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Care Home Monthly Accounting: Are Payment Runs Included?

Two proposals, the same monthly fee, and neither one says who actually pays your suppliers. Here is how to tell what a payment run really covers, and what stays your job as director, before you sign.

Last updated: 8 November 2026
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A care home monthly accounting fee usually covers preparing the payment run, not releasing the money. The accountant gathers supplier invoices, codes and matches them, and hands you a payment list ready to authorise, but approving and releasing each payment stays with you as director unless the proposal says otherwise in writing. So the honest answer to "are payment runs included" is almost always "the preparation is, the authorisation is not", and the job before you sign is to make the proposal say exactly which.

K By Kris Nick, Account ManagerReviewed and signed off by a senior qualified accountant on the LOYALS team
9 min read

Are payment runs included in a monthly fee?

Usually only the preparation, not the payment itself. When a care home proposal quotes a monthly figure for "accounting" or "bookkeeping and management accounts", it almost always means the firm will get your supplier invoices into order and hand you a payment list, not that it will log into your bank and pay anyone. That distinction is easy to miss when two quotes look the same on price, and it is exactly where homes get caught: they assume payment is handled, the fee covers preparation, and nobody is clear who presses the button each week.

So the question to ask is not "is it included" but "which part is included". A good proposal from a care home accountant names the prepare step, the approve step and the release step separately and tells you who owns each. This guide sets out what a payment run actually is, what a monthly fee should and should not cover, and the short list of things to pin down in writing before you commit. Start with what the phrase really means.

What counts as a payment run?

A payment run is the regular cycle of settling what your home owes its suppliers. In a care home that means the agency staff invoices, the food and catering accounts, pharmacy, laundry, maintenance, utilities and the dozens of smaller bills that arrive through the month. The accountant collects them for the period, checks each one against the order and the delivery, codes it to the right account, and builds a dated list of what is due to whom. That prepared list is the output of the run. What happens next, approving it and sending the money, is a separate act, and in most homes it should stay on your side of the line.

The picture below is the one to hold in your head when you read a proposal. Three parties touch a payment run, and a monthly fee normally buys you only the first.

Who does what in a payment runIn a care home finance service the accountant prepares the supplier payment list and the backing detail, the director approves every payment run, and the bank releases the money only on that approval. Preparation is not the same as authorisation.Who does what in a payment runThree separate jobs, illustrativeYour accountantPrepares thepayment listThe directorApproves everypayment runYour bankReleases onyour approvalPreparing a payment run is not approving or releasing it.
Who does what in a care home payment run, London example: the accountant prepares the supplier payment list, you as director approve every run, and your bank releases the money only on your approval. Illustration, not client data.

Keeping these three jobs apart is not bureaucracy, it is the control that protects the home. If the same party both prepares a payment and releases it, the separation that catches a duplicated invoice or a wrong bank detail disappears. That is why a well run service hands you a payment list to check and authorise rather than quietly paying on your behalf, and why the better proposals are proud to draw the line clearly rather than gloss over it.

What a proposal should spell out

A monthly proposal should name a deliverable and an owner for every step, not leave "payments" as a single word. The table below is the shape to look for: each task in the run, who prepares it and who approves it. If a quote you are holding does not make these distinctions, that is the gap to close before you sign, because the silence usually means the work is yours to do, not theirs.

What a monthly care home service should cover on payments, and who owns each step:

Task in the payment cycleWho prepares itWho approves it
Collect and record supplier invoicesAccountantNot applicable
Match invoice to order and deliveryAccountantHome manager queries
Code each cost to the right accountAccountantNot applicable
Prepare the dated payment listAccountantDirector reviews
Approve the payment runNot applicableDirector
Release the money from the bankNot applicableDirector or signatory

Read down the "who approves it" column and you can see where the fee stops and your job starts. An accountant can prepare everything up to the payment list and set up the controls around it, but the approval and the release sit with you unless you deliberately hand that authority over, which almost no home should. The aim is a run where the preparation is off your desk and the decision stays firmly on it.

Payroll is the other half of the same monthly cycle, and agency and employed staff costs are the biggest line most homes pay. Our free take-home pay calculator shows how an hourly rate splits into pay, tax and National Insurance, so you can see the true cost sitting inside each payroll run. No signup needed.

What is included and what costs extra

The monthly fee covers the routine run, but several jobs around it are commonly charged separately, and that is fair as long as it is stated. New supplier set-up, chasing a disputed invoice, an urgent same-day payment outside the normal cycle, or rebuilding a backlog of unrecorded bills are all real work that a flat monthly figure does not usually stretch to. The problem is never that these cost extra, it is finding out they do halfway through a crisis. The table below separates what belongs in a standard monthly run from what you should expect to see quoted on top.

Typically in the monthly run, and typically commissioned separately:

WorkIn the monthly fee?Why
Routine weekly or fortnightly payment runUsually yesThe core recurring deliverable
Coding and matching normal supplier invoicesUsually yesPart of preparing the run
Setting up a brand new supplierOften yes, within reasonLight if occasional, flagged if frequent
Chasing or disputing a supplier invoiceSometimes extraOpen-ended, depends on the case
Urgent same-day payment outside the cycleOften extraBreaks the batched routine
Clearing a backlog of unrecorded billsSeparate projectOne-off clean-up, not routine

None of this should be a surprise on an invoice. Ask for the boundary in writing: what counts as a normal run, how many new suppliers a month is "within reason", and what triggers an extra charge. The management accounts service we run for care homes sets this out at the start, because an owner who knows where the line sits never has the awkward conversation later.

What we check first at LOYALS When a home moves its finance work to us, the first thing we pin down is not the price, it is who presses the button on payments. More than once we have taken on a home where the old arrangement left that genuinely unclear: the previous bookkeeper thought the manager approved, the manager thought the bookkeeper paid, and a supplier went three weeks unpaid while each waited for the other. The fix is dull and permanent, a named approver, a set payment day and a list that gets signed off before anything leaves the account. Clarity on who releases the money prevents more problems than any clever reporting ever will.

Who has to approve the payments?

As director, you do, and that is not a preference, it follows from being responsible for the company's money. The records a limited company must keep include a record of all money it spends, and the Companies Act 2006 requires day-to-day entries of all sums of money received and expended by the company. You can delegate the preparation of those entries to an accountant, but you remain the person who answers for the spending, so the approval of a payment run belongs with you. You also have to keep those records for six years from the end of the financial year they relate to, which is a good reason to want a firm that prepares the run cleanly and leaves you a proper trail.

There is one point most firms will not raise because it only bites larger groups, and it is worth knowing where your home sits. A large company must publicly report how quickly it pays its suppliers. The duty applies where a business exceeds two of three thresholds, turnover above 36 million pounds, a balance sheet total above 18 million pounds and more than 250 employees, at its last two balance sheet dates, and a caught company has to publish twice a year within 30 days of each reporting period. A single care home almost never meets this, but a group running several homes can approach the headcount figure without realising, so if you are expanding it is worth checking before the duty applies rather than after you have missed a report.

Comparing two monthly proposals and not sure which one actually handles your payments? Send me both and tell me who pays your suppliers now, and I will tell you what each quote really covers. Message Kris on WhatsApp.

How soon can they run your first cycle?

A clean handover usually takes the first month, and knowing the shape of it stops a new firm promising to pay suppliers on day two when the access is not even in place. You cannot run a payment cycle without the supplier list, the bank access arrangement and an agreed approval route, and setting those up properly is what the first few weeks are for. The timeline below is the typical sequence for a care home moving its finance work across, with the first prepared run landing in weeks three to four and the first full management accounts a month after that.

From appointment to your first payment runFor a new care home client a typical cycle runs from signing the engagement and agreeing who approves payments in week one, through agent authority and opening data, to the first prepared payment run in weeks three to four that the director approves and releases, and the first management accounts in month two.From appointment to yourfirst payment runIllustrative timeline for a new care homeclient1Week 1: sign the engagementAgree the scope and whoapproves each payment2Week 1 to 2: agent authorityWe are authorised to file, youkeep the bank mandate3Week 2: opening dataSupplier list, bank access andthe approval route set4Week 3 to 4: first paymentrunWe prepare it, you review,approve and release5Month 2: first managementaccountsPayments, payroll and positionreported togetherIllustration, not client data. Your datesdepend on your records.
Appointment to first payment run for a UK care home, London example: engagement and approval route agreed in week one, agent authority and opening data through week two, the first prepared run in weeks three to four, and first management accounts in month two. Illustration, not client data.

The slowest part is almost always your own records, not the accountant. If supplier statements are up to date, bank access is clear and someone can say who approves payments, the first run can be early in the schedule. If the bills are in a drawer and nobody is sure which account pays what, expect the clean-up to come first, and expect it to be quoted as the separate project it is. Either way, a firm that maps this out before you sign is one that has done it before.

Before you sign: pin down the scope

Our position, after running monthly finance for care homes across London, is plain: never accept "payments" as a single line in a proposal. Make it name who prepares the run, who approves it, who releases it and how often, and get the extras, new suppliers, disputes, urgent payments and any backlog clean-up, written down with a price or a clear "included". A monthly fee that reads this clearly is usually a firm that has run care home payments properly before; one that waves the question away is telling you the detail will arrive later, on an invoice. The checklist below is the one we hand owners weighing a proposal.

Payment run service scope template

Hold a monthly proposal against this before you sign. It is the order we use when we scope a care home finance service.

  • Does the fee name a payment run at all, or only "bookkeeping" and "management accounts"?
  • Who prepares the payment list, and how often, weekly, fortnightly or monthly?
  • Who approves each run, and is it clearly you or a named signatory, not the accountant?
  • Who releases the money, and does anyone other than the home ever hold payment authority?
  • Are coding, matching and normal supplier set-up inside the fee?
  • What is charged extra: disputes, urgent payments, new suppliers above a limit?
  • Is clearing any existing backlog of unrecorded bills quoted as a separate project?
  • Will the run leave you a clean record of every payment for your six-year company records?

Comparing monthly proposals is the kind of job that gets squeezed between a staffing rota and a care inspection, which is exactly when the payments question gets waved through. This is one part of what a specialist care home finance team takes off your desk: we read the proposals with you, make the payment scope explicit, and run the prepared payment cycle each month so the only thing left on your side is the approval you should keep. It sits inside the wider monthly finance function we run for homes once the admin outgrows the office. LOYALS is a King's Cross firm of accountants and business consultants working with care providers across London.

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Here is how the three common ways of handling care home payment runs actually compare:

What the payment run needs Keep it in-house Generic accountant LOYALS specialist
Names who prepares, approves and releases โœ— Often left unclear โ— If you ask โœ“ Set at the start, in writing
Prepares the run off your desk each cycle โœ— Ties up the office โ— Sometimes โœ“ Weekly or fortnightly run
Keeps approval and release with the director โœ“ โ— Varies โœ“ Control kept with you
States what is extra: disputes, urgent payments โœ— โœ— Found out later โœ“ Priced up front
Leaves a clean six-year payment record โ— Depends on the office โœ“ โœ“ Part of the monthly service

This is why care homes comparing monthly proposals move the payment run to a specialist who names every step and keeps the approval with the owner.

What this typically costs at LOYALS

  • Care homes, nursing homes and small groups (bookkeeping, payment run preparation, payroll and management accounts): ยฃ795 to ยฃ1,995 a month
  • Care Finance Department (full finance function with funder reporting and management accounts): ยฃ1,495 to ยฃ2,495 a month
  • Structure and Tax Review or a one-off backlog clean-up: from ยฃ750 one-off, credited against your first month

All fees exclude VAT and are fixed for twelve months. Quotes are issued in writing within 24 hours after a 15-minute call, and we do not take on ongoing work below ยฃ500 a month. See full price list.

Frequently asked questions

Does a care home monthly accounting fee include paying suppliers?+
Usually it covers preparing the payment run, not releasing the money. A typical monthly fee buys the preparation work: gathering supplier invoices, coding and matching them, and handing you a payment list ready to authorise. Approving and releasing the payment stays with you as director unless the proposal says in writing that the accountant holds payment authority, which is rare and should be priced and controlled separately.
What is a payment run in a care home finance service?+
It is the regular cycle of settling supplier bills. The accountant collects the invoices for the period, checks them against orders and delivery, codes them to the right accounts, and prepares a dated list of what is due to whom. That prepared list is then approved by the director and released through the home's own bank. Preparation and authorisation are two separate jobs, and a proposal should say which it is buying you.
Can my accountant approve payments for my care home?+
Only if you give them that authority in writing, and most homes should not. As director you are responsible for the company's money and for keeping a day-to-day record of all sums paid out, so approval normally stays with you. An accountant can prepare the run and set up controls, but letting a third party both prepare and release payments removes the separation that protects the home from error and fraud.
What should a monthly care home accounting proposal spell out about payments?+
It should name who prepares the payment run, who approves it, who releases it, and how often. It should also say whether supplier queries, new supplier set-up and one-off urgent payments are included or charged separately. If the proposal only says management accounts and payroll, assume the payment run is not included and ask for it to be added in writing before you sign.
Does my care home have to report how quickly it pays suppliers?+
Only if it is a large company. The duty to report payment practices applies to companies that exceed two of three thresholds, turnover above 36 million pounds, balance sheet total above 18 million pounds and more than 250 employees, at their last two balance sheet dates. Most single care homes fall well below this, but a larger group can be caught and must publish twice a year within 30 days of each reporting period.
How long does it take an accountant to start running our payment cycle?+
A clean handover usually runs over the first month. Week one is the engagement and agreeing who approves payments, the first two weeks set up agent authority while you keep the bank mandate, the first prepared payment run lands in weeks three to four, and the first management accounts follow in month two. Your own dates depend on how complete your supplier records and bank access are at the start.
K

Kris Nick, Account Manager

Kris is the account manager and day-to-day point of contact for LOYALS clients, working alongside our team of qualified accountants and experienced finance professionals across care, hospitality and construction. Open Mon to Sat 10am to 7pm.

Message Kris on WhatsApp

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