
Accountably Aesthetics is our specialist service, supporting practitioners and clinics across the UK with accounts, VAT, tax, bookkeeping and business support.

Accountably Aesthetics is our specialist service, supporting practitioners and clinics across the UK with accounts, VAT, tax, bookkeeping and business support.

Running an aesthetics practice means giving your patients the best possible care
while also making confident decisions about the business behind it.
With over 20 years’ experience in the specialist field of accountancy for medical aesthetics, Jonathan brings the depth of knowledge needed to support your clinic with confidence.
He can support you in the complex area of VAT in aesthetics as the interaction of the VAT medical exemption can be difficult to navigate.
Accountably Aesthetics supports:

Running an aesthetics practice means giving your clients the best possible care while also making confident decisions about the business behind it.
Accountably Aesthetics supports:
Aesthetics businesses bring their own financial considerations.
We understand the sector and the decisions that often arise as a practice develops.
Support with choosing and
reviewing the right structure for
your practice.
Clear accounts and useful financial information to support confident decisions.
Practical planning to help you look ahead and manage the financial side of the business.
Advice around significant purchases
and how they may affect
your business.
Support with payroll,
staffing and the financial side of expansion.
Guidance that reflects the
specific VAT questions that can
arise within aesthetics.

VAT can be one of the most misunderstood areas for medical aesthetics clinics.
Not every treatment is treated the same way for VAT. Some income may be taxable, while some treatments may fall under the medical exemption if the conditions are met. This means your bookkeeping needs to separate the right information clearly, so your taxable turnover can be monitored.
Accountably helps aesthetic practitioners and clinics understand what needs to be recorded, how different categories of income should be handled, and when VAT registration or partial exemption may need to be considered.
Practical support for aesthetics professionals
Jonathan has worked closely with aesthetics practitioners and clinics for many years, developing a strong understanding of the financial, tax and business issues specific to the sector.
Speaking and industry guidance
He has spoken for the British Association of Medical Aesthetic Nurses - BAMAN, as well as at ACE and CCR, sharing practical guidance with both new and established practitioners.
A background rooted in medical aesthetics
His connection with the sector began through his mother, Liz Bardolph who was one of the founders of the British Association of Cosmetic Nurses and ran her own medical aesthetics business. That early insight has since been built on through years of direct professional experience.
Practical support for aesthetics professionals
Jonathan has worked closely with aesthetics practitioners and clinics for many years, developing a strong understanding of the financial, tax and business issues specific to the sector.
Speaking and industry guidance
He has spoken for the British Association of Medical Aesthetic Nurses - BAMAN, as well as at ACE, SIAB and CCR, sharing practical guidance with both new and established practitioners.
A background rooted in medical aesthetics
His connection with the sector began through his mother, Liz Bardolph who was one of the founders of the British Association of Cosmetic Nurses and ran her own medical aesthetics business. That early insight has since been built on through years of direct professional experience.




"We’ve had a fantastic experience working with Accountably.
As a medical aesthetics clinic, it was really important for us to have accountants who truly understand the industry, particularly the complexities around VAT, and their expertise in this area has been invaluable.
Amanda has been an incredible support to our team, particularly with our bookkeeping and payroll support. She is always approachable, knowledgeable, and takes the time to guide and explain things clearly, which has made a real difference in helping us feel confident and in control of our finances.
Greg and Jonathan have also been brilliant. They have a real ability to break things down in a way that feels clear and manageable, especially for those of us who aren’t from an accounting background.
As a team, they make us feel completely supported and reassured that everything is being handled properly. It gives us real peace of mind knowing that nothing is missed and all deadlines are taken care of. We feel very lucky to be working with them and would highly recommend Accountably to anyone looking for expert, reliable and genuinely supportive accountants."
Helen Hunt Medical Aesthetics
"We’ve had a fantastic experience working with Accountably.
As a medical aesthetics clinic, it was really important for us to have accountants who truly understand the industry, particularly the complexities around VAT, and their expertise in this area has been invaluable.
Amanda has been an incredible support to our team, particularly with our bookkeeping and payroll support. She is always approachable, knowledgeable, and takes the time to guide and explain things clearly, which has made a real difference in helping us feel confident and in control of our finances.
Greg and Jonathan have also been brilliant. They have a real ability to break things down in a way that feels clear and manageable, especially for those of us who aren’t from an accounting background.
As a team, they make us feel completely supported and reassured that everything is being handled properly. It gives us real peace of mind knowing that nothing is missed and all deadlines are taken care of. We feel very lucky to be working with them and would highly recommend Accountably to anyone looking for expert, reliable and genuinely supportive accountants."
- Helen Hunt Medical Aesthetics
Every aesthetics business develops differently.
Some begin alongside other clinical work, while others are already established clinics with teams, premises and plans for further growth.
Accountably provides support that reflects where your business is now and where you want it to go.
Support with the accounts, tax and systems needed to build strong foundations.
Practical guidance as you invest in equipment, review your structure or expand the services you offer.
Ongoing support as your clinic, team and financial responsibilities develop.
Support based on the services and level of involvement your business needs.
A straightforward understanding of what Accountably will handle and what information we will need from you.
Relevant support when decisions, changes or future plans need to be considered.
It is a question many aesthetics practitioners ask, and there is no one-size-fits-all answer. The best structure will depend on factors such as your profits, other income, how much you need to take from the business, your plans for growth and the level of responsibility involved. Jonathan and the Accountably team can compare the practical and financial differences with you, so you understand the options and can make a decision based on your own circumstances rather than a general rule.
Here’s a simple guide to when sole trader status may still be the best fit and when it might be time to consider a limited company.
Sole trader status may be the better fit
if your business is smaller, part-time, still developing or
if limited company compliance
costs would outweigh the benefit.
This may apply if:
A limited company can offer tax benefits and protection, but it also comes with more responsibilities and costs. It’s worth exploring if your business is changing.
This may apply if:
Not sure which structure is right for you? We can look at your situation and explain your options clearly,
so you are not relying on guesswork or general advice that may not apply to your business.
Whether you are an individual practitioner, an established limited company or a growing clinic, we can talk through the support you need and whether Accountably is the right fit.
You don’t need to have everything perfectly organised
before you speak to us.
Start with where you are,
and we’ll help you understand your options clearly.
Tell us about your practice.
Let us know where your business is now and what support you are looking for.
We’ll talk through your needs
Jonathan will ask the right questions and explain where Accountably may be able to help.
Move forward with clarity
You’ll understand the next steps, where we can help,
and what happens from here.