What to know before you decide
ARRS reclaim
Allowable costs include HMRC-approved professional registrations and subscriptions, indemnity where you pay it, business mileage between workplaces and equipment used for work. Ordinary commuting and personal costs are not allowable. Employees claim through HMRC; the self-employed deduct costs in their accounts.
Federation structures
For GP federations and PCNs, the choice between sole trader and limited company turns on profit level, how much income you draw, and whether your work is NHS employment, private practice or outside-IR35 locum work. A company can defer tax on retained profit but adds accounts, payroll and filing costs. We compare both on your figures before you decide.
VAT on shared services
Health care by registered professionals is generally VAT exempt where its main purpose is protecting or restoring health. Cosmetic treatments, medicolegal reports and sales of goods are usually standard-rated. Mixed businesses need each income stream assessed, and the registration threshold applies to taxable sales only.
VAT Registration & Returns for Doctors & Healthcare ProfessionalsGovernance
This is one of the questions we work through with GP federations and PCNs at the start of every engagement. We look at your real income, contracts and records, set out the options in plain English and confirm the work and fee in writing.