Accountants who actually understand healthcare practices.
NHS and private income reconciled, associate and partner pay sorted, VAT done properly, and a clear view of profit per chair, room and clinician.
Who this is for
Built for clinicians who run a practice as well as see patients.
Single-site practices and multi-site groups. Essex, London, UK-wide.
Sound familiar?
The problems we solve every week.
NHS, private and self-pay income tangled
Different rules, different timing, all landing in one bank account.
Associate, locum and partner payments
Splits change, locums chase invoices, partners want clean drawings figures.
Surprise tax bills from a good year
Profitable year on paper. No one set the cash aside for personal tax.
No real view on chair or room utilisation
Turnover looks fine; profit per chair, per room or per practitioner is a guess.
VAT on aesthetic vs medical work
Easy to under or over pay. HMRC has noticed this sector.
Pension annual allowance shocks
Charges arriving years after the event because no one was tracking it.
What we do
A finance function built around a practice.
Practice & clinic bookkeeping
NHS, private, self-pay and insurance income reconciled monthly on Xero.
Associate, locum & partner payments
Monthly splits, self-billed invoices, partner drawings reconciled to year end.
VAT for mixed healthcare income
Exempt vs taxable services coded correctly. Partial exemption calculations handled.
Payroll, pensions & auto-enrolment
Reception, nursing and clinical staff. NHS pension reporting where it applies.
Year-end accounts & tax
Filed on time, every time. Zero late filing penalties across our client base in the last 3 years.
Profitability per chair / room / clinician
Monthly numbers showing where the income — and the cost — really sits.
Tax planning & incorporation reviews
Sole trader vs limited, profit extraction, NHS pension implications modelled properly.
Virtual FD & growth planning
Buying a partnership share, opening a second site, hiring associates — planned, not improvised.
Why clients choose us
Specialist advice, not a quarterly tax return and silence.
Businesses supported
From single-site practices to multi-site clinic groups.
Late filing penalties
Across our entire client base in the last 3 years.
Client retention
Clinicians stay because the numbers make sense and the phone gets answered.
How we work
Easy to onboard. Proactive once you're in.
Discovery call
20 minutes. We learn the practice — NHS/private split, associates, partners, where it hurts.
Fixed monthly fee
Scoped to practice size, headcount and complexity. No hourly billing, no surprises.
Systems set up properly
Xero, payroll, associate payments, practice management integrations.
Monthly numbers + quarterly review
Short management pack each month, deeper strategy review every quarter.
What clients say
Real clinicians, real results.
"First accountant who actually understood NHS pension and private split. Saved us a real pension annual allowance issue."
— Dental principal, Essex
"Profit per chair changed how we scheduled and priced. Modest practice, much better margin."
— Practice manager, East London
"Took the pain out of associate splits and partner drawings entirely."
— GP partner, London
Common Questions
Do you understand the difference between NHS and private income?
Yes. NHS pension contributions, superannuation, private fee splits, associate vs principal arrangements — we deal with them every week. Different rules, different tax treatment, both done right.
Can you handle associate pay, partner drawings and locum invoicing?
Yes. Monthly associate splits, partner drawings reconciled to the year-end accounts, and self-employed locums billed cleanly through the right structure for tax.
Do you advise on incorporation for clinicians?
Yes — limited company vs sole trader vs partnership for dentists, GPs, consultants, vets and aesthetic clinics. We model it against your actual income and pension position, not a generic answer.
How do you handle VAT for mixed exempt and taxable services?
Aesthetic vs medical, cosmetic vs reconstructive — VAT lines on healthcare are notoriously messy. We set up your bookkeeping so each service is coded right and partial exemption calculations don't catch you out.
Can you help with NHS pension annual allowance and lifetime issues?
Yes. We work alongside specialist financial advisers on annual allowance breaches, scheme pays elections and pension planning — making sure the numbers your IFA needs are accurate and on time.
Are you based in Essex? Can you work with London clinics?
We're in Brentwood, Essex, and look after practices and clinics across Essex, London and the rest of the UK. Cloud bookkeeping means location doesn't get in the way.
Get the finance side of the practice running properly.
Free 20-minute practice finance review. Plain English, fixed monthly fee, no pressure.