
Accounting Outsourcing for UK Healthcare Practices
Healthcare accounting demands more than standard compliance. NHS global sum payments, QOF income, superannuation certificates, locum IR35 assessments, and confidentiality protocols all sit on top of normal practice work. We provide outsourced bookkeeping services and payroll services UK healthcare clients need - tailored for GP surgeries, dental practices, and clinics. Confidential, review-ready output that respects the sensitivity of the sector and the schedule your practice manager works to.
500+
Firms Supported
98.7%
Accuracy
48hr
Turnaround

Why Construction Accounting Needs a Specialist
Healthcare Accounting Built for the Complexity That Comes With It.
Healthcare-specific accounting and bookkeeping services for UK practices. GP and dental accounts, NHS income reconciliation, locum payroll services, and CQC-aligned record support.
Work with usDedicated Team
Reviewer-Ready
Sector Specialists
NDA Protected
Why it works · What you get
Built for Healthcare Practices. Not Adapted - Purpose-Built.
01 - NHS Pension deadlines have real consequences.
Superannuation certificates filed on time - because partners' pensions depend on it.
PCSE submissions, superannuation certificates, type 1 and type 2 medical practitioner returns, the quirks of GMS versus PMS accounting. Missed deadlines here directly affect partner pensions. That focuses the mind - and ours is already focused.
02 - NHS income is fragmented. We've mapped it.
Global sum, QOF, enhanced services, PCN, FP17 - every income stream tracked.
GP income arrives in fragments - global sum, QOF achievement payments, enhanced services, dispensing fees, PCN allocations, locum agency reconciliations. Dental adds FP17 to UDA matching. We've mapped every piece and know where the variances usually sit.
03 - GP drawings depend on accurate numbers.
Five working days from records to draft. NHS receipts reconciled.
Partner drawings depend on accurate monthly figures with NHS receipts already matched and partnership splits applied. We deliver that within five working days of receiving the practice's data. Year-end follows the same rhythm.
Your clients' software.
Our team knows it.
No onboarding friction. No tool switching. We step straight into the software your practice already runs on and get to work from day one.
Talk to our teamReal questions from UK accountancy practices answered honestly.
If you're considering bringing in external support for your construction clients, you probably have a few questions. Here are the ones we get asked most, with straight answers.
Still have questions? Get in touchYes. GP practice accounts are a core part of our healthcare workload. We prepare the full accounts pack including NHS income reconciliation, partnership profit shares, superannuation certificates, and the supporting schedules your clients need for their bank and accountants. The output is formatted for straightforward review.
Yes. NHS income reconciliation is complex - global sum payments, enhanced services, QOF income, and PCN funding all need to be matched and verified. We do this as part of the standard GP accounts workflow, and we flag any variances or unreconciled items before the file reaches your desk.
Yes. We help maintain the financial records and supporting documentation that practices need to demonstrate compliance for CQC inspections. This includes finance-related governance records, expenditure schedules, and payroll documentation prepared to the standard your practice manager and regulator expect.
Yes. Locum payroll is a regular part of our healthcare service. We process locum payments, apply the correct PAYE treatment, handle IR35 assessments for engaged locums, and prepare RTI submissions. We also support practices using locum agencies and manage the records for both.
All team members working on healthcare files sign confidentiality agreements and operate under our data security policy. Access is role-restricted to the individuals assigned to the engagement, and we follow your firm's protocols for document handling and communication. We do not store patient data - our work is strictly finance and compliance-focused.
Yes. Dental practice accounts follow a similar structure to GP practices but with different income streams - NHS contract income, private fees, and often a mix of both. We prepare the accounts, reconcile contract income to FP17 submissions, and support the year-end compliance process including self assessment for dental partners.
All Industries
Whatever sector your clients are in we already know the work.
# 01 - Current
Healthcare
Healthcare-specific accounting and bookkeeping services for UK practices. GP and dental accounts, NHS income reconciliation, locum payroll services, and CQC-aligned record support.
# 02
Construction
Specialist construction accounting and bookkeeping services for UK firms. Project bookkeeping, Domestic Reverse Charge VAT, retentions handling, and payroll outsourcing - delivered to deadline, every month.
# 03
Real Estate & Property
Specialist accounting and bookkeeping services for UK property portfolios. Rental income accounts, CGT computations, service charge reconciliation, and self assessment tax return preparation for landlords and estate agents.
# 04
Retail & E-commerce
Specialist e-commerce bookkeeping outsourcing services for UK firms. Shopify and Amazon reconciliation, multi-currency books, VAT OSS, and CT600 corporation tax return preparation for retail and online sellers.
# 05
Professional Services
Outsourced accounting and bookkeeping services for UK consultancies, solicitors, and agencies. Bookkeeping, VAT, payroll outsourcing, company secretarial services, and senior-reviewed year-end accounts.
# 06
Information Technology
Scalable outsourced bookkeeping services for UK IT and SaaS companies. Multi-currency books, R&D tax claim support, CT600 corporation tax returns, and management accounts for fast-growth tech portfolios.
# 07
Owner-Managed Businesses
Comprehensive bookkeeping services for UK owner-managed businesses. One team for VAT, payroll services for small business, year-end accounts, CT600, and self assessment tax return accountant support.
Talk to a Specialist
Bring us your messiest healthcare client - we'll show you how we'd handle it.
No pitch deck. Just a real file, a real problem, and a practical walkthrough of how we'd approach it. Most firms are confident after the first sample.
Zero late filings
across twelve years of healthcare clients
Reverse-charge fluent
DRC across both ends of the supply chain
Named, consistent team
same staff on your files every cycle
