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