Healthcare Accounting

We are proud to be one of the UK’s leading accountancy firms specialising in GP practices. With over 200 practices under our care, we understand the day-to-day realities, regulatory pressures, and funding challenges that partners and practice managers face.

Our dedicated healthcare team has extensive experience in:

• Practice accounts and year-end submissions
• NHS pensions with PCSE and NHS England.
• Bench-marking analysis both locally and nationally.
• Drawings and income forecasting
• Improving income streams
• Practice incorporation and property ownership structures

As PCNs continue to evolve as a central part of NHS service delivery, so too do the financial and governance complexities surrounding them. We work closely with over 40 PCNs across the country to provide specialist support that ensures compliance, clarity, and control.

Our expertise covers the full range of PCN needs, including:

• PCN accounts preparation
• Income and expenditure tracking across ARRS roles
• Support with lead practice vs. incorporated models
• Tax advice and payroll support for directly employed staff
• Assurance and guidance on clawbacks, surpluses, and reinvestment

We act for over 150 Dental practices at every stage, from start-up to sale, and always provide advice with a long-term view.

We understand that running a Dental Practice comes with a unique set of financial, regulatory, and operational challenges. From NHS contracts and private income streams to incorporation and or succession planning, we have a dedicated Dental Team supporting you every step of the way.

Our work with dental practices covers:

• Annual accounts and tax planning for principals
• Incorporation advice and support
• NHS and private income analysis
• Benchmarking and performance reporting
• Locum and associate agreements
• Support with practice purchases/disposals and valuations

We support over 600 dental associates across the UK, helping them navigate each stage of their careers with confidence.

For newly qualified dentists, we provide essential guidance to ensure they start off on the right foot, equipping them with a solid understanding of their tax responsibilities, record-keeping, and financial obligations. Our goal is to make sure they are not only compliant but efficient and well-prepared as they transition into independent clinical practice.

As careers progress, we continue to offer tailored advice around income structuring, expense planning, incorporation, and long-term financial goals – whether that’s saving for a home, investing in a practice, or planning for retirement.

We’re proud to support the next generation of dentists with a hands-on, personal service designed to simplify their finances and let them focus on clinical excellence.

We support over 300 pharmacies, from first-time independent owners through to established multi-pharmacy operators, providing tailored advice at every stage of your growth. Our deep sector knowledge, combined with expert tax and accounting insight, means we’re ideally placed to help you maximise profitability, plan strategically, and execute successful pharmacy purchases, sales, or restructures.

Our dedicated Pharmacy team has extensive experience in:

• VAT & Payroll Compliance
• Cloud Accounting and Management Accounts
• Year-end Accounting
• Cash flow Forecasting
• Sale & Acquisition Support
• Finance and Funding Guidance
• One-Off Tax Planning (e.g., Restructuring & Exit Strategy)

We support over 500 individual Locum Doctors & Consultants who operate on either a self-employed basis with a private practice, via employment in a role with a national or local provider or indirectly via a Limited Company or Limited Liability Partnership.

We provide advice on all sides to ensure pension and tax compliance are maintained with the necessary planning to support life decisions to be made.

The key to our success is with the personal service we provide, as from day one you will have a dedicated contact in the team to liaise with day to day on anything that you need, alongside an active relationship with a manager who will support with your long term plans and the important decisions to be made in-line with them.