Specialist accountants for UK care providers.
Built for care. Engineered for compliance.
Specialist accounting, payroll, VAT and audit for residential, nursing, and domiciliary care providers. We understand mixed funding, sleep-in shifts, and CQC realities from day one.
A finance function that speaks your sector's language.
LA and private-pay handled correctly.
Sleep-ins, zero-hours, agency, RTI.
Occupancy, fees, and cost centres reconciled monthly.
Forecasts you can act on.
Care accounting has its own rules. Most firms learn them at your expense.
Mixed income, complex payroll, and slow public-sector payments create problems that do not exist elsewhere. We start where generalists end up.
VAT is rarely standard
Welfare services are largely exempt, but private-pay revenue and ancillary services create partial exemption issues. Get the scheme wrong at registration and the cash hit follows every invoice.
Payroll is your biggest cost and your hardest
Sleep-in rates, holiday pay after Harpur Trust, zero-hours, agency staff, IR35. Errors here are measured in HMRC investigations, not pennies.
Local authority cash flow can break a budget
30 to 90-day LA payment terms while wages, energy, and CQC fees go out weekly. Without proper forecasting, profitable homes still run out of cash.
Audit and CQC expect the same thing
Clean records, reconciled fee schedules, traceable cost centres per site. Build it once. Or rebuild it under pressure every year.
Three pillars. One connected system.
Recurring finance work, statutory obligations, and reports owners and lenders actually use. Built for care from the chart of accounts up.
Daily Ops
Clean books, on-time payroll, reconciled accounts. Every week, every site.
- Bookkeeping by home and funding source
- Care payroll: sleep-ins, zero-hours, agency, RTI
- Bank reconciliation and supplier ledgers
- Expense tracking by cost centre
- Month-end close
- Xero setup and migration
Compliance & Filings
VAT, CT, statutory accounts, audit - managed against deadlines.
- VAT registration, scheme selection, returns
- Partial exemption calculations
- Corporation tax and CT600
- Statutory accounts and Companies House
- Audit preparation and auditor liaison
- Confirmation statements
Reporting & Insights
Management accounts, forecasts, KPIs - built for care economics.
- Monthly management accounts per location
- Occupancy and fee-yield reporting
- Staff cost per bed and per resident
- Cash flow forecasts allowing for LA cycles
- Board packs and lender reporting
- Acquisition and refinancing support
Real-time finance, not retrospective accounting.
Traditional firms appear once a year, hand over a return, disappear. Accountup operates inside your business every month.
“The difference isn't the bookkeeping - it's that when CQC asks for evidence, or the bank asks for a forecast, the answer is already there.”
Three steps. One week. No friction.
Scope confirmed in a call, not a form. Most clients are fully onboarded within 7 days - including Xero migration and handover from your incumbent firm.
Discovery call (15 min)
We listen. Sites, headcount, funding mix, current pain. You leave the call knowing whether we are the right fit.
Scoped proposal (24 hrs)
A clear scope and fixed monthly fee. No tiers. No upsell. Priced against what you actually need.
Onboarded in 7 days
We handle clearance with your incumbent, migrate your books, and set up payroll and reporting. You stop chasing your finance function.
What care operators ask first.
The same system scales from a 12-bed home to a multi-site group. For groups, we build consolidated reporting alongside per-site management accounts.
Yes, and ideally we would want to. The chart of accounts, VAT decision, and payroll setup are easier to build right than to fix at year-end. Most pre-opening setups can be ready within one week when access and documents are available.
We handle the handover directly under standard professional clearance. Most clients are fully onboarded within 7 days.
We prepare audit-ready records and manage the audit process end-to-end with your appointed auditor.
We are a Xero specialist firm. We migrate from QuickBooks, Sage, or spreadsheets. Sector-specific care management systems are integrated, not replaced.
Modular and scope-driven. Quoted against your actual scope after a 15-minute call - not against a package tier.
Talk to a care-sector finance expert.
15 minutes. No pitch. We'll listen to where your finance function sits today and tell you honestly whether we're the right fit.
Accountup. Plug-and-play finance infrastructure for UK care providers · © Accountup 2026