Accounting Specialists for Medical & Dental Practices

From GPs and consultants to dentists and practice owners, your financial world is unique. At Strix Accountancy, we provide specialist accounting, tax and compliance support tailored to the healthcare profession—so you can focus on delivering exceptional patient care while we manage the numbers.

Specialist Accounting Built for Busy Medical Professionals

Medical and dental practices face complex, sector-specific financial challenges—NHS contracts, private income, payroll complexities, equipment costs, VAT considerations and fluctuating cash flow. You need an accountant who understands the landscape, anticipates issues and provides proactive support. That’s where we come in.

Complete Accountancy & Tax Support for Healthcare Professionals

We offer tailored solutions for GPs, locums, consultants, dentists, hygienists, surgeons and private practice owners.

Specialist Bookkeeping & Accounts Preparation

Accurate accounting built around the needs of medical and dental practices:

Annual accounts and management reporting
Tracking NHS income, private work and mixed funding
Expense optimisation for clinical and equipment costs
Sector-specific bookkeeping tailored to your practice structure

Tax Planning for Medical & Dental Professionals

We help you maximise your income and stay fully compliant with HMRC rules:

Self-Assessment and partnership returns
Corporation tax for incorporated practices
Pension tax considerations and annual allowance planning
Capital allowances on equipment, refurbishments and technology
Proactive year-round tax-saving strategies

Payroll, Staff & Locum Payments

Medical practices often have complex staffing arrangements. We support you with:

Payroll for clinical and administrative teams
CIS and locum payment structures
Pension auto-enrolment and compliance
Holiday pay and statutory payment calculations

NHS, Private & Mixed-Income Support

We ensure your accounts clearly separate and track:

NHS contract income
Private patient fees
Associate dentist agreements
Expenses allocated to each income stream
This gives you full clarity on profitability and cash flow.

Cloud Accounting for Healthcare Practices

Access clear, real-time financial data so you can make informed decisions:

Xero, QuickBooks or FreeAgent setup and support
Digitised receipts, invoices and payroll
Automated bookkeeping processes
MTD-ready digital compliance

Practice Growth & Profitability Support

We help you make confident decisions around expanding your practice, hiring staff and investing in equipment:

Cash flow planning
Profit improvement strategies
Budgeting and forecasting
Guidance on incorporation or restructuring

Focus on Your Patients—We’ll Handle the Finances

Our specialist healthcare accountants provide complete support for your practice, giving you clarity, confidence and full compliance. Book a free consultation today.

Why Choose Strix Accountancy?

ICAEW Chartered & Regulated – Work with fully certified accountants who uphold the highest standards of accuracy, compliance, and professionalism.

Fixed, Transparent Pricing – We believe in honesty—no hidden charges, just clear and affordable pricing tailored to your needs.

Tax Efficiency Focus – Our proactive approach helps you reduce tax liabilities and make the most of your income, ensuring your business stays as profitable as possible.

Cloud-Based Accounting – We use cutting-edge tools like Xero, QuickBooks, and FreeAgent to give you real-time access to your accounts—anytime, anywhere.

Business Growth Experts – We do more than crunch numbers. With a deep understanding of business, we support your long-term goals and help you scale with confidence.

Why Choose an ICAEW Chartered Accountant?

Regulated & Trusted – We follow strict professional and ethical codes.
Expert Financial Guidance – Strategic advice tailored to your business needs.
Compliance & Accuracy – Assurance that your finances are managed correctly.
Proactive Business Support – Helping you grow with informed financial decisions

With Strix Accountancy, you’re in safe hands—expertly managed accounts, full compliance, and financial clarity.

Frequently Asked Questions

Why should I choose a specialist care home accountant?

A specialist accountant understands the complexities of care home finances — from CQC compliance to staff costs and sector-specific tax reliefs — ensuring your business stays compliant and financially strong.

Do you work with both small and large care homes?

Yes, we support independent care homes as well as multi-site operators across the West Midlands, offering scalable solutions for every size and structure.

Can you help with payroll and pensions for my care staff?

Absolutely. We provide full payroll management, including PAYE, pension auto-enrolment, and RTI submissions, so you can save time and avoid costly errors.

What makes Strix Accountancy different?

We’re not just accountants — we’re sector specialists who understand the financial challenges unique to the care industry. Our advice goes beyond compliance, helping you plan, grow, and thrive.