Medical.Accountants Reviews & Client Stories

What does a specialist medical accountant do?

A specialist medical accountant understands NHS pay, the NHS Pension Scheme, locum IR35 rules and the VAT treatment of health services. That means fewer errors and earlier warnings, such as an annual allowance charge or a Making Tax Digital deadline, than a general accountant would usually give.

How much does a medical accountant cost?

Our packages for medical.accountants reviews & client stories 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.

What qualifications should a medical accountant have?

A specialist medical accountant should hold a recognised UK chartership, such as ACA or ACCA. These qualifications ensure they adhere to strict professional and ethical standards. At Medical.Accountants by ACCOTAX, our professionals are fully qualified to handle complex healthcare tax issues. Specialized knowledge in NHS pensions and medical VAT is also essential.

What questions should I ask before appointing an accountant?

You should ask if they offer fixed fees agreed in writing and if they specialise in the healthcare sector. Confirm if they provide a remote UK-wide service and how quickly they can onboard new clients. Medical.Accountants typically completes onboarding within 48 hours. Ensure they have experience handling specific NHS pension and superannuation complexities.

Can locums claim mileage between different hospitals?

You can claim tax relief on costs incurred wholly and exclusively for your work: HMRC-approved professional fees such as GMC, NMC, GDC or HCPC registration and approved royal college and union subscriptions, uniform laundering, and business mileage between workplaces. Ordinary commuting and most exam or training costs for new qualifications are not allowable. Employees can claim back up to four tax years.

Do NHS doctors need to file a Self Assessment tax return?

Many medical.accountants reviews & client stories 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.

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

Do doctors need to charge VAT on private work or medicolegal reports?

Medical reports produced mainly for legal, insurance or employment purposes are generally standard-rated for VAT, unlike treatment aimed at protecting or restoring health. If your medicolegal fees exceed the VAT registration threshold you must register and charge VAT on them. HMRC Notice 701/57 sets out the rules.

Help with this question: VAT Registration & Returns for Doctors & Healthcare Professionals

What do lenders need for a dentist's mortgage?

Lenders typically require certified accounts and tax year overviews to verify a dentist's income. For associates, they often request the last three months of pay statements or UDA records. Providing a clear breakdown of private versus NHS income is also common practice. Medical.Accountants assists clients by preparing these documents as part of our remote service.

Help with this question: Mortgage References & SA302s for Doctors & Healthcare Professionals

How much of my locum income should I set aside for tax?

You should set aside a portion of every invoice to cover Income Tax, National Insurance, and potential student loan repayments. The exact percentage depends on your total annual earnings and tax bracket. Remember that payments on account are due every 31 January and 31 July. Regular monitoring ensures you have sufficient funds for these deadlines.

Can I claim tax relief on GMC, BMA and royal college fees?

You can claim tax relief on costs incurred wholly and exclusively for your work: HMRC-approved professional fees such as GMC, NMC, GDC or HCPC registration and approved royal college and union subscriptions, uniform laundering, and business mileage between workplaces. Ordinary commuting and most exam or training costs for new qualifications are not allowable. Employees can claim back up to four tax years.