01Accounts and tax returns
Year-end accounts and Self Assessment or company returns for aesthetic practitioners, filed on time.
02Fixed-fee advice through the year
Questions answered by your named accountant, without the clock running.
03VAT and payroll
VAT treatment reviewed line by line and payroll run with minimum-wage checks.
04Planning before deadlines
Payments on account, structure and pension checks reviewed ahead of 31 January.
Your questions, answered
- What does an accountant for aesthetic practitioners do?
- An accountant for aesthetic practitioners prepares your accounts and tax returns, keeps you compliant with HMRC deadlines and advises on the decisions specific to your work: how income is structured, which expenses are allowable, VAT where it applies and, for NHS scheme members, pension tax. At Medical.Accountants the work is quoted as a fixed monthly fee, agreed in writing before we start.
- Do aesthetic practitioners pay VAT?
- Treatment by a registered health professional is VAT exempt only where its main purpose is to protect, maintain or restore health. Purely cosmetic treatments, including most injectables and many skin or hair procedures, are standard-rated, as the Upper Tribunal confirmed in Illuminate Skin Clinics v HMRC in 2025. Each treatment line needs its own assessment.
- What can aesthetic practitioners claim?
- You can claim tax relief on costs incurred wholly and exclusively for your work: HMRC-approved professional fees such as GMC, NMC, GDC or HCPC registration and approved royal college and union subscriptions, uniform laundering, and business mileage between workplaces. Ordinary commuting and most exam or training costs for new qualifications are not allowable. Employees can claim back up to four tax years.
- How much does an accountant for aesthetic practitioners cost?
- Our packages for aesthetic practitioners start at £45.83 + VAT a month, with Core at £62.50 and Growth at £75 + VAT. The right package depends on your income sources, whether you trade through a company and any payroll, VAT or pension work. We confirm the exact fee in writing before any work begins, so there are no surprise invoices.
- Do aesthetic practitioners need to comply with Making Tax Digital?
- Making Tax Digital for Income Tax applies from 6 April 2026 to sole traders and landlords whose qualifying income (gross self-employment plus property income) is over £50,000, falling to £30,000 from April 2027 and £20,000 from April 2028. PAYE salary does not count. Aesthetic practitioners trading through a limited company or a partnership are not brought in yet. We set up compatible software and file the quarterly updates for you.
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 sources referred to on this page: HMRC VAT Notice 701/57 (medical vs cosmetic); HMRC VAT registration threshold (GOV.UK); DHSC non-surgical cosmetics licensing (GOV.UK).
Official guidance
