
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.
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

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 usNext CIS Deadline
Dedicated Team
Reviewer-Ready
CIS Specialists
NDA Protected
Why it works · What you get
Built for Healthcare Practices. Not Adapted - Purpose-Built.
01 - Built for construction & cis practices.
Avoid HMRC penalties.
Every CIS300 filed. Every 19th of the month. No exceptions, no near misses. In twelve years of handling construction returns for UK practices, we've never missed a filing deadline. That's not a target - it's our track record.
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.
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 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. We handle GP and dental accounts, NHS income reconciliation, and payroll services uk for medical practices and locums.
# 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.
# 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.
# 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.
# 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.
# 06
Information Technology
Scalable bookkeeping services and ct600 corporation tax return support for tech companies and SaaS startups.
# 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.
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
