Accounting Services for Healthcare in Walton-on-Thames
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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 and practices tend to share a set of recurring financial pressures. These are the issues we see raised most often, and each one has a knock-on effect on tax, cash flow or compliance 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.
The work covers the accounting and tax obligations that come with clinical practice. For individuals, that usually means Self Assessment covering NHS income, private fees, locum work and any other earnings, along with advice on allowable expenses and payments on account. For practices and clinics, it typically includes annual accounts, Corporation Tax or partnership returns, bookkeeping, payroll for clinical and support staff, VAT returns, management accounts and tax planning. The focus is on getting the compliance right while also making the numbers useful for decisions about the practice.
It suits most people and organisations earning from healthcare. That includes GPs and GP partners, consultants and hospital doctors with private practice income, dentists and dental associates, pharmacists and pharmacy owners, nurses and nurse practitioners, physiotherapists and other allied health professionals, psychologists, locum clinicians, care providers, and the owners of private clinics or multi-disciplinary practices. If your income comes from clinical work, whether through the NHS, private patients, insurance work or a mixture, the tax and record-keeping issues are usually similar enough for specialist help to be worthwhile.
Both are taxable, but they behave differently in practice. NHS income often arrives through contracts, salaried roles or pensionable employment, with PAYE already deducted, whereas private fees, locum shifts and medico-legal work are frequently paid gross and need to be declared and accounted for separately. If you have both, the Self Assessment return has to bring them together correctly, and getting that wrong can mean an unexpected tax bill, incorrect payments on account, or an enquiry. Part of our role is making sure each income stream is reported accurately and that any tax already paid is properly credited.
Typically claimable costs include professional registration and revalidation fees, professional indemnity and medical defence subscriptions, specialist equipment and instruments, clinical clothing and laundry where appropriate, medical and professional journals, training and CPD that maintains existing skills, and a proportionate share of home costs where a room is genuinely used for administration. Travel between sites can also be claimable in certain circumstances. The key is that the expense must be wholly and exclusively for the work and supported by records. We help separate what is defensible from what is likely to be questioned, so claims are made with confidence rather than guesswork.
It depends on what you supply. Many healthcare services are exempt from VAT, but non-medical treatments, cosmetic procedures, retail sales, dispensing income, consultancy, room hire and some other activities can be taxable. If a business has a mixture of exempt and taxable income and crosses the registration threshold, partial exemption rules may apply, and the calculations need care. The right answer varies considerably between a GP practice, a dental practice, a pharmacy and an aesthetics clinic, so it is worth reviewing rather than assuming either that VAT does not apply or that it does.
Yes. Practice payroll often involves salaried clinicians, locum clinicians, nurses, receptionists, practice managers and administrative staff, and they may sit on different contracts with different pension arrangements. We can run the payroll, calculate PAYE and National Insurance, handle statutory payments, manage pension contributions and auto-enrolment duties, and produce the reporting required each tax period. Good payroll support reduces the risk of underpayments, penalties and the awkward conversations that follow when a payslip is wrong.
Many locums and sole practitioners manage their own affairs for a while and then find the position has become more complex than expected. Common triggers include working through several agencies, mixing NHS and private sessions, being caught by IR35-style rules, going over the VAT threshold, or receiving an unexpected payment on account demand. An accountant can help with accurate Self Assessment filing, keep track of allowable expenses, plan for tax bills across the year rather than being surprised by them, and advise on whether a different structure would suit your circumstances better.
Yes. Most healthcare clients already work with their accountant remotely, which fits around clinic lists, surgery hours and on-call rotas far better than fixed appointments. Records and documents can be shared securely, questions can be raised by email or phone, and we can arrange a call when a more detailed discussion is needed. Remote working does not reduce the level of support — it simply means the timing is built around your schedule rather than ours.
