Accountants for Healthcare

Q: Why do healthcare professionals need a specialist medical accountant?

Healthcare finance is governed by unique regulations like NHS Pension tiers , Superannuation reconciliation , and complex VAT exemptions . A generalist accountant may miss "Pension Growth" tax traps or fail to maximize Capital Allowances on specialized medical equipment. We ensure your practice remains compliant while optimizing your specific healthcare tax position.

Q: Can you help with the McCloud Remedy and NHS Pension tax charges?

Yes. We specialize in navigating the McCloud Remedy (Public Service Pension Remedy) and calculating Annual Allowance (AA) tax charges. We help clinicians forecast their pension growth to avoid 40-45% tax "surprises" and handle all necessary Scheme Pays elections to preserve your cash flow.

Q: How do you handle accounting for Primary Care Networks (PCNs)?

We provide full-service support for PCNs and GP Partnerships , including the management of ARRS (Additional Roles Reimbursement Scheme) funding and the preparation of network financial statements. We ensure transparent profit-sharing and help reconcile GMS/PMS contract income with practice expenses.

Q: Do you assist Locum Doctors with IR35 and structure advice?

Absolutely. We review Locum contracts to determine IR35 status (Inside vs. Outside) and advise on the most tax-efficient operating structure whether that is a Limited Company or Sole Trader status based on your specific mix of NHS and private work.

Q: Can you manage VAT for clinics with mixed exempt and taxable income?

Yes. Many healthcare clinics face Partial Exemption challenges where they provide exempt medical care alongside taxable retail or aesthetic services. We implement robust VAT accounting to ensure you reclaim the maximum input tax possible while remaining fully compliant with HMRC’s Making Tax Digital (MTD) requirements.

Q: What specialized software do you use for medical bookkeeping?

We are Xero and QuickBooks Platinum Partners . We integrate your accounting with industry-leading patient management and billing tools like Cliniko, Power Diary, and Medesk . This automation allows for real-time tracking of private fees and automated capture of medical supply invoices via Dext .

It’s challenging to handle accounting tasks effectively in the healthcare profession. You already have a lot on your plate with patient care. That’s where having our accountants for healthcare makes a big difference. At Accotax, our team has helped healthcare workers throughout the UK for many years.

Our financial support allows you to focus on what truly matters: delivering exceptional care, whether you own a private clinic, pharmacy, dental office, or healthcare consulting business. As trusted Healthcare accountants, we understand your challenges with NHS payments, insurance claims, payroll, and tax planning. So you get custom solutions that ensure your practice is compliant, profitable, and stress-free.

Specialist Financial Engineering for the Healthcare Sector

Generic accounting doesn’t work for medical professionals. At Accotax, we provide a level of technical expertise that handles the specific financial friction points of the NHS and private practice.

1. NHS Pension & Superannuation Mastery

The biggest risk for senior clinicians is the NHS Pension Tax Trap. We don’t just file your returns; we protect your retirement.

2. Strategic Support for GP Practices & PCNs

Primary Care is changing. We help Primary Care Networks (PCNs) and GP Partnerships manage the business side of medicine.

3. Niche Expertise for Dentists, Pharmacists & Locums

Tailored tax solutions for specific healthcare niches:

Dentists: Specialist UDA (Units of Dental Activity) and associate expense tracking.
Pharmacists: Expert handling of Drug Tariff income, discounts, and clawbacks.
Locums: IR35 assessments and tax-efficient structure advice (Sole Trader vs Ltd).

4. Medical VAT & Capital Allowances

Partial Exemption: Navigating VAT for clinics with mixed exempt/taxable services.
Equipment Relief: Maximizing Capital Allowances on MRI scanners, dental chairs, and high-tech assets.

Cloud Accounting & Integrations for Medical Practices

Managing a busy clinic requires real-time data. We specialize in migrating healthcare providers to Xero and QuickBooks, integrating specialized medical apps like Cliniko, Power Diary, and Sookasa.

Automated Expense Tracking: We set up Dext to capture medical supply invoices automatically.
Real-Time Making Tax Digital (MTD) Compliance: Stay ahead of HMRC requirements with digital links between your patient management software and your tax returns.

Advanced Tax Mitigation for High-Earning Clinicians

Healthcare professionals often face the highest tax brackets. We apply specialized strategies to protect your wealth:

Salary vs. Dividend Optimization: For Limited Company structures, we balance your drawdowns to stay below high-rate thresholds.
Capital Allowances on Practice Fit-outs: Did you know surgery refurbishments often qualify for significant tax relief? We identify “embedded fixtures” that generalist accountants miss.
Spouse Salary & Income Splitting: Legitimate ways to utilize your family’s tax-free allowances within your medical business.

Accotax Brings Financial Clarity For Healthcare Professionals

Every decision you make when running a healthcare business matters. When you work with competent accountants for healthcare companies, you can build your business without worrying about your finances.

We focus on your success and take a personal, proactive approach to businesses of all sizes, from start-ups to established ones. Our accountants for healthcare professionals offer personalised help to keep your finances in line, running smoothly, and ready to grow, whether you run a clinic, pharmacy, or solo practice. We keep up with changes in your business, handle complex financial issues, and ensure your practice remains strong year after year.

What Benefits Do You Get From Healthcare Accountants?

Working with our healthcare accountants will give you peace of mind and clarity about your accounts. You can focus on your patients while someone else takes care of your finances in a way that keeps you in line with all the rules and helps you make more money. You can relax knowing that your accounts are in the hands of professionals.

As reputable healthcare accountants in London, we offer personalised financial solutions tailored specifically to healthcare businesses and professionals, ensuring accuracy, efficiency, and peace of mind at every step.

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

Company Registration
PAYE Registration
VAT Registration
Personal Tax Registration
Company Secretarial Services
Tax Investigation Insurance

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 Healthcare

Why do healthcare professionals need a specialist medical accountant?

Healthcare finance is governed by unique regulations like NHS Pension tiers, Superannuation reconciliation, and complex VAT exemptions. A generalist accountant may miss “Pension Growth” tax traps or fail to maximize Capital Allowances on specialized medical equipment. We ensure your practice remains compliant while optimizing your specific healthcare tax position.

Can you help with the McCloud Remedy and NHS Pension tax charges?

Yes. We specialize in navigating the McCloud Remedy (Public Service Pension Remedy) and calculating Annual Allowance (AA) tax charges. We help clinicians forecast their pension growth to avoid 40-45% tax “surprises” and handle all necessary Scheme Pays elections to preserve your cash flow.

How do you handle accounting for Primary Care Networks (PCNs)?

We provide full-service support for PCNs and GP Partnerships, including the management of ARRS (Additional Roles Reimbursement Scheme) funding and the preparation of network financial statements. We ensure transparent profit-sharing and help reconcile GMS/PMS contract income with practice expenses.

Do you assist Locum Doctors with IR35 and structure advice?

Absolutely. We review Locum contracts to determine IR35 status (Inside vs. Outside) and advise on the most tax-efficient operating structure whether that is a Limited Company or Sole Trader status based on your specific mix of NHS and private work.

Do you work with both NHS and private healthcare professionals?

Yes. We support NHS contractors, locums, GP practices, private clinics, consultants, dentists, therapists, and all healthcare service providers.

Can you help with tracking NHS and private income separately?

Absolutely. We manage multi-stream income, ensuring proper categorisation for efficient reporting, tax planning, and compliance.

Do you handle bookkeeping for healthcare businesses?

Yes. We provide complete bookkeeping, expense management, bank reconciliation, and financial reporting tailored to healthcare professionals.

Do you help healthcare professionals register as sole traders or limited companies?

Yes. We guide you on the best structure sole trader, partnership, or limited company based on income, liability, and growth.

Can you manage VAT for clinics with mixed exempt and taxable income?

Yes. Many healthcare clinics face Partial Exemption challenges where they provide exempt medical care alongside taxable retail or aesthetic services. We implement robust VAT accounting to ensure you reclaim the maximum input tax possible while remaining fully compliant with HMRC’s Making Tax Digital (MTD) requirements.

What specialized software do you use for medical bookkeeping?

We are Xero and QuickBooks Platinum Partners. We integrate your accounting with industry-leading patient management and billing tools like Cliniko, Power Diary, and Medesk. This automation allows for real-time tracking of private fees and automated capture of medical supply invoices via Dext.