01Accounts and tax returns
Year-end accounts and Self Assessment or company returns for private ambulance and patient transport services, filed on time.
02Fixed-fee advice through the year
Questions answered by your named accountant, without the clock running.
03VAT and payroll
VAT treatment reviewed line by line and payroll run with minimum-wage checks.
04Planning before deadlines
Payments on account, structure and pension checks reviewed ahead of 31 January.
Your questions, answered
- What does an accountant for private ambulance and patient transport services do?
- An accountant for private ambulance and patient transport services 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.
- Is patient transport VAT exempt?
- Transport of sick or injured people in vehicles specially designed for that purpose can be zero-rated or exempt, depending on the vehicle and the service. Ordinary passenger transport and event medical cover may be treated differently. We review vehicle specifications and contracts before deciding the VAT position.
- Can ambulance companies claim capital allowances on vehicles?
- Equipment, vehicles and many fixtures used in the business normally qualify for capital allowances. The Annual Investment Allowance gives full relief on qualifying spending up to its limit, and cars follow separate rules based on emissions. Keep invoices and record when the asset was first used.
- How much does an accountant for private ambulance and patient transport services cost?
- Our packages for private ambulance and patient transport services 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 private ambulance and patient transport services 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. Private ambulance and patient transport services 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 VAT Notice 701/57; HMRC Notice 706 partial exemption; HMRC VAT registration (GOV.UK); HMRC MTD for VAT.
Official guidance
