Healthcare overview
Healthcare accountants handle the tax, accounts and NHS pension questions that general accountants rarely see. Medical.Accountants by ACCOTAX is a dedicated healthcare team serving doctors, dentists, pharmacies, nurses, allied health professionals, clinics and care providers across the UK.
A healthcare accountant prepares accounts and tax returns for healthcare professionals and businesses, and advises on the rules specific to health: NHS pension tax, the VAT exemption for medical care, IR35 for locums, practice partnerships and care-sector payroll. The aim is accurate filings and fewer surprises.
Fixed fees, specialist healthcare accountants, and every HMRC and NHS Pensions deadline handled.
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
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?
What it's costing you
General examples — your position depends on your own figures.
How we solve it
We check what you've overpaid and claim it back from HMRC.
A clear comparison of the ways you can be paid.
Your return filed correctly, with every allowable expense.
We confirm whether your treatments are exempt or standard-rated.
How we help
Year-end accounts and Self Assessment or company returns for healthcare professionals and businesses, filed on time.
Questions answered by your named accountant, without the clock running.
Compatible software set up and quarterly updates filed where MTD applies.
Annual allowance and taper calculations, with Scheme Pays guidance where a charge arises.
What to know before you decide
We work with clients across the UK by video and phone, with an office in Morden, London. Clients include practices and professionals in London, Surrey, Kent, Birmingham, Manchester, Leeds and elsewhere. Browse our London, Surrey, Kent, Birmingham, Manchester and Leeds pages for local detail.
Your questions answered
A healthcare accountant prepares accounts and tax returns and advises on healthcare-specific rules: NHS pension tax, VAT exemption for medical care, IR35 for locums, partnership accounts and payroll for practices and care providers.
Want us to check this for you? Get a free review →A specialist sees NHS pension statements, locum forms, partnership certificates and VAT exemption questions every week. In our experience, the costliest errors we fix come from missed pension charges and wrongly applied VAT, which a specialist checks routinely.
Want us to check this for you? Get a free review →We work with doctors, GPs, consultants, locums, dentists, pharmacists, nurses, midwives, allied health professionals, aesthetic practitioners, private clinics, GP practices, dental practices, pharmacies and care providers.
Want us to check this for you? Get a free review →Medical care by registered health professionals is generally exempt from VAT. Purely cosmetic treatment, some retail sales and some non-clinical services are not. HMRC VAT Notice 701/57 sets out the conditions.
Check the official guidance · www.gov.ukHelp with this question: VAT Registration & Returns for Doctors & Healthcare Professionals
Want us to check this for you? Get a free review →We check your pension input amount against the £60,000 annual allowance and the taper for high incomes, calculate any charge, and explain Scheme Pays. We also keep locum and practitioner pension forms consistent with your accounts.
Check the official guidance · www.gov.ukHelp with this question: NHS Pension Tax & Annual Allowance for Doctors & Healthcare Professionals
Want us to check this for you? Get a free review →Our packages for individual professionals start from £45.83 a month plus VAT. Practices and businesses receive a fixed quote after a free review of their records and income.
Want us to check this for you? Get a free review →We work with clients across the UK by video and phone, with an office in Morden, London. Clients include practices and professionals in London, Surrey, Kent, Birmingham, Manchester, Leeds and elsewhere.
Want us to check this for you? Get a free review →Book a free call, agree a written fee and sign the engagement letter. We then contact your previous accountant for records, so you do not have to chase them.
Want us to check this for you? Get a free review →Quick quote
Three fields. No obligation. A specialist replies, not a sales team.
Packages for your working life
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.
For genuine sole-trader income. We prepare your business accounts and Self Assessment, review allowable expenses and explain payments on account.
Fixed fee quoted after a review
Discuss this packageFor clinicians working through their own company. Choose Essential/Compliance, Core/Complete or Growth according to your accounts, bookkeeping and payroll needs.
Company packages from £45.83 + VAT / month
Compare company packagesFor 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.
Fixed fee quoted after a review
Discuss this packageEmployment 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?
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
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
For locums, salaried GPs and dentists with a limited company
from £45.83 + VAT /month
For private practice, consultants and associate dentists
from £62.50 + VAT /month
For clinics, dental practices and growing medical teams
from £75.00 + VAT /month
Prices exclude VAT. Making Tax Digital quarterly updates available as an add-on. Compare fees
Why clinicians trust us
Chartered accountant and founder of ACCOTAX. Last reviewed October 2026.
Get my fixed-fee quoteHow it works
A 15-minute chat about your income, structure and deadlines.
We set up your records, software and HMRC agent access.
HMRC, NHS Pensions and every deadline, with reminders before each one.
Free resource
Tell us where to send it and we'll email it to you.
Leave your details and we'll call you back, or book a free review straight away.
Book a free 15-min tax reviewGeneral 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; GOV.UK: Annual allowance; NHSBSA member hub.
