When time is scarce, your finances should feel effortlessly organised.
Doctors and healthcare teams often carry multiple income streams and responsibilities at once — clinical work, private income, practice drawings, and longer-term planning around tax and wealth. The numbers can look fine on the surface while avoidable inefficiencies sit quietly underneath.
Specialist accounting brings structure to your position: clean records, accurate reporting, and proactive planning that supports better decisions throughout the year. For practices, it also means budgets and forecasts that make cash management easier — and fewer surprises when payments and liabilities fall due.
Handled properly, accounting becomes a control system — supporting compliance, protecting personal tax outcomes, and keeping stakeholders confident in the financial picture.
We support GP surgeries, consultants, locums and wider healthcare professionals — as well as Primary Care Networks, federations and neighbourhood groups that need structured reporting and planning.
Yes. We align the chart of accounts to how your practice operates, agree budgets at the start of the year, and maintain consistent management information so decisions are made with confidence.
Yes — including planning support to minimise personal tax where appropriate, and guidance around longer-term considerations such as capital gains and inheritance planning.
Where VAT applies, we provide clear, careful guidance — including partial exemption support when required — to keep the position accurate and defensible.
We agree a structured plan upfront, review performance quarterly, and proactively plan for key payment points — so reporting stays consistent and liabilities don’t arrive as surprises.
Book a free, no-obligation conversation. We’ll understand your clinical and practice setup, highlight where control can be strengthened, and outline a clear plan — delivered with calm, premium support.
Reliable accounts, timely management information and forecasting — built to support profitability, cash flow and confident decision-making for practices.
Structured planning around drawings and key payment points — helping you manage cash flow and meet obligations without unwelcome surprises.
Clear, careful VAT advice for healthcare settings — including partial exemption support where required, with compliance handled precisely.
Personal returns with planning-led support — including practical guidance to minimise tax where appropriate, and protect longer-term outcomes.
Guidance through partner changes, mergers and structure decisions — keeping reporting clear and the transition well-controlled.
Support with optimal organisation, forecasts and management packs — designed to keep members aligned and reporting consistent across the group.
A composed finance function, built around how doctors actually work.
For doctors, the best financial outcomes come from staying ahead — not catching up after year-end. That means clean records, clear reporting and a plan for liabilities that arrive at predictable points in the year.
We prefer a structured approach: budgets and forecasts agreed early, quarterly reviews to keep performance on track, and planning that supports your personal and practice position with calm consistency.
The result is a finance function that feels lighter — and a position that stays precise, compliant and decision-ready.
| Traditional Accounting Firms | Rothstone Accountants | |
|---|---|---|
| Healthcare Understanding | General service with limited clinical nuance | ✓Built for doctors, practices and healthcare structures |
| Planning Style | Reactive, year-end heavy | ✓Budgets, forecasts and quarterly reviews for control |
| Tax & Superannuation | Basic compliance focus | ✓Proactive planning around key payment points |
| VAT Complexity | Often treated as standard VAT | ✓Support for VAT nuance and partial exemption |
| Practice Change Support | Limited help beyond filings | ✓Guidance for partnership changes and mergers |
| Overall Experience | Transactional, admin-led | ✓Relationship-led, calm and highly organised delivery |
