Starting a care agency in the UK presents a valuable opportunity to provide essential services while building a sustainable business. However, navigating the financial and regulatory landscape can be challenging for new care providers. From registering with multiple authorities to setting up proper accounting systems, the process requires careful planning and expert knowledge. This comprehensive guide focuses on the accounting, payroll, and compliance aspects of establishing a care agency, helping you build a solid financial foundation for your business.

Essential Registration Steps to Start a Care Agency UK
Before you can begin providing care services, you must complete several registration processes with different UK authorities. Each registration serves a specific purpose and requires different documentation. Understanding these requirements from the start will help you avoid delays and compliance issues.
Companies House Registration
The first step in establishing your care agency is registering your business structure with Companies House. This process varies depending on whether you’re setting up as a sole trader, partnership, or limited company.
Companies House registration is the first step in establishing your care agency’s legal structure
- For a limited company, you’ll need to provide company name, registered address, director details, and information about shares and shareholders
- Registration fee
- Processing typically takes 24 hours online or up to 8-10 days by post
- You’ll receive a Certificate of Incorporation and your company number upon successful registration
HMRC Registration
Registering with HMRC is crucial for tax compliance. You must register within three months of starting your business to avoid penalties. For care agencies, this involves:
- Registering for Self Assessment if you’re a sole trader or partnership
- Registering for Corporation Tax if you’re a limited company
- Setting up as an employer for PAYE (Pay As You Earn) to manage staff payroll
- Considering VAT registration (mandatory if your taxable turnover exceeds £85,000)
CQC Registration Process
The Care Quality Commission (CQC) regulates health and social care services in England. Registration with the CQC is a legal requirement before you can provide care services.
The CQC registration process involves:
- Completing a detailed application form with information about your services, premises, and staff
- Providing a Statement of Purpose outlining your care philosophy and service details
- Submitting policies and procedures that demonstrate how you’ll meet CQC standards
- Nominating a Registered Manager with appropriate qualifications
- Paying registration fees (which vary based on the size and type of service)
- Undergoing DBS checks for key personnel
The CQC registration process can take 8-12 weeks, so plan accordingly and start this process early.
Need help with your CQC registration?
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Financial Setup for Your Care Agency
Establishing robust financial systems from the start is essential for any care agency. Proper accounting practices not only ensure compliance but also provide valuable insights for business decisions and growth planning.
Setting Up Payroll for Carers
Care agencies typically employ numerous staff, making payroll management a significant responsibility. Setting up an efficient payroll system is crucial for both compliance and staff satisfaction.

Key considerations when setting up payroll for your care agency include:
- Registering as an employer with HMRC to get your PAYE reference number
- Choosing between manual payroll, HMRC’s free Basic PAYE Tools, or commercial payroll software
- Setting up systems to track variable hours, especially for zero-hour contracts
- Implementing processes for handling National Minimum Wage compliance
- Establishing procedures for managing sick pay and holiday pay
- Creating systems for recording and paying travel time between client visits
PAYE Implementation and Management
The PAYE (Pay As You Earn) system is how you collect Income Tax and National Insurance from your employees. For care agencies, proper PAYE management is essential due to the often complex working patterns of care staff.
- Collect and maintain accurate employee information including their tax code
- Calculate deductions for Income Tax and National Insurance contributions
- Report payments and deductions to HMRC on or before each payday
- Pay HMRC the tax and National Insurance you’ve deducted from employees
- Keep detailed records of payments, deductions, and reports
- Issue P60 forms to employees at the end of each tax year
Workplace Pensions Compliance
Under auto-enrolment legislation, care agencies must provide a workplace pension scheme for eligible employees. This is a legal requirement with significant penalties for non-compliance.
To comply with workplace pension regulations:
- Identify eligible employees (aged 22 to State Pension age, earning at least £10,000 per year)
- Choose a qualifying pension scheme (such as NEST, The People’s Pension, or NOW: Pensions)
- Automatically enroll eligible employees and make minimum contributions
- Provide information to all employees about the pension scheme
- Allow employees to opt out if they choose to
- Keep records of your pension scheme and employee status
- Re-enroll eligible employees who have opted out every three years
Struggling with payroll and pension setup?
Leader Accountancy specializes in setting up compliant payroll and pension systems for care agencies. Let us handle the complexity while you focus on providing quality care.Call 7403519290
VAT Registration and Invoicing for Care Agencies
Understanding VAT (Value Added Tax) requirements is crucial for care agencies. The VAT status of care services can be complex, with some services being exempt while others may be standard-rated or zero-rated.
VAT Registration Considerations
Care agencies need to carefully consider their VAT position, as it can significantly impact finances and pricing strategy.

- VAT registration is mandatory if your taxable turnover exceeds £85,000 in a 12-month period
- Many care services are exempt from VAT if they meet specific criteria
- Welfare services provided by a state-regulated private welfare institution are typically VAT-exempt
- Care services must be provided to individuals with specific needs due to old age, illness, or disability to qualify for exemption
- Mixed services (combining exempt and non-exempt) require careful accounting
- Voluntary registration may be beneficial even if below the threshold, allowing you to reclaim VAT on purchases
Invoicing Best Practices for Care Services
Proper invoicing is essential for cash flow management and compliance. For care agencies, invoicing practices need to account for the often complex nature of care provision.
Effective invoicing for care agencies should include:
- Clear itemization of services provided, including dates, times, and duration
- Proper VAT treatment (exempt, zero-rated, or standard-rated) for each service
- Consistent and timely billing cycles (weekly, fortnightly, or monthly)
- Multiple payment options to accommodate different client preferences
- Clear payment terms and conditions
- Professional presentation that reflects your brand
- Secure electronic delivery options for efficiency
Implementing automated invoicing systems can significantly reduce administrative burden and minimize errors, particularly for agencies with numerous clients and variable service patterns.
Care Home Bookkeeping: Essential Practices
Effective bookkeeping is the foundation of financial management for any care agency. It ensures compliance with tax regulations, provides insights for business decisions, and facilitates smooth operations.
Setting Up Your Accounting System
Choosing the right accounting system from the start will save time and prevent headaches as your care agency grows.

Consider these factors when establishing your accounting system:
- Choose between cloud-based or desktop accounting software (cloud options offer better accessibility and automatic updates)
- Select software that integrates with care management systems to reduce double-entry
- Set up a chart of accounts specific to care agencies (including categories for different types of care services)
- Implement systems for tracking care-specific expenses like DBS checks, training, and regulatory fees
- Establish processes for recording and allocating staff time across different clients
- Create systems for managing client deposits and advance payments
Record-Keeping Requirements for Care Agencies
Care agencies face specific record-keeping requirements due to the regulated nature of the industry and the complexity of service delivery.
- Maintain detailed records of all financial transactions for at least 6 years
- Keep copies of all client contracts and service agreements
- Document staff qualifications, training, and DBS check information
- Record all regulatory payments and correspondence
- Maintain evidence of compliance with CQC financial viability requirements
- Keep detailed records of care delivery to support invoicing
- Document all business expenses with supporting receipts
Get your bookkeeping right from day one
Leader Accountancy can set up care-specific accounting systems tailored to your agency’s needs, ensuring compliance and providing valuable financial insights.Book Your Free Consultation
How Leader Accountancy Supports Care Agencies
Starting and running a care agency involves navigating complex financial and regulatory requirements. Leader Accountancy specializes in supporting care businesses throughout their journey, from initial setup to ongoing compliance and growth.
Specialized Care Agency Setup Services

Our dedicated care agency setup services include:
- Advising on the most appropriate business structure for your care agency
- Handling Companies House registration and documentation
- Setting up HMRC registrations for all relevant tax schemes
- Providing financial documentation to support CQC registration
- Establishing care-specific accounting systems and processes
- Creating financial projections and cash flow forecasts
- Advising on funding options and financial planning
Ongoing Compliance and Financial Management
Beyond initial setup, we provide comprehensive support to ensure your care agency remains compliant and financially healthy.

Our ongoing services for care agencies include:
- Monthly or quarterly management accounts to track financial performance
- Payroll management including PAYE, National Insurance, and pension administration
- VAT returns and advice on VAT treatment of different care services
- Annual accounts preparation and submission
- Tax planning and compliance (Corporation Tax, Income Tax, etc.)
- CQC financial reporting support
- Business growth planning and financial strategy
Specialized Care Agency Accounting Expertise
Our team has extensive experience working with care agencies across the UK, giving us unique insights into the financial challenges and opportunities in the sector.

We understand the unique aspects of care agency accounting, including:
- Complex funding streams from private clients, local authorities, and NHS
- VAT exemptions and partial exemption calculations
- Staff cost management including travel time and mileage
- CQC financial viability requirements
- Efficient systems for managing variable care hours and invoicing
- Compliance with National Minimum Wage regulations for care workers
- Financial planning for regulatory changes and sector developments
Partner with care industry financial experts
Let Leader Accountancy handle your financial compliance while you focus on providing exceptional care. Our specialized knowledge of the care sector ensures you’ll receive relevant, practical advice.Call 07403519290
FAQs about Starting a Care Agency in the UK
What are the main steps to register a care agency in the UK?
Registering a care agency in the UK involves several key steps:
- Register your business structure with Companies House (if forming a limited company)
- Register with HMRC for tax purposes (Self Assessment, Corporation Tax, PAYE)
- Apply for CQC registration, including submitting your Statement of Purpose, policies, and procedures
- Obtain appropriate insurance (public liability, employers’ liability, professional indemnity)
- Register with the Information Commissioner’s Office (ICO) for data protection
- Set up financial systems including accounting software and payroll
The process typically takes 3-6 months from start to finish, with CQC registration often being the longest part of the process.
Do I need a business plan and accountant for CQC registration?
Yes, both are highly recommended. The CQC requires evidence of financial viability as part of their registration process. A comprehensive business plan demonstrates that you’ve thought through the financial aspects of your care agency and have a sustainable model.
An accountant with experience in the care sector can help prepare the financial projections and documentation needed for CQC registration. They can also advise on the most appropriate business structure and tax-efficient setup for your care agency.
While not explicitly required, having professional financial support significantly increases your chances of successful registration and sets your business up for long-term compliance.
What are the accounting requirements for care businesses?
Care businesses must comply with standard accounting requirements plus some sector-specific considerations:
- Maintain detailed financial records for at least 6 years
- File annual accounts with Companies House (for limited companies)
- Submit tax returns to HMRC (Corporation Tax or Self Assessment)
- Maintain payroll records and submit regular PAYE returns
- Keep detailed records of care delivery to support invoicing
- Maintain evidence of ongoing financial viability for CQC compliance
- Track different funding streams separately (private, local authority, NHS)
- Manage complex VAT considerations for different types of care services
Using care-specific accounting software and working with an accountant familiar with the sector can help ensure compliance with all these requirements.
Should a care agency be VAT registered?
VAT registration for care agencies requires careful consideration:
- Mandatory registration is required if your taxable turnover exceeds £85,000 in a 12-month period
- Many care services are exempt from VAT if they meet specific criteria (welfare services provided by a state-regulated private welfare institution)
- If all your services qualify for VAT exemption, registration may not be beneficial as you cannot reclaim VAT on purchases
- If you provide a mix of exempt and taxable services, partial exemption calculations will be necessary
- Voluntary registration below the threshold might be beneficial if you have significant VAT-reclaimable expenses
The decision should be made with professional advice based on your specific service mix and business model. An accountant with care sector experience can provide tailored guidance on the most advantageous VAT position for your agency.
How does Leader Accountancy help new care agencies stay compliant?
Leader Accountancy provides comprehensive compliance support for new care agencies:
- Setting up compliant financial systems tailored to care agency requirements
- Managing payroll and ensuring adherence to National Minimum Wage regulations
- Handling pension auto-enrollment and ongoing compliance
- Preparing and submitting tax returns and accounts
- Providing documentation for CQC financial viability assessments
- Advising on VAT treatment of different care services
- Conducting regular compliance reviews to identify and address potential issues
- Keeping you updated on regulatory changes affecting care agency finances
Our proactive approach helps prevent compliance issues before they arise, giving you peace of mind and allowing you to focus on delivering quality care services.
Start Your Care Agency on Solid Financial Ground
Establishing a care agency in the UK presents both challenges and opportunities. While navigating the complex regulatory landscape requires careful planning and expertise, the growing demand for quality care services makes this a potentially rewarding business venture.
By focusing on proper financial setup and compliance from the beginning, you can build a strong foundation for your care agency. This includes understanding registration requirements, implementing appropriate accounting systems, managing payroll effectively, and making informed decisions about VAT and other tax matters.
Working with financial professionals who understand the unique aspects of care agency accounting can significantly reduce your administrative burden and compliance risks. Leader Accountancy specializes in supporting care businesses throughout their journey, from initial setup to ongoing management and growth.
Ready to start your care agency with expert financial support?
Start your care agency on solid financial ground. Our team of specialists understands the unique challenges of care business accounting and compliance.