Elberra Consulting provides specialist accounting and finance services to health and social care providers, charities, not-for-profit organisations, and SMEs across the United Kingdom. We are ICAEW-affiliated and bring deep sector expertise to every engagement — whether you need comprehensive healthcare accounting, charity finance and governance support, forensic accounting, payroll management, or tax compliance.
Our clients operate in sectors where financial accuracy is not simply a matter of business performance — it is a matter of regulatory compliance, fiduciary duty, and public accountability. We understand the specific financial frameworks that govern your sector and provide accounting support that delivers genuine financial insight, not just year-end compliance.
Our accounting and finance services are designed for organisations where standard generalist accounting is insufficient. We specialise across three sectors:
ICAEW Affiliation — What It Means for You |
Elberra Consulting operates under ICAEW affiliation — governed by the Institute of Chartered Accountants in England and Wales’ professional standards, ethics, and quality assurance requirements. When you engage us, your accounting is handled to the highest professional standard in UK accountancy. |
A generalist accountant can prepare your year-end accounts. What they typically cannot do is advise on the financial implications of a CQC inspection finding, structure care home accounts to demonstrate financial viability to a CQC assessor, ensure a charity’s restricted fund accounting meets Charity Commission expectations, or structure payroll to comply with the specific regulatory requirements of care sector workforce.
At Elberra Consulting, our accounting team works alongside our CQC and compliance specialists — meaning your financial governance is aligned with your regulatory compliance. This integrated capability is something generalist accountancy firms cannot offer.
We do not produce accounts and disappear. Our philosophy is that accounting should inform decision-making — not simply report the past. For every client, we provide financial information that is timely, accurate, and actionable.
We understand the financial frameworks and regulatory requirements of your sector — not just standard accounting principles
Our accounting team works alongside our CQC and compliance specialists, providing a joined-up service unique to Elberra Consulting.
Financial information presented in a way that is useful to non-financial managers, trustees, and care providers — not just accountants.
We flag issues before they become problems and advise on opportunities before year-end deadlines pass.
We begin by understanding your goals and systems to shape a strategy that fits your operations.
We develop clear, data-driven plans with actionable steps and timelines to achieve measurable results.
We collaborate with your team to deploy systems, processes, and training that ensure smooth execution.
We monitor performance and refine strategies to maintain lasting compliance and efficiency.
Yes. We work with care providers receiving NHS and local authority funding, including personal health budget providers, NHS-commissioned services, and integrated care system partners. We understand the specific financial reporting requirements and payment models associated with NHS funding arrangements.
Yes — and this is one of our particular areas of strength. Many care charities operate as both a registered charity (subject to Charity Commission oversight) and a CQC-registered provider (subject to CQC regulation). Navigating the financial governance requirements of both simultaneously requires specialist expertise that most generalist accountants do not have. Elberra Consulting’s integrated team covers both dimensions.
Yes. For most clients — particularly care providers and charities — we recommend monthly or quarterly management accounts as the foundation of sound financial governance. Year-end accounts are a legal requirement; management accounts are the tool that helps you actually run your organisation effectively.
Yes. CQC registration requires providers to demonstrate financial viability — that they have sufficient resources to sustain the regulated service. We produce CQC financial viability evidence packs including financial projections, cashflow forecasts, and supporting narrative specifically structured to meet CQC assessors’ expectations.
Yes. Our payroll service covers National Living Wage compliance (including sleep-in shift regulations relevant to residential care), auto-enrolment, NHS Pension Scheme administration for eligible providers, and Real Time Information (RTI) submissions. We are experienced in the payroll complexities specific to 24-hour care operations.
