Medical.Accountants
Regulated by ICAEW
Regulated by ICAEW
Regulated & AML supervision
Regulated & AML supervision
AAT fellow member
AAT fellow member
Certified advisor
Certified advisor
Certified ProAdvisor
Certified ProAdvisor
100+ yearsCombined team experience
Fully insuredUp to £2m indemnity
4.9 out of 5321 Google reviews

Clinical professionals

Accountants for nurses and allied health professionals

Tax and accounts for agency nurses, physiotherapists, podiatrists, occupational therapists and other healthcare professionals with self-employed or mixed income.

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 quoteBook 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 workWhat we checkSupport to explore
Employed or umbrella (PAYE)Tax codes, eligible employment expenses and whether a tax return is needed.Healthcare tax refund support
Genuinely self-employedBusiness income and expenses, Self Assessment and MTD eligibility.Healthcare Self Assessment service
Your own limited companyCompany accounts, Corporation Tax, director income and off-payroll status where relevant.Healthcare limited company accounts
PartnershipPractice 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

01

Mixed-income tax returns

Bring PAYE, agency and self-employed practice income together without double-counting tax already deducted.

02

Professional expenses

Review registration fees, eligible travel, equipment and other costs under the correct employment or self-employment rules.

03

Private-practice accounts

Simple records and accounts for room rental, patient fees and business costs.

04

Digital records

Check Making Tax Digital requirements and choose a manageable record-keeping workflow.

What to know before you decide

Agency work is not always self-employment

A nurse or allied health professional may be paid through PAYE by an agency or umbrella even while describing the work as freelance. Check payslips and contracts before registering a business or treating all receipts as untaxed income. If you also see patients privately, those receipts may need separate self-employment records and tax reporting.

Expense relief follows the rules for your role

The same travel or training cost can receive different treatment depending on employment status and its purpose. Professional registrations, equipment, uniforms and room rental should be reviewed, not claimed automatically. VAT exemption for private healthcare also depends on professional registration and the nature and purpose of the service; a professional title alone does not settle every supply.

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 nurses

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 nurses 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 nurses 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 nurses

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 nurses

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.

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

  1. 01

    Free call

    A 15-minute chat about your income, structure and deadlines.

  2. 02

    Onboarding in 48 hours

    We set up your records, software and HMRC agent access.

  3. 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

Do employed nurses always need a tax return?
No. PAYE-only employment does not automatically require Self Assessment. Untaxed income and other HMRC criteria need checking.
Can you help physios, podiatrists and paramedics?
Yes, with agreed tax and accounting work reflecting your profession, status and income sources.
Can I claim every training course?
No. The nature of the training and the employed or self-employed rules determine whether relief is available.

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

Accountants for therapists and mental health professionalsMaking Tax Digital for doctors, dentists and healthcareSelf Assessment tax returns for doctors and healthcare staff
Accountants for healthcare professionalsHealthcare 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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