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 a single, tidy stream, and that is where many accounting difficulties begin. Keeping accurate records across several sources takes time you may not have, while the tax treatment of certain income and expenses often depends on individual 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.
Working with Medical Accountants in Northwood typically covers your annual accounts, Self Assessment, bookkeeping, payroll and tax planning, shaped around the way you actually earn. Because medical professionals often draw income from more than one source, we look at the full picture before recommending a course of action. The exact services you need will depend on your circumstances, your business structure and how you are paid.
We support doctors, GPs, medical consultants, locum doctors, private practitioners and medical practice owners, along with the medical practices and clinics they run. Whether you are employed, self-employed or a mixture of both, the accounting approach can be adapted to suit. If you are unsure whether your situation fits, it is worth having a conversation with us first.
NHS and private income are often treated differently for tax purposes, and the records you need to keep can vary between the two. We help you keep those streams clearly separated so your accounts and tax returns reflect the correct treatment for each. Because the rules depend on individual circumstances, we will talk through your position before anything is filed.
Many medical professionals do need to file a Self Assessment tax return, particularly if you have self-employed income, locum work, consultancy fees, rental income or untaxed savings and dividends. Others may not, depending on how their income is structured and whether tax has already been deducted at source. We can review your situation and confirm whether a return is required.
Professional expenses, including medical indemnity, professional body subscriptions, training and equipment, may be allowable, but the treatment depends on the nature of the expense and how it relates to your work. We review what you have paid and explain what can reasonably be claimed. Both HMRC rules and your individual circumstances affect the outcome, so keeping accurate records matters.
VAT registration depends on your taxable turnover and the types of services you provide, and some medical services may be exempt from VAT. If you are approaching a threshold, or you are unsure how VAT applies to your private work, it is worth reviewing the position early rather than waiting. We can help you understand where you stand and, where required, manage your VAT returns.
Sole trader, partnership, limited company and incorporated practice structures each carry different tax and administrative implications. The right choice depends on your income levels, how many people are involved and your longer-term plans for the practice. We can talk through the practical differences so you can make an informed decision.
Switching is usually straightforward — we can contact your existing accountant, request the relevant records and take over your bookkeeping and compliance from an agreed date. Getting started simply means getting in touch to explain how you work and what you need help with. From there, we will outline the support that fits your circumstances.
