Healthcare Accountant Outsourcing for UK Practices

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, alongside dental payroll services and home care payroll for domiciliary providers. 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.

Every healthcare accountant working on your files signs a confidentiality agreement and operates 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 accounting follows 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, deliver the recurring bookkeeping services for dentists that sit underneath them, reconcile contract income to FP17 submissions, and support the year-end compliance process including self assessment for dental partners and associates.

Yes. Payroll for home health care providers runs on the same weekly and fortnightly cycles as locum work, but the risk profile is different. Home health care payroll services carry exposures a standard commercial payroll does not: travel time between calls counts as working time for National Minimum Wage, sleep-in shifts have their own treatment, and rota changes routinely land after the cut-off. We run home health payroll with an NMW check built into every cycle rather than discovered at year-end, and we hold the audit trail your client will need if HMRC comes back to look at it.

Test on the work rather than the brochure. Ask for a sample FP17 to UDA reconciliation on a real practice with mixed NHS and private income, then look at what your reviewer had to correct. Most dental accounting firms can produce a set of accounts; far fewer can tell you why the UDA target was missed, what it does to the contract value, and whether the clawback is going to land in this financial year or the next. That is the difference worth testing before you move a portfolio across.

Pricing for healthcare accountant support is per client, per workflow, based on how many partners sit in the practice, whether NHS and private income are mixed, and how many staff run through payroll. There is no retainer, no minimum volume, and no separate charge for the senior review. It is easy to compare healthcare accounting firms on a headline rate; it is the rate at month three that decides whether the arrangement works. Send us one real client and we will price it properly.