Accountants for healthcare professionals & growing businesses
Accounts, tax and payroll for one fixed monthly fee, done online, by a chartered accountant who replies the same day.
- Accounts & tax
- Payroll
- Healthcare specialists
Most accountants weren't set up for busy professionals
You shouldn't have to chase your accountant for an answer, find out about a tax bill in January, or pay extra every time you ask a question.
Locums, clinic owners and company directors need someone who sets things up properly from day one, explains it in plain English, and is there when it matters.
That's how we work.
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Why clients choose YU
Same-day replies
Questions sent before 3pm on a working day are answered that day, by a chartered accountant.
One fixed fee
From £90 a month with no VAT added. Payroll and your own tax return included.
Healthcare specialists
Clinics, pharmacies, dental practices and locums: NHS income, medical VAT and mileage done right.
Fully online
FreeAgent bank feeds, receipts by phone and e-signatures. No paper, no office visits.
How much could your company save?
Answer five quick questions. We estimate what you could save each year from the things we fix most often: mileage, salary set-up, a family member who genuinely helps, and what you pay your accountant.
Compare like for like
Many online packages look cheaper until VAT, payroll and your own tax return are added.
| Typical online accountant | YU Accountants | |
|---|---|---|
| Locum or one-director company, a year | £1,000–£1,700 with VAT and extras | £1,080 (£972 paid annually) |
| VAT on the fee | Usually 20% on top | None added |
| Monthly payroll | Often an extra charge | Included, plus one family employee |
| Your own tax return | Often an extra charge | Included |
| Salary, dividend and mileage planning | Varies | Set up in your first month |
| Who does the work | Often a junior or a call centre | Reviewed by an ICAEW chartered accountant |
| Reply time | Days | Same day, before 3pm |
| Healthcare know-how | Rarely | NHS income, medical VAT, locum mileage |
| Switching | You do the chasing | We handle it, about 14 days |
Based on published prices of UK online and locum accountants, November 2026.
A locum healthcare company, Manchester
A newly formed locum healthcare company came to us with its first year-end approaching: payroll never run, salaries posted by journal, and fuel paid on the company card.
What we found
- Ten months of payroll for the director and a family member never reported to HMRC
- Fuel for the director's own car paid by the company, with no mileage claimed
- The company qualified for Employment Allowance but hadn't claimed it
What we did
- Caught up the full year's payroll in one sitting and corrected the director's NI record
- Claimed Employment Allowance, so no employer NI was due
- Switched £2,795 of fuel to a 9,734-mile claim at 45p: £4,380, tax-free to the director
- Filed the accounts and corporation tax return a month before the deadline
Figures from the client's 2025/26 accounts and returns. Every company is different; we check yours free.
Simple, fixed monthly pricing
For healthcare professionals and small businesses.
Essentials
£90 a month
For healthcare professionals, contractors and freelancers with their own limited company.
Ideal for: one director, income up to £60,000, not VAT-registered.
- Year-end accounts filed at Companies House
- Corporation Tax return (CT600)
- Confirmation statement prepared and filed
- Monthly payroll for you and one other person (e.g. a spouse)
- Your personal Self Assessment tax return
- Salary and dividend plan, reviewed every year
- Dividend paperwork prepared for you
- IR35 check on every new contract
- Mileage and expense claims set up correctly
- FreeAgent bookkeeping software*
Growth
£150 a month
For growing small businesses and healthcare companies, including VAT-registered and husband-and-wife companies.
Ideal for: turnover up to £250,000, up to 2 directors and up to 3 people on the payroll.
Everything in Essentials, plus:
- Quarterly VAT returns (Making Tax Digital)
- Payroll for up to 3 people
- A second director’s Self Assessment tax return
- Quarterly review of your books, so year end has no surprises
- Tax planning for two directors
Business
£325 a month
For established small businesses with staff, including pharmacies, dental practices and clinics.
Ideal for: turnover up to £1 million, with up to 10 employees.
Everything in Growth, plus:
- Payroll for up to 10 employees
- Workplace pension auto-enrolment managed for you
- VAT returns, including partial exemption where it applies (e.g. pharmacies)
- NHS payment schedule reconciliation (pharmacies and practices)
- Quarterly management summary: how your business is really doing
- Annual tax planning meeting
You keep your day-to-day books in FreeAgent; we review them every quarter. Need us to do your bookkeeping? Ask for a quote.
*FreeAgent is free if your company banks with Mettle, NatWest, RBS or Ulster Bank; otherwise the licence is added at cost. No VAT added to our fees while we're below the VAT threshold. 10% off when you pay annually. Companies House fees passed on at cost.
Talk to a chartered accountant, not a call centre
I'm Usman Yasin, an ICAEW chartered accountant in Manchester. I trained at a Big 4 firm and have since worked in senior finance roles. I set up YU Accountants to give healthcare professionals and growing businesses big-firm standards with a fixed fee and a real person to talk to.
- Every return reviewed and signed off by me
- FreeAgent Certified Practitioner
- Working online with clients across the UK
Get in touch
Tell us a little about your company. We reply the same working day.