Accounting Services for Healthcare in Woodbury
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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 often carry a heavier financial administration load than the work itself suggests. These are the issues we see most frequently, and they are usually easier to manage with the right structure in place from the start.
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 technical rules are the same for everyone, but healthcare brings situations that general accountants may see rarely. These include mixed NHS and private income, associate and locum arrangements, medical exemption rules for VAT, professional indemnity and registration costs, pension annual allowance questions for higher earners, and practice payroll for a mix of clinical and non-clinical staff. A healthcare-focused accountant should already recognise these patterns, ask the right questions early and understand how income streams fit together before preparing a return.
In most cases, yes. Earnings from a salaried NHS role are usually taxed through PAYE, but once you add private patient fees, locum sessions, medico-legal reports, teaching or other self-employed work, you will generally need to report that income through Self Assessment. It is also worth checking whether HMRC has issued you a notice to file, since notifying HMRC of new income is your responsibility. We can review your position, tell you which income streams need reporting and prepare the return.
Yes. Practice payroll often involves several different arrangements running at once — salaried reception and admin staff, employed nurses or assistants, self-employed associates and locums, and sometimes partners or directors who take drawings rather than a wage. Each needs to be treated correctly, with real-time information submissions, payslips, holiday pay and pension auto-enrolment handled on schedule. We can run the whole payroll or support your existing arrangements, and we will flag where an arrangement looks as though it may need reviewing.
Commonly claimed costs include professional registration and indemnity cover, continuing professional development, specialist equipment and instruments, uniforms and laundry where relevant, professional journals and memberships, and a proportionate share of home office or vehicle costs where genuinely used for work. The key is that the expense must be incurred wholly and exclusively for the work, and mixed personal and professional costs need a fair, defensible apportionment. Records such as mileage logs, receipts and bank statements are what make a claim stand up if HMRC asks questions.
Much of what healthcare providers supply is exempt from VAT, but not everything. Private cosmetic procedures, non-medical reports, retail sales, product supply and some other services can be taxable, and those taxable sales count towards the registration threshold even though exempt income does not. If you are already VAT registered, you will also need to apply the rules correctly to each type of supply. We can review your income streams, confirm how they should be treated and handle the returns if registration is needed.
Making Tax Digital applies to VAT-registered businesses, which means keeping digital records and filing returns using compatible software. In practice, that usually means moving away from spreadsheets and paper receipts alone and adopting a system where entries are recorded as they happen. This generally makes year-end accounts quicker and less expensive to prepare, and it gives you a clearer view of income and expenditure month to month. We can help you choose a set-up that suits the size of your practice and train you or your admin team on it.
There is no single answer — it depends on your level of profit, how many different engagers you work for, whether IR35 or off-payroll rules apply, and what you want to do with the money you earn. A limited company can offer flexibility over how profits are withdrawn, while sole trader or partnership status keeps administration lighter. What matters is that the decision is based on your actual circumstances, including any NHS pension implications. We can compare the options in plain terms and set up the structure you choose.
It begins with a conversation. Tell us how you work, what is already in place and what is causing you difficulty — whether that is an overdue return, a payroll problem, a practice restructure or simply uncertainty about what you should be claiming. We will review your position and set out what needs doing, when it needs doing and what we would need from you. If you then want to proceed, we take over the agreed areas of work and keep you updated on deadlines from that point onwards.
