Business structures
There are different types of trading vehicles that can be used to meet the unique challenges that healthcare presents. It is critical that you understand the business risks and pitfalls so that you can select the optimum solution. Our services include:
  • business start-up;
  • choice of best structure: incorporation v sole trader or partnership;
  • practice mergers, purchase and sale;
  • partnership agreements.
Business outsourcing
For your business to flourish, you need high quality reliable information so that you can make the optimum strategic decisions. With our focus firmly on what our clients require, we help you comply with statutory regulations and produce meaningful management information reports, including:
  • preparation of year end accounts for partnerships, sole traders, limited liability partnerships, limited companies;
  • preparation of management accounts, including key performance indicators, cashflows and budget comparisons;
  • book-keeping;
  • completion of NHS superannuation forms;
  • calculation of profit allocations;
  • preparation of expense claims;
  • advice and support for raising finance and loan applications;
  • all aspect of payroll as well as advice on PAYE and NIC liabilities and RTI.
The biggest asset in many healthcare businesses is the operational property. It is important that not only is it being utilised in the most advantageous way but also that its ownership has been correctly defined and structured. We can also help maximise the use of capital allowances.

Personal financial planning
The personal financial planning environment has never been so challenging, with low interest rates, high tax levels and reducing reliefs, and, of course, the recent NHS pension scheme changes. Effective wealth management ensures you are optimising all of the financial and tax options available to you, securing your own and your family's future. For more information on our services, please visit our wealth management pages.

Corporate advisory
We understand that there are times when your business experiences challenges, often for reasons outside of your control. We understand that as a healthcare provider, your business is not only important to you but also to the community that it serves. When healthcare businesses face financial difficulties, regulators and other stakeholders will take a keen interest in the financial health of the business. This can increase the burden on management at an already challenging time.

Our dedicated Healthcare team are experienced in dealing with healthcare businesses in financial difficulties and helping them navigate the financial difficulties and address the concerns of stakeholders. Our services include:
  • accelerated mergers & acquisitions;
  • debt restructuring;
  • independent business reviews and viability reviews;
  • insolvency advice;
  • lender/creditor negotiations;
  • refinancing;
  • stabilisation and crisis management;
  • strategic performance review;
  • turnaround advice.
Tax compliance
Working closely with our accounting staff, our tax teams ensure the efficient and timely completion of tax returns. Our services include:
  • capital gains, retirement planning, inheritance tax and wills;
  • deferment of national insurance claims;
  • partnership changes;
  • preparation of partnership and individual partner’s self-assessment tax;
  • returns and corporation tax returns;
  • support and guidance on HMRC enquires.
We advise on the various aspects of dealing with VAT, whether you are considering registering or need assistance with the recovery of VAT for a dispensing GP.