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 income and expenses that a standard personal tax return does not reflect well. Common pressure points include:
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.
The service is built around your circumstances, but typically includes Self Assessment, annual accounts, bookkeeping, payroll and tax planning, with VAT support or practice accounting added where relevant. We agree the scope with you at the outset so you know exactly what is covered. If your needs change during the year, the arrangement can be reviewed.
We work with GPs, hospital doctors, consultants, locum doctors, private practitioners, medical practice owners and partnerships. Each of these roles brings different income patterns and reporting requirements, and the advice is tailored accordingly. If you are unsure whether your situation fits, a short conversation will usually clarify it.
We start by building a clear picture of every income source, including NHS payments, private fees, locum work and consultancy earnings. From there, we work out how that income should be reported and what expenses may be allowable, which depends on your individual circumstances. Keeping records organised throughout the year makes the return far less stressful when the filing deadline arrives.
In many cases, yes, particularly where you have income that is not taxed at source, such as private practice fees or locum earnings. The exact position depends on your total income, employment arrangements and other factors. We can review your circumstances and confirm whether a return is required, then prepare and submit it on your behalf where needed.
Commonly claimed items include medical indemnity cover, professional body subscriptions, some training costs and certain equipment used for work. What is allowable depends on your role, your employment or self-employed status and the specific purpose of the expense, so relief is not guaranteed in every case. We review your spending and identify what can properly be included.
Yes, we support practices with regular bookkeeping, payroll and VAT returns where the practice is registered. Whether VAT registration is required depends on the practice's turnover and the nature of its services, which are individual to each business. We can review this and advise on the most suitable approach.
There is no single answer that suits every medical professional, as the right structure depends on your income level, how you work and your longer-term plans. A limited company can suit some consultants and private practitioners, while sole trading or a partnership often works well for others. We explain the tax and administrative implications of each option before you decide.
Switching is usually straightforward: you get in touch, we discuss your current position, and we handle the handover with your existing accountant on your behalf. Once records and authorisations are in place, we agree a scope and start providing ongoing support. You do not need to wait until a year end or filing deadline to make the change.
