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 income rarely arrives in one neat stream, and that is where many of the accounting difficulties begin. The points below cover the issues we see most often, though how each one affects you will depend on your own circumstances.
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 typically covers annual accounts, Self Assessment, bookkeeping, tax planning and Corporation Tax, with payroll and VAT support available where they apply to your situation. For practice owners, we can also help with practice accounting and partner reporting. Because medical professionals work in different ways, the exact mix of services is agreed with you rather than applied as a fixed package.
We support doctors, GPs, medical consultants, locum doctors, private practitioners, medical practice owners and partners in medical practices. Some clients have a single income source, while others combine NHS work, private fees and locum or consultancy income. The accounting approach is adjusted to match how you earn and how your business is structured.
Yes. Having NHS salary, private fees and locum or consultancy payments in the same tax year is common, and it usually means careful record keeping and accurate reporting across more than one source. We help bring those income streams together so your Self Assessment and accounts reflect the full picture. How each item is treated for tax will depend on your individual circumstances.
We review the expenses you incur in the course of your work, including medical indemnity, professional subscriptions, registration fees and relevant travel, and report them appropriately. Whether a particular cost is allowable depends on the nature of the expense and your individual circumstances, so we look at each one rather than applying a blanket rule. Where something is not allowable, we explain why.
VAT registration depends on your turnover and the nature of the services you provide, and some medical services are treated differently from others. If private work is growing or you run a practice, it is worth reviewing your position before you cross a threshold. We can assess where you stand and explain the options, though the correct treatment always depends on your specific circumstances.
Each structure carries different tax and administrative implications, and the right choice depends on your income level, how many people you work with and your longer-term plans. Sole trader and partnership arrangements suit many locums and practitioners, while a limited company may be worth considering in other situations. We talk through the practical differences and review the position as your work changes.
Switching is usually straightforward. We ask for authority to contact your existing accountant, request the relevant records and carry out a review of your position so nothing is missed. Once the handover is complete, we confirm the ongoing deadlines and services you need, keeping the process as smooth as possible for you.
Get in touch and we will arrange an initial conversation about how you work, your income sources and any deadlines that are approaching. From there we confirm the services that fit your circumstances and explain what information we need from you. There is no obligation to proceed until you are comfortable with the approach.
