Healthcare professionals face financial responsibilities that extend well beyond day-to-day accounting. Alongside managing income, expenses and tax obligations, many also need to navigate NHS pension rules, practice finances, regulatory requirements and long-term business planning. The right accounting support can make these responsibilities more manageable while providing confidence that financial matters are being handled appropriately.
The UK is home to a wide range of accounting firms serving the healthcare sector. Some specialise exclusively in medical and dental clients, while others offer healthcare accounting as part of a broader portfolio of audit, tax and advisory services. Their expertise can vary depending on the types of organisations they work with, from independent practitioners and GP surgeries to private clinics, healthcare groups and larger medical businesses.
This guide highlights a selection of firms providing medical accounting services across the UK. Rather than ranking providers, its purpose is to offer practical context on the different approaches firms take, the services they typically provide and the organisations they are best placed to support. Whether you're reviewing your current adviser or looking for specialist expertise as your practice grows, understanding these differences can help you make a more informed decision.
Acumon
Acumon is a UK firm of chartered accountants and advisors providing medical accounting services to healthcare professionals and medical organisations across the UK.
The firm works with organisations ranging from individual medical practitioners and GP practices through to clinics, healthcare providers and growing medical businesses. Accounting services are designed to support financial reporting, tax compliance and the day-to-day financial management of healthcare organisations.
Acumon provides accounting services including bookkeeping, VAT compliance, management accounts, statutory accounts and corporation tax support. Services are delivered through a structured approach designed to maintain accurate financial records, support compliance and provide reliable financial information.
Acumon holds a Public Interest Entity (PIE) audit licence, enabling the firm to support organisations subject to enhanced regulatory oversight in the United Kingdom. In addition to its UK statutory audit registration, the firm also maintains audit licences in the Cayman Islands, British Virgin Islands (BVI), Jersey and Isle of Man. These licences enable the firm to support organisations operating across multiple jurisdictions.
Healthcare professionals and medical organisations operate within a regulated environment while managing financial reporting, tax obligations and business administration. Professional accounting support helps maintain compliance, improve financial oversight and support informed business decision-making.
Acumon works with practice owners, healthcare professionals and finance teams to support financial reporting while helping medical organisations strengthen accounting processes, governance arrangements and financial controls.
Medical Accounting Capabilities
Acumon provides medical accounting services across a wide range of healthcare organisations and professional practices.
These include:
- UK healthcare organisations and corporate groups
- GP practices and primary care providers
- private clinics and medical businesses
- healthcare partnerships and growing organisations
- regulated healthcare providers
- UK subsidiaries of international healthcare groups
Accounting engagements are typically led by experienced professionals with direct involvement throughout the engagement.
Regulatory Licences and Registrations
Acumon holds several audit registrations that enable it to support organisations operating across multiple jurisdictions.
These include:
- UK statutory audit registration
- Public Interest Entity (PIE) audit licence
- Jersey audit licence
- Isle of Man audit licence
- Cayman Islands audit licence
- British Virgin Islands audit licence
These registrations allow the firm to support organisations operating across both the UK and key international financial centres.
Core Services
In addition to medical accounting services, Acumon provides a range of services that support financial reporting and business compliance.
These include:
- medical accounting services
- bookkeeping and VAT compliance
- statutory external audit
- group and subsidiary audits
- Public Interest Entity (PIE) audits
- charity and not-for-profit audit
- internal audit and governance reviews
- risk management and compliance support
Accounting work is often delivered alongside discussions with management regarding financial reporting, tax compliance, statutory filing obligations and business performance.
Many healthcare organisations seek professional accounting support as reporting requirements evolve, organisations grow and financial management requirements become more complex.
Acumon works with organisations that are:
- expanding business operations
- strengthening financial reporting
- managing regulatory obligations
- enhancing governance frameworks
- preparing for future growth
Early engagement can help ensure that financial reporting, statutory compliance and accounting processes remain aligned with business objectives and regulatory requirements.
Contact Information
- Website: acumon.com
- Email: mail@acumon.com
- Address: 1-2 Craven Road, Ealing, London, W5 2UA, UK
- Phone: 020 8567 3451
Forvis Mazars
Forvis Mazars has a dedicated medical accounting team that supports GP practices, Primary Care Networks (PCNs) and a wide range of healthcare professionals across the UK. Their clients include GP partners, locum GPs, NHS consultants, dentists and allied healthcare professionals. Medical accounting is part of a broader practice covering audit, tax, payroll and business advisory services, giving healthcare organisations access to financial support in one place.
Alongside day-to-day accounting, they advise on areas that are specific to the healthcare sector. This includes annual accounts, bookkeeping, outsourced finance, payroll, NHS pension tax matters, personal tax returns and financial planning. Their services also extend to accounting compliance and financial reporting for GP practices and other medical organisations.
Key Highlights:
- Dedicated medical accounting team
- Member of the Association of Independent Specialist Medical Accountants (AISMA)
- Works with GP practices and Primary Care Networks
- Supports GP partners, locums, NHS consultants, dentists and allied healthcare professionals
- Medical accounting alongside audit, tax and advisory services
- Experience with NHS pension tax matters
- Accounting support for healthcare organisations
Services:
- Medical accounting
- Annual accounts and financial reporting
- Cloud accounting and bookkeeping
- Outsourced finance support
- Payroll and HR services
- NHS pension tax advice
- Personal tax returns
- Financial planning
Contact Information
- Website: www.forvismazars.com
- Twitter: x.com/ForvisMazarsUK
- LinkedIn: www.linkedin.com/company/forvis-mazars-in-the-uk
- Instagram: www.instagram.com/forvismazarsuk
- Address: 3 Chamberlain Square, Birmingham, B3 3AX, United Kingdom
- Phone: +44 (0) 121 232 9500
RBP
RBP specialises in accounting and tax services for the medical sector. Their client base includes GP practices, GP federations, Primary Care Networks, locum GPs, hospital consultants and limited companies operating in healthcare. Medical accounting has been the firm's main area of work for many years, with services covering both the financial side of running a practice and the personal tax affairs of medical professionals.
The scope of their work goes beyond annual accounts and tax returns. Practices can access support with partnership changes, NHS pensions, cloud bookkeeping, tendering, forensic accounting and property finance. They also work with organisations going through mergers or structural changes, where financial planning and practice management are closely connected.
Key Highlights:
- Focus on medical accounting and taxation
- Works with GP practices, consultants and locum GPs
- Supports Primary Care Networks and GP federations
- Member of the Association of Independent Specialist Medical Accountants (AISMA)
- Experience with NHS pension matters
- Cloud accounting and bookkeeping support
- Services for medical partnerships and healthcare businesses
Services:
- Medical accounting and taxation
- GP practice accounting
- NHS pension advice
- Tax investigation support
- Cloud bookkeeping
- Partnership mergers and splits
- Forensic medical accounting
- Property finance advice
Contact Information
- Website: www.rbp.co.uk
- Email: info@rbp.co.uk
- Facebook: www.facebook.com/RBP-551918225330379
- Twitter: x.com/RBPCA
- Address: Ramsay House, 18 Vera Avenue, Grange Park, London, N21 1RA
- Phone: 020 8370 7777
Sial Accountants
Sial Accountants work with doctors, dentists, GP practices and other healthcare professionals who need accounting and tax support that reflects the way medical businesses operate. Their services cover both individual practitioners and healthcare organisations, with advice tailored to different types of medical work, including NHS and private practice.
Medical accounting forms part of a wider accountancy service that includes bookkeeping, payroll, tax planning and business advice. The firm also assists clients who are starting a new practice, changing business structure or managing the financial side of an established medical business. Their approach reflects the practical issues that healthcare professionals deal with throughout the year, not only at tax return time.
Key Highlights:
- Focus on healthcare professionals and medical practices
- Works with doctors, dentists and GP surgeries
- Support for NHS and private practice
- Covers personal and business accounting
- Advice for new and established medical practices
- Tax and financial planning for healthcare professionals
- Cloud accounting options available
Services:
- Medical accounting
- Annual accounts
- Bookkeeping
- Payroll
- Tax planning and compliance
- Self Assessment tax returns
- Business advisory
- Cloud accounting
Contact Information
- Website: sial-accountants.co.uk
- Email: info@sial-accountants.co.uk
- Facebook: www.facebook.com/SIALAccountants
- Twitter: x.com/SIALAccountants
- LinkedIn: www.linkedin.com/company/sialaccountants
- Instagram: www.instagram.com/SIALAccountants
- Address: 8 Station Parade, High Street, Wanstead, London E11 1QF
- Phone: 0208 532 9999
Gravita
Gravita provides accounting, audit and advisory services across a range of sectors, including healthcare. Medical organisations can access financial support through the firm's wider accounting practice, particularly where audit, reporting, compliance and business planning form part of day-to-day operations. Their work is suited to organisations that need ongoing financial oversight alongside statutory requirements.
Healthcare clients can use a combination of accounting, tax and audit services depending on how their organisation is structured. This may include financial reporting, payroll, statutory audit, grant audit and advice linked to business growth or regulatory obligations. Medical accounting is one part of a broader professional services offering that supports organisations through different stages of development.
Key Highlights:
- Accounting and audit services for healthcare organisations
- Experience with statutory and grant audits
- Financial reporting and compliance support
- Audit and advisory services under one practice
- Support for organisations with regulatory requirements
- Business and financial planning services
- Technology-enabled accounting processes
Services:
- Medical accounting
- Financial reporting
- Statutory audit
- Grant audit
- Payroll support
- Tax services
- Business advisory
- Audit and assurance
Contact Information
- Website: www.gravita.com
- Email: hello@gravita.com
- Twitter: x.com/TeamGravita
- LinkedIn: www.linkedin.com/company/gravita-uk
- Instagram: www.instagram.com/gravita_uk
- Address: Aldgate Tower, 2 Leman Street, London, E1 8FA
- Phone: 020 7330 0000
Yorkshire Medical Accountants
Yorkshire Medical Accountants focuses exclusively on the healthcare sector, working with medical professionals and practices across the UK. Their clients include GP practices, consultants, pharmacists, junior doctors, dentists, physiotherapists, optometrists and veterinary practices. The firm also supports locums, retired professionals and GP federations, reflecting the different ways healthcare professionals manage their finances during their careers.
Their work covers routine accounting alongside tax planning and business advice for medical practices. Clients can also receive support with cloud accounting, Self Assessment, private practice finances and NHS-related tax matters. The firm works with both individuals and healthcare businesses, giving them experience across a wide range of medical professions.
Key Highlights:
- Dedicated medical accounting practice
- Works with a broad range of healthcare professionals
- Support for GP practices and private practices
- Covers individual and business accounting
- Cloud accounting services
- Medical tax planning and compliance
- Business advice for healthcare organisations
Services:
- Medical accounting
- Self Assessment tax returns
- Tax planning
- Cloud accounting
- GP practice accounting
- Payroll support
- Business advisory
- Accounting for private medical practices
Contact Information
- Website: www.yorkshiremedicalaccountants.co.uk
- Address: Suite 12, East Wing, Jason House, Kerry Hill, Horsforth, Leeds LS18 4JR
- Phone: 0113 2362969
Gorilla Accounting
Gorilla Accounting provides accountancy services for self-employed professionals, contractors and limited companies, including doctors and other healthcare workers. Their medical accounting guidance focuses on the financial arrangements commonly found in the healthcare sector, where income may come from NHS employment, private practice or limited company work.
Medical professionals can use their accounting services for tax compliance, company accounts, bookkeeping and financial administration. The firm's information also covers topics such as medical billing, cash flow, tax efficiency and compliance, reflecting the financial issues that doctors and consultants often need to manage alongside their clinical work.
Key Highlights:
- Supports self-employed and limited company medical professionals
- Covers NHS and private practice income
- Accounting for doctors, consultants and healthcare specialists
- Focus on tax compliance and financial management
- Bookkeeping and company accounting services
- Support for different employment structures
- Fixed-fee accountancy packages available
Services:
- Medical accounting
- Company accounts
- Bookkeeping
- Self Assessment tax returns
- Tax planning
- Limited company accounting
- Cash flow support
- Compliance and financial administration
Contact Information
- Website: gorillaaccounting.com
- Email: info@gorillaaccounting.com
- Facebook: www.facebook.com/gorillaaccounting
- Twitter: x.com/gorillaaccounts
- LinkedIn: www.linkedin.com/company/gorilla-accounting
- Instagram: www.instagram.com/gorillaaccounting
- Address: Belmont Suite, Paragon Business Park, Chorley New Road, Horwich, Bolton BL6 6HG
- Phone: 0330 107 9674
Kudos Accounting
Kudos Accounting focuses on accounting and tax services for healthcare professionals and medical businesses. Their offering covers the financial tasks that many practices deal with every year, including bookkeeping, payroll, VAT, business tax and personal tax. Internal audit is included as part of their services, making them suitable for organisations that need support with financial controls as well as day-to-day accounting.
Medical practices can combine routine accounting with wider financial advice as their needs change. The firm covers both business and personal finances, which can be useful for practice owners and healthcare professionals who manage more than one source of income. Their services are built around the financial side of running a healthcare business without moving away from core accounting work.
Key Highlights:
- Focus on healthcare professionals and medical businesses
- Covers business and personal accounting
- Internal audit included within the service offering
- Payroll and bookkeeping support
- VAT and tax compliance
- Ongoing accounting support for medical practices
- Financial advice for healthcare businesses
Services:
- Medical accounting
- Bookkeeping
- Payroll
- Business tax
- Personal tax
- VAT compliance
- Internal audit
- Financial advisory
Contact Information
- Website: kudosaccounting.co.uk
- Email: hello@kudosaccounting.co.uk
- Facebook: www.facebook.com/kudosaccounting
- LinkedIn: www.linkedin.com/in/jaffar-m-ali-fmaat-50b89149
- Address: Devonshire House, 582 Honeypot Lane, Stanmore, HA7 1JS
- Phone: +44 20 3870 5385
Streets
Streets has a dedicated healthcare team working with GP practices, dental practices, consultants, locum doctors, pharmacies, care homes and other healthcare providers. Medical accounting is one of several specialist sector services within the firm, with support covering both practice finances and the personal tax affairs of healthcare professionals.
Beyond annual accounts, their healthcare team deals with the day-to-day financial side of running a practice. This includes bookkeeping, payroll, budgeting, cash flow planning, management accounts and tax planning. They are also involved in areas such as partnership meetings, succession planning and financial planning for practice owners, reflecting the wider responsibilities that come with managing a healthcare business.
Key Highlights:
- Dedicated healthcare accounting team
- Member of the Association of Independent Specialist Medical Accountants (AISMA)
- Supports GP practices, dentists, consultants and pharmacies
- Accounting for healthcare businesses and individuals
- Practice management and financial planning
- Payroll and bookkeeping services
- Business advice for medical practices
Services:
- Medical accounting
- Annual accounts
- Bookkeeping
- Payroll and PAYE
- Management accounts
- Cash flow forecasting
- Tax planning
- Business advisory
Contact Information
- Website: www.streets.uk
- Email: info@streets.uk
- Facebook: www.facebook.com/StreetsAccountants
- Twitter: x.com/StreetsAcc
- LinkedIn: www.linkedin.com/company/streetsaccountants
- Address: Almondsbury Business Centre, Woodlands, Bradley Stoke, Bristol BS32 4QH, UK
- Phone: 0117 332 3640
Path Accountants
Path Accountants focuses on doctors and medical professionals with different types of income, including NHS employment, private practice and locum work. Their accounting services reflect the way many doctors build their careers, where salary, self-employment and limited company income can exist at the same time.
Part of their work is centred on NHS pension planning, GP partnerships and private practice finances, while routine accounting remains an important part of the service. They assist with Self Assessment, company accounts, tax planning and bookkeeping, alongside advice for doctors considering a limited company for private income.
Key Highlights:
- Accounting for doctors and medical professionals
- Supports NHS and private practice income
- Experience with GP partnerships and locum doctors
- NHS pension planning
- Limited company accounting
- Personal tax support
- Accounting for complex income structures
Services:
- Medical accounting
- Self Assessment tax returns
- NHS pension planning
- GP partnership accounting
- Limited company accounting
- Private practice accounting
- Bookkeeping
- Tax planning
Contact Information
- Website: pathaccountants.com
- Email: info@pathaccountants.com
- Facebook: www.facebook.com/61554193052605
- Twitter: x.com/pathaccountants
- LinkedIn: www.linkedin.com/company/path-accountants
- Instagram: www.instagram.com/pathaccountantsuk
- Address: 13 Nathans Road, Wembley, London, United Kingdom, HA0 3RY
- Phone: +44 20 7170 5890
Nichols Medical Accountants
Nichols Medical Accountants specialise in accounting for doctors, consultants, GP practices and other healthcare professionals. Their services reflect many of the financial issues linked to medical careers, including tax, NHS pensions, partnership arrangements and practice finances. Different areas of support are available depending on whether someone is a GP partner, salaried GP, consultant, locum or hospital doctor.
Many of the services relate to situations that arise throughout a medical career, from joining a partnership to reviewing pension contributions or managing private practice income. Alongside accounting and tax work, they cover partnership mergers, tax enquiry support, financial planning and practice-related advice that fits the needs of healthcare professionals.
Key Highlights:
- Dedicated medical accounting practice
- Supports GPs, consultants, locums and hospital doctors
- NHS pension and superannuation advice
- Accounting for GP practices
- Tax planning for healthcare professionals
- Partnership and merger support
- Member of AISMA
Services:
- Medical accounting
- GP practice accounting
- Self Assessment tax returns
- NHS pension advice
- Tax planning
- Partnership and merger advice
- Tax enquiry support
- Practice financial planning
Contact Information
- Website: nicholsmedical.co.uk
- LinkedIn: www.linkedin.com/company/nicholsmedical
- Address: Unit 7, Mulberry Place, Pinnell Road, Eltham, London, SE9 6AR
- Phone: 020 8850 3300
HWJ Accountants
HWJ Accountants work with doctors, GP practices, private practitioners and other healthcare professionals across South Wales. Their medical accounting services cover both individual tax matters and the financial management of medical practices, recognising that healthcare professionals often deal with several sources of income and changing tax obligations.
Practice owners can receive support with partnership finances, NHS pensions, bookkeeping and financial reporting, while individual doctors can access advice on tax planning, expenses and personal tax returns. The firm also assists with succession planning and partnership structures, which are common considerations for established medical practices.
Key Highlights:
- Medical accounting for doctors and GP practices
- Experience with NHS pension matters
- Accounting for employed and self-employed doctors
- Partnership structure advice
- Financial reporting and bookkeeping
- Tax planning for healthcare professionals
- Support for medical practices
Services:
- Medical accounting
- Accounts preparation
- Tax returns
- NHS pension advice
- Bookkeeping
- Financial reporting
- Succession planning
- Partnership structure advice
Contact Information
- Website: www.hwja-accountants.co.uk
- Email: enquiries@hwja-accountants.co.uk
- Facebook: www.facebook.com/hwjaccountants
- Twitter: x.com/HarriesWatkins
- Instagram: www.instagram.com/hwjaccountants
- Address: 1a Charnwood Park, Bridgend, CF31 3PL
- Phone: 01656 661100
BDO
BDO has a specialist medical accounting team that works with GP practices, consultants, locums, Primary Care Networks, federations and private healthcare providers. Medical accounting forms part of a wider service that covers tax, accounting, pensions and business advice for both healthcare organisations and individual medical professionals.
Their services include annual accounts, tax returns, bookkeeping, payroll, cash flow planning and digital accounting. The team also advises on NHS pensions, partnership changes, practice mergers and business planning, alongside statutory accounting and tax compliance for healthcare organisations.
Key Highlights:
- Specialist medical accounting team
- Supports GP practices, consultants and locums
- Accounting for Primary Care Networks and federations
- NHS pension and tax planning
- Digital accounting support
- Practice finance and business planning
- Accounting for private healthcare providers
Services:
- Medical accounting
- Annual accounts
- Tax returns
- Bookkeeping and payroll
- Cash flow planning
- NHS pension advice
- Partnership and practice restructuring
- Business planning
Contact Information
- Website: www.bdo.co.uk
- Instagram: www.instagram.com/lifeatbdo
- Address: Bridgewater House, Finzels Reach, Counterslip, Bristol, BS1 6BX, United Kingdom
- Phone: 0117 930 1500
MEDACC
MEDACC focuses on medical accounting support through billing administration, credit control and invoice collection for healthcare professionals. Their services are centred on helping consultants manage payments from insurers, embassies, overseas agencies and private patients, where billing processes can involve several organisations and different payment arrangements. This makes their offering more specialised than traditional accounting services, with attention given to the financial administration that follows patient treatment.
A significant part of their work involves managing outstanding invoices while maintaining communication with patients and third-party payers in a professional way. They adapt their billing and collection processes to suit individual requirements and also carry out worldwide trace investigations when debt recovery requires additional enquiries. Their approach is aimed at supporting medical practices that want to outsource billing administration without increasing internal administrative workloads.
Key Highlights:
- Focus on medical billing and invoice administration
- Credit control and outstanding invoice collection
- Experience working with insurers, embassies and overseas agencies
- Support for private medical consultants
- Tailored billing processes based on individual requirements
- Worldwide trace investigation services
- Emphasis on maintaining professional communication during debt recovery
Services:
- Medical billing administration
- Invoice processing
- Credit control
- Collection of outstanding invoices
- Medical invoice outsourcing
- Debt recovery support
- Worldwide trace investigations
- Custom billing and collection solutions
Contact Information
- Website: www.medacc.co.uk
- Email: info@medacc.co.uk
- Address: 20-22 Wenlock Road, London, N1 7GU
- Phone: 020 3291 0693
Conclusion
The firms in this guide all support healthcare professionals, but their areas of focus are not the same. Some concentrate on GP practices and NHS pension matters, while others work across a wider range of healthcare organisations or offer broader accounting and advisory services.
When comparing medical accounting services in the UK, it helps to look beyond the list of services. Consider the type of healthcare clients a firm works with, whether they understand the financial and regulatory requirements that apply to your role, and if their experience matches your circumstances. A locum doctor, GP partnership and private healthcare provider may all need different types of support.
This guide is intended to provide an overview of several firms operating in the sector, helping healthcare professionals identify providers whose services are aligned with their accounting, tax and financial management needs.