NHS Prescription Reconciliation
Automated matching of dispensed items against FP34c claims to ensure every penny of your professional fees and drug reimbursements is accounted for.
Our Expertise
Structured bookkeeping for landlords, portfolios, and property operators who need cleaner records and better visibility by asset or activity.
Bookkeeping support for hospitality operators managing daily takings, supplier costs, staffing, VAT, and margin visibility across busy trading periods.
Hospitality Industry
Trading records and margin visibility for hospitality businesses
Cafe & Coffee Shop
Daily sales, supplier spend, and seasonal cashflow
Restaurant
Food costs, service takings, and VAT-ready records
Bar & Pub
Stock, tills, staffing costs, and cash controls
Takeaway & Delivery
Platform fees, delivery revenue, and payout reconciliation
Catering
Event deposits, supplier costs, and project profitability
Bookkeeping support for technology businesses dealing with recurring revenue, contractor costs, cloud tools, product investment, and fast-moving operating spend.
Technology Industry
Structured records for digital and technology-led businesses
SaaS
Recurring revenue, subscriptions, and software spend
Startup
Investor-ready records and controlled growth spend
Software Agency
Project income, contractor costs, and delivery margins
App Developer
App income, platform fees, and product costs
AI & Automation
Tooling costs, project revenue, and automation services
Fintech
Operational controls and clear financial reporting
IT Consultant
Consulting income, retainers, and software overheads
Bookkeeping support for healthcare businesses balancing patient income, practitioner costs, supplies, compliance admin, and practice overheads.
Medicine & Healthcare Industry
Clean records for healthcare operators and clinical teams
Therapist
Session income, room costs, and simple practice records
Private Clinic
Practice income, supplier costs, and overhead visibility
Dentist
Treatment revenue, lab bills, and supplier controls
Care Home
Resident fees, staffing costs, and supplier spend
Pharmacy
Stock, supplier accounts, and regulated retail income
Veterinary
Treatment income, stock, and practice overheads
Aesthetic Clinic
Treatment margins, product spend, and clinic costs
Bookkeeping support for retailers managing stock, payment channels, seasonal trading, marketplace fees, VAT, and margin reporting.
Retail Industry
Sales, stock, and margin clarity for retail businesses
Brick & Mortar
Till reconciliation, stock movement, and shop overheads
E-commerce
Online store payouts, app spend, and VAT-ready records
Amazon & Marketplace
Settlement reports, platform fees, and channel sales
Pop-up & Seasonal
Short trading windows, temporary stock, and cashflow
Wholesale
Bulk orders, trade accounts, and stock cost visibility
Navigating the complexities of NHS reimbursements, drug cost volatility, and VAT splits shouldn't feel like a prescription for stress. We bring clarity to your clinical books.
Automated matching of dispensed items against FP34c claims to ensure every penny of your professional fees and drug reimbursements is accounted for.
Real-time analysis of manufacturer price shifts and Category M clawbacks to protect your dispensing margins from market volatility.
Accurate retail vs. medical supply splits using the partial exemption method.
Optimising stock days to free up cash flow without risking patient safety.
Forecasting your Pharmacy’s next 12 months based on reimbursement lags and seasonal demand spikes.
The NHS Reimbursement Cycle is essentially the "payment rhythm" of your pharmacy. It can be confusing because you aren't paid immediately for the work you do today.
You give a patient medicine in January. You record this and send your claim to the NHS BSA at the start of February.
The NHS pays you an "advance" in March. This is an estimate based on what they think you dispensed.
In April, the NHS finishes counting exactly what you dispensed in January and pays (or deducts) the difference. This two-month lag is what we help you manage.
Join the leading independent pharmacies across the UK who trust Earthen Silk for their specialised bookkeeping needs.