Bookkeeping for care providers
Care providers run on contracts, rotas and large payrolls. Cash flow depends on commissioner payments, so accurate billing and tracking are essential.
- Flat £15 an hour
- No contract
- Qualified UK team
- Pay online in minutes
Bookkeeping for care providers
Your price
4 hours at £15
£60
Set-up fee£0
ContractNone
Regulated firm
Qualified team
Qualified team
Certified advisor
ProAdvisor- FreeAgentSupported software
- 4.9 out of 5300+ Google reviews
The short answer
What does bookkeeping for care providers involve?
Bookkeeping for care providers means keeping billing by commissioner and client, payroll and pension records, mileage logs and the rest of your records accurate and reconciled. At £15 an hour, a typical domiciliary care agency (about 150 transactions a month) needs about 7 hours a month, which is around £105.
What makes these books different.
Every sector has its own records and rules. These are the ones that matter for care providers.
Commissioner and private income
Local authority, NHS and private fees each follow different billing and payment cycles.
Payroll heavy
Wages, pensions and travel time make up most costs and must be correct for minimum wage compliance.
Mileage and travel
Domiciliary carers drive between visits, so mileage claims need accurate logs.
Regulatory costs
Registration, DBS checks and training are ongoing costs to track.
£15
an hour, flat
£105
a month for a typical domiciliary care agency
7h
of bookkeeping a month, about 150 transactions a month
0
contract, stop whenever you like
Records we keep for you.
- Billing by commissioner and client
- Payroll and pension records
- Mileage logs
- Training and DBS costs
- Rent, rates and utilities
- Insurance
Rules worth knowing.
VAT exemption
Care provided by registered providers is generally VAT exempt, which limits recovery of VAT on costs.
Minimum wage
Time between visits can count as working time, so pay records must show it.
Regulation
Providers must be registered with the relevant regulator, such as the CQC in England.
General information, not tax advice. Rules change, so check GOV.UK or ask your accountant. Last reviewed November 2026.
A typical month.
A domiciliary care agency with about 150 transactions a month, running payroll. Here is the time it takes and what it costs.
- Core bookkeeping (101 - 250)6h
- Limited company extras0.5h
- Payroll journals0.5h
Each month
£105
Where this sector is most common.
Using ONS business counts for 2026, health and care is the biggest share of local businesses in these places. We serve all of them online.
- Birmingham8% of local businesses, 1.7 times the UK share, about 2,900 firms
- Oxford7% of local businesses, 1.7 times the UK share, about 365 firms
- Belfast7% of local businesses, 1.6 times the UK share, about 800 firms
- Derby7% of local businesses, 1.6 times the UK share, about 510 firms
- Nottingham7% of local businesses, 1.5 times the UK share, about 665 firms
- Norwich7% of local businesses, 1.5 times the UK share, about 330 firms
Clients say it better than we do.
4.9300+ Google reviews of Accotax
“He took the time to explain every step of the process and made a complex situation much easier to understand.”
Hugo Alvarez
Google review of Accotax
“They take the time to understand how our business works and what our needs are.”
Mael Leboucher
Google review of Accotax
“Very prompt in responding to questions and patient with us even when we seem to be slow.”
Mansur Liman
Google review of Accotax
“The work was completed promptly, my tax return was successfully filed.”
Sergey M
Google review of Accotax
care providers: your questions.
Can you reconcile commissioner payments?
Yes. We match each payment advice to the invoices it covers so shortfalls and delays are visible immediately.
Not sure where your books stand?
Free bookkeeping health check
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Books for care providers, sorted.
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