Accountants For Private Clinics

Patient care happens in the clinic, but the survival of your practice happens in the ledger.

At Accotax, our accountants for private clinics help take care of the financial work behind your clinic. We take over your books, fix your corporate structure, and also ensure that you legally retain the absolute maximum of your clinic’s revenue.

Managing patients is your job; managing complex healthcare tax structures is ours.

Our Accounting Services for Private Clinics

Our clinic accounting services cover every aspect of your financial health. All our accounting services are customised as per your needs and goals:

Bookkeeping Services: Patient payments, insurance reimbursements, supplier invoices, equipment leases. Our private clinic accountants keep it all reconciled.

Payroll Services: Nurses, receptionists, practice managers, locum doctors on different pay structures. As expert accountants for private clinics in London, we run payroll accurately, including pension auto-enrolment.

VAT Support: Medical services are often VAT exempt, but cosmetic treatments usually aren’t. If you get this wrong, you can either end up overpaying or land yourself an HMRC enquiry. Our VAT accountants help you understand your VAT obligations.

Year-End Accounts: Whether you run as a limited company, partnership, or sole trader clinic, we prepare accurate year-end accounts.

Need Help With Private Clinic Tax?

Tax laws constantly shift, and missing an update can result in costly penalties or missed savings. Our experienced private clinic tax accountants in London team stays ahead of every regulatory change. We carefully review your operational overheads, equipment capital allowances, and payroll structures to uncover hidden areas where you are leaking money.

We support your clinic with:

Corporation Tax returns
Self-Assessment tax returns for directors and practitioners
Tax planning for clinic owners
Expense reviews
Dividend and salary planning
Capital allowance guidance on qualifying equipment
HMRC correspondence and queries

The right tax approach depends on your clinic structure, income streams and future plans. Our expert accountants for private clinics in London take time to understand the business before giving advice.

Private Healthcare Accounting Built for the Real World

Private healthcare accounting isn’t a tick-box service for us. We understand that a busy consultant doesn’t have hours to sit down and explain their business model. So we ask the right questions upfront and learn how your clinic actually operates.

After that, we build a financial process around that rather than forcing you into a generic template.

As expert accountants for private clinics, we also stay on top of sector-specific changes. We make sure that your practice remains completely protected.

What We Offer Based on Your Business Structure

Compliance

Bookkeeping
Annual /Year End Accounts
VAT Returns
Confirmation Statement
Payroll & PAYE
Workplace Pensions
Management Accounts
Budgeting & Forecasting

Tax Advisory & Automation

Company Tax Returns
Personal Tax Returns
R&D Tax Credits
EIS/SEIS
Capital Allowances
Part Time FD
Accounting System Automation
Apps Integrations

Setup & Others

Company Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Company Secretarial Services
Business Advisory Services
Tax Investigation Insurance
Business Growth IDeas
Accounts Receivables
Accounts Payable

Compliance

Bookkeeping
Annual /Year End Accounts
VAT Returns
Confirmation Statement
Payroll & PAYE
Workplace Pensions
Management Accounts

Tax Advisory & Automation

Setup & Others

Compliance

Bookkeeping
Annual /Year End Accounts
VAT Returns
Confirmation Statement
Payroll & PAYE
Workplace Pensions
Management Accounts
Budgeting & Forecasting

Tax Advisory & Automation

Setup & Others

SPV Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Company Secretarial Services
Business Advisory Services
Tax Investigation Insurance
Business Growth IDeas

Compliance

Bookkeeping
LLP Accounts
VAT Returns
Confirmation Statement
Payroll & PAYE
Workplace Pensions
Management Accounts
Budgeting & Forecasting
Partnership Tax Return (SA800)

Tax Advisory & Automation

Setup & Others

LLP Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Company Secretarial Services
Business Advisory Services
Tax Investigation Insurance
Business Growth IDeas

Compliance

Bookkeeping
Self Employed Accounts
VAT Returns
Payroll & PAYE
Workplace Pensions
Budgeting & Forecasting
CIS Returns (if in construction industry)

Advisory & Automation

Setup & Others

Self Employed Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Business Advisory Services
Tax Investigation Insurance
Business Growth Ideas
Switching to Ltd company
MTD - ISTA

Compliance

Tax Advisory & Automation

Setup & Others

Compliance

Tax Advisory & Automation

Setup & Others

Compliance

Tax Advisory & Automation

Setup & Others

Compliance

Tax Advisory & Automation

Setup & Others

Compliance

Bookkeeping
Partnership Accounts
VAT Returns
Payroll & PAYE
Workplace Pensions
Management Accounts
Budgeting & Forecasting

Tax Advisory & Automation

Setup & Others

Partnership Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Business Advisory Services
Tax Investigation Insurance
Business Growth Ideas
Switiching to Ltd company

See Our Packages

FAQs - Accountants for Private Clinics

Do private clinics need a specialist accountant, or will a general accountant do?

A general accountant can technically file your accounts, but they often miss healthcare-specific details, such as mixed VAT treatment, medical indemnity costs, or capital allowances on clinical equipment. Expert private clinic accountants understand these things very well. That is why having specialist accountants for private clinics in London is highly recommended.

Is private medical income subject to VAT?

Most core medical services provided by registered health professionals are VAT exempt. However, certain treatments, particularly cosmetic procedures without a medical purpose, may be standard-rated. If your private practice generates mixed income (both exempt and taxable), you only need to register for VAT if your taxable turnover exceeds the statutory registration threshold of £90,000 within a rolling 12-month period. Our specialist accountants for private clinics in London can review your service list to keep your VAT setup accurate.

Can Accotax manage payroll for locum doctors and permanent clinic staff?

Yes. We handle end-to-end payroll for full-time employees, part-time staff, and locum cover. We make sure that all tax deductions, National Insurance contributions, and workplace pensions are processed correctly every pay cycle.

Can you integrate our medical billing system with our accounting software?

Yes, we specialise in connecting practice management software with mainstream cloud accounting platforms like Xero. This creates a real-time view of your invoices, incoming patient fees, and outstanding balances without manual data entry.

Can Accotax help if my private clinic is expanding?

Yes. As your clinic grows, your accounting needs can change. As expert accountants for private clinics in London, we can support you with ongoing accounts, bookkeeping, payroll and tax matters while helping you understand the financial side of expansion.