Fixed-fee accounting and tax support for self-employed nurses, whether you run an aesthetics or cosmetic injectables clinic, provide private duty and complex care, or take on clinical training and consultancy work, UK-wide.
More registered nurses than ever are building independent practices outside standard agency or NHS employment, from aesthetics clinics offering Botox and dermal fillers, to private duty and complex care nursing, clinical training and expert witness work. We work with independent nurses across the UK, helping you set up properly, understand what counts as an allowable expense, and stay on top of NMC revalidation, insurance and supplier costs alongside your day-to-day accounting.
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We prepare and submit your self assessment tax return, bringing together clinic income, private duty fees and any training or consultancy work into one accurate return.
We keep your records up to date, reconciling client payments, product and consumables purchases, and supplier invoices so your accounts are always built on accurate, current figures.
Setting up an aesthetics clinic or private nursing practice for the first time? We advise on whether a sole trader or limited company structure suits your plans, and handle the registrations involved.
Nursing care provided for a therapeutic purpose is generally VAT-exempt, but purely cosmetic treatments with no medical purpose are usually standard-rated. We review your specific services and advise on your VAT position.
From product and consumable costs to NMC registration, indemnity insurance, training courses and room hire, we make sure your practice claims everything it is entitled to.
If you take on a second practitioner, a receptionist or clinic support staff, we run your payroll so PAYE and National Insurance are calculated and reported correctly and on time.
We offer fixed-fee packages whether you work as a sole trader or through your own limited company. Each package covers the core compliance work below, with optional extras you can add as needed.
Self Employed
Optional
Limited Company
Optional
Limited Company
Optional
Limited Company
Optional
All packages are guide prices, excluding VAT. Your exact fee depends on your turnover, transaction volume and the level of support you need — request a quote for a price tailored to you.
Straightforward answers to the questions we’re asked most.
Yes. Self-employed clinic income needs to be reported through self assessment, alongside any employment income shown on a P60 or P45 from agency or bank shifts. We bring both together into one accurate return.
Common allowable expenses include product and consumable costs, NMC registration and revalidation costs, professional indemnity insurance, room hire, training and qualification courses, uniforms and laundry, and marketing costs. We help you keep accurate records and claim what you are entitled to.
Many independent nurses start out as sole traders. A limited company can become worthwhile once income grows or you take on staff and additional clinic days. We talk through the tax and administrative differences based on your circumstances.
This depends on the treatment. Care given for a genuine medical or therapeutic purpose is generally VAT-exempt, but treatments that are purely cosmetic, with no health or therapeutic aim, are usually standard-rated once turnover exceeds £90,000. We review your specific treatments and advise on your VAT position.
We help you track product purchases and stock used in treatments, so your cost of sales is accurately reflected in your accounts and your pricing properly covers your costs.
Yes. We combine income from your clinic, private duty nursing, and any training, consultancy or expert witness work into a single self assessment return, making sure every allowable expense is claimed and nothing is taxed twice.
Tell us about your circumstances and we’ll come back to you with clear next steps, typically the same working day. Our support is available in person, by phone, email or a virtual video meeting, whichever suits you best.