---
title: "Accountants for Clinics in Cardiff | HLS Accounts"
description: "Clinic accountants in Cardiff for bookkeeping, VAT on treatments, payroll and year-end accounts. Clear advice, HMRC deadlines handled."
canonical: "https://hlsaccounting.co.uk/services/accountants-for-clinics"
---

Specialist Sector Pages

# Accountants for Clinics

We help clinic owners across Cardiff and South Wales stay compliant, plan smarter and keep more of what they earn. While you focus on patient care, we'll handle your books, tax returns and financial planning with clarity and care.

[Book a free consultation](https://calendly.com/hlsaccounting/new-client-meeting)

10

Years experience

100+

Local clients served

5★

Google rating

![Two accountants and a clinic administrator review financial documents and a laptop at a desk in a clean clinic office with subtle medical cues.](/_next/image?url=%2Fapi%2Fmedia%2Ffile%2Fclinic_accountants_desk_meeting_realistic_studio.jpg%3Fv%3D1773063924616&w=1536&q=75&dpl=dpl_DEc4fGhEc1SCRZZutzoEsRuDy1CJ)

## Everything under clinic accounting

From day-to-day bookkeeping to annual tax planning, we cover every financial need your clinic has. Here are the core areas we support.

### Clinic Bookkeeping & VAT

Cloud-based records, monthly VAT submissions and real-time reports so you always know where you stand.

### Tax Planning & Returns

Proactive advice to minimise your liability, plus self-assessment and corporation tax filed on time, every time.

### Payroll & Pensions

Run payroll for your clinical and admin staff, meet auto-enrolment duties and keep HMRC happy.

### Cash Flow & Growth Planning

Forecast your finances, plan for equipment or expansion and make decisions backed by solid numbers.

## How we support clinics in Cardiff and South Wales

Running a dental practice, aesthetic clinic or therapy centre means juggling patient appointments, staff rotas and clinical compliance. The last thing you need is to worry about late tax returns or unclear accounts. We work with clinic owners across Cardiff, Newport, Swansea and the Vale to take the financial admin off your plate so you can focus on what you do best.

> We handle the numbers so you can focus on your patients.

Every clinic is different, but the financial foundations stay the same. We start with a free consultation to understand your setup: whether you're a sole practitioner, a partnership or a limited company, and what software you're using or need. From there, we build a plan that covers your bookkeeping, VAT, payroll and year-end accounts. You'll get a dedicated point of contact who knows your business and responds quickly when you need them.

More information

### What's included

-   **Bookkeeping and cloud software setup** using Xero, QuickBooks or FreeAgent, with training so you can log expenses and track income in real time.
-   **Monthly VAT returns** filed accurately and on time, with advice on partial exemption if you offer both private and NHS services.
-   **Payroll processing** for clinical and support staff, including RTI submissions, P60s, P45s and auto-enrolment pension duties.
-   **Self-assessment and corporation tax** with proactive planning to reduce your liability through legitimate claims and allowances.
-   **Annual accounts and Companies House filings** prepared to statutory deadlines, with a year-end meeting to review performance and set goals.

Many clinic owners we meet have been managing their own books or working with a generalist accountant who doesn't understand the nuances of medical income. We know how insurance payments work, how to handle mixed VAT on cosmetic versus medical treatments, and what expenses you can claim for equipment, CPD courses and professional indemnity. That sector knowledge saves you time and money.

### Common concerns we help with

Worried about Making Tax Digital compliance? We'll migrate your records to approved software and handle digital submissions from day one. Unsure whether you're claiming all the expenses you're entitled to? We'll review your setup and highlight anything you've missed, from travel to professional subscriptions. Concerned about cash flow as you invest in new equipment or hire another clinician? We'll build a forecast so you can plan with confidence rather than guesswork.

We also support clinics through HMRC enquiries and VAT inspections. If you receive a letter or notice of a compliance check, we'll handle the correspondence and represent you throughout. For more on reducing your audit risk, see our guide on [what triggers an HMRC VAT investigation](#).

### Local to Cardiff and South Wales

Our office is in Cardiff, and we work with clinics from Penarth to Pontypridd, Barry to Bridgend and across the Vale. We understand the local business landscape, from NHS contracts to private cosmetic work, and we're always available for face-to-face meetings or a quick call when something urgent comes up. Most of our clinic clients prefer monthly check-ins by video or phone, with an annual sit-down to review the year and plan ahead.

Whether you're a newly qualified dentist opening your first practice, an established clinic looking to expand, or a therapist moving from employment to self-employment, we'll give you clear advice and reliable support every step of the way.

### Ready to talk?

Book a free consultation and we'll come back to you within one working day to arrange a time that suits.

[Book a free consultation](https://calendly.com/hlsaccounting/new-client-meeting)

### You might also like

-   [Accountants for Vets](/services/accountants-for-vets)→
-   [Accountants for Beauty Salons](/services/accountants-for-beauty-salons)→
-   [Accountants for Hair Salons](/services/accountants-for-hair-salons)→

## From the blog

[

![](/_next/image?url=%2Fapi%2Fmedia%2Ffile%2FChatGPT%2520Image%2520Mar%252011%252C%25202026%252C%252002_00_13%2520PM.png%3Fv%3D1773237624762&w=1536&q=75&dpl=dpl_DEc4fGhEc1SCRZZutzoEsRuDy1CJ)

### What triggers an HMRC VAT investigation and how to reduce your risk

Worried about an HMRC VAT investigation? Find out what triggers one, how far back HMRC can go, and the practical steps you can take to reduce your risk.

](/blog/what-triggers-hmrc-vat-investigation)

## Worth considering

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### Accountants for Charities & Not-for-Profit

Straightforward accounting for charities and not-for-profits, with fund tracking, year-end accounts, Gift Aid support, payroll and Charity Commission deadlines covered.

[Accountants for Charities & Not-for-Profit→](/services/accountants-for-charities-and-not-for-profit)

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### Accountants for E-commerce Businesses

Accounting support built for online sellers: accurate bookkeeping, clean VAT records, reconciled payouts and clear monthly figures for Shopify, Amazon and Etsy businesses.

[Accountants for E-commerce Businesses→](/services/accountants-for-e-commerce-businesses)

Specialist Sector Pages

### Accountants for Retailers

Retail accounting support for shops: bookkeeping, VAT and payroll kept tidy, clearer margins and cash flow, plus year-end accounts and tax returns done on time.

[Accountants for Retailers→](/services/accountants-for-retailers)

Specialist Sector Pages

### Accountants for Restaurants & Hospitality

Accounting support for restaurants, cafés and bars: bookkeeping, VAT and payroll, plus management reports that show margins, cash flow and what to fix each month.

[Accountants for Restaurants & Hospitality→](/services/accountants-for-restaurants-and-hospitality)

Specialist Sector Pages

### Accountants for Tradespeople

Accounting support for tradespeople, including CIS, VAT, bookkeeping and tax returns. Know your profits, stay compliant, and keep HMRC deadlines under control.

[Accountants for Tradespeople→](/services/accountants-for-tradespeople)

Specialist Sector Pages

### Accountants for Dentists

Dental accounting support for Cardiff dentists, from associates to practice owners. Stay compliant with VAT, payroll and tax, and keep clear, reliable figures.

[Accountants for Dentists→](/services/accountants-for-dentists)

## Before you book

Here are the questions clinic owners most often ask us before we start working together.

Do you work with all types of clinics?

Yes. We support dental practices, aesthetic and cosmetic clinics, physiotherapy and sports therapy centres, counselling practices and other healthcare providers across South Wales. Whether you're NHS, private or mixed, we tailor our service to your setup.

What does a free consultation involve?

We'll talk through your current situation, what you need help with and how we can support you. It's informal, no obligation, and gives you a clear sense of how we work and what it would cost.

How much do your services cost?

Fees depend on your turnover, structure and the level of support you need. After our initial chat, we'll send you a fixed monthly quote with no hidden extras. Most clinics pay between £150 and £400 per month for full bookkeeping, VAT, payroll and year-end accounts.

Can you help me switch from another accountant?

Absolutely. We'll handle the handover, request records from your previous firm and make sure nothing is missed. Most switches are complete within two to four weeks.

Do I need to use specific accounting software?

We work with Xero, QuickBooks and FreeAgent, and we'll recommend the best fit for your clinic. If you're already using one of these, we'll connect straight in. If not, we'll help you get set up and show you the basics.

What if I get a letter from HMRC?

Forward it to us immediately. We'll review it, advise you on next steps and handle any correspondence or enquiries on your behalf. Our clients are covered for compliance support as part of the service.

How quickly do you respond to queries?

We aim to respond to emails within four working hours and phone calls the same day. For anything urgent, just mark it as such and we'll prioritise it.

Can you help with practice growth and planning?

Yes. We offer cash flow forecasting, budgeting and scenario planning to help you make informed decisions about hiring staff, buying equipment or opening a second site. It's part of our proactive approach, not an add-on.

## Let's talk about your clinic accounts

Book a free consultation and we'll show you how we can take the financial stress off your plate.

[Book a free consultation](https://calendly.com/hlsaccounting/new-client-meeting)