01Accounts and tax returns
Year-end accounts and Self Assessment or company returns for doctors and healthcare professionals, filed on time.
02Fixed-fee advice through the year
Questions answered by your named accountant, without the clock running.
03Making Tax Digital
Compatible software set up and quarterly updates filed where MTD applies.
04NHS pension tax
Annual allowance and taper calculations, with Scheme Pays guidance where a charge arises.
Your questions, answered
- What does an accountant for doctors and healthcare professionals do?
- An accountant for doctors and healthcare professionals 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.
- What happens if a doctor misses the tax return deadline?
- Many doctors and healthcare professionals must file a Self Assessment return: you need one if you have untaxed income such as private, locum or self-employed work. A high PAYE salary alone does not require Self Assessment for 2026/27; check HMRC's current criteria and any notice to file. The online filing and payment deadline is 31 January after the tax year ends. Under the non-MTD rules, late filing normally triggers an initial £100 penalty, with further penalties for longer delays. A different regime applies from the tax year you join MTD for Income Tax.
- Can I appeal an HMRC late filing penalty?
- It depends on your circumstances. Our team reviews your income, structure and records and confirms the right approach for doctors and healthcare professionals in writing as part of your fixed-fee service.
- How much does an accountant for doctors and healthcare professionals cost?
- Our packages for doctors and healthcare professionals 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 and healthcare professionals 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. Doctors and healthcare professionals 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 Self Assessment deadlines and penalties (GOV.UK); HMRC Time to Pay; HMRC: Self Assessment & self-employment (GOV.UK); HMRC off-payroll working (IR35) guidance; NHSBSA: Pensions for locums; HMRC Making Tax Digital for Income Tax.
Official guidance