The archive
92 articles on GP tax planning, the NHS pension annual allowance, locum tax returns and private practice structures. Written for doctors and practice managers, and kept current against HMRC rates and NHS scheme rules.
Every article
Incorporation & Company Structures
If the final distribution is £25,000 or less, apply to strike the company off and the payment is capital under Corporation Tax Act 2010 s.1030A. Above that figure use a members' voluntary liquidation, so the distribution stays capital and Business Asset Disposal Relief at 18% is available. Test the winding-up TAAR first.
5 min read
GP Tax & Accounts
UK residence restarts for the whole tax year you come back in, and split year treatment then carves out the months before you arrived. Most returning doctors meet case 6, ceasing full-time work overseas, or case 5. You file a return with the residence pages, which HMRC's free online service will not accept.
5 min read
Private Practice
Come forward now. An unprompted disclosure of careless behaviour starts at a 0% penalty and a prompted one starts at 15%, so the letter from HMRC is what costs you money. Careless behaviour opens six years, deliberate behaviour twenty, and reasonable care only four.
5 min read
Locum Tax
You must be registered for self assessment by the 5 October that follows the tax year containing your first paid locum session. HMRC issues a Unique Taxpayer Reference, your first return is due by 31 January, and Class 4 National Insurance follows. Pension forms are separate and reach PCSE within 10 weeks.
5 min read
Locum Tax
Register for self assessment by 5 October following the tax year your first session fell in. Locum profit stacks on top of your salary, so most of it is taxed at 40% plus 2% Class 4. Pension each session within 10 weeks. At 2026/27 rates a company rarely earns its cost on part-time locum income.
5 min read
Private Practice
An optical practice makes a mixed supply. The sight test is exempt medical care, the frames and lenses are standard-rated goods, and the dispensing built into the price of a finished pair has been a separate exempt supply since 1995, provided the establishment is a section 9 body corporate, a qualified sole proprietor, or dispenses through a registered optician or staff under one's direct supervision. Fail all four and the whole supply is standard-rated. This guide covers that gateway, how a single charge is split between the elements, the choice between apportionment and separately disclosed charges, what HMRC requires of a method now that prior approval has gone, and a full apportionment worked through on illustrative figures.
8 min read
Private Practice
Half of this audience is VAT exempt and half is standard-rated. The dividing line is which statutory register you are on, and clinical similarity between the two groups counts for nothing. This guide sets out which allied-health professions are named in VAT Notice 701/57, which therapy professions are excluded from the exemption because no statutory register exists for them, what crossing the £90,000 threshold does to a standard-rated practice, and the two conditions that can take a registered practitioner outside the exemption anyway.
6 min read
Private Practice
A veterinary practice is a commercial business with no NHS contract, no NHS Pension Scheme and standard-rated fees, and the question that dominates its owners' tax planning is what to do about the corporate groups that now own most of the market. This guide covers what a buyer is paying for, how the price is usually structured, how an earn-out is taxed before it is received, and what to establish before answering an approach.
8 min read
GP Tax & Accounts
Adjusted net income is the figure that decides whether a doctor keeps the personal allowance, keeps Tax-Free Childcare and the funded childcare hours, and escapes the High Income Child Benefit Charge. It is a four-step computation under ITA 2007 s.58 rather than anything printed on a payslip, and adjusted net income is a different measure again from the similarly named adjusted income used for pension purposes. This guide sets out how the figure is built, why the effective rate reaches 60 percent between £100,000 and £125,140 in 2026/27, what a doctor's own extra sessions and profit share do to it, which levers still work before 5 April and which survive the year end, and what the childcare and Child Benefit cliffs cost alongside it.
7 min read
GP Accountant Services
Healthcare accountants work only with doctors, medical practices and other healthcare professionals. This page sets out what the job actually involves, the specific questions that show whether a firm understands NHS practice income and the NHS pension, and where to read the detail for your own role.
8 min read
GP Tax & Accounts
Which maternity payment a doctor receives is decided by employment status, and a self-employed GP can be assessed at £27 a week instead of £194.32 because of a National Insurance rule that changed in 2024. This guide sets out both routes, the NHS occupational scheme, the pension consequence and what the practice can reclaim.
16 min read
NHS Pension Planning
A strategy guide for doctors facing NHS pension tax charges in 2026/27. It separates an NHS tax rebate from a refund of pension contributions and from Scheme Pays, then sets out carry forward, the taper, the Scheme Pays tests and the traps. General information for UK doctors, GPs and consultants, not personal advice.
13 min read
Medical Expenses
A doctor claiming employment expenses can do it direct through HMRC for nothing and keep the whole refund, or hand a share of it to a repayment agent for the same work. This guide sets out what you can claim yourself, what the claim is genuinely worth, how the four year window works, and where an agent adds nothing.
5 min read
Medical Expenses
How tax relief works for nurses in 2026/27 depending on whether you are employed by a trust, on a bank contract, working through an agency or genuinely self-employed. Covers professional subscriptions, what a claim is really worth, multiple tax codes, and when a nurse needs an accountant rather than a form.
8 min read
NHS Pension Planning
Opting out of NHS pension membership stops future accrual on form SD502, and a member with two or more years of qualifying membership keeps those benefits as deferred benefits payable at retirement. A refund is a separate application on form RF12, available only under two years, and it is taxed as a short service refund lump sum at 20 percent on the first £20,000 and 50 percent above. This page sets out the three things the market calls by one name, the end of first pay period deadline, what a year outside the scheme costs against what it saves, and how to rejoin at any age under 75.
8 min read
Incorporation & Company Structures
Drawing cash from your private-practice company without declaring a formal dividend creates an overdrawn director's loan account, and that triggers s455 tax: 35.75% on loans made on or after 6 April 2026, and 33.75% on loans made in 2025/26. The charge is temporary and comes back under section 458 once the loan is cleared, but the relief is deferred by up to a year. This guide covers the rate and its date band, the beneficial-loan benefit in kind above £10,000, the section 464ZA rules that block repay-and-redraw, the CT61 machinery if the company charges you interest, and the NHS pension accrual you forgo on every pound that moves through the company.
12 min read
Incorporation & Company Structures
A family investment company (FIC) is a bespoke private limited company that holds investments and does not run a medical practice. For a high-earning consultant or GP with income already in the additional-rate band and surplus wealth beyond the NHS pension, it can hold retained income at the 25% corporation-tax main rate and move future growth outside the estate. Personal income tax on the same income runs at 45%. This guide explains the tax, the share classes, the inheritance tax position after the 6 April 2027 pension change, and the settlements, minor-children, business-relief and BADR disadvantages that mean a FIC suits only doctors with genuine scale and a long-run family-wealth goal.
14 min read
Private Practice
Medico-legal and expert-witness report fees are self-employed trading income for doctors, taxed on top of NHS salary with one defining VAT feature: the reports are standard-rated, not exempt, because their primary purpose is to help a court, insurer or solicitor make a decision rather than to treat the patient. This guide covers the tax calculation (including the 60% personal-allowance taper trap for consultants between £100,000 and £125,140), why the purpose test makes reports standard-rated, how the £90,000 VAT registration threshold works when only non-exempt turnover counts, allowable expenses, a worked example for 2026/27 and the sole-trader versus company question.
12 min read
Incorporation & Company Structures
You have a private medical company and the recurring question is how to get money out of it without giving most of it away. This guide answers it for 2026/27: the directors salary that costs you nothing in NIC, what the 35.75% upper dividend rate does to your take-home, the combined effective rate on a pound of company profit, and the point at which an employer pension contribution beats a dividend outright.
11 min read
Incorporation & Company Structures
Retained profits sitting in a private-practice company are not automatically working for you. This guide sets out what retained profit is, what it costs to leave it as cash, and the main deployment routes: an employer pension contribution, dividends, investing inside the company, a family investment company, and a solvent wind-up. It carries a four-route comparison on £100,000 at 2026/27 rates, the trading-status trap that decides whether Business Asset Disposal Relief survives, the business relief position for inheritance tax, and the NHS pension point that cuts across every route.
12 min read
GP Practice Management
The Additional Roles Reimbursement Scheme is widely misread as free money for extra staff, when it is a reimbursement of defined employment costs up to a capped maximum, with real tax and VAT consequences for whoever does the employing. This guide takes the practical employer view: which roles are reimbursable, how the cap works, who can legally employ the staff and how each model changes the payroll, the NHS pension, the Employment Allowance and, most importantly, the VAT supply-of-staff question. It closes with how the reimbursement should sit in the accounts.
17 min read
GP Tax & Accounts
When a salaried or sessional GP is offered a partnership, the practical question is what you actually pay to come in, and what that money buys. This page isolates the capital buy-in itself: a contribution into the partnership capital accounts for your share of net assets, working capital and any premises share. It explains parity (working up from a reduced share to a full, equal profit share over an agreed period), and how the figure is set and valued, namely on net assets per the accounts and a surveyor or District Valuer basis for premises, never an NHS goodwill multiple. It is the money-and-mechanics page for joining, not a broad pros-and-cons of partnership.
12 min read
GP Tax & Accounts
NHS GP practice goodwill cannot be sold and has not been saleable since 1 April 2004. This guide explains the prohibition, why it exists, what actually changes hands on a partnership buy-in or buy-out, the one private exception, and why the dental goodwill playbook does not apply to GPs.
14 min read
GP Practice Management
Dispensing turns a GP practice into a business that buys and sells stock, and the accounts have to show it. This guide sets out where drug reimbursement, dispensing fees, the margin adjustment, dispensary overheads and year-end drug stock each belong in the accounts, what the Drug Tariff actually pays for, how much of a large dispensing turnover reaches practice profit, how the income is taxed and pensioned, and the one VAT point a dispensing practice owns: dispensed NHS prescription drugs are zero-rated, not exempt.
11 min read
GP Practice Management
Beyond the core Global Sum and QOF, a GP practice can earn a long tail of extra income from enhanced services: nationally directed schemes (DES) the practice can opt into, and locally commissioned services (LES) that vary by area and ICB. This guide explains what these streams are, who commissions them and how to weigh whether a service is worth signing up to, how the income is taxed as ordinary practice trading profit, and where the VAT line falls.
14 min read
GP Tax & Accounts
Most GPs do not have the buy-in capital sitting in cash, so they borrow it, and the good news is that the interest on a loan taken out to buy into or contribute capital to a partnership qualifies for income tax relief. This page explains how a GP finances a buy-in (a partnership-capital loan, building capital from undrawn profit, or a mix), the tax relief on the loan interest (how it works, the conditions, the cap on income tax reliefs and how it is claimed), and the cash flow of servicing the loan against partnership drawings. It is the funding-and-relief page that sits underneath the buy-in and the due diligence.
12 min read
GP Tax & Accounts
Two GPs can work side by side under very different legal arrangements. In an expense-sharing arrangement each GP is effectively a separate practitioner sharing premises and staff costs; in a full partnership the GPs pool and share profit. This guide explains the difference, the legal test that decides which one you are in, and the tax, accounting and liability consequences of each.
12 min read
GP Tax & Accounts
A GP partner draws a steady monthly amount but is taxed on something different: their full allocated profit share, whether or not they drew it as cash. This page is the practical, cash-flow-first treatment of that gap: why the two figures diverge, the timing mismatch it creates (drawings now, tax bill later), and a workable method for reserving for income tax, Class 4 National Insurance, payments on account and superannuation, so the January and July bills never come as a shock.
12 min read
GP Tax & Accounts
Basis period reform quietly changed how every GP partnership is taxed: partnerships now pay tax on the profit arising in the tax year itself rather than on the profit of the accounting year ending in it. This is the dedicated deep-dive for a GP practice: the move to the tax-year basis from 2024/25, the one-off 2023/24 transition year, how overlap relief was used up, the option to spread the transition profit over five years, and the apportionment a practice faces if its accounting date is not 31 March or 5 April.
12 min read
GP Practice Management
When partners leave a GP partnership faster than new ones join, liability for the surgery does not shrink to match. A leasehold practice can leave the remaining partners holding the whole lease, and an owner-occupier practice can leave departing partners unable to sell their premises share. This guide explains how the last man standing risk arises, the protections that exist, and how the partnership deed and ownership structure are used to manage it.
21 min read
GP Tax & Accounts
Most GP partnerships run a mutual assessment period, a trial stretch during which the incoming GP and the existing partners decide whether to offer and accept parity or permanency. This page explains what that period is, and, the substance of the page, the financial due diligence an incoming GP should do during it: read the accounts, understand the premises position and last-man-standing risk, check the NHS contract and list size, read the partnership deed, understand drawings versus profit, and surface any outstanding liabilities. It is the look-before-you-leap page for joining a partnership, framed around the trial period that gives you the window to do it.
12 min read
GP Practice Management
A GP practice is paid for its NHS work through a monthly PCSE statement, but the amounts are not always right: Global Sum can lag a list-size or weighting change, QOF and enhanced-services payments can be late or short, and premises figures can drift. This guide explains how to read the PCSE Online statement, how to reconcile each line against the Statement of Financial Entitlements and the practice's contract, and how to spot, query and recover an underpayment, with the discipline tied back to accurate trading profit and the partners' shares.
18 min read
GP Tax & Accounts
When two GP practices merge, the partners' first questions are about the accounts, the capital accounts, the contracts, the premises and the tax. This guide works through each strand and the pivotal income-tax question of whether the merger is a cessation and recommencement or a continuation, with the HMRC test and a checklist to settle with your accountant.
13 min read
GP Practice Management
Alongside its NHS contract a GP practice earns a long tail of private and non-NHS income from medicals, reports, travel clinics, minor surgery and certification work. This guide maps those streams, explains how each is taxed as practice trading income on the partners' profit share, and draws the medical services VAT line stream by stream: genuine clinical care is exempt, while third-party-decision reports, certain medicals and purely cosmetic work are standard-rated, with the £90,000 threshold and the partial exemption position that follow.
14 min read
GP Practice Management
When a GP partnership owns its surgery, the NHS reimburses the cost of providing those premises through notional rent, the legacy cost rent scheme, or improvement grants. This guide explains how each route works, who sets the figure, and the tax point practices most often get wrong: that the reimbursement is taxable income to whoever owns the building, set against the loan interest and running costs.
15 min read
GP Practice Management
Owning a GP surgery and renting one are two different tax positions, not two prices for the same thing. This guide costs each limb of the ownership decision in turn: the SDLT on a purchase or a new lease, the capital allowances available on the fixtures and on the structure, the fixtures election that is so often lost, what a premises share does to a partner joining or leaving, and the capital gains tax and Business Asset Disposal Relief position on the way out.
12 min read
GP Practice Management
Most GP partners draw a profit share but have never seen how the money actually arrives. This guide opens up the engine room of NHS GP income: the Global Sum as the core per-weighted-patient payment, the Carr-Hill formula that turns a raw list into weighted patients, the Statement of Financial Entitlements that governs it, and where GMS, PMS and APMS contracts diverge. It then connects that funding to what a partner takes home, because the Global Sum is practice trading income, not a pay packet.
19 min read
Incorporation & Company Structures
Transferring a private medical practice into a limited company is a disposal of its goodwill at market value, producing a capital gain with no cash behind it. Section 162 incorporation relief rolls that gain into the base cost of the new shares. This guide covers the mechanic, the conditions, the Finance Act 2026 claim regime, goodwill valuation, and what the share and loan-account split does to the numbers.
9 min read
NHS Pension Planning
The mandatory half of the McCloud remedy is finished. Your 2015 to 2022 service was rolled back to the legacy scheme on 1 October 2023, and the live items are a benefit choice at retirement and a tax reconciliation driven by your Remediable Pension Savings Statement. This guide separates the two statements, states the deadlines that are fixed in law, and shows the tax arithmetic with figures.
16 min read
NHS Pension Planning
Partial retirement draws 20 to 100 percent of your accrued NHS pension while you stay in post, at the cost of a 10 percent pensionable pay cut held for 12 months. Retire and return takes everything, with a 24 hour break and a new contract, and no pay cut. Full retirement stops the accrual altogether.
5 min read
NHS Pension Planning
You can settle an NHS pension annual allowance charge from your own savings or elect Scheme Pays and carry a permanent debit against your pension. Mandatory Scheme Pays needs a charge above £2,000 and input above £60,000 in one scheme. The election deadline for a 2026/27 charge falls on 31 July 2028.
5 min read
GP Practice Management
A PCN clinical director can be paid in several quite different ways, and the route chosen decides everything that follows: the income tax and National Insurance, whether the pay is NHS pensionable, and even whether VAT bites. This guide sets out the funding, then walks the common payment routes (through a member practice, invoiced from the director's own partnership, via a personal service company, or self-employed direct), and for each one explains the tax treatment and the pension position. Pensionability is not automatic and depends on the route, so it should be settled before the arrangement is agreed.
16 min read
GP Practice Management
PCN money is paid under the Network Contract DES to a nominated payee, usually a lead practice or a federation, and only then shared out under the network agreement, which is why the practice bank statement never tells the whole story. This guide maps the flow end to end: the 2026/27 funding streams (core PCN funding at £3.059 per patient, ARRS reimbursement, enhanced access at £8.903 per adjusted-population patient, the Investment and Impact Fund and the care home premium), the nominated payee, and how each line is recognised in the practice accounts and taxed through the partners' profit share.
20 min read
GP Practice Management
QOF confuses partners because the cash arrives in two parts and across two financial years: monthly aspiration payments through the year, then an achievement reconciliation after year-end. This guide explains the points-based mechanics, then does the bit competitors skip: how QOF income should be recognised in the practice accounts on an accruals basis, and how it is taxed as ordinary practice trading profit. The aim is a partner who knows why the QOF cash and the QOF profit never match in any one year.
20 min read
GP Tax & Accounts
Every year a GP partner is handed a bound set of partnership accounts to sign, and often understands very little of what the numbers mean. This is a plain-English reading guide to that document: the profit and loss account, the balance sheet and, the part that confuses partners most, the difference between your capital account (your long-term stake in the practice's net assets) and your current account (the running tally of profit allocated to you, less what you have drawn). The aim is comprehension of the accounts themselves, not a tax tutorial.
12 min read
GP Tax & Accounts
When a GP partner retires or leaves, two separate things happen: they receive what the partnership owes them (their capital account and any premises share), and their share of the trade ceases for tax. This guide explains what you get back, how the cessation of your notional trade works under the post-reform tax-year basis (and why there is usually no overlap relief left), whether capital gains tax arises on a premises share, and the deed mechanics that keep an exit orderly.
12 min read
Private Practice
When a doctor sells a genuinely private medical business, capital gains tax applies in full and Business Asset Disposal Relief can cut the rate. This guide walks through the CGT computation, the BADR conditions and limits, and how the contract date under TCGA 1992 section 28 fixes the date of disposal and so the rate band that applies.
15 min read
GP Accountant Services
An overview of the accounting services UK doctors, GPs and consultants actually need, from NHS pension annual allowance work to partnership tax, locum IR35 and private income, with the 2026/27 figures that matter and links to the right specialist guide for your situation.
7 min read
GP Accountant Services
A plain-English guide to self assessment for UK doctors, GPs and consultants for the 2026/27 tax year: who has to file, how to register, the key deadlines, payments on account, Class 4 National Insurance, and how Making Tax Digital for Income Tax changes things from April 2026.
7 min read
GP Practice Management
Becoming a GP partner brings significant financial changes beyond just income. Understanding the tax, pension, and capital implications is crucial before making the transition.
7 min read
GP Accountant Services
Looking for a specialist GP accountant in Birmingham? We work with NHS partners, salaried GPs, locums and consultants across the Midlands on practice accounts, NHS pension annual allowance planning and 2026/27 tax.
6 min read
GP Accountant Services
Looking for a GP accountant in Bristol? We help partners, salaried GPs, consultants and locum doctors across Bristol with NHS pension annual allowance, GP partnership accounts and medical tax compliance for the 2026/27 tax year.
8 min read
GP Accountant Services
What a GP accountant costs is driven by your structure and complexity, not a one-size fee: practice size, partner numbers, payroll, NHS pension certification and the depth of tax planning you need. This guide explains the factors and the value, so you can compare quotes like for like.
6 min read
GP Accountant Services
Find an experienced GP accountant in Edinburgh who understands GP partnership accounts, NHS pension annual allowance and the Scottish income tax bands that apply to doctors working across Lothian and the rest of Scotland.
8 min read
GP Accountant Services
Looking for a specialist GP accountant in Glasgow? Get medical accounting, Scottish income tax planning and NHS pension advice built around GP partners, salaried GPs, locums and consultants.
7 min read
GP Accountant Services
Specialist GP accountant in Leeds providing medical tax advice, NHS pension annual allowance planning and GP partnership accounting for partners, salaried GPs and locum doctors across Yorkshire.
7 min read
GP Accountant Services
Looking for a specialist GP accountant in Liverpool? What GP partners, salaried GPs, locum doctors and consultants across Merseyside should expect from one, covering NHS pension annual allowance, profit-share tax returns and private-practice planning at 2026/27 rates.
8 min read
GP Accountant Services
What a specialist GP accountant in London actually does for practices, partners, salaried GPs and locums, from GMS partnership accounts and the NHS pension annual allowance to self-assessment, VAT and Making Tax Digital, with the 2026/27 figures that matter.
8 min read
GP Accountant Services
Specialist GP accounting in Manchester for partners, salaried GPs, and locums: NHS pension annual allowance planning, GMS practice accounts, and tax across Greater Manchester, with current 2026/27 figures.
8 min read
GP Accountant Services
A specialist GP accountant in Newcastle for Tyneside doctors who understands NHS pension annual allowance, GP partnership accounts, premises income and locum tax for the 2026/27 tax year.
7 min read
GP Accountant Services
A plain-English guide to what a specialist GP and medical accountant does across the full service range, from partnership accounts and NHS pension certificates to tax returns, payroll and incorporation, with links to the detailed guides for each area.
8 min read
GP Accountant Services
Sheffield GPs, partners and locums need an accountant who understands GP partnerships, NHS pension annual allowance and medical tax. Here is what a specialist Sheffield GP accountant does and how to choose one for 2026/27.
7 min read
GP Accountant Services
GP finances are complex, involving partnership accounts, NHS pension annual allowance issues, GMS contract income and self-assessment. A specialist GP accountant understands the medical-specific rules a general accountant often misses, and this guide explains what the service covers and why it matters.
10 min read
GP Practice Management
A complete GP accounting guide covering the SA800 partnership structure, drawings versus profit share, NHS income streams, NHS pension on the accounts, expenses, year-end tax and MTD for UK general practitioners.
9 min read
GP Practice Management
A software-agnostic guide to GP accounting and bookkeeping tools for UK medical practices. Covers what MTD-compatible digital record-keeping actually requires, how to capture NHS income streams cleanly, and how partnership records should flow from your software to the tax return.
8 min read
GP Practice Management
A practical guide to GP practice bookkeeping: recording NHS income streams (Global Sum, QOF, enhanced services and PCN funding), separating partner drawings from profit share, allocating practice expenses, and keeping digital records ready for Making Tax Digital.
13 min read
Incorporation & Company Structures
How corporation tax works for an incorporated GP or medical company in 2026/27: the 19% to 25% rates with marginal relief computed in full, associated companies, payment and filing deadlines, capital allowances, and why company income is never NHS-pensionable.
10 min read
GP Practice Management
GP financial planning means joining up the NHS pension, your practice or locum income, protection and retirement into one plan. This 2026/27 guide covers the priorities for partners, salaried GPs and locums, and links to the tax deep-dives for the detail.
10 min read
GP Tax & Accounts
How GPs, salaried doctors, consultants and locums claim use-of-home tax relief. We cover the apportionment basis, which costs qualify, the flat-rate alternatives, and how the rules differ for the self-employed versus employees in 2026/27.
7 min read
Incorporation & Company Structures
Wondering whether a GP limited company is worth it? This guide weighs the real tax benefits against the NHS pension and contract drawbacks, with 2026/27 dividend and corporation tax figures, so you can decide whether to incorporate.
9 min read
GP Tax & Accounts
Understanding the tax differences between GP partners and salaried GPs is crucial for career decisions and financial planning. This guide breaks down the key tax implications of each role.
10 min read
GP Practice Management
How a GP partnership allocates profit decides each partner's tax bill and NHS pension growth, because partners are taxed on their profit share, not their drawings. This guide explains prior shares, the partnership deed, the premises return and the 2026/27 numbers that matter.
11 min read
GP Tax & Accounts
GP partners are taxed on their profit share, not their drawings, through the partnership return (SA800) and the partnership pages of their personal tax return (SA104). This 2026/27 guide explains how partnership profits flow to tax, Class 4 National Insurance, allowable expenses, capital accounts, the NHS goodwill rules and how partnership profits interact with the NHS pension.
11 min read
GP Practice Management
What GP practice payroll actually involves: PAYE and RTI for practice staff, workplace pension auto-enrolment alongside the NHS Pension Scheme, employer secondary NIC at 15% above the £5,000 threshold (2026/27), and where partners and locums sit outside payroll.
8 min read
NHS Pension Planning
How tax relief on NHS pension contributions works for GPs in 2026/27: the tiered employee rates, automatic net pay relief, topping up with AVCs or Added Pension, and where the £60,000 annual allowance fits in.
9 min read
GP Tax & Accounts
A high-level GP tax planning hub for 2026/27. The main levers (NHS pension, partnership profit share, expenses, incorporating private work, MTD) explained at a glance, each linking to a deeper guide so you can act on the one that matters to you.
8 min read
GP Tax & Accounts
Comprehensive breakdown of allowable tax deductions for GPs in 2026/27, covering professional fees, indemnity, CPD, mileage, home office and equipment, with notes for partners, salaried GPs and locums.
8 min read
GP Tax & Accounts
How GPs file self-assessment by role: the partnership SA800, the SA104 partnership pages, the SA103 self-employment pages and the SA100, plus deadlines, payments on account, Class 4 NIC and Making Tax Digital for 2026/27.
9 min read
GP Practice Management
Private clinical care is exempt from VAT, so only the standard-rated streams count towards the £90,000 threshold. This guide sorts private medical work into exempt and taxable, sets out the rolling 12-month and 30-day registration tests, and covers voluntary registration, partial exemption and the flat rate scheme.
4 min read
Locum Tax
Locum doctors can claim a wide range of business expenses to reduce their tax bill, from travel between sites and medical indemnity to professional fees and home office costs. This 2026/27 guide sets out exactly what is allowable and the HMRC rules that decide it.
7 min read
Locum Tax
IR35 (the off-payroll working rules) decides whether a locum doctor working through a personal service company is taxed like an employee. This guide explains who decides your status, what a Status Determination Statement is, the April 2024 PAYE offset, and why a sole-trader locum is outside IR35 entirely.
8 min read
Locum Tax
Wondering whether to operate through a limited company (a personal service company) as a locum doctor? We weigh the real pros and cons for 2026/27, from IR35 status and dividend tax to the NHS pension you give up.
8 min read
Locum Tax
Step-by-step guide to filing self assessment as a locum doctor in 2026/27. Covers the SA103 self-employment pages, the 31 January deadline, payments on account, Class 4 NIC at 6% and Making Tax Digital from April 2026.
10 min read
Locum Tax
A complete 2026/27 guide for UK locum doctors covering how you are taxed, sole trader versus limited company, self-assessment, Class 4 National Insurance, allowable expenses including mileage, and keeping your NHS pension via Locum forms A and B.
8 min read
Locum Tax
From 6 April 2026 the umbrella reform makes recruitment agencies (and some end clients) jointly and severally liable for an umbrella company's PAYE and National Insurance. We explain what changes for locum doctors, how it differs from the wider umbrella regulation still to come, and how the umbrella, personal service company and agency PAYE routes compare.
7 min read
Incorporation & Company Structures
Stay a sole trader while private profit is modest and you draw all of it, because at 2026/27 rates the saving is small once dividend tax at 10.75 or 35.75 percent sits on top of 19 or 25 percent corporation tax. Incorporate when you retain profit, split shares or want private income outside pensionable pay.
5 min read
Medical Expenses
UK doctors can claim a wide range of tax-deductible expenses, including the GMC retention fee, medical indemnity, List 3 professional subscriptions, CPD, equipment and business mileage at 55p per mile in 2026/27. How you claim depends on whether you are a GP partner, salaried GP, consultant or locum. This guide is general information, not advice.
8 min read
NHS Pension Planning
The NHS pension annual allowance limits how much your pension can grow tax free each year. For a defined benefit scheme the test is the growth in your benefits (the pension input amount), not the contributions you pay, which is why high earning doctors are caught even though they never chose to over-contribute.
11 min read
NHS Pension Planning
Freelance GP locums build NHS pension accrual by completing Locum form A and Locum form B and paying contributions through the PCSE Solo route. This guide explains what each form does, the deadlines that protect your accrual, the contribution tiers, and the mistakes that quietly cost locums years of pension.
9 min read
NHS Pension Planning
How to work out your tapered NHS pension annual allowance for 2026/27. We walk through threshold income, adjusted income, the £1-for-£2 reduction and the £10,000 floor, with a worked example for high-earning doctors.
6 min read
GP Accountant Services
Specialist accounting for GPs, consultants, and locum doctors in Nottingham. NHS pension planning, partnership accounts, and medical tax advice for 2026/27.
8 min read
Private Practice
Most consultants and GPs run an NHS post alongside private work, and the two are taxed under different rules at the same time. This guide explains how PAYE and self-employed private income stack up, which slices are NHS-pensionable, where VAT bites on cosmetic and medico-legal work, and when private income is large enough to justify a company.
9 min read
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10 free calculators for UK doctors, on current rates. Start with the ones doctors reach for most.