Care Home Accountants in Nottingham
Written and reviewed by the Care Home Accountants editorial team. Last reviewed 28 July 2026.
Nottingham sits at the centre of an East Midlands care market that spans the city and the wider county, with Nottingham City Council and Nottinghamshire County Council setting different fees for a placement. An owner whose homes straddle that boundary, or who draws funded residents from both, is running on more than one rate. We keep the accounts, payroll and VAT for residential homes, nursing homes and home care agencies across the area, on a fixed national fee.
We are a remote practice, and Preetesh Parmar FCCA at Tidy Money Ltd handles your numbers. The decisions that determine whether a Nottingham home makes money, staffing cost, occupancy and the council fee against the cost of a bed, are worked from the figures, and those we can do wherever you are.
The Nottingham and East Midlands Care Sector
Nottingham has a strong life sciences, digital and retail head-office economy, and care operators recruit from the same labour pool, which keeps pressure on wages. For a home funded largely on council rates that pressure is the central threat to margin, because the fee moves slower than the wage bill. Home care agencies covering the city and the surrounding county carry real travel cost between calls, which needs to be costed properly rather than assumed away.
We keep those numbers current monthly. Welfare care is exempt from VAT, so a correct accounts and VAT treatment protects you from losing money on irrecoverable tax, and our care home accounting service is built around the exemption rather than a generic template.
Nottingham City Council Care Home Fee Rates
Nottingham City Council and Nottinghamshire County Council each set the fee they will pay for residential and nursing placements, and those figures differ. For a city home the city council's rate is the main driver of income; for a home out in the county it is the county council's. An owner with homes in both is running two price lists, and the annual uplift each announces rarely keeps pace with the real cost of the beds.
We build the funder mix into your management accounts so the effect of each council's rate is visible. The capital thresholds that decide when a resident becomes council-funded, £23,250 and £14,250, are England figures and apply across the East Midlands, so you can plan for a resident's change of funding rather than absorb it as a surprise.
Care Homes From Beeston to Mansfield
We act for owners in the Lace Market and the Creative Quarter and out into Beeston, Derby, Mansfield, Loughborough and Newark. There is no office behind that reach, because the work is remote and the fee does not change with the location. A Mansfield operator and a Lace Market operator get the same person and the same price.
For owners looking at acquisition or exit, the reliefs that reduce the tax on a care home sale are national, so an East Midlands deal follows the same route as one anywhere. Our buying or selling a care home service handles the tax and the timing, and the earlier we are involved the more we can do.