Payroll for GP Practices, Clinics, Dentists & Care Homes
Healthcare payroll is harder than most. Rotas change weekly, locums and bank staff come and go, unsocial hours and on-call carry different rates, and NHS Pension contribution tiers have to be right first time. Our payroll for healthcare service in London handles GP practices, dental practices, clinics, pharmacies and care homes. CruseBurke has advised British businesses since before the Second World War.
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We run payroll for healthcare employers of every size across London, from a two-partner practice to a multi-site care group:
Salaried GPs, nurses, HCAs and admin staff, plus NHS Pension tiering, superannuation returns and partner drawings kept separate from payroll.
Nurses, hygienists and reception staff, associate payments handled correctly outside PAYE, and NHS Pension submissions where applicable.
Locum and bank shift payments, unsocial hours enhancements, consultant fee arrangements and IR35 status checks on off-payroll workers.
Rota-driven payroll with variable hours, agency cost reconciliation, National Minimum Wage checks and sleep-in shift treatment.
Healthcare payroll is not the same as a standard office payroll. Every part of our service is built around clinical rotas and NHS scheme rules:
Full Payment Submissions filed on or before each pay date, with year-end P60s and P11Ds handled, so penalties never arise.
Secure online payslips your team can access from any device, which cuts the payroll queries landing on your practice manager.
Accurate calculation of shift enhancements, on-call, bank shifts and overtime, including holiday pay based on variable earnings.
Correct NHS Pension contribution tiering, plus workplace pension auto-enrolment, opt-outs and re-enrolment.
Clear reports by department, site or cost centre so you can see staff cost against income without building a spreadsheet.
Healthcare payroll goes wrong in predictable places, and every one of them costs either money or staff goodwill. These are the ones we take off your hands:
NHS Pension contribution tiers changing with pay
Locum, bank and agency staff paid outside the normal cycle
Associate and off-payroll workers and IR35 status
Unsocial hours, on-call and overtime enhancements
Holiday pay on variable and rota-based hours
National Minimum Wage checks including sleep-in shifts
RTI deadlines and HMRC penalties on late submissions
For a clinical payroll you do not want a general bureau. You want a team that already knows NHS Pension tiering and how bank shifts are paid. Here is what you get:
Clinical rotas, bank shifts and enhancement rates are routine work for our team.
Contribution tiering, opt-outs and scheme submissions handled correctly every month.
We understand London weighting and high-cost area supplements and apply them properly.
A fixed monthly timetable so your team is paid on the same day without fail.
We take rota and timesheet data in the format you already produce, no rekeying.
RTI, auto-enrolment and minimum wage rules kept right, so HMRC penalties do not happen.
Running payroll is not why you went into healthcare. Our three-step process takes it off your desk quickly:
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.
Is managing your finances stressing you out? Let our expert accountants in London help you build smart, long-term strategies. We’ll provide a yearly analysis that keeps your financials in check and your practice on track.
We use Xero, Quickbooks, Sage & many other
online software.
Meet, Call, E-mail or Skype to your dedicated accounts manager.
Free telephone & email support
throughout the year.
Our team have over 100 years of combined experienced.
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.
Yes, you should. Especially if you are a healthcare professional in London, because that stuff is complex. Outsourcing means experts handle it all. This saves you time and reduces risks.
Yes, 100%. We support all sizes of practices, big or small. Our services are also cost-effective.
Honestly? We just get it. Healthcare payroll is tricky & we take all that stress and compliance risk off your hands. We handle the specific legal requirements and the weird shift patterns. And yes, we also handle the NHS pensions. All correctly and on time!
Yes. Our healthcare payroll services include full support for NHS pension rules.
Absolutely. We use highly secure online portals. Your staff data stays safe and meets all UK data protection laws.
Employee contribution rates are banded by pensionable pay, so a pay rise, extra sessions or a change in hours can move a member into a different tier. We reassess tiering each pay period and file the scheme information, which stops the under and over deductions that are painful to unwind later.
Yes. Bank and locum shifts can be run through PAYE where the worker is engaged as an employee. Where a locum invoices you or works through their own company we check the IR35 position first, because getting that wrong makes the practice liable for the tax.
For staff without fixed hours, holiday pay is based on average earnings over the previous 52 paid weeks. We hold the historic data and calculate it for you rather than leaving your practice manager to reconstruct it.
Yes. Sleep-in and on-call arrangements are a common source of minimum wage underpayment claims. We review how the shifts are structured and paid so the position is defensible.
Associates are usually self-employed and should not sit in PAYE. We keep those payments outside payroll, record them correctly in the practice accounts and flag anything that looks like disguised employment.
We produce P60s for every employee, deal with P11D benefit reporting where needed, close down the pension and RTI year, and reconcile total staff cost back to your accounts.
