01Accounts and tax returns
Year-end accounts and Self Assessment or company returns for private doctors, 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 private doctors do?
- An accountant for private doctors 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.
- Do private doctors charge VAT?
- Most health care by registered professionals is VAT exempt where the main purpose is protecting or restoring health, so many clinicians never register. VAT becomes relevant when you sell goods, provide cosmetic or medicolegal services, or exceed the registration threshold with taxable income. HMRC Notice 701/57 gives the official guidance.
- How should a private practice be structured?
- Most private practices start as sole traders and incorporate once profits are well above personal spending needs. Groups of clinicians may use partnerships, LLPs or a shared company. The right structure depends on profit level, NHS pension membership, who owns equipment and premises, and how fees are billed. We set out the options in writing.
- How much does an accountant for private doctors cost?
- Our packages for private doctors 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 doctors 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 doctors 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
