Elberra Consulting is a specialist healthcare accounting firm supporting UK health and social care providers with CQC financial viability, management accounts, fee rate analysis, statutory accounts, and care home acquisitions.
Healthcare organisations face financial challenges that differ from most other businesses: NHS contracts, local authority funding, CQC requirements, fluctuating staffing costs, and shifting care fees all shape how providers manage money. Elberra Consulting combines core accounting expertise with sector knowledge to deliver healthcare accounting services that help you demonstrate financial viability, report clearly, and plan with confidence.
Financial management in health and social care is directly linked to service quality, CQC compliance, and stakeholder trust. Financial difficulties can affect care delivery, CQC registration, and relationships with commissioners, investors, trustees, and service users – risks a generalist accountant may not be positioned to flag.-
Funding sources – NHS contracts, local authority block contracts, personal health budgets, and private-pay income
CQC financial viability – the evidence needed to demonstrate sustainable operations
Cost modelling – understanding the true cost of delivering care and setting sustainable fee rates
Charity accounting – reporting under the SORP framework
Payroll complexity – staff turnover, shift patterns, overtime, and bank staff costs
What it is: Preparation of the financial evidence CQC requires to confirm a provider has sufficient resources to operate – relevant at registration and during inspections of existing providers.
We prepare:
What it is: Ongoing management accounts and reporting that let healthcare leaders spot financial issues before they become serious.
Our healthcare account management services include:
What it is: An analysis of your true cost of care against agreed funding, to establish whether current fee rates are sustainable – particularly relevant for providers dependent on local authority contracts.
We also support:
What it is: Realistic budgets and business plans that give your organisation financial direction and support funding or investment conversations.
We help you:
What it is: Statutory accounts and accounting & tax services for healthcare providers operating as limited companies, charities, community interest companies, or partnerships.
Support covers corporation tax, VAT where applicable, and payroll tax – helping your organisation meet statutory reporting and filing requirements.
What it is: Financial due diligence for care home buyers, covering the factors that actually determine value and sustainability – not just headline figures.
We provide:
What it is: Independent financial oversight and training that helps boards and trustees confidently review and approve financial reports.
We support audit committees and provide practical guidance so non-financial board members can engage confidently with financial performance, risk, and planning discussions. Our healthcare management and accounting services connect financial reporting with effective governance and wider business decisions.
We learn your organisation’s systems, goals, and challenges to identify where support is needed.
We build a practical plan with clear actions, priorities, and realistic timelines.
We work alongside your team to put systems and recommendations into practice, including training where needed.
We monitor performance and refine your financial processes as your organisation develops.
Not automatically. VAT registration depends on your organisation’s turnover, activities, and the type of services provided. We review your specific circumstances to confirm what applies.
CQC typically requires projected income and expenditure for at least 12 months, evidence of available funding (such as bank confirmation of a facility or investment), and confirmation that your proposed fee rates are sufficient to cover operating costs. Requirements can vary depending on your service type and the complexity of your registration.
Yes. We review your costs, income, and current fee rates to determine whether your funding covers the cost of delivering care, then prepare the financial evidence to support negotiations with local authorities and commissioners.
Yes. Elberra Consulting supports health and social care providers across the UK, including accounting for healthcare services in London and support for organisations operating elsewhere in the country.
Yes. We prepare cost-of-care evidence packs that demonstrate the true cost of delivering care to the standard required by your contract, forming the foundation of a structured negotiation with the commissioning authority.
