Specialist Healthcare Accountancy

Specialist accountancy for healthcare professionals.

The same specialist team, the same disciplined approach to bookkeeping, payroll and tax, built for GPs and doctors, vets, pharmacists, daycare and nursery operators, and facial aesthetics and cosmetic practitioners.

ICAEW accredited Xero Partner
Who we help

Specialist accounts and tax for healthcare professionals

GPs and doctors

NHS contract accounting, partnership structures and superannuation calculations for GP practices, alongside accounts and tax for individual doctors.

Pharmacists

Accounts and tax for pharmacy owners, covering NHS dispensing contracts, wholesale and retail income splits, and margin reporting.

Vets

Practice accounts, goodwill and valuation support for veterinary practices, including corporate consolidation considerations.

Opticians

Accounts and tax for optical practices, including partial VAT exemption on mixed eye-test and dispensing income, and retail stock accounting.

Facial aesthetics and cosmetic practitioners

Accounts and tax for aesthetics practitioners, including sole trader and limited company structures, and cash/card income reconciliation.

Daycare and nursery operators

Accounts, payroll and compliance-linked cost reporting, including funded-hours income and staff ratio cost planning.

Packages

Fixed fees. No surprises. A package for every stage.

For individual practitioners

Individual Practitioner

Basic

From £650/year + VAT

Ideal for practitioners who require basic tax compliance with minimal day-to-day support.

  • Preparation and submission of your Self-Assessment Tax Return
  • Review of allowable business expenses
  • Annual tax reminders, deadline tracking and payment reminders
  • Email support for general queries
  • Dedicated healthcare tax accountant

Individual Practitioner

Comprehensive

From £800/year + VAT

Designed for practitioners who require proactive financial support and tax-saving insights.

  • Everything in Basic, plus:
  • Tax investigation cover
  • Tax planning advice, including allowable reliefs and reducing tax liability
  • Exploration of incorporation opportunities
  • Priority support via phone or email
  • Support with HMRC correspondence
For practitioners with a limited company

Ltd Company

Basic

From £1,200/year

Ideal for practitioners who want minimal support, meeting statutory requirements only.

  • Limited company year-end accounts preparation
  • Corporation tax return filing (CT600)
  • Software subscription
  • Companies House confirmation statement filing
  • Basic director self-assessment tax return (1 director)
  • Basic email support
  • Dedicated healthcare tax accountant

Ltd Company

Standard

From £1,500/year

Designed for practitioners who want regular support, bookkeeping help, and personal tax planning.

  • Everything in Basic, plus:
  • Bookkeeping (monthly or quarterly)
  • Quarterly management reports
  • Advice on allowable expenses and tax-efficient withdrawals
  • Basic support with HMRC queries

Ltd Company

Comprehensive

From £1,800/year

Best suited for high-earning practitioners or those who want proactive tax advice.

  • Everything in Standard, plus:
  • Tax investigation cover
  • Quarterly or monthly tax planning reviews
  • Regular meetings (virtual or in person)
  • Priority support and proactive deadline reminders
  • Proactive advice on dividend strategy and director salary planning
For business and practice owners

Practice Owner

Kick-Start

From £500/month

Ideal for start-up or newly established healthcare businesses.

  • Operational accountancy
  • Monthly bookkeeping
  • Quarterly management accounts (P&L, balance sheet)
  • Quarterly balance sheet reconciliations
  • Bookkeeping software and support, tracking categories
  • Annual compliance
  • Annual financial statement, corporation tax, company secretarial (basic)
  • Personal tax return (1 director)
  • Tax planning & client care
  • Basic tax estimation and planning, HMRC investigation cover
  • Dedicated accountant, email/phone support, 48hr response

Practice Owner

Grow

From £650/month

For established businesses looking to grow revenue and reporting.

  • Everything in Kick-Start, plus:
  • Monthly management accounts (upgraded from quarterly)
  • Monthly balance sheet reconciliations
  • Supplier payment run support
  • Budget vs actuals, variance and trend analysis
  • Initial system health check and data clean-up

Practice Owner

Expand

From £950/month

For groups, multi-site operators or high-performing businesses.

  • Everything in Grow, plus:
  • Consolidated management report, supplier payment runs
  • Practitioner pay calculation
  • Personal tax returns (multiple directors)
  • Standard financial ratio analysis
  • Strategic services (Expand only)
  • Virtual Finance Director services
  • Pricing benchmark analysis, practice valuation report
  • Cash flow analysis (actual vs projected + 12-month forecast)
  • Profit per practitioner report
  • Exit and succession planning advisory
Switching to Samera: a one-off transition fee equal to one month's fee applies. For complex cases, businesses with historical bookkeeping that needs cleaning up, or practitioners switching mid-year with incomplete records, additional setup support may be required, and we'll discuss any costs with you in advance.
What we do

The same specialist services, applied to your sector

Bookkeeping

Monthly bookkeeping using Xero, kept current and reconciled.

Payroll

Staff payroll, including complex healthcare and childcare shift patterns.

Annual accounts and compliance

Statutory accounts and tax returns, filed on time, every time.

Tax planning

Structuring your income and business tax-efficiently.

Making Tax Digital

Getting MTD-compliant ahead of relevant deadlines.

Cashflow forecasting

Forward visibility on income and outgoings.

Overhead analysis

Reviewing controllable and fixed costs to find realistic savings.

EBITDA monitoring

Ongoing visibility on the metric that determines your business's value.

Full management accounts

Monthly P&L, balance sheet, cashflow statement, reconciled accounts.

Debt advisory and restructuring

Support if your finance or ownership structure needs to change.

Accounts payable service

Day-to-day invoice and supplier payment management, off your plate.

Why Samera

The same team, the same discipline

A specialist team, not a generalist one

Accountants who understand regulated healthcare businesses in depth, not a generalist practice adding your sector as an afterthought.

Fellow of the ICAEW

Arun Mehra FCA holds the most senior tier of UK chartered accountancy.

Xero Partner

Real-time cloud accounting done properly, not once-a-year reporting.

Who you'll work with

The same specialist team

Every client is supported by the same team that handles Samera's dental accounts and tax work.

Natasha Gnanapragasam
Natasha Gnanapragasam

Director of Operations, Accountancy and Tax

Leads Samera's day-to-day accountancy and tax delivery across the client base.

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Charles Suthakran
Charles Suthakran

Business Development Executive, Accountancy and Tax

Supports new and existing clients through onboarding and ongoing accountancy queries.

Book a call
Reviews

What clients say

★★★★★

"Samera have been my accountant for 7 years and have continued to provide me with accurate accounts and timely submissions. Their digital workflow eases the management of receipts and filing. I have found them to be supportive and knowledgeable particularly during the recent crisis."

Patrick Abbott Google
★★★★★

"Overall Samera is a fantastic team, and always had a good experience every time I reached them"

Mourughan Kalyanasundaram Google
★★★★★

"Exceptional service and personalised attention … I highly recommend Samera to anyone seeking authoritative guidance and expert help with any personal tax related matter. Thank you for all your support and advice."

Karun Sagar Google
★★★★★

"very knowledgeable and efficient accountants"

Gerasimia Evangelatou Google
★★★★★

"Great price. Really happy with service and organisation of my accounts!"

Paul Kiwanuka Google
★★★★★

"Used Samera business advisors for my self tax return form and they were amazing from start to finish. They made me understand every single step and made the process swift!"

Remzie Krasniqi Google
★★★★★

"we finally have an accountant who is actively trying to help us keep our tax bills low, as well as giving us good business advice."

NH Google
★★★★★

"excellent accountants!!"

Tif Qureshi Trustpilot
Common questions

Frequently asked questions

Which healthcare businesses do you work with?

GPs and doctors, vets, pharmacists, daycare and nursery operators, and facial aesthetics and cosmetic practitioners.

How much does this cost?

Fixed-fee packages start from £650/year for individual practitioners and £500/month for business and practice owners — see the Packages section above for full details. These are tentative figures, not yet costed specifically for non-dental work.

Do I need to already use Xero?

No, we can help you set it up as part of onboarding.

Ready to talk?

Get in touch and we'll be straight with you about whether we're the right fit for your business.

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