Services / Medical professionals

Doctors & medical professionals

Advising doctors and medical professionals on all aspects of their personal and private practice tax and accounting needs has long been a specialism of Tayabali & White. We provide accountancy advice to medical consultants including setting up and management of your private practice, compliance and active tax management.

Setting up in private practice

If you are a consultant setting up in private practice take a look at the information below and if you would like to discuss any of the areas in more detail please book an appointment.

What are the first practical steps?

Some actions to take to get your private practice up and running

  • Set up appropriate insurance policy to cover your private practice work.
  • Register with Information Commissioners Office.
  • Register with private health insurance companies and Care Quality Commission as applicable.
  • Decide which private hospitals you plan to hold clinics at.
  • Consider the business structure of your private practice – we can advise on this and help you to set up a business plan and growth strategy.
  • Prepare terms and conditions and a price list for your private practice work.

Things to consider

Structuring, operating and marketing a modern private practice

  • The optimal business structure of your private practice, for example, sole trader, limited company or partnership.
  • The effective administration of your private practice leaving you to focus on delivering excellent patient care and growing your private practice.
  • Safeguarding patient data.
  • Accurate, efficient and timely secretarial and bookkeeping for patient administration, invoicing, cash collection and maintaining patient and financial records.
  • The use of modern technology to create a ‘paperless’ practice with real time access to patient and financial records from any location.
  • The marketing and growth of your private practice.

Management & growth of your private practice

If you are a consultant with an established private practice take a look at the information below and if you would like to discuss any of the areas in more detail please book an appointment.

Effective administration of your private practice

Robust and clearly documented processes for the efficient running of your business

Our private practice business review and bookkeeping services will help you to maximise the efficiency and effectiveness of the administrative processes that underpin your private practice work. As part of the business review we will:

  • Collaborate with your private secretary to walk through all of the processes involved in running your private practice.
  • Review and document administrative processes.
  • Highlight process improvements to optimise business performance.
  • Identify where efficiencies can be found to reduce secretarial time and your time spent on administration.
  • Identify any training requirements.
  • Standardise ways of working to reduce the impact of a change in secretarial provider.
  • Reduce burden of administration by streamlining an end to end administration process.
  • Best practice invoicing and credit control procedures.
  • How use of technology can bring efficiencies and improve accuracy.
  • Moving towards a paperless practice.

Our bookkeeping services will:

  • Provide you with anywhere, anytime, real-time access to your finances via a collaboration with your private secretary.
  • Ensure that all of your transactions (patient / insurance company invoices and your expenses) are logged accurately and quickly.
  • Train your secretary to prepare a bank reconciliation to keep control of your finances.
  • Train your secretary in best practice invoicing and credit control procedures including debtor reporting.
  • Make the best use of available technology to bring optimal efficiency and accuracy to your business.
  • Develop bespoke reports to give you full visibility of the financial performance and position of your business.

Please contact Tayabali & White on 01223 843324 to find out more.

Growing your private practice

Keeping you in control and helping you to reach your business goals

As part of our business support and growth planning advisory service we will work in partnership with you and your private secretary to give you the tools you need to be in control of your business’s performance, to identify growth areas and to increase profitability. We will:

  • Develop reports to give you full visibility of the financial performance and position of your business.
  • Prepare analytics around business performance and different revenue streams e.g. referral channel, revenue by procedure, average fee per clinic, timeliness of invoicing.
  • Propose ways of collecting data to enable you to monitor the performance of your private practice in detail.
  • Propose ways of growing your private practice revenue.
  • Look at potential ways of increasing margins and profits.
  • Define process improvements to drive efficiency, reduce cost and increase profit.
  • Document processes: our experience is that where procedures have been documented they are more likely to be followed.
  • Consider your approach to marketing and personal branding – is it currently increasing your revenue.
  • Bookkeeping services – providing anywhere, anytime real-time access to your finances via a collaboration with your private secretary.
  • Training and support for your secretary to facilitate the most effective management of your practice.

Please contact Tayabali & White on 01223 843324 to find out more.

Private practice compliance

As specialist tax advisers we look after all aspects of private practice and personal tax compliance, providing all the support you need.

Getting it right

Knowing your filing requirements and meeting them

Even a one-person private practice faces myriad compliance requirements from HMRC and Companies House. Most doctors are aware of their compliance requirements though they are generally less sure about whether, when and how to register for, report and pay taxes and fees, nor what expenses they can legitimately claim.

The private practice compliance environment is very familiar to us at Tayabali & White and we will support you as much as you need.

Dealing with HMRC

Well-presented returns reduce the risk of enquiry

As well as coping with the compliance environment, the prospect of having to face an HMRC enquiry is a real concern for doctors. We work with our medical clients to help ensure their tax affairs can stand up to scrutiny.

We have successfully represented medical professionals in HMRC enquiries and you can rest assured that we will look after you if HMRC enquires into your returns.

However, we believe that it is best to prevent enquiries if at all possible. We know what tax and accounting rules and reliefs affect the medical profession and how best to present your return to HMRC.

Active tax management

There are many aspects to private practice taxation and tax reliefs, as well as the taxation on you as you withdraw your trading profits. Planning is crucial.

Private practice tax structure

Understand how best to set up your practice

Consultants practice either through a limited company, a partnership or alone through self-employment. To determine the best route, there are many considerations that we discuss with our doctor clients and this involves getting to know them and their circumstances well.

Factors to consider include how much you expect to earn, what other income you have, how much income you require, whether your spouse can be involved in the business – and many more.

Furthermore, this is an area where tax legislation changes frequently and it is vital to revisit your business structure with us regularly. As always, the important thing is to take time to plan and to rely on our expertise to help you.

Co-ordinating practice, employment & investment income

Understand how your different income streams are taxed and plan ahead

Many doctors and medical professionals will have income from employment, private practice and investments, which are taxed in different ways and will link across different tax bands and tax rates. Additionally, their spouse may contribute other income to the family.

We can help you understand how all your family income streams are linked and plan to ensure that they are not subject to more tax than necessary. Again, it is about taking time to understand the whole picture and offer you careful and tailored advice.

Client testimonials

“The staff at Tayabali & White are both professional and courteous. Having direct access to a partner ensures any queries are not only resolved in a quick and efficient manner, but also with good practical advice.”

Chris Arnold
Redmayne Arnold & Harris

“We have found Tayabali & White ideal for our regular monthly accounting audits. Although we are primarily an export led publisher we are pleased to find that they have an in-depth knowledge of areas that are quite specialised.”

Robert Hyde
Sophisticated Games Limited

“I have been a client with this firm for a few years now, and have always found them to be extremely efficient with all my tax affairs. They have been friendly and courteous and I would recommend them to anyone.”

Biddy Bigland
Long-term client

“We have used Tayabali & White’s accounting services since we set up the company in 1997. Imran Tayabali and his team take the hassle out of everything and when we have needed specialist tax and compliance advice they have always been happy to help. We highly recommend them.”

Ed Tranham
Agena Limited

“The firm Tayabali & White have acted as my accountants for the past 15 years. I have been extremely impressed with their professionalism, politeness and punctuality in submitting tax returns at all times. I have found all the staff that I have dealt with have a very friendly approach whilst maintaining a high level of professionalism and competence. I plan to continue using the firm even though I have moved away from the area and would recommend them without hesitation to anyone.”

Dr Brian Adger
Long-term client

“I transferred to Tayabali & White five years ago following some dissatisfaction with the service I received from a large and international firm of accountants. I have received excellent professional, personal and courteous service since in both my Practice Accounts as a surgeon and in both my wife’s and my own personal affairs. I would be very happy to recommend their services.”

George Lamberty
MA MB BChir FRCS

“Using Imran to handle my father’s estate was a decision I have not regretted. Previously, when bank appointed lawyers were handling my mother’s estate, everything was at a distance, shrouded in mystery, took far too long, was outrageously expensive and communication was tortuous. In contrast Imran has been immaculate in explaining what the process is, where we are in the process and if there is a delay, what is causing it. He is local to me too which means that the inevitable streams of forms and signings do not need the assistance of the post office to get to and fro. My father’s estate involved lots of investments and shares and as an accountant Imran seems ideally placed to understand the tax and numbers concerned. And so it has proved. I have no hesitation in recommending his service.”

Jane Pearson
Estate executor

“Over a period of almost 25 years, we have found Tayabali & White, to be much more than just first class accountants. They have frequently provided specialist advice and wise counsel, even moral support, and their sensitive, very personal approach is rare and much appreciated. It is difficult to imagine going elsewhere.”

George Pearson
Anspear

“Tayabali & White have been my accountants for several years, having been introduced by a friend whose family they looked after for two generations. I appreciate their efficiency, organisation and above all their conscientious and diligent work throughout this period.”

Charles Elliott
Long-term client

“Tayabali & White have looked after my personal tax affairs for years. I really appreciate their blend of friendliness and professionalism, which gives me confidence that I am in safe hands. I have recommended their services to my fellow Real Tennis professionals around the country.”

Kees Ludekens
Cambridge University Real Tennis Club

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