Specialist Healthcare Accounting Services in Manchester

You didn’t train as a healthcare professional to spend your evenings worrying about tax bills and business structures. Kays Accountants’ specialist healthcare accounting service takes this burden off your shoulders. We’ll handle your tax obligations, advise on the right structure, and ensure you have the clarity to focus on patient care.

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Healthcare Accounting Advice You Can Trust

When you’re running a healthcare practice, understanding your tax obligations and managing cash flow can mean the difference between financial stress and peace of mind.

Whether you’re just starting out on your own, manage a small clinic, or are navigating the complexities of dual NHS and private income, our healthcare accounting service is designed specifically for practitioners like you. We work with chiropractors, osteopaths, dentists, physiotherapists, and other healthcare professions who need more than basic compliance — you need accountants who understand NHS contract requirements, the complications of operating as both a sole trader and limited company simultaneously, and the financial realities of running an independent practice.

Dental Practice Accounting

Our dental practice accounting service helps you navigate the complexities of operating as both a sole trader and limited company, understand how to retain profits tax-efficiently, and ensure you stay compliant with both NHS contract requirements and HMRC. We’ll advise on the most efficient setup for your specific circumstances.

Accountants for Healthcare Professionals

As specialist accountants for healthcare professionals, we work with chiropractors, osteopaths, and physiotherapists to manage corporation tax, dividend tax, and year-round financial planning. We’ll ensure your accounting obligations are met while advising on how to run a profitable, tax-efficient practice.

Wellness Practice Accountancy

Running a wellness practice shouldn’t mean drowning in paperwork and tax stress. Our wellness practice accountancy service is designed for small clinics and independent practitioners. We’ll handle your compliance requirements, advise on the ideal business structure, and provide clarity on your finances.

Accountant for Therapists

If you’re going it alone after a career on payroll, the financial aspects of self-employment can feel overwhelming. We specialise in helping therapists and healthcare practitioners navigate their new financial responsibilities and build sustainable practices. No jargon, no confusion — just clear, helpful advice.

Working with Kays

We know that healthcare professionals don’t have time to become tax experts — that’s our job. At Kays Accountants, Steven and Michael work directly with every client, personally. There are no account managers, no junior staff, no handoffs. When you work with Kays, you work with us — from your first call to your year-end accounts and everything in between.

Understanding Your Practice

We begin by getting to know how your practice operates, what your income streams look like, and what you’re hoping to achieve. From there, we’ll recommend the best structure for you — whether that’s a limited company, sole trader, or both — and explain exactly why this makes sense.

Taking Care of the Numbers

Once we understand your business, we handle all tax calculations, VAT requirements, and payment deadlines. You’ll have complete confidence that everything’s been done correctly and on time, giving you peace of mind to focus on other aspects of your business.

Planning for Success

Most accountants stop at compliance. We go further by helping you understand what money you can realistically extract from your business, advising on tax-efficient strategies, and ensuring you’re building appropriate reserves. Our approach is about setting you up for sustainable, long-term success, not just ticking boxes.

Featured Articles

Practical advice from our experts to help you manage your healthcare practice finances with confidence.

It’s Not Your Money: Setting Aside Tax Funds

After working a payroll job your whole life, it can be easy to think the money hitting your business account is yours to spend. But corporation tax and dividend tax mean a significant chunk belongs to the government. Learn our systems for setting aside funds throughout the year, so you’re never caught out by a £20,000 tax bill when there’s only £5,000 in your account.

How You Should Set Yourself Up

Should you be a sole trader, a limited company, or both? For healthcare professionals working with NHS patients, the answer often involves managing two structures simultaneously. We explain why limited companies offer flexibility and protection, when NHS contracts require sole trader status, and how to manage the complications tax-efficiently while maintaining pension eligibility.

Frequently Asked Questions From Healthcare Professionals

For most healthcare professionals, a limited company offers better tax efficiency and flexibility. However, if you’re working with NHS patients, you may need to operate as a sole trader to maintain your NHS pension eligibility. Many dentists and practitioners run both structures simultaneously — sole trader for NHS work and a limited company for private income.

We’ll assess your specific situation and recommend the most tax-efficient setup for your circumstances.

Generally, no. Most NHS contracts stipulate that you must be paid as a sole trader to maintain eligibility for the NHS pension scheme and comply with their payment structures. However, you can run a limited company alongside your NHS work for private patients. This dual structure is common among dentists and specialists who balance NHS and private work, though it requires careful management to remain tax-efficient and compliant.

As a general rule, set aside at least 20% of everything you’re paid into a separate business savings account for corporation tax. If you’re taking money out as dividends, put another portion into a personal savings account for dividend tax. This approach helps you avoid the common trap of spending money that actually belongs to HMRC, preventing unexpected tax bills of £10,000-£20,000 when payments are due.

If you’re operating as a limited company, you can claim a wide range of business expenses including professional indemnity insurances, professional subscriptions, medical equipment and supplies, training and CPD courses directly related to your clinical work, and a proportion of home office costs if you do administrative work from home. You may also be able to have a company car paid by the business, which can be tax-efficient depending on the vehicle type and your usage.

If you’re self-employed, you can claim similar expenses, though some rules differ. It’s important to only claim expenses that are wholly and exclusively for business purposes — HMRC is strict about mixed-use items.

Healthcare accountants understand the unique challenges you face, including NHS contract requirements, managing dual sole trader and limited company structures simultaneously, and navigating pension implications. We know about the cash flow traps that catch out practitioners who’ve transitioned from employed roles, and we’ll have conversations about setting aside tax funds that most general accountants won’t. Our expertise means you get proactive advice specific to healthcare practices, not just basic compliance.

Get Started Today

If you’re a healthcare professional looking for specialist accounting support that understands your world, we’re here to help. Based in Manchester but working with practitioners across the North West and beyond, our healthcare accounting service will take care of the numbers so you can focus on your patients. Contact us today. We’ll discuss your practice setup, NHS involvement, and which approach is right for you moving forward. No obligations, no pressure..