes compulsory, and voluntary registration can occasionally be advantageous. For mixed practices, the biggest risk is charging the wrong rate or failing to reclaim what you are entitled to, so it is worth reviewing your position before you register.
Yes. Practice payroll is often more varied than in other sectors. Salaried clinicians, reception and admin staff, part-time employees, associates paid on a percentage basis and locums engaged on short engagements all need to be processed accurately, with the correct tax codes, National Insurance treatment, pension auto-enrolment handling and payslips issued on time. We also prepare the regular payroll submissions and year-end reporting, so obligations are met without you having to track the detail yourself.
Remote accounting works well for healthcare clients because your time is limited. Records, receipts and bank information are shared digitally through cloud accounting software or a secure document portal, and we handle the bookkeeping, deadlines and correspondence with HMRC. For straightforward matters, email and video calls are usually enough. The practical requirement on your side is keeping records reasonably current — bank statements, invoices, expense receipts and mileage logs — because the quality of the final accounts and returns depends on the quality of what comes in.
The first step is a conversation about how you work and what you need. We will ask about your income sources, current business structure, VAT and payroll position, outstanding deadlines and any concerns about past filings. From there we review your accounting and tax position and suggest a scope of support that fits, whether that is Self Assessment alone or a wider package covering bookkeeping, accounts, payroll and management reporting. Once agreed, we set out the timelines and information you need to provide, and take it from there.
