Career Axis Training & Recruitment
Industry guide

Accounts jobs in healthcare & social care

Care homes, clinics and NHS organisations need reliable finance support. Large shift-based workforces, regular invoicing and tight budgets make payroll and accounts roles important.

Finance work in healthcare & social care

Entry-level roles

  • Payroll Administrator£27k
  • Finance Assistant£27k
  • Accounts Assistant£27k
  • Credit Controller£27k

Typical full-time UK figures

Why this sector

What makes finance work different here

Healthcare employers often have staff working different patterns across many locations, so payroll accuracy directly affects people's lives.

Care providers also need to invoice and follow up payments carefully. Finance staff handle sensitive information, so discretion matters.

What the work involves

  • Processing pay for shift-based staff
  • Invoicing care or service fees
  • Recording receipts
  • Following up overdue accounts
  • Supporting budget reports
  • Answering pay or finance queries
Roles we train for

Entry-level jobs in healthcare & social care

Typical full-time UK figures, rounded. Pay varies by employer, location and experience. Sources: National Careers Service, AAT, PayScale and Prospects, checked November 2026.

Typical salary

£27k

Payroll Administrator

Also called Payroll Assistant or Payroll Officer

Processes pay for care and healthcare staff.

Typical salary

£27k

Finance Assistant

NHS adverts may use bands, such as Band 3

Supports invoices, payments and general finance tasks.

Typical salary

£27k

Accounts Assistant

Also called Care Home Accounts Assistant

Handles fee invoices, receipts and reconciliations.

Typical salary

£27k

Credit Controller

Also called Fees Administrator

Follows up unpaid fees and customer accounts.

What job adverts ask for

Common requirements in UK healthcare & social care adverts. They vary by employer.

  • Payroll accuracy and attention to detail
  • UK payroll experience for many payroll roles
  • Excel skills
  • Confidentiality
  • A DBS check for some roles in care settings

Software you may use

Systems differ, but the accounting tasks carry across.

Sage PayrollBrightPaySage 50Excel
Sector basics

Useful things to know

A short introduction, not legal or tax advice. Rules can change, so check the sources below.

01

Minimum wage

From April 2026, the National Living Wage for workers aged 21 and over is £12.71 an hour. Rates usually change each April.

02

Irregular-hours holiday

Holiday for irregular-hours and part-year workers can build up at 12.07% of hours worked in a pay period, in leave years starting from 1 April 2024.

03

Health VAT exemption

Some medical services are VAT exempt when they are within a registered professional's profession and mainly protect, maintain or restore health.

How we help

Get ready for these roles

Our payroll and accounts courses build the core skills these roles use, including payroll software, reconciliations and Excel. We can introduce pay rules that often matter in shift-based settings. NHS systems and employer-specific processes are learned in the role.

Later on: With experience, people can move into senior payroll, finance officer or management accounts roles.

Bookkeeping & VAT Practical TrainingAccounting100 hrs

Beginner

Bookkeeping & VAT Practical Training

Develop practical skills in bookkeeping, VAT, financial transactions and record management, giving you the knowledge and confidence to support day-to-day accounting and finance operations.

XeroQuickBooksSage 50
⏱ 12–16 weeks· Job support
Advanced Payroll TrainingAccounting100 hrs

Intermediate

Advanced Payroll Training

Develop advanced payroll skills in processing, compliance, tax, National Insurance and payroll software to confidently manage accurate payroll operations.

Sage PayrollBrightPayQuickBooks Payroll
⏱ 2–4 weeks· Job support
Accounts Assistant TrainingAccounting100 hrs

Beginner

Accounts Assistant Training

Build practical accounts skills covering financial records, invoices, payments, reconciliations and essential accounting processes for the workplace.

XeroSage 50QuickBooks
⏱ 3–4 months· Job support

Do you employ a finance team in healthcare & social care?

We offer group bookings and can tailor training to your team.

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Quick answers

Accounts jobs in healthcare & social care: FAQs

Can't find your answer? Our consultants usually reply on WhatsApp within an hour, Monday to Saturday.

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Do I need a DBS check for a finance job in care?+

Some care employers ask for one, depending on the role and setting. Check each job advert.

What does NHS Band 3 mean for finance jobs?+

It is a pay band used in NHS adverts. Some finance assistant roles are listed at Band 3, but this varies by employer and role.

Is payroll a good route into healthcare finance?+

It can be. Healthcare employers need accurate payroll, and adverts show regular demand for payroll staff, although many ask for previous experience.

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