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, irregular hours and expenses that need careful recording. Keeping on top of the numbers alongside clinical work can quickly become a burden, which is where our Medical Accountants in Oxshott can help.
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.
We work with GPs, hospital doctors, medical consultants, locum doctors, private practitioners and medical practice owners, as well as partnerships and incorporated medical practices. Some clients need full bookkeeping and payroll support, while others mainly want help with annual accounts and Self Assessment. We agree the right level of support based on your circumstances rather than applying a fixed package.
Depending on what you need, this can include Self Assessment tax returns, annual accounts, bookkeeping, payroll, Corporation Tax, VAT support, business accounting and tax planning. Medical practice accounting can also cover practice-level reporting and record keeping. Because every medical professional's situation differs, we discuss which services are relevant to you before anything is agreed.
NHS employment income, private fees and locum or consultancy income are usually taxed differently and reported in different ways, so they need to be brought together carefully. We help you keep accurate records of each income stream so your Self Assessment and annual accounts reflect the full position. The exact treatment depends on your individual circumstances and how the income is received.
Many locum doctors do need to file a Self Assessment tax return, particularly where fees are paid directly rather than through PAYE, or where there are multiple income sources. We can review your position and confirm what is required, then prepare and submit the return on your behalf. If your circumstances change, the reporting requirements may change too, so it is worth reviewing each year.
Yes. Costs such as professional subscriptions, medical indemnity cover, training and certain equipment are commonly claimed by medical professionals, although whether a particular expense qualifies depends on your individual circumstances and how it relates to your work. We will review what you have paid and identify what can reasonably be included, so your records are accurate and defensible.
Some medical services are exempt from VAT, while others are not, so VAT registration depends on the nature of the services provided and the level of your taxable turnover. Medical practices with mixed income streams often need a closer look at how VAT applies to each element. We can review your position and explain the implications before any decision is made, as the rules can be complex.
There is no single right answer — it depends on your income levels, how many people you work with, your plans for the future and how you want to be taxed. A locum working alone may find a different structure suits them compared with a medical practice with several partners. We can talk through the practical and tax implications of each option so you can decide with confidence.
Switching is usually simpler than people expect. We ask for some basic information about your current setup, contact your existing accountant to request the relevant records and correspondence, and take over the ongoing work from an agreed date. From there, our Medical Accountants in Oxshott provide ongoing support, so you have a clear point of contact for questions throughout the year.
