Chartered Medical Accountants for the Whole Healthcare Sector
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We help online coaches and advisors with accurate cloud-based accounting support.
Tax planning for doctors and medical professionals with different sources of income and professional expenses.
Pension input calculations, tapered Annual Allowance checks and Scheme Pays advice, based on NHS Pension Scheme guidance.
Accurate bookkeeping for medical professionals, practices and businesses.
Payroll for clinical and admin staff, locum payments, statutory pay and pension auto-enrolment filed on time each month.
Most medical care is VAT exempt but cosmetic treatment, dispensing and product sales are not. We handle partial exemption calculations properly.
Medical professionals often deal with several income streams and a set of expenses that need careful treatment. The points below cover the areas we see most often when supporting Medical Accountants clients in Harefield.
We act for medical clients across London and understand London weighting and high-cost area supplements.
Professional fees, indemnity, courses, equipment and mileage — we make sure nothing allowable is missed.
Annual Allowance calculations are complex. We guide NHS clinicians through pension input, tapering and Scheme Pays.
Accounts, returns and payroll filed on time with early reminders, so penalties simply do not happen.
Status reviews on sessional and locum engagements, plus a clear answer on limited company versus sole trader.
Clear pricing agreed up front, so you get full expert service with no hidden extras.
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
A dedicated accountant who knows your practice, your income mix and your pension position.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team has over 100 years of combined accountancy experience.
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.
Our support covers the core accounting and tax work medical professionals typically need, including annual accounts, Self Assessment, bookkeeping, payroll and tax planning. Where relevant to your circumstances, we can also assist with VAT, medical practice accounting and Corporation Tax for incorporated practices. The exact scope is agreed with you at the outset so it reflects how you work.
We work with doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, whether they operate as sole traders, partnerships or limited companies. Some clients work mainly within the NHS, others combine NHS and private income, and some run their own medical practice. The common thread is that their accounting needs relate to medical work.
NHS and private income are treated differently for tax purposes in a number of respects, and keeping them clearly separated in your records makes reporting far easier. We help you record both streams accurately, keep supporting documentation in order and understand how the combined picture affects your tax position. How any particular item is treated depends on your individual circumstances.
Many medical professionals need to file a Self Assessment tax return, particularly where they have locum income, private practice income or other earnings that have not been taxed at source. We can prepare and submit the return on your behalf, calculate what is due and help you plan for the payment deadlines. Whether a return is required depends on your own circumstances.
Professional expenses such as medical indemnity insurance, registration fees, specialist equipment and certain travel costs may be allowable, but the rules are specific. We review your expenditure, identify what can reasonably be claimed and keep the evidence organised. Because allowances depend on individual circumstances, we confirm the position for your situation rather than applying a blanket approach.
Yes, where they are relevant to your circumstances. We can maintain day-to-day bookkeeping, reconcile income and expenses, and support with VAT registration, returns and compatible digital record keeping. This is particularly useful for medical practices and practitioners with higher turnover or mixed income streams.
The right structure depends on your income level, how many income sources you have and your longer-term plans. Sole trader, partnership and limited company arrangements each carry different tax, administrative and reporting implications. We talk through the options with you and explain the trade-offs, so the decision is made with clear information rather than guesswork.
Switching is usually straightforward. We contact your existing accountant for the handover information, review your records and make sure nothing is missed. You do not need to deal with the technicalities yourself, and we agree a clear start point for the work going forward.
