Healthcare

Accounting Outsourcing for UK Healthcare Practices


Healthcare accounting requires more than standard compliance knowledge. We provide expert bookkeeping outsourcing services tailored for GPs, dentists, and clinics. From NHS income reconciliation to payroll services uk for locums, our team understands the specific VAT and regulatory demands of the sector. We deliver confidential, review-ready output that respects the unique needs of healthcare providers.

Trusted by UK Accounting Practices

500+

Firms Supported

98.7%

Accuracy

48hr

Turnaround

GP Practice Accounts

NHS income reconciled, partnership profit shares, and full accounts prepared for review

NHS Income Reconciliation

Global sum, enhanced services, and QOF income matched and verified before it reaches your desk

Locum Payroll

Locum PAYE, IR35 assessments, and RTI submissions processed accurately every pay period

Healthcare
CIS300 Filed MonthlyGross Status ApplicationsDomestic Reverse Charge VATRetention TrackingSubcontractor VerificationRTI Payroll · Weekly & MonthlyAuto-EnrolmentFRS 102 / 105 Statutory AccountsCT600 with R&D ClaimsCIS300 Filed MonthlyGross Status ApplicationsDomestic Reverse Charge VATRetention TrackingSubcontractor VerificationRTI Payroll · Weekly & MonthlyAuto-EnrolmentFRS 102 / 105 Statutory AccountsCT600 with R&D Claims

Why Construction Accounting Needs a Specialist

Healthcare Accounting Built for the Complexity That Comes With It.

Healthcare-specific accounting and bookkeeping services. We handle GP and dental accounts, NHS income reconciliation, and payroll services uk for medical practices and locums.

Work with us

Next CIS Deadline

19
DAYSREMAINING
Avoid HMRC penalties
Submission ready on time
Subcontractor verifications included
Get Support

Dedicated Team

Reviewer-Ready

CIS Specialists

NDA Protected

Why it works · What you get

Built for Healthcare Practices. Not Adapted - Purpose-Built.

02 - Expertise

Specialist Healthcare knowledge.

Construction accounting has its own language - CIS300s, gross status applications, DRC VAT, subcontractor statements. Our team has been doing this work day in, day out for over a decade. You won't spend time explaining the basics to us. We hit the ground running from day one.

03 - Deadlines You Can Plan Around

Five working days. Urgent jobs flagged before they become problems.

Our standard turnaround is 5 working days from the moment we receive your source data. When something needs to move faster, we flag it early - not the night before the deadline. You always know where things stand, and nothing gets dropped.

Software Expertise

Your clients' software.
Our team knows it.

No onboarding friction. No tool switching. We step straight into the software your practice already runs on - Xero, QuickBooks, Sage, TaxCalc, and more - and get to work from day one.

Talk to our team

Don't see your software? Tell us - we'll adapt.

Questions We Hear All the Time

Real 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 touch

Yes. 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. We handle GP and dental accounts, NHS income reconciliation, and payroll services uk for medical practices and locums.

GP PRACTICE ACCOUNTSNHS INCOME RECONCILIATIONLOCUM PAYROLL
View Industry

# 02

Construction & CIS

Specialist construction accounting and bookkeeping services. We handle CIS returns services, subcontractor verification, and Domestic Reverse Charge VAT for UK practices. Whether for sole traders or multi-site contractors, we provide reliable bookkeeping and payroll services.

View Industry

# 03

Real Estate & Property

Specialist accounting and bookkeeping services for property portfolios. We handle rental income, service charge reconciliation, and self assessment tax return services for UK landlords and estate agents.

View Industry

# 04

Retail & E-commerce

Specialist e-commerce bookkeeping services and marketplace reconciliation. We support Shopify and Amazon sellers with outsourced bookkeeping services, VAT OSS, and platform integrations.

View Industry

# 05

Professional Services

Comprehensive accountancy and bookkeeping services for consultants, solicitors, and agencies. We provide company secretarial services, VAT, and business payroll services with senior-reviewed output.

View Industry

# 06

Information Technology

Scalable bookkeeping services and ct600 corporation tax return support for tech companies and SaaS startups.

View Industry

# 07

Owner-Managed Businesses

Comprehensive bookkeeping services for small business owners. One team for VAT, payroll services for small business, and self assessment tax return accountant support.

View Industry

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