Medical.Accountants
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Care Home Accountants in Leicester

Care Home accountants for Leicester and Leicester Royal Infirmary. Fixed-fee specialist accountants, ICAEW-regulated. Free quote.

Do you work with care homes and care providers in Leicester?

Yes. We work with care homes and care providers in Leicester as a specialist medical accountancy service, remotely by video, phone and secure online document sharing. That covers NHS and private income, trust bank and agency shifts, IR35, Making Tax Digital and NHS pension checks, on a fixed monthly fee agreed in writing.

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

  • We act for care homes and care providers in Leicester working at Leicester Royal Infirmary, Glenfield Hospital, Leicester General.
  • Clients often live in Oadby, Market Harborough, Loughborough and travel in for shifts.
  • Allowable costs include HMRC-approved professional registrations and subscriptions, indemnity where you pay it, business mileage between workplaces and equipment used for work.

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 workWhat we checkSupport to explore
Employed or umbrella (PAYE)Tax codes, eligible employment expenses and whether a tax return is needed.Healthcare tax refund support
Genuinely self-employedBusiness income and expenses, Self Assessment and MTD eligibility.Healthcare Self Assessment service
Your own limited companyCompany accounts, Corporation Tax, director income and off-payroll status where relevant.Healthcare limited company accounts
PartnershipPractice accounts, allocated profit and each partner’s personal tax position.Healthcare partnership accounts

Sound familiar?

Problems we fix for care providers

  • "National Living Wage and employer NIC rises are squeezing us."
  • "Travel time and sleep-in pay compliance worries me."
  • "I'm unsure about VAT on welfare services versus staff supply."
  • "Local authority payments are always late."
  • "CQC or Ofsted want financial viability evidence."

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

Care payroll

Payroll that handles travel time and sleep-ins correctly.

Cash-flow forecasting

Forecasts that plan around late local authority payments.

VAT review

A clear view of which services are exempt.

Viability statements

Financial evidence prepared for CQC or Ofsted.

How we help

01

Accounts and tax returns

Year-end accounts and Self Assessment or company returns for care homes and care providers in Leicester, filed on time.

02

Fixed-fee advice through the year

Questions answered by your named accountant, without the clock running.

03

Making Tax Digital

Compatible software set up and quarterly updates filed where MTD applies.

04

Planning before deadlines

Payments on account, structure and pension checks reviewed ahead of 31 January.

What to know before you decide

Hospitals: Leicester Royal Infirmary, Glenfield Hospital, Leicester General

We act for care homes and care providers in Leicester working at Leicester Royal Infirmary, Glenfield Hospital, Leicester General. Many clinicians work across more than one of these sites or combine NHS posts with private lists, so we reconcile every payslip, bank or agency payment and private invoice into one return. Travel between work sites is usually allowable business mileage; travel from home to a regular workplace is not.

Commuter areas: Oadby, Market Harborough, Loughborough

Clients often live in Oadby, Market Harborough, Loughborough and travel in for shifts. Where you live does not change how you are taxed, but it can affect which journeys are allowable, whether a home office is a genuine workplace, and which local practices and clinics you take sessions at.

Local authority fee rates, CQC, payroll and National Living Wage

Allowable costs include HMRC-approved professional registrations and subscriptions, indemnity where you pay it, business mileage between workplaces and equipment used for work. Ordinary commuting and personal costs are not allowable. Employees claim through HMRC; the self-employed deduct costs in their accounts.

Payroll & Pensions for Doctors & Healthcare Professionals

Travel/mileage between sites

Allowable costs include HMRC-approved professional registrations and subscriptions, indemnity where you pay it, business mileage between workplaces and equipment used for work. Ordinary commuting and personal costs are not allowable. Employees claim through HMRC; the self-employed deduct costs in their accounts.

Local FAQs

This is one of the questions we work through with care homes and care providers in Leicester at the start of every engagement. We look at your real income, contracts and records, set out the options in plain English and confirm the work and fee in writing.

Your questions answered

Do you work with care home owners at Leicester Royal Infirmary?

Yes. We work with care home accountants · leicester as a specialist medical accountancy service, remotely by video, phone and secure online document sharing. That covers NHS and private income, trust bank and agency shifts, IR35, Making Tax Digital and NHS pension checks, on a fixed monthly fee agreed in writing.

Want us to check this for you? Get a free review →

Can I claim mileage travelling between Leicester Royal Infirmary and Glenfield Hospital?

You can claim tax relief on costs incurred wholly and exclusively for your work: HMRC-approved professional fees such as GMC, NMC, GDC or HCPC registration and approved royal college and union subscriptions, uniform laundering, and business mileage between workplaces. Ordinary commuting and most exam or training costs for new qualifications are not allowable. Employees can claim back up to four tax years.

Want us to check this for you? Get a free review →

Do I need to meet an accountant in person in Leicester?

Yes. We work with healthcare professionals across the UK by video, phone and secure online document sharing, so location does not limit the service. Medical.Accountants is part of ACCOTAX, a London-based firm; outside London we serve clients remotely rather than from a local office.

Want us to check this for you? Get a free review →

How do Leicester clinicians switch to a specialist medical accountant?

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.

Want us to check this for you? Get a free review →

Are care services exempt from VAT?

Welfare services such as residential and domiciliary care are VAT exempt when supplied by a provider regulated by the relevant state regulator, such as CQC in England or Ofsted for children's homes. Unregulated elements, introductory agency fees and some supported living services can be standard-rated. HMRC Notice 701/2 explains the conditions.

Check the official guidance · www.gov.uk

Help with this question: VAT Registration & Returns for Doctors & Healthcare Professionals

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How can care providers manage the employer NIC increase?

Care providers can mitigate rising payroll costs by ensuring they fully utilise the Employment Allowance, which is £10,500. Reviewing staffing structures and salary sacrifice arrangements may also provide efficiencies. Efficient tax planning helps maintain margins while meeting legislative obligations. We work with healthcare businesses to model the impact of National Insurance changes on their profitability.

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How do care agencies pay National Minimum Wage for travel time?

You can claim tax relief on costs incurred wholly and exclusively for your work: HMRC-approved professional fees such as GMC, NMC, GDC or HCPC registration and approved royal college and union subscriptions, uniform laundering, and business mileage between workplaces. Ordinary commuting and most exam or training costs for new qualifications are not allowable. Employees can claim back up to four tax years.

Help with this question: Payroll & Pensions for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

How should sleep-in shifts be paid?

Where a worker is expected to sleep and suitable sleeping facilities are provided, only time spent awake for the purpose of working normally counts for minimum wage purposes. If the worker is expected to work for most of the shift, the whole shift can count. Contractual pay rights and the actual arrangements also need checking.

Check the official guidance · www.gov.ukWant us to check this for you? Get a free review →

Can a care business claim the Employment Allowance?

You can claim tax relief on costs incurred wholly and exclusively for your work: HMRC-approved professional fees such as GMC, NMC, GDC or HCPC registration and approved royal college and union subscriptions, uniform laundering, and business mileage between workplaces. Ordinary commuting and most exam or training costs for new qualifications are not allowable. Employees can claim back up to four tax years.

Want us to check this for you? Get a free review →

How can care providers manage local authority payment delays?

Care providers can manage delays by implementing robust credit control procedures and clear payment terms. Regularly reviewing aged debtors helps identify issues early. Utilising efficient accounting software allows for better cash flow forecasting during lean periods. Medical.Accountants provides ongoing support to help healthcare businesses navigate these financial challenges with fixed fees.

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What is a CQC financial viability statement?

A CQC financial viability statement is a required document proving a provider has sufficient resources to maintain safe services. It often requires verification from a qualified accountant or financial professional. The statement must demonstrate that the business is a going concern for the foreseeable future. This is a critical component of the registration process.

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What is RTI?

Real Time Information (RTI) requires employers to report payroll data to HMRC on or before every payday. This process ensures tax and National Insurance calculations remain accurate throughout the year. You must submit a Full Payment Submission for each pay period. Our team manages these digital filings for medical practices to ensure compliance.

Help with this question: Payroll & Pensions for Doctors & Healthcare Professionals

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What is the National Minimum Wage rule for my staff?

Employers must pay staff at least the statutory minimum rate based on their age and apprenticeship status. These rates typically increase every April. You must maintain accurate records of hours worked to prove compliance. Failure to pay the correct rate can result in significant penalties and public naming by the government.

Help with this question: Payroll & Pensions for Doctors & Healthcare Professionals

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What year-end forms do employers send?

Employers must submit a final payroll report and provide employees with a P60 by 31 May. You may also need to file P11D forms for taxable benefits by 6 July. These documents summarise total pay and deductions for the tax year. Medical.Accountants handles these filings as part of our payroll service.

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 care providers

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 care providers 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 package

Limited company accountants for care providers 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 packages

Personal tax return packages for care providers

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 package

Employment 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 care providers

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

Ask about a tax refund

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 quote

How it works

  1. 01

    Free call

    A 15-minute chat about your income, structure and deadlines.

  2. 02

    Onboarding in 48 hours

    We set up your records, software and HMRC agent access.

  3. 03

    We handle the rest

    HMRC, NHS Pensions and every deadline, with reminders before each one.

Free resource

Get the care provider cash-flow template free

Tell us where to send it and we'll email it to you.

Your questions, answered

Do you work with care homes and care providers in Leicester?
Yes. We work with care homes and care providers in Leicester as a specialist medical accountancy service, remotely by video, phone and secure online document sharing. That covers NHS and private income, trust bank and agency shifts, IR35, Making Tax Digital and NHS pension checks, on a fixed monthly fee agreed in writing.
Can I use your service if I work at Leicester Royal Infirmary?
Yes. Our service is delivered remotely by video, phone and secure document upload, so it works wherever your hospital or practice is. We handle the tax points that come with hospital work: trust bank and agency shifts, IR35 determinations, business mileage between sites, and NHS pension records across employers.
How much does an accountant for care homes and care providers in Leicester cost?
Our packages for care homes and care providers in Leicester 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.
Do care homes and care providers in Leicester need to comply with Making Tax Digital?
Making Tax Digital for Income Tax applies from 6 April 2026 to sole traders and landlords whose qualifying income (gross self-employment plus property income) is over £50,000, falling to £30,000 from April 2027 and £20,000 from April 2028. PAYE salary does not count. Care homes and care providers in Leicester trading through a limited company or a partnership are not brought in yet. We set up compatible software and file the quarterly updates for you.
How do I switch to Medical.Accountants?
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.

Contact us

Medical accountants serving Leicester

We support healthcare professionals in Leicester remotely, by phone, video call and secure online document sharing. Our office is in Morden, London, and visits are by appointment only.

Opening hoursMonday to Friday, 9:00am to 5:30pm

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 review

Related healthcare expertise

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 701/2 (welfare services); GOV.UK National Minimum Wage (travel time, sleep-ins); HMRC Employment Allowance; CQC registration guidance.

Official guidance

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