Specialist Healthcare Accountants
We support GPs, dentists, consultants, and pharmacists with accounting built around the realities of running a healthcare practice, not a generic small business template. From managing complex finances to staying fully compliant, our healthcare accountants help you stay in control and plan with confidence. Speak to a healthcare-focused accountant today for expert guidance.
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UK businesses trust us with their finances
Dedicated Finance Team
Real accountants. Real tax expertise
ROI-Focused Accounting
Our clients save more than they pay us
Payroll, VAT & Corp. Tax
Complete compliance under one roof
Who We Help in the Healthcare Sector
Healthcare businesses and professionals often experience accounting requirements that regular business advice cannot completely address. We offer specialised accounting for healthcare that is designed specifically for your industry. It enables you to handle tax, bookkeeping, cash flow and financial planning efficiently and without difficulty.
GPs and GP Partners
We assist GPs and GP partners with managing practice accounts, partner tax, NHS income, cash flow and financial planning. Our services include partnership accounts, management accounts, payroll and tax planning. This enables partners to have a clear understanding of their profit position within the practice and their own tax position.
Consultants and Hospital Doctors
We assist in providing accountancy services for consultants and doctors within the NHS in relation to their employment, private practice, and additional sources of professional income. We also provide services of self-assessment, tax planning, expense management, private practice accounts and financial reporting.
Dentists
Our accountants for Dentists offer multiple accounting and taxation services including specialist support on tax planning along with payroll, cash flow and management accounts. We also support them with VAT treatment of their different income streams and business expenses.
Pharmacists and Locum Pharmacists
Our Pharmacy accountants assist pharmacists and locum pharmacists with bookkeeping, accounts, tax filings, and allowable expenses. For pharmacy owners, we can also forecast cash flow, prepare management accounts, and plan business activities.
Locums Across Healthcare
For healthcare locums, we assist with self-assessment, bookkeeping, tax planning, expense tracking, and cash flow. We can also advise on whether self-employment or a limited company structure is suitable for their circumstances or not.
What You Get With Reflex Accounting for Healthcare Professionals
Our accounting support designed specifically for medical practitioners. Combining compliance, tax efficiency, and genuine partnership to keep your practice thriving.
Annual Accounts & Tax Returns
We prepare comprehensive annual accounts and Self Assessment or Corporation Tax returns, ensuring everything is accurate, compliant, and filed on time. No stress, no surprises.
Locum & Contractor Accounting
Managing variable locum income and contractor arrangements requires specialist knowledge. We simplify locum tax treatment, IR35 status assessment, and ensure you’re claiming all eligible deductions
NHS Pension Guidance
NHS pension rules are complex enough on their own, and the ongoing McCloud remedy has made them more so. Many NHS Pension Scheme members moved into the 2015 scheme were affected by a change later ruled discriminatory, and the remedy now requires correcting historic records and recalculating Annual Allowance figures, which can create new or revised tax charges going back several years. We help you understand whether you’re affected, and manage the tax consequences properly rather than being caught out by a backdated bill.
Payroll & Auto-Enrolment for Practice Staff
We manage payroll compliance for all staff types, from permanent employees to locums and receptionists, covering statutory sick pay, maternity benefits, and automatic enrolment obligations.
VAT Guidance for Medical Services
We optimize your VAT recovery and ensure compliant treatment of all income streams and help you understand VAT on private consultations, NHS reimbursements, and mixed-billing practices
Request a quote or ask for advice
We work with a wide range of businesses on a national level and can give you the friendly and expert accounting advice you need.
Why Healthcare Professionals Trust Us
Managing a medical practice demands excellence in patient care and financial management. Choosing specialist accountants for healthcare ensures you stay compliant with CQC, GMC, and BDA standards, reduce your tax burden. We keep your finances secure, your practice compliant, and your tax efficient so you can concentrate on your patients while we handle the accounting.
Common Accounting Challenges Healthcare Professionals Face
Struggling with healthcare-specific tax deductions?
We identify all industry-specific tax reliefs on equipment purchases, premises costs, professional fees to ensure that you are not overpaying tax
Confused by NHS reimbursement & VAT?
We simplify NHS payment tracking, manage VAT on private consultations, and ensure your financial records align with NHS audit requirements
Struggling with IR35 and pension obligations?
We optimize your pension relief, and structure your practice to minimize employment law exposure while maximizing retirement planning.
Managing complex payroll with healthcare staffing?
We handle payroll compliance, statutory sick pay, maternity benefits, and ensure you’re meeting Care Quality Commission (CQC) and GMC requirements
Drowning in healthcare compliance paperwork?
We streamline your bookkeeping, automate compliance tracking, and organize everything so audits become stress-free and regulatory bodies
FAQs
Do you understand NHS Pension requirements for locums?
Yes, we specialize in medical accounting and can assist with Type 1 and Type 2 pension forms to ensure your NHS pension contributions are recorded correctly.
Should I work as a sole trader or limited company as a locum?
This depends on your IR35 status and annual earnings. We can assess your specific contract to recommend the most tax-efficient structure.
Can you handle billing and expenses for private practice work?
Absolutely. We manage bookkeeping for private income, separating it clearly from NHS earnings to ensure accurate tax reporting.
Are my medical services exempt from VAT?
Most medical services aimed at protecting or restoring health are VAT-exempt. However, cosmetic procedures or medico-legal work may be standard-rated. We review your income streams to ensure compliance.
Can I claim for training and CPD courses?
Generally, yes. If the training updates your existing skills (e.g., a GP learning a new procedure), it is tax-deductible. Training to acquire a brand new qualification to switch careers often isn’t.
Comprehensive Accounting & Financial Solutions
Expert accounting services tailored to meet your business needs
Audit & Assurance Services
Independent audits for compliance, risk management, and financial transparency.
Bookkeeping & Payroll Services
Accurate financial record-keeping and seamless payroll processing.
Tax & VAT Advisory Services
Proactive tax strategies to optimize savings and ensure compliance.
Financial Planning & Business Advisory
Strategic guidance to drive long-term profitability and growth.
Struggling with Finances?
Let Reflex Accounting Handle It!
Focus on growing your business—not managing HMRC paperwork, audits & payroll
