Finance leadership for medical and healthcare charities
Strategic finance for UK medical research charities, patient support organisations, hospices and health charities balancing research funding, clinical services and public benefit.
Medical and healthcare charities carry unusually complex finance requirements: restricted research grants, clinical services with regulatory oversight, trading activities, capital projects and public fundraising all sitting in the same set of accounts.
Our advisors partner with UK medical and healthcare charities in the £500,000 to £2 million income range, building finance functions that give trustees, medical directors and CEOs full visibility across every income stream and service line.
Common finance challenges in this sector
These are the recurring pressures we see when we speak with leaders of medical & healthcare charities.
Complex restricted fund accounting across research grants and appeals
Clinical or patient service costing and cost recovery from the NHS or commissioners
Regulatory and clinical governance requirements sitting alongside charity governance
Multiple income streams (grants, donations, trading, contracts) that need clear reporting
Capital projects, medical equipment and long-life asset accounting
Reporting to medical trustees who need clarity without accounting jargon
How our advisors lead the response
ICAEW-chartered, KPMG-trained advisors with commercial finance and international experience, embedded in the way your sector actually operates.
Restricted fund and grant accounting
Clean tracking of research grants and appeals, with donor-ready reports that reconcile to the general ledger.
Service and programme costing
Costing models for clinical or patient services so leadership can see which activities are financially sustainable.
Governance and compliance
Charities SORP, the 2026 transition, Charity Commission returns and support with clinical or medical trustee reporting.
Trading subsidiary and Gift Aid
Advice on trading subsidiaries, Gift Aid on donations and VAT positions common in the healthcare sector.
Board and medical trustee reporting
Clear, non-technical board packs that help medical and lay trustees make confident financial decisions.
Sector-aware finance leadership
A senior finance partner who understands research funding, patient services and the pressures of a medical charity.
What changes for you
- Clear visibility over research, clinical and fundraising income streams
- Confident trustee reporting on restricted funds and reserves
- Cleaner grant reporting for medical research funders
- A finance function that scales as your research or service portfolio grows
Bring clarity to your medical charity's finances
Book a discovery call with Carl Wakeford ACA and see how a specialist finance partner can strengthen your reporting, governance and confidence.
No sales. No pressure. A 30-minute conversation with Carl Wakeford ACA.