Accounting Services for Healthcare in Wellington
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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 income is rarely simple, and the tax rules do not always line up neatly with how clinicians actually get paid. These are the pressure points we see most often in the sector.
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 centres on tax and accounting obligations that arise from clinical income. In practice that means preparing and filing Self Assessment returns that combine NHS, private and locum income, preparing annual accounts and computations for sole traders, partnerships and limited companies, handling Corporation Tax, keeping bookkeeping up to date, running payroll and pension duties for practice staff, and advising on VAT where some services are exempt and others are standard-rated. Many healthcare clients also want forward-looking advice on structure and tax planning rather than compliance alone.
Yes. Locums who operate through a personal service company typically need a mix of company accounts, Corporation Tax filings, payroll for a director's salary and dividend planning, and personal Self Assessment. The off-payroll working rules can also apply depending on who you contract with, so it is worth reviewing your arrangements and contracts rather than assuming a particular treatment applies. We can look at your specific situation and explain the implications before anything is filed.
That is one of the most common situations in healthcare. Salaried NHS income, private practice fees, locum payments and consultancy work all need to be reported correctly, and the totals affect your tax bands, your payments on account and any pension contributions relief you claim. We gather the figures from your payslips, invoices and practice statements, check that expenses have been claimed where entitled, and prepare a single return that reflects your full position.
Broadly, expenses must be wholly and exclusively incurred for your work. Common examples include professional registration and body subscriptions, indemnity or professional insurance, mandatory training and CPD, clinical equipment and uniforms, specialist journals, and travel between sites — although ordinary commuting is generally not allowable. Where something is used for both personal and professional purposes, such as a phone, a vehicle or a home office, only the business proportion can be claimed. Rules differ depending on whether you are employed, self-employed or working through a company, so it is worth checking your own circumstances rather than relying on general guidance.
It depends on what you supply. Many healthcare services are exempt from VAT, but not everything is — cosmetic or non-medical treatments, retail sales in a pharmacy, and certain administrative or consultancy services can be standard-rated. If your taxable turnover crosses the registration threshold you must register, and where you provide a mixture of exempt and taxable services you may also need to deal with partial exemption. This is worth reviewing before you approach the threshold rather than after, because the accounting records need to support whatever treatment you apply.
There is no single right answer — it depends on your income level, how many people you work with, how you want to take money out of the business, and what you want to happen if circumstances change. Sole trader status is straightforward but offers no separation between you and the business. Partnerships suit shared practices but need a clear profit-sharing agreement. A limited company can offer flexibility around salary and dividends and may suit higher or more variable income, but it brings additional filing, payroll and compliance obligations. We can compare the options against your actual numbers and explain the trade-offs.
Yes. Payroll for a healthcare business often involves a mix of permanent employees, part-time clinicians, sessional staff and directors, sometimes with variable hours and differing pension entitlements. We can handle payslips, real-time reporting to HMRC, statutory payments and pension auto-enrolment duties, and we can co-ordinate with whoever manages your rotas so that payments are accurate each period. Where a locum works through their own company, we can also advise on how those payments should be treated.
Yes. Most of the accounting and tax work we carry out is handled remotely, so you can share records, invoices and documents securely without needing to arrange appointments around clinics or surgery hours. We agree at the outset how information will be exchanged, who will keep the bookkeeping up to date and what your filing deadlines are. If you prefer to talk things through, we arrange calls or meetings at times that work around your clinical commitments.
The starting point is a conversation about how you work — employed, self-employed, in partnership, through a company, or a combination — along with your most recent tax returns, accounts, VAT records if relevant, and any correspondence from HMRC. If your records are behind or incomplete, that is not a barrier; it simply becomes part of the scope we agree. From there we set out the filing dates that apply to you and confirm who is responsible for what, so you know exactly where you stand.
