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

Tax guides

McCloud Remedy & NHS Pension Choice

What the McCloud remedy means for your pension and tax. Specialist UK accountants for doctors in the NHS Pension Scheme. Free quote.

What is the McCloud remedy?

It depends on your circumstances. Our team reviews your income, structure and records and confirms the right approach for mccloud remedy & nhs pension choice in writing as part of your fixed-fee service.

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, Founder of ACCOTAX, 18+ years' experience · Last reviewed: 8 October 2026 · Updated for the 2026/27 tax year

Medical.Accountants by ACCOTAX, ICAEW/ACCA-regulated chartered accountants, London, serving clients across the UK. Over 5,000 clients served.

Key takeaways

  • The Self Assessment online deadline is 31 January after the end of the tax year, which is also when any balance and the first payment on account are due.

Free guide: The Doctor's Tax & NHS Pension Handbook 2026/27

Get the free guide

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 self-employed healthcare professionals

  • "My tax return is late and I'm worried about HMRC penalties."
  • "I got a tax bill I didn't expect and don't know why."
  • "HMRC has opened an enquiry and I don't know what to send."
  • "My mortgage lender wants SA302s and tax year overviews."
  • "My current accountant doesn't understand the NHS."
  • "I have a buy-to-let alongside my clinical income."

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

Urgent catch-up

We bring overdue returns up to date and talk to HMRC on your behalf.

Tax reserve plan

We tell you what to set aside each month so January holds no surprises.

Enquiry support

We handle HMRC correspondence and prepare the records they ask for.

Simple switching

We contact your old accountant and move your records for you.

How we help

01

Accounts and tax returns

Year-end accounts and Self Assessment or company returns for mccloud remedy & nhs pension choice, filed on time.

02

Fixed-fee advice through the year

Questions answered by your named accountant, without the clock running.

03

Making Tax Digital

Compatible software set up and quarterly updates filed where MTD applies.

04

NHS pension tax

Annual allowance and taper calculations, with Scheme Pays guidance where a charge arises.

What to know before you decide

Remedy period

This is one of the questions we work through with mccloud remedy & nhs pension choice 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.

Legacy vs reformed scheme choice

This is one of the questions we work through with mccloud remedy & nhs pension choice 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.

Annual allowance recalculation

This is one of the questions we work through with mccloud remedy & nhs pension choice 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.

NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Deadlines [VERIFY]

The Self Assessment online deadline is 31 January after the end of the tax year, which is also when any balance and the first payment on account are due. A second payment on account is due on 31 July. Late filing starts with a £100 penalty.

Your questions answered

What is the NHS Pension annual allowance?

The annual allowance is the amount of pension growth you can have each tax year before a tax charge, £60,000 for 2026/27. For high earners it tapers: if threshold income exceeds £200,000 and adjusted income exceeds £260,000, the allowance falls by £1 for every £2 above £260,000, down to £10,000. NHS pension growth is measured as a defined benefit input, not your contributions.

Check the official guidance · www.gov.uk

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

How is my NHS Pension input amount calculated?

Most NHS doctors and many healthcare staff are members of the NHS Pension Scheme. Contributions are deducted through payroll, and locum or private work can count only through the correct forms. High earners should check the annual allowance each year, as pension growth can trigger a tax charge.

Check the official guidance · www.gov.uk

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

How does carry forward work for the annual allowance?

The annual allowance is the amount of pension growth you can have each tax year before a tax charge, £60,000 for 2026/27. For high earners it tapers: if threshold income exceeds £200,000 and adjusted income exceeds £260,000, the allowance falls by £1 for every £2 above £260,000, down to £10,000. NHS pension growth is measured as a defined benefit input, not your contributions.

Check the official guidance · www.gov.uk

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

What are the tapered annual allowance thresholds?

The annual allowance is the amount of pension growth you can have each tax year before a tax charge, £60,000 for 2026/27. For high earners it tapers: if threshold income exceeds £200,000 and adjusted income exceeds £260,000, the allowance falls by £1 for every £2 above £260,000, down to £10,000. NHS pension growth is measured as a defined benefit input, not your contributions.

Check the official guidance · www.gov.uk

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

When must I elect Scheme Pays?

Scheme Pays lets you ask the NHS Pension Scheme to pay an annual allowance charge on your behalf. The scheme pays HMRC and reduces your future pension to recover the cost. You still report the charge on your Self Assessment return, and deadlines apply to the election, so the calculation should be done early.

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

What is the difference between mandatory and voluntary Scheme Pays?

Scheme Pays lets you ask the NHS Pension Scheme to pay an annual allowance charge on your behalf. The scheme pays HMRC and reduces your future pension to recover the cost. You still report the charge on your Self Assessment return, and deadlines apply to the election, so the calculation should be done early.

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

What is the McCloud remedy and how does it affect me?

The McCloud remedy addresses age discrimination in public service pension schemes, including the NHS pension. It allows eligible members to choose between different scheme benefits for the remedy period. This choice can impact your tax position and annual allowance calculations. We recommend reviewing your pension statements annually to monitor for potential tax charges.

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

Does the lifetime allowance still apply?

The lifetime allowance was officially abolished in April 2024. While the limit on total pension savings is gone, new allowances now govern tax-free lump sums. The NHS annual allowance remains at £60,000 for most individuals. We help medical professionals monitor their contributions to ensure compliance with current legislation.

Want us to check this for you? Get a free review →

How do I report an annual allowance charge on my tax return?

The annual allowance is the amount of pension growth you can have each tax year before a tax charge, £60,000 for 2026/27. For high earners it tapers: if threshold income exceeds £200,000 and adjusted income exceeds £260,000, the allowance falls by £1 for every £2 above £260,000, down to £10,000. NHS pension growth is measured as a defined benefit input, not your contributions.

Check the official guidance · www.gov.ukCheck the official guidance · www.gov.uk

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Help with this question: Self Assessment Tax Returns for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

Can I reduce or avoid an annual allowance charge?

The annual allowance is the amount of pension growth you can have each tax year before a tax charge, £60,000 for 2026/27. For high earners it tapers: if threshold income exceeds £200,000 and adjusted income exceeds £260,000, the allowance falls by £1 for every £2 above £260,000, down to £10,000. NHS pension growth is measured as a defined benefit input, not your contributions.

Check the official guidance · www.gov.uk

Help with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals

Want us to check this for you? Get a free review →

What is carry forward?

Carry forward allows you to use unused pension annual allowance from the three previous tax years. This can increase your current year contribution limit beyond the standard £60,000 allowance. You must have been a member of a registered pension scheme during those prior years. It is a vital tool for clinicians managing their NHS pension growth.

Check the official guidance · www.gov.ukWant us to check this for you? Get a free review →

Can I reduce future charges?

Future tax charges can often be managed through proactive planning and utilising available allowances. This might involve reviewing your pension contributions or business structure. The NHS annual allowance is currently £60,000, though this tapers for high earners. We help you understand how these legislative limits apply to your projected healthcare income.

Want us to check this for you? Get a free review →

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 healthcare professionals

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 healthcare professionals 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 healthcare professionals 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 healthcare professionals

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 healthcare professionals

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 deadline calendar free

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

Your questions, answered

What is the McCloud remedy?
It depends on your circumstances. Our team reviews your income, structure and records and confirms the right approach for mccloud remedy & nhs pension choice in writing as part of your fixed-fee service.
Should I choose the 1995 or 2015 NHS pension scheme benefits?
Most NHS doctors and many healthcare staff are members of the NHS Pension Scheme. Contributions are deducted through payroll, and locum or private work can count only through the correct forms. High earners should check the annual allowance each year, as pension growth can trigger a tax charge.
How much does an accountant for doctors in the NHS Pension Scheme cost?
Our packages for mccloud remedy & nhs pension choice 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 doctors in the NHS Pension Scheme 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. Mccloud remedy & nhs pension choice 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.
How do I switch to Medical.Accountants?
Switching takes minutes on your side. You sign our engagement letter, we contact your previous accountant for professional clearance and records, and we take over HMRC and Companies House authorisations. You can switch mid-year; we pick up from the last filed return.

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

NHS Pension Tax & Annual Allowance for Doctors & Healthcare ProfessionalsSelf Assessment Tax Returns for Doctors & Healthcare ProfessionalsAccountants for doctors and GPs in the UKLocum doctor accountants: tax, IR35 and NHS pensions
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 sources referred to on this page: NHSBSA annual allowance and Scheme Pays; HMRC Pension schemes annual allowance (GOV.UK); NHSBSA McCloud remedy; HMRC lifetime allowance abolition.

Official guidance

Get my quote