Medical Accountants | Specialist Healthcare Accounting Services

Bring the whole thing to one specialist.

Most practices move everything across, because one firm that knows how healthcare codes beats four suppliers who do not. If you are settled with your accountant, we can take the month instead and leave the year end with them.

	EverythingThe whole thing, one firm	Books onlyYou keep your accountant
Who it suits	Practices paying four suppliers, or waiting on a generalist accountant who only appears at year end.	Practices settled with their accountant, but losing the month to transactions and payroll.
What we run	Bookkeeping, payroll, VAT, monthly management accounts, year end accounts, corporation tax and personal tax.	Bookkeeping, payroll, VAT returns and monthly management accounts.
Who does the year end	We do, from our own books, so nothing is rebuilt twice and nothing is missed between two firms.	Your accountant, from records that are already reconciled.
Who HMRC sees as your agent	Us, once you have signed the 64-8.	Your accountant. No 64-8, no change of authority.
What you sign	An engagement letter and a 64-8. Both electronic.	An engagement letter. That is it.
When you can start	Any month, including mid-year. We write the clearance letter.	Any month. We pick up from wherever the books are.
	What is in the pack	How working alongside runs

One retainer, not four suppliers.

This is what lands every month. Tax returns sit on top of it. We do not unbundle it on the first call.

Bookkeeping

Income coded the way healthcare actually works: NHS, private, locum, stock, labs and care packages.

Payroll

Nurses, associates, rotas and auto-enrolment, tied to the books rather than sitting in a separate silo.

VAT

Exempt against taxable, partial exemption, clinic against retail. Returns come from records you already have.

Management accounts

A monthly pack for each site, and across the business if you run several, so you know whether a contract is profitable long before year end.

Book a free consultation

Built for healthcare practices, from one site to many.

Each one codes differently, and the coding is where most bookkeeping for healthcare falls over.

GP surgeries Partner drawings, NHS contract income, pension records and practice payroll. Pharmacies Reimbursement against retail takings, partial exemption, stock and branch results. Dental practices Associate pay, the NHS and private split, and profit read surgery by surgery. Care providers Rota-driven payroll, agency spend and what each home actually costs to run. Private healthcare providers Several entities, consolidation, and contract-level numbers before the year closes. Healthcare staffing Weekly timesheet payroll, margin per placement and invoice finance reconciliation.

Moving is a smaller job than people expect.

This is what most new clients do. You sign two forms. We handle the clearance letter, the agent authority and the software handover, and you can move mid-year without waiting for your year end.

A short call
Thirty minutes on your sites, your year end and what is not working now.
You sign two forms
Engagement letter and 64-8, both electronic, a couple of minutes.
We contact them
We write the professional clearance letter and collect the records.
We take over
Software connected, deadlines mapped, first monthly pack scheduled.

Or keep your accountant, and hand us the month.

Not every practice wants to move the lot, and that is fine. We speak to your accountant directly and agree the format before anything moves. Nobody has an awkward conversation, and nothing changes at HMRC.

Your practice

Invoices, till and rota data, bank feeds. However they already reach you.

every month

Kudos

Coded, reconciled, payroll run, VAT filed, management pack produced by site.

on an agreed date

Your accountant

A clean set of books in the format they asked for, ready for the year end.

They stay your agent for tax and keep the relationship. Plenty of practices start here and move the year end across a year later, once they have seen the month run properly. There is no penalty either way.

A client, in their own words.

Kudos are specialist in healthcare and know what they are doing
Dr AliToothi, Edgware

The people you will actually speak to.

Every client gets a named manager and a second contact, so holidays never leave you waiting. No ticket queue.

Jaffar M Ali FMAAT

Director

Owns every client relationship and the monthly pack.

Ani Cristea

Office and payroll manager

Payroll, rotas and the day to day that has to land on time.

Sohail Muttaqi

Client manager

Books, VAT and the monthly pack for your sites.

Mehdi Al-Najim

Client manager

Onboarding, clearance and keeping filings ahead of deadlines.

Nista Katuwal

Client support

Receipts, queries and the small things that unblock the month.

Upasti Shahi

Client support

Second contact, so holidays never leave you waiting.

Questions we get asked first.

If yours is not here, half an hour on the phone will cover it.

What actually lands each month?

Coded and reconciled books, the payroll run, the VAT return when one is due, and a management pack for each site, and across the business if you run several. Income is coded the way healthcare works, so NHS, private, locum, stock, labs and care packages sit where you would expect them rather than in one lump. On the full retainer, the year end accounts and tax returns come from those same books.

Why move everything to you rather than keep it split?

Because the same firm that codes the month prepares the year end, so nothing is rebuilt from scratch in January and nothing falls between two suppliers. It also means the person who spots a problem in a set of monthly numbers is the person who can do something about it. One retainer, one fee, one named manager.

How are fees worked out?

Fees are built from how many sites you run, how much comes through them and how many people sit on the payroll, rather than an hourly rate. If you run more than one site, we look at each one and at the business as a whole. We do not quote before seeing the shape of it, and half an hour on a call is usually enough for us to come back with a pack and a fee.

Can we move mid-year?

Yes. You sign an engagement letter and a 64-8, both electronic and a couple of minutes. We write the professional clearance letter to your current accountant and collect the records. Then the software is connected, the deadlines are mapped and your first monthly pack is scheduled. Almost all of the work sits at our end.

Do we have to change software?

No. We work in Xero, QuickBooks and Sage, with Dext and Hubdoc for receipts and BrightPay for payroll. If you have nothing in place we will set it up, but you do not have to change systems in order to change who does your books.

What if we want to keep our current accountant?

That works too. We run the bookkeeping, payroll, VAT and management accounts, and your accountant receives a reconciled set of books in the format they ask for. They stay your agent for tax and they still do the year end, so there is no clearance letter and no change of authority at HMRC. If you later decide you want it all in one place, we can take that on without any work being done twice.

Do you still do self assessment and one-off tax returns?

Yes. Locum work, NHS pension questions, personal tax and one-off returns are all still part of what we do. They sit alongside the monthly work rather than being the main thing we sell.

Stop explaining your practice to your accountant.

Healthcare only

Everything in one place

A named manager

Your software