Accounting Services for Healthcare in West Lothian
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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 finances tend to be more layered than most. These are the issues we see most often when healthcare professionals and practice owners review their accounting arrangements.
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 both compliance and advice. In practice, that means preparing and filing Self Assessment returns where income comes from NHS work, private practice, locum sessions or other sources, preparing annual accounts and Corporation Tax computations for incorporated practices and clinics, maintaining bookkeeping records, running payroll for clinical and support staff, and advising on VAT where services are a mix of exempt and standard-rated. It also includes forward planning, such as estimating tax bills, reviewing your trading structure and producing management accounts that help practice owners understand profitability and cash flow.
You may not need extensive support, but the private element still has to be reported correctly, and expenses such as professional indemnity insurance, GMC or NMC fees and mileage between sites need to be claimed properly and evidenced. A specialist accountant can make sure both income streams are recorded accurately, that the right expenses are claimed, and that your payments on account are set at a sensible level so you are not caught out by a larger bill than expected.
Both are generally taxable, but they are recorded separately and the way they are reported depends on your working arrangements. Salaried NHS income typically arrives through PAYE, while private fees, locum payments and self-employed NHS work are usually reported on the self-employment pages of your return. Keeping the two clearly separated in your records makes the return easier to prepare, reduces the risk of errors and provides a clearer picture of where your income is coming from.
Commonly claimed items include professional registration and indemnity insurance, medical equipment and specialist clothing, professional journals, conference and training costs, travel between clinical sites where it is not ordinary commuting, and a proportionate share of home office costs where administrative work is done at home. Whether a specific cost qualifies depends on the rules and on the evidence you hold, so it is worth reviewing your expenditure with an accountant rather than assuming a blanket claim is available.
Not necessarily. Many medical services are exempt from VAT, which means they do not count towards the registration threshold in the usual way. However, if a practice or clinic also provides taxable services such as cosmetic treatments, retail sales, equipment or certain non-medical therapies, those supplies can bring you within scope. Where exempt and taxable services are combined, partial exemption rules may apply and the record keeping needs to be accurate from the outset.
Yes. Practice payroll often includes salaried clinicians, locum staff, receptionists, practice managers and part-time employees, each on different pay arrangements. We can manage payslips, Real Time Information submissions to HMRC, statutory payments, auto-enrolment pension duties and year-end reporting, so the practice stays compliant and staff are paid accurately and on time.
There is no single answer, because it depends on your income level, how profits are shared, how much risk you carry and your longer-term plans. Sole trader or partnership status is often straightforward and suits many practitioners, while a limited company can offer different tax treatment and limited liability in certain circumstances. This is a planning question worth reviewing periodically, not just at the start, as your circumstances change.
Yes. Most accounting work is handled digitally, so documents, records and correspondence can be exchanged securely without you needing to visit an office. Calls and video meetings can be arranged around clinic hours, and we can work with cloud accounting software so your bookkeeping, payroll and reporting information stays accessible and up to date. What matters is having complete information and a clear route to ask questions when they arise.
