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Management Accounts & Cash Flow for Aesthetic Clinics
Management Accounts & Cash Flow for aesthetic clinics. No clear view of profit? We fix it: fixed fees, ICAEW-regulated specialists. Free quote.
What does management accounts & cash flow for aesthetic clinics involve?
Our management accounts & cash flow service for aesthetic clinics covers monthly/quarterly management accounts, kPIs, cash-flow forecast. It solves the problems we see most often — aesthetic clinics: No clear view of profit, margins or cash; lender and CQC information requests — on a fixed monthly fee agreed in writing before any work starts.
Fixed fees, specialist healthcare accountants, and every HMRC and NHS Pensions deadline handled.
- Fixed monthly fee — no surprises
- Specialist in NHS pension and healthcare tax
- Onboarding within 48 hours
- ICAEW & ACCA regulated
- 5,000+ clients served by ACCOTAX
- Specialist healthcare accountants
Reviewed by Waqas Sagar ACA FCCA FMAAT, Founder of ACCOTAX, 18+ years' experience · Last reviewed: 8 October 2026 · Updated for the 2026/27 tax year
Medical.Accountants by ACCOTAX, ICAEW/ACCA-regulated chartered accountants, London, serving clients across the UK. Over 5,000 clients served.
Key takeaways
- Problems solved: Aesthetic clinics: No clear view of profit, margins or cash; lender and CQC information requests.
- Included: Monthly/quarterly management accounts.
- Included: KPIs.
- Included: cash-flow forecast.
Which accountancy support fits your income?
Start with how you are paid. Different income sources can need different accounts, returns and expense checks.
| How you work | What we check | Support to explore |
|---|---|---|
| Employed or umbrella (PAYE) | Tax codes, eligible employment expenses and whether a tax return is needed. | Healthcare tax refund support |
| Genuinely self-employed | Business income and expenses, Self Assessment and MTD eligibility. | Healthcare Self Assessment service |
| Your own limited company | Company accounts, Corporation Tax, director income and off-payroll status where relevant. | Healthcare limited company accounts |
| Partnership | Practice accounts, allocated profit and each partner’s personal tax position. | Healthcare partnership accounts |
Sound familiar?
Problems we fix for aesthetics practitioners and clinics
- "I may be charging VAT wrongly on cosmetic treatments."
- "I think I've gone over the VAT threshold without registering."
- "The new licensing scheme in England worries me."
- "I sell products and training as well as treatments."
- "I'm setting up a clinic and hiring staff."
What it's costing you
Leaving it unfixed is rarely free
- Overpaid tax
- Unclaimed expenses and wrong tax codes mean paying more than you owe, year after year.
- HMRC penalties and interest
- Late returns attract automatic penalties, plus interest on tax paid late.
- Lost evenings
- Hours spent on forms, invoices and spreadsheets after a long shift.
General examples — your position depends on your own figures.
How we solve it
What we actually do for you
VAT review and registration
We separate medical and cosmetic income and register you if needed.
Clinic structure
The right set-up for treatments, products and training.
Bookkeeping
Clean records that make VAT returns simple.
Licensing readiness
A finance checklist to prepare for licensing.
How we help
01
Monthly/quarterly management accounts
Part of our management accounts & cash flow service for aesthetic clinics, delivered on a fixed fee.
02
KPIs
Part of our management accounts & cash flow service for aesthetic clinics, delivered on a fixed fee.
03
cash-flow forecast
Part of our management accounts & cash flow service for aesthetic clinics, delivered on a fixed fee.
04
budget vs actual
Part of our management accounts & cash flow service for aesthetic clinics, delivered on a fixed fee.
Your questions answered
What are management accounts?
Management accounts are financial reports produced regularly to reflect the current performance of your healthcare business. They typically include a profit and loss statement and a balance sheet. These reports differ from statutory accounts by focusing on internal decision-making. They help clinicians monitor their financial health in real-time.
Want us to check this for you? Get a free review →How often should I get them?
The frequency of management accounts depends on the size and complexity of your healthcare practice. Many clinicians opt for monthly or quarterly reports to maintain tight control over their finances. Regular reporting helps identify trends and potential tax liabilities early. Medical.Accountants provides these reports based on your needs.
Want us to check this for you? Get a free review →Which KPIs matter for my healthcare business?
Key Performance Indicators for healthcare businesses often include staff cost ratios and average revenue per patient. Monitoring clinical room utilisation and overhead percentages is also essential for profitability. These metrics provide insights into operational efficiency beyond simple bank balances. We help you identify the most relevant data for your specialty.
Want us to check this for you? Get a free review →How do cash-flow forecasts help?
Cash-flow forecasts help you predict future bank balances by timing anticipated income against planned expenditure. They are vital for planning large tax payments or equipment upgrades. These projections allow for informed decisions regarding recruitment and expansion. Maintaining accurate forecasts reduces the risk of unexpected liquidity issues.
Want us to check this for you? Get a free review →What do lenders expect to see?
Lenders typically expect to see historical accounts and detailed financial projections. They require evidence of consistent clinical income and sound debt management. Management accounts and tax returns are standard requirements for healthcare financing. Medical.Accountants prepares professional financial packs to support your lending applications.
Help with this question: Mortgage References & SA302s for Doctors & Healthcare Professionals
Want us to check this for you? Get a free review →Can management accounts support CQC applications?
Management accounts can demonstrate financial viability during the Care Quality Commission registration process. They provide evidence that the provider has sufficient resources to maintain safe and effective services. Accurate financial reporting supports the 'Well-led' domain of the inspection framework. We assist in generating reports that reflect your business stability.
Want us to check this for you? Get a free review →How much do management accounts cost?
The cost for management accounts is determined by the complexity and frequency of the reporting required. Medical.Accountants operates on a fixed-fee basis, which is always agreed in writing before work commences. This ensures full transparency and aids your practice budgeting. Fees are tailored to the specific needs of your healthcare business.
Want us to check this for you? Get a free review →Can you work with Xero or QuickBooks?
We work with doctors, dentists, nurses, pharmacists, allied health professionals, aesthetic practitioners and healthcare businesses including care homes, clinics and agencies across the UK.
Want us to check this for you? Get a free review →Is Botox VAT exempt in the UK?
Treatment by a registered health professional is VAT exempt only where its main purpose is to protect, maintain or restore health. Purely cosmetic treatments, including most injectables and many skin or hair procedures, are standard-rated, as the Upper Tribunal confirmed in Illuminate Skin Clinics v HMRC in 2025. Each treatment line needs its own assessment.
Check the official guidance · www.gov.ukHelp with this question: VAT Registration & Returns for Aesthetic Clinics
Want us to check this for you? Get a free review →Do aesthetic nurses and practitioners need to charge VAT?
Treatment by a registered health professional is VAT exempt only where its main purpose is to protect, maintain or restore health. Purely cosmetic treatments, including most injectables and many skin or hair procedures, are standard-rated, as the Upper Tribunal confirmed in Illuminate Skin Clinics v HMRC in 2025. Each treatment line needs its own assessment.
Check the official guidance · www.gov.ukHelp with this question: VAT Registration & Returns for Aesthetic Clinics
Want us to check this for you? Get a free review →When must an aesthetics business register for VAT?
Treatment by a registered health professional is VAT exempt only where its main purpose is to protect, maintain or restore health. Purely cosmetic treatments, including most injectables and many skin or hair procedures, are standard-rated, as the Upper Tribunal confirmed in Illuminate Skin Clinics v HMRC in 2025. Each treatment line needs its own assessment.
Check the official guidance · www.gov.ukHelp with this question: VAT Registration & Returns for Aesthetic Clinics
Want us to check this for you? Get a free review →Are my services exempt or standard-rated?
Medical care provided by registered health professionals is generally VAT exempt if the primary purpose is protecting health. Purely cosmetic procedures and medicolegal reports are typically standard-rated at the prevailing rate. You must monitor your taxable turnover against the £90,000 registration threshold. Determining the correct liability requires a detailed review of your specific services.
Check the official guidance · www.gov.ukWant us to check this for you? Get a free review →What is partial exemption?
Partial exemption applies when a healthcare business makes both VAT-exempt and taxable supplies. You cannot usually reclaim all input VAT if you have exempt income. A specific calculation determines how much VAT on overheads is recoverable. This is a common requirement for GPs and consultants with mixed income streams.
Check the official guidance · www.gov.ukHelp with this question: VAT Registration & Returns for Aesthetic Clinics
Help with this question: Payroll & Pensions for Aesthetic Clinics
Want us to check this for you? Get a free review →What happens if I registered late?
Failure to register for VAT when your taxable turnover exceeds £90,000 may result in financial penalties. HMRC may also charge interest on the VAT that should have been paid from the effective date of registration. You will be liable for the VAT on past sales regardless of whether you charged it. Early disclosure often helps in mitigating these penalties.
Want us to check this for you? Get a free review →Quick quote
See what you could save — get a fixed fee in one working day
Three fields. No obligation. A specialist replies, not a sales team.
Packages for your working life
Accountancy packages for aesthetics practitioners
Self-employed income, a limited company, PAYE or a mixture: start with the support that matches how you actually work. We check your status and agree the scope and fee before starting.
Self-employed accountants for aesthetics practitioners packages
For genuine sole-trader income. We prepare your business accounts and Self Assessment, review allowable expenses and explain payments on account.
- Sole-trader accounts and personal tax return
- Allowable business expenses reviewed
- Tax reserve and payment deadline guidance
- MTD support scoped separately where required
Fixed fee quoted after a review
Discuss this packageLimited company accountants for aesthetics practitioners packages
For clinicians working through their own company. Choose Essential/Compliance, Core/Complete or Growth according to your accounts, bookkeeping and payroll needs.
- Statutory accounts and Corporation Tax return
- One director return for salary and dividends from the same company
- Confirmation statement support; filing fee extra
- Bookkeeping, VAT and payroll according to your chosen plan
Company packages from £45.83 + VAT / month
Compare company packagesPersonal tax return packages for aesthetics practitioners
For employed clinicians, partners and people with mixed income who need a return. We check whether Self Assessment is required and reconcile the relevant income, expenses and pension tax information.
- Self Assessment requirement checked
- PAYE and other income reconciled
- Eligible employment expenses reviewed
- Pension tax work agreed separately where needed
Fixed fee quoted after a review
Discuss this packageEmployment status is determined by the facts, not the package you choose. PAYE, umbrella and partnership arrangements may also apply. A limited company does not override IR35 or off-payroll rules, and not every employed clinician needs a tax return.
Overpaid tax?
Tax refund support for aesthetics practitioners
We review tax codes, eligible professional expenses and overpaid tax, then prepare a claim where you qualify. A refund is not guaranteed; HMRC decides the claim.
£249 + VAT
For refunds up to £5,000, our fee is £249 plus VAT. For refunds above £5,000, add 5% of only the amount above £5,000 to the £249 fee. VAT applies to the total professional fee.
Example: a £6,000 refund means £249 + £50 = £299 plus VAT.
Professional fee, excluding VAT
£249
This illustrates the fee only, not whether you qualify or how much HMRC will refund. We agree the claim scope and payment terms before work starts.
What's included
Limited company packages — compare what's included
Essential/Compliance
For locums, salaried GPs and dentists with a limited company
from £45.83 + VAT /month
- FRS 105 or FRS 102 1A statutory accounts
- Corporation tax return (CT600) and tax computation
- Confirmation statement preparation and filing support
- One director Self Assessment return
- Deadline reminders ahead of every filing date
Core/Complete
For private practice, consultants and associate dentists
from £62.50 + VAT /month
- Everything in Essential/Compliance
- Monthly bookkeeping and bank reconciliation
- Quarterly Making Tax Digital VAT returns
- Director payroll with RTI filing and pension submissions
- Quarterly review call on numbers and tax position
Growth
For clinics, dental practices and growing medical teams
from £75.00 + VAT /month
- Everything in Core/Complete
- Payroll for up to five employees
Prices exclude VAT. Making Tax Digital quarterly updates available as an add-on. Compare fees
Why clinicians trust us
Chartered accountants who know the NHS
- ACCOTAX has served over 5,000 clients.
- Regulated chartered accountants (ICAEW and ACCA).
- Founded by Waqas Sagar ACA FCCA FMAAT, with 18+ years' experience.
Reviewed by Waqas Sagar ACA FCCA FMAAT
Chartered accountant and founder of ACCOTAX. Last reviewed October 2026.
Get my fixed-fee quoteHow it works
- 01
Free call
A 15-minute chat about your income, structure and deadlines.
- 02
Onboarding in 48 hours
We set up your records, software and HMRC agent access.
- 03
We handle the rest
HMRC, NHS Pensions and every deadline, with reminders before each one.
Free resource
Get the aesthetics VAT checklist free
Tell us where to send it and we'll email it to you.
Your questions, answered
- Do aesthetic clinics need management accounts & cash flow?
- It depends on your circumstances. Our team reviews your income, structure and records and confirms the right approach for aesthetic clinics in writing as part of your fixed-fee service.
- What does management accounts & cash flow for aesthetic clinics include?
- It depends on your circumstances. Our team reviews your income, structure and records and confirms the right approach for aesthetic clinics in writing as part of your fixed-fee service.
- How much does it cost for aesthetic clinics?
- Our packages for aesthetic clinics start at £45.83 + VAT a month, with Core at £62.50 and Growth at £75 + VAT. The right package depends on your income sources, whether you trade through a company and any payroll, VAT or pension work. We confirm the exact fee in writing before any work begins, so there are no surprise invoices.
- What are the deadlines for aesthetic clinics?
- Many aesthetic clinics must file a Self Assessment return: you need one if you have untaxed income such as private, locum or self-employed work. A high PAYE salary alone does not require Self Assessment for 2026/27; check HMRC's current criteria and any notice to file. The online filing and payment deadline is 31 January after the tax year ends. Under the non-MTD rules, late filing normally triggers an initial £100 penalty, with further penalties for longer delays. A different regime applies from the tax year you join MTD for Income Tax.
- Can I switch to you mid-year?
- Switching takes minutes on your side. You sign our engagement letter, we contact your previous accountant for professional clearance and records, and we take over HMRC and Companies House authorisations. You can switch mid-year; we pick up from the last filed return.
Speak to a specialist today
Leave your details and we'll call you back, or book a free review straight away.
Book a free 15-min tax reviewRelated healthcare expertise
VAT Registration & Returns for Aesthetic ClinicsPayroll & Pensions for Aesthetic ClinicsMortgage References & SA302s for Doctors & Healthcare ProfessionalsAccountants for aesthetic, cosmetic and skin clinicsManagement Accounts & Cash Flow for Doctors & Healthcare ProfessionalsLimited Company Accounts & Corporation Tax for Aesthetic Clinics
General information for the 2026/27 tax year, prepared from the official guidance linked below. It is not personalised tax or regulated financial advice. Rules and circumstances can change; confirm your position before acting.
Official sources referred to on this page: HMRC VAT Notice 701/57 (medical vs cosmetic); HMRC VAT registration threshold (GOV.UK); DHSC non-surgical cosmetics licensing (GOV.UK); HMRC VAT Notice 701/57; HMRC Notice 706 partial exemption; HMRC VAT registration (GOV.UK); HMRC MTD for VAT.