Accountants for healthcare, dental and orthodontic practices
- Mixed NHS and private income, VAT rules and partner drawings need careful handling
- Braant works with single-site practices, partnerships and healthcare groups every day
- Give your practice clear support across accounts, payroll, VAT and tax

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Accountants for healthcare practices and businesses
Running a healthcare practice means balancing clinical work with the financial and compliance side of a business. Partner drawings, payroll, VAT exemption, and often a mix of NHS and private income, or a UK arm of an international group. You need accountants who understand how healthcare actually works.
We work with private clinics, dental and orthodontic practices, medical and allied health businesses and healthcare groups across the UK, providing clear accounting, payroll and tax support built around how your practice runs day to day. Steady support, clear advice, and no unnecessary complexity.
What we help healthcare practices with
Healthcare practices have specific accounting needs. Partnership structures, mixed NHS and private income, VAT exemption rules, high payroll complexity, and often a group or international parent. The areas below cover the support we commonly provide.
Practice accounts, partnerships and groups
Annual accounts, partnership reporting and group or consolidated reporting, including UK subsidiaries of overseas healthcare groups and multi-site practices.
Bookkeeping, VAT and filings
Ongoing bookkeeping, VAT advice on the distinction between exempt medical or dental services and standard-rated supplies such as cosmetic or aesthetic work, and annual filings handled cleanly.
Payroll, pensions and NHS Pension Scheme
Payroll for clinical and administrative staff, pension auto-enrolment, and support navigating NHS Pension Scheme considerations where relevant.
Partner drawings and tax planning
Support with partner drawings, personal tax returns, and tax planning for partners, directors and clinical owners.
Cash flow and management reporting
Management reporting designed around fee income, patient or case volume, and cost per treatment or chair, rather than generic one-size-fits-all reports.
New practice, acquisition and group support
Support for practice setups, acquisitions, incorporations and new site openings, including FD or CFO-level input where useful.
These are examples of the areas we commonly support healthcare practices with. The level of support will vary depending on your stage and requirements.
Who we work with
We work with a wide range of healthcare practices, from independent clinics through to established multi-site groups and UK arms of international healthcare organisations.
This includes dental and orthodontic practices, including specialist children’s clinics, private GP and specialist medical practices, and allied health providers such as physiotherapy, osteopathy and chiropractic clinics.
We also support aesthetic and cosmetic clinics, along with larger healthcare groups operating across multiple locations who need clear and consistent financial oversight.
The focus is on providing practical accounting support that reflects how healthcare practices actually operate, rather than a one-size-fits-all approach.
Why healthcare practices choose Braant
Healthcare practices choose Braant because they want accountants who understand partnership and group structures, mixed income, and the specific VAT and payroll issues the sector faces.
Sector-aware support
We’re familiar with the structures and income mixes common to UK healthcare practices, from single-site clinics to UK arms of international groups.
A consistent point of contact
Experienced accountants who know your practice, your clinicians and your patient mix, not a rotating team.
Clear, practical advice
Plain English guidance on VAT, tax and practice structure, without unnecessary jargon or sales pressure.
Support that grows with the practice
Whether you’re adding a clinician, a site or a new service line, the support adapts without disruption.
Clear accounting support for UK healthcare practices
Running a healthcare practice is demanding enough. We help owners, partners and practice managers stay on top of accounts, payroll, VAT and tax, with clear advice and dependable support at every stage.