Accountants for Physiotherapists in Castle Donington

They handle the day-to-day accounting and tax work that sits behind a physiotherapy practice, including bookkeeping, Self Assessment tax returns for sole traders, annual accounts and Corporation Tax for limited companies, payroll, management accounts and VAT support where it applies. Beyond compliance, they help you record treatment income and clinic expenses accurately, keep an eye on cash flow, and plan ahead for decisions such as taking on staff, moving premises or changing your business structure. The exact mix depends on how you are set up and how your practice earns money.

Yes. Self-employed physiotherapists, whether they operate as sole traders, as partners in a practice or as directors of their own limited company, are a natural fit for accounting support. For a sole trader, the focus is usually on keeping accurate records of treatment income and allowable expenses so the Self Assessment return is correct and submitted on time, while a limited company arrangement brings annual accounts, Corporation Tax, payroll for directors and staff, and decisions around salary and dividends. Support is scaled to your circumstances rather than assuming every practitioner needs the same level of service.

Clinics often need bookkeeping across patient fees, insurance and third-party payments, payroll for therapists and support staff, and management accounts that show profitability by service or site, along with annual accounts and Corporation Tax if the clinic trades through a limited company. Where treatment room hire, equipment purchases and maintenance, clinical software and associate or locum payments are involved, clear record keeping matters so costs are captured correctly. Not every clinic needs every service, so the right combination depends on size, structure and how the clinic is run.

Common examples include treatment room hire or premises costs, equipment and its maintenance, clinical consumables, professional indemnity insurance, professional body subscriptions, continuing professional development and training, specialist software, marketing, accountancy fees, and travel between sites or to patients. Payroll costs, associate or locum payments and pension contributions also need to be tracked where they apply. Not every cost is allowable for tax, so it is worth reviewing expenses with an accountant who understands physiotherapy practice rather than treating every payment as deductible.

Yes. If you run an independent physiotherapy practice or rehabilitation clinic through a limited company, annual accounts and a Corporation Tax return need to be prepared and filed, with the figures reflecting treatment income, allowable business expenses and any adjustments such as capital allowances on equipment. Directors also need to think about how they take money out of the company and how salary, dividends and pension contributions fit together. Filing requirements and deadlines depend on your company's individual circumstances, so these are reviewed as part of the ongoing support.

VAT can apply to physiotherapy and related services, but the treatment depends on the nature of the service, how it is delivered and the applicable conditions, so it should not be assumed either way. Some services may fall outside the scope of VAT or qualify for exemption, while other activities, such as selling products or equipment or providing non-exempt services, may be standard rated, and voluntary registration can sometimes be worthwhile even where turnover sits below the threshold. The sensible approach is to review what you actually provide and revisit it as your practice changes.

Yes. Payroll support covers paying salaried therapists, reception and admin staff, and dealing with PAYE, National Insurance, pension duties and the reporting that goes with them. Where a clinic uses associates, locums or self-employed contractors, it is important that the working arrangements and contracts reflect the reality, because employment status can affect tax and National Insurance for both sides. Getting that structure right early avoids unwelcome questions later on.

Yes, switching is usually straightforward. We can take over bookkeeping, filings and ongoing support, and coordinate the handover of information from your previous accountant, including any outstanding accounts or returns. It often helps to time the move around your year end where possible and to have your records and access details ready. If you are unsure whether now is the right moment, the practical next step is to talk through your current position and what you need from an accountant.