Simplify Your Payroll Today
Simplify Your Payroll Today
  • About

More Than a Payroll Provider

Speak to our team today
  • Overview

At Dootsons, we specialise in payroll outsourcing for healthcare. With over 20 years of experience , including 16 focused on NHS payroll , we understand the challenges faced by GP practices, care homes, dental groups, and primary care networks.

20+

Years of Payroll Expertise

CIPP

Qualified Professionals

NHS

Payroll Specialists

Trusted

by Healthcare Providers Nationwide

  • What We Do

Designed for Healthcare

From complex pension schemes to multi-site compliance, healthcare payroll needs more than a standard solution. Our flexible platform integrates with your systems, automates admin, and lets you manage payroll by exception to save time and reduce risk.

Streamline Payroll Management

Accurate, compliant payroll tailored for GP practices and care providers—on time, every time.

Manage Staff Effortlessly

Track schedules, manage shifts, and keep your team organised in one place.

Empower Managers Anywhere

Access staff data, approve requests, and make decisions on the go.

Empower Managers Anywhere

Access staff data, approve requests, and make decisions on the go.

Streamline Payroll Management

Accurate, compliant payroll tailored for GP practices and care providers—on time, every time.

Manage Staff Effortlessly

Track schedules, manage shifts, and keep your team organised in one place.

Empower Managers Anywhere

Access staff data, approve requests, and make decisions on the go.

Empower Managers Anywhere

Access staff data, approve requests, and make decisions on the go.

  • Meet the Founders

Led by Experience

Instant Payslip Access

Howard Livsey

Howard Livsey is an experienced Payroll Project Manager and Consultant with over 20 years in payroll, including 16 years with a focus on the NHS. He has deep knowledge of NHS payroll, particularly the complexities of the NHS Pension Scheme, and has supported NHS organisations of all sizes in navigating payroll challenges from day to day operations to mergers and TUPE events.
Beyond healthcare, Howard has led payroll transformation across consultancy, manufacturing, financial services, government, and technology. He has delivered multi country payroll system implementations with global vendors including Workday, ADP, and Sage, and helped organisations optimise operations for compliance, efficiency, and employee experience.
Throughout his career, Howard has combined hands on payroll expertise with strategic project leadership. His background includes vendor management, risk and compliance, stakeholder engagement, and leveraging integrations and APIs to drive accuracy and efficiency. He has advised both UK government bodies and international businesses on payroll strategy, vendor selection, and operating model design.
Passionate about travel, football, and the outdoors, Howard brings both technical expertise and strategic insight to help organisations modernise payroll and unlock real business value.
Direct Query Management

Howard Livsey

Howard Livsey is an experienced Payroll Project Manager and Consultant with over 20 years in payroll, including 16 years with a focus on the NHS. He has deep knowledge of NHS payroll, particularly the complexities of the NHS Pension Scheme, and has supported NHS organisations of all sizes in navigating payroll challenges from day to day operations to mergers and TUPE events.
Beyond healthcare, Howard has led payroll transformation across consultancy, manufacturing, financial services, government, and technology. He has delivered multi country payroll system implementations with global vendors including Workday, ADP, and Sage, and helped organisations optimise operations for compliance, efficiency, and employee experience.
Throughout his career, Howard has combined hands on payroll expertise with strategic project leadership. His background includes vendor management, risk and compliance, stakeholder engagement, and leveraging integrations and APIs to drive accuracy and efficiency. He has advised both UK government bodies and international businesses on payroll strategy, vendor selection, and operating model design.
Passionate about travel, football, and the outdoors, Howard brings both technical expertise and strategic insight to help organisations modernise payroll and unlock real business value.

Talk to our team today and see how Dootsons can make payroll outsourcing effortless, compliant, and built around your organisation.

Speak to the Dootsons Team Today
  • Testimonials

What Our Customer Say

Trusted by teams who count on us every day
has completely transformed how we payroll and admin. It s smooth, and frees up valuable time every
lizabeth Chanel
lizabeth Chanel2/2024
Since moving to Dootsons, payroll has gone from a stressful monthly task to something we barely think about it just gets done, accurately and on time. The team is incredibly responsive and always happy to help, no matter how small the query.
Julie K
Julie KPractice Manager
We ve tried other providers in the past, but nothing compares to the level of service and support we get from Dootsons. The client portal is intuitive, our staff love having access to their own records, and it s saved us hours every week.
John Doe
John DoeCEO
Dootsons truly understabusy healthcare environmcompliance alerts to conteverything is designed toeasier. Having one dedicawe re never passed aroun
Sharon P
Sharon PBusiness Manage
  • FAQs

Frequently Asked Questions.

Got questions? We ve answered the ones we hear most often.
Who do you work with?

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Do you handle NHS pensions and HMRC submissions?

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Can you help with onboarding new staff?

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Is your client portal secure?

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What s included in your service?

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How do I get started?

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Can I speak to a real person?

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