Accountants for Physiotherapists in South West London

Below are answers to some of the questions physiotherapists, clinic owners and private practitioners ask us most often about accounting, tax and day-to-day financial administration. If your situation is not covered here, we are happy to talk it through with you.

Accountants for Physiotherapists handle the financial and tax side of running a physiotherapy practice, which can include preparing annual accounts and Self Assessment tax returns, keeping bookkeeping up to date, managing payroll, handling Corporation Tax for limited companies, supporting with VAT where it applies and helping you plan for tax efficiently. Just as importantly, we help you understand what your figures are telling you, so you can price your services, manage costs and plan for equipment purchases or practice growth with more confidence.

We support self-employed physiotherapists, sole traders, private practitioners, partnerships, limited company clinic owners and rehabilitation practices, as well as physiotherapy businesses employing associates, locums or administrative staff. The accounting requirements differ depending on whether you work alone, share profits with partners or run a company, and on whether your income comes from private patients, insurers, sports clubs, employers or a mixture of sources. Support is tailored to that structure rather than applied in the same way to everyone.

It varies. A single self-employed physiotherapist may only need help with record keeping and Self Assessment, while a limited company clinic might also require annual accounts, Corporation Tax returns, payroll for therapists and admin staff, management accounts and VAT support. Clinics with several treatment rooms, equipment to maintain, associate or locum payments and premises costs often benefit from more regular bookkeeping and reporting so that profitability and cash flow stay visible throughout the year.

Typical records include treatment room hire or premises costs, equipment and consumables, professional body subscriptions and indemnity insurance, training and CPD, marketing, software and booking systems, and payments to staff, associates or locums. What can actually be claimed depends on your circumstances and whether the expense is incurred wholly and exclusively for the business, so it is worth checking before you assume something is or is not allowable. Accurate record keeping throughout the year makes this far easier at tax return time.

It depends on your turnover, the nature of your services and the applicable conditions. Some clinical treatment provided by suitably qualified practitioners may fall outside the scope of VAT, while other services such as certain reports, fitness or wellbeing sessions, retail sales or non-clinical work can be treated differently. The rules are not uniform across every service, so it is important to look at what you actually provide rather than assuming every physiotherapy activity is treated the same way. We can review your situation and help you understand where you stand.

Yes. If you employ receptionists, administrative staff, therapists or other team members, we can handle payroll calculations, payslips and the associated reporting obligations. Where you work with self-employed associates or locums instead, the tax and status position can differ from employment, and getting that distinction right matters for both the clinic and the individual involved. We can help you understand which arrangement applies and what it means for your records and reporting.

Yes, switching accountants is usually far simpler than people expect. We handle the handover with your existing accountant where needed, obtain the records and prior filings we require, and make sure there is no gap in your bookkeeping, payroll or filing obligations during the changeover. It helps if you can provide recent accounts, tax returns, VAT records and access to your bookkeeping software, but we will guide you through what is needed step by step.

It begins with a conversation about how you work, how your practice is structured and what you currently have in place, so we can identify the accounting and tax support that genuinely applies to you. From there we can outline what is involved, agree the scope and set up the services you need, whether that is Self Assessment, bookkeeping, payroll, annual accounts or ongoing management reporting. If you are unsure where to begin, we can start with the areas causing you the most difficulty and build from there.