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Accountancy for Healthcare and Medical Practices

Running a practice or care service means the accounts have to keep pace with clinical work, not the other way round. Our CIMA-accredited team supports dental practices, clinics, care providers and individual practitioners across the UK, entirely remotely.

Overview

Accountancy for Healthcare and Medical Practices

Healthcare accounting has its own quirks: associate practitioners taxed separately from the practice they work in, VAT treatment that varies depending on the service provided, and payroll that has to cope with shift-based clinical or care staff. We work with dental practices, private clinics, domiciliary care agencies, care homes and independent practitioners, so the numbers reflect how a healthcare business is actually run.

Who we support

Practices, clinics and individual practitioners

Dental Practices & Private Clinics

Whether you run the practice or work as an associate within one, the accounting relationship is often different from a typical small business. We prepare practice accounts and handle associate practitioners' self-assessment returns separately, keeping both sides of the arrangement clear and correctly reported.

Domiciliary Care Agencies & Care Homes

Care providers often run payroll for a large, shift-based workforce alongside billing that can involve multiple funding sources. We manage bookkeeping and payroll for care staff, and can provide outsourced financial oversight so you have a clear, current picture of the business even as staffing and funding arrangements shift.

Physiotherapists & Other Practitioners

Many practitioners operate as sole traders or through their own limited company, sometimes alongside work for a clinic or practice. We prepare accounts and tax returns that fit how you actually work, whether that's a single practice, multiple locations, or a mix of employed and self-employed income.

VAT and Healthcare

Handled correctly, not assumed

Healthcare services carry their own VAT rules, and many are exempt, but the position isn't always straightforward once a practice offers a mix of clinical and non-clinical services. We can help you understand where your services sit and manage any VAT position that applies, so it's handled correctly rather than assumed.

How it works

Working With Us Remotely

Clinical and care work doesn't leave much time for accounting admin, so we've built the process to stay out of your way.

Digital information sharing

Records reach us the moment you have them, not at month end.

Electronic engagement letters & e-signatures

Onboarding takes minutes rather than a trip to the office.

Direct debit, no contract

Fixed monthly fees by direct debit, with no long-term contract attached.

Online meetings

Talk through the numbers whenever you want to, wherever you are.

Online identity verification

Getting started is straightforward wherever you are based.

Secure by design

Patient-sensitive paperwork, handled properly

Secure document upload means patient-sensitive paperwork never travels by unsecured email, so confidentiality isn't left to chance.

Continuity, not repetition

An account manager who already understands your practice

You're not re-explaining your setup every time you get in touch. Your dedicated account manager already understands the practice, so conversations stay focused on the numbers.