Are spectacles VAT exempt?

Generally, optical goods are taxable while qualifying professional services can be exempt. Check the specific goods and any mixed charge.

Can you handle locum optometrist tax returns?

Yes, with a review of status, receipts and allowable expenses.

Do independent opticians need partial-exemption calculations?

They may do if they make both taxable and exempt supplies. The figures and recovery method require review.

Clinical professionals

Accountants for opticians and optometry practices

Accounting for independent opticians and locum optometrists. Separate eye-care services from optical retail, with tax, VAT and payroll support.

Fixed fees, specialist healthcare accountants, and every HMRC and NHS Pensions deadline handled.

Fixed monthly fee — no surprises
Specialist in NHS pension and healthcare tax
Onboarding within 48 hours

Get my fixed-fee quote Book a free 15-min tax review

ICAEW & ACCA regulated
5,000+ clients served by ACCOTAX
Specialist healthcare accountants

Reviewed by Waqas Sagar ACA FCCA FMAAT · Last reviewed: 8 October 2026 · Updated for the 2026/27 tax year

Key takeaways

Your actual working arrangements determine the tax treatment; choosing a package does not change your employment status.
Keep records for each income source and check the official guidance linked to the questions below.
Agree the accounts, returns and advisory work you need before accepting a written fixed-fee quote.

Which accountancy support fits your income?

Start with how you are paid. Different income sources can need different accounts, returns and expense checks.

How you work	What we check	Support to explore
Employed or umbrella (PAYE)	Tax codes, eligible employment expenses and whether a tax return is needed.	Healthcare tax refund support
Genuinely self-employed	Business income and expenses, Self Assessment and MTD eligibility.	Healthcare Self Assessment service
Your own limited company	Company accounts, Corporation Tax, director income and off-payroll status where relevant.	Healthcare limited company accounts
Partnership	Practice accounts, allocated profit and each partner’s personal tax position.	Healthcare partnership accounts

Sound familiar?

Problems we fix for allied health professionals and therapists

"I'm going self-employed for the first time."
"I have both NHS and private income."
"I don't know whether my services are VAT exempt."
"When should I go limited?"
"Can I claim my regulator fees?"
"Making Tax Digital starts from April 2026."

What it's costing you

Leaving it unfixed is rarely free

Overpaid tax: Unclaimed expenses and wrong tax codes mean paying more than you owe, year after year.
HMRC penalties and interest: Late returns attract automatic penalties, plus interest on tax paid late.
Lost evenings: Hours spent on forms, invoices and spreadsheets after a long shift.

General examples — your position depends on your own figures.

How we solve it

What we actually do for you

Start-up package

Registration, bookkeeping set-up and your first tax return.

VAT position check

We confirm whether your services are exempt.

Structure review

Sole trader or limited company, with the numbers.

MTD bookkeeping

Quarterly updates handled for you.

How we help

Optometry practice accounts

Reconcile examination fees, NHS receipts, optical sales, stock and supplier invoices.

Optical VAT review

Review exempt professional services, taxable goods and any agreed apportionment method.

Locum optician tax

Check income, expenses and status before preparing your Self Assessment return.

Practice payroll

Agreed PAYE and auto-enrolment work for practice staff.

What to know before you decide

Eye examinations and optical goods are not the same supply

Qualifying professional eye-care services may be exempt, while spectacles and other goods are normally taxable. Mixed charges need an appropriate and supportable split under the applicable rules. Partial exemption may affect recovery of VAT on shared overheads. A reliable sales system should preserve the distinction rather than putting every receipt through one code.

Keep stock and locum income visible

An owner needs stock values, supplier rebates and credit notes alongside clinical income; a locum needs contracts, receipts and evidence of allowable costs. These are different accounting workflows. For owners, monitor gross margins separately from appointment revenue. For locums, compare amounts invoiced, deductions made and cash received before estimating tax.

Quick quote

See what you could save — get a fixed fee in one working day

Three fields. No obligation. A specialist replies, not a sales team.

Packages for your working life

Accountancy packages for optometrists

Self-employed income, a limited company, PAYE or a mixture: start with the support that matches how you actually work. We check your status and agree the scope and fee before starting.

Self-employed accountants for optometrists packages

For genuine sole-trader income. We prepare your business accounts and Self Assessment, review allowable expenses and explain payments on account.

Sole-trader accounts and personal tax return
Allowable business expenses reviewed
Tax reserve and payment deadline guidance
MTD support scoped separately where required

Fixed fee quoted after a review

Discuss this package

Limited company accountants for optometrists packages

For clinicians working through their own company. Choose Essential/Compliance, Core/Complete or Growth according to your accounts, bookkeeping and payroll needs.

Statutory accounts and Corporation Tax return
One director return for salary and dividends from the same company
Confirmation statement support; filing fee extra
Bookkeeping, VAT and payroll according to your chosen plan

Company packages from £45.83 + VAT / month

Compare company packages

Personal tax return packages for optometrists

For employed clinicians, partners and people with mixed income who need a return. We check whether Self Assessment is required and reconcile the relevant income, expenses and pension tax information.

Self Assessment requirement checked
PAYE and other income reconciled
Eligible employment expenses reviewed
Pension tax work agreed separately where needed

Fixed fee quoted after a review

Discuss this package

Employment status is determined by the facts, not the package you choose. PAYE, umbrella and partnership arrangements may also apply. A limited company does not override IR35 or off-payroll rules, and not every employed clinician needs a tax return.

Overpaid tax?

Tax refund support for optometrists

We review tax codes, eligible professional expenses and overpaid tax, then prepare a claim where you qualify. A refund is not guaranteed; HMRC decides the claim.

£249 + VAT

For refunds up to £5,000, our fee is £249 plus VAT. For refunds above £5,000, add 5% of only the amount above £5,000 to the £249 fee. VAT applies to the total professional fee.

Example: a £6,000 refund means £249 + £50 = £299 plus VAT.

Illustrative refund amount (£)

Professional fee, excluding VAT

£249

Ask about a tax refund

This illustrates the fee only, not whether you qualify or how much HMRC will refund. We agree the claim scope and payment terms before work starts.

What's included

Limited company packages — compare what's included

Essential/Compliance

For locums, salaried GPs and dentists with a limited company

from £45.83 + VAT /month

FRS 105 or FRS 102 1A statutory accounts
Corporation tax return (CT600) and tax computation
Confirmation statement preparation and filing support
One director Self Assessment return
Deadline reminders ahead of every filing date

Core/Complete

For private practice, consultants and associate dentists

from £62.50 + VAT /month

Everything in Essential/Compliance
Monthly bookkeeping and bank reconciliation
Quarterly Making Tax Digital VAT returns
Director payroll with RTI filing and pension submissions
Quarterly review call on numbers and tax position

Growth

For clinics, dental practices and growing medical teams

from £75.00 + VAT /month

Everything in Core/Complete
Payroll for up to five employees

Prices exclude VAT. Making Tax Digital quarterly updates available as an add-on. Compare fees

Why clinicians trust us

Chartered accountants who know the NHS

ACCOTAX has served over 5,000 clients.
Regulated chartered accountants (ICAEW and ACCA).
Founded by Waqas Sagar ACA FCCA FMAAT, with 18+ years' experience.

Reviewed by Waqas Sagar ACA FCCA FMAAT

Chartered accountant and founder of ACCOTAX. Last reviewed October 2026.

Get my fixed-fee quote

How it works

01
Free call
A 15-minute chat about your income, structure and deadlines.
02
Onboarding in 48 hours
We set up your records, software and HMRC agent access.
03
We handle the rest
HMRC, NHS Pensions and every deadline, with reminders before each one.

Free resource

Get the self-employed starter guide free

Tell us where to send it and we'll email it to you.

Your questions, answered

Are spectacles VAT exempt?: Generally, optical goods are taxable while qualifying professional services can be exempt. Check the specific goods and any mixed charge.
Can you handle locum optometrist tax returns?: Yes, with a review of status, receipts and allowable expenses.
Do independent opticians need partial-exemption calculations?: They may do if they make both taxable and exempt supplies. The figures and recovery method require review.

Speak to a specialist today

Leave your details and we'll call you back, or book a free review straight away.

Book a free 15-min tax review

Related healthcare expertise

Healthcare VAT, payroll and bookkeeping services Making Tax Digital for doctors, dentists and healthcare Fixed-fee online accountants for medical professionals

Accountants for healthcare professionals Healthcare tax questions answered

General information for the 2026/27 tax year, prepared from the official guidance linked below. It is not personalised tax or regulated financial advice. Rules and circumstances can change; confirm your position before acting.

Official guidance

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