Take Control of Your Tax Bill: Expert Tax Advice for Medical Professionals

Medical professional tax advice UK

If you’re a medical professional, your job is demanding. You manage patients, balance NHS contracts, deal with private practice clients, and stay compliant with constantly evolving regulations like IR35. We get it—tax planning isn’t your top priority. But it should be. Pearllemonaccountants.co.uk provides medical-specific tax strategies designed to protect your income, reduce tax bills, and ensure you’re never on the wrong side of HMRC.

Every day, professionals like you lose thousands because of improper tax categorization, missed claims, or confusion around the pension annual allowance. That’s where we step in, with industry-specific advice that works for locums, consultants, GPs, dental surgeons, and more.

Our Services for UK Medical Professionals

Our approach is designed to protect your income through legitimate tax strategies. Here’s how we work:

NHS & Private Doctors

You work hard under immense pressure, and your pay structure—whether through NHS bands or private billing—comes with specific challenges. Our tax services ensure your annual pension allowance, threshold income, and adjusted income are managed to prevent tax penalties.

We handle:

  • Expense claims for mandatory training, professional subscriptions (like BMA), and indemnity insurance
  • Payroll adjustments for private vs NHS income
  • Guidance on allowable deductions to reduce taxable profit
Our Services for UK Medical Professionals
How we help:

We keep you compliant without losing thousands to unnecessary tax deductions. Our clients have avoided IR35 penalties and achieved tax-efficient savings through structured contracts.

Locum Doctors

Locum work offers flexibility but comes with tax traps. Misclassification under IR35 can leave you paying PAYE instead of receiving dividends through a Limited Company.

We specialize in:

  • Contract reviews for IR35 compliance
  • Structuring your income between salary and dividends
  • Expense management for travel and equipment

Dental Surgeons & Hygienists

Running a dental practice involves complex financial decisions. You may face VAT thresholds, equipment write-offs, and private income streams that require precise tax treatment.

We provide:

  • Capital allowances for practice refurbishments and equipment purchases
  • Payroll support for staff salaries and NI contributions
  • VAT advice for practices near the £85,000 turnover limit
How we help:

Our support ensures you stay below the VAT threshold or handle VAT registration with minimal disruption. Many clients have increased profit margins by 8-10% through strategic capital allowance claims.

GP Partners

GP Partners

As a GP partner, you face challenges like managing partner drawings, capital gains on property, and fluctuating practice profits. Without proper planning, these issues can trigger excessive tax liabilities.

We handle:

  • Profit-sharing agreements and tax on drawings
  • GP-specific tax allowances for medical property investments
  • Advisory services for NHS practice acquisitions
How we help:

We help GP practices maintain cash flow by minimizing tax on profits. Our tax restructuring methods have led to long-term savings across multiple partners.

How We Solve Common Tax Challenges

Problem 1: IR35 Compliance

Scenario: A locum doctor is offered a consultancy role but isn’t sure if the contract falls inside IR35.

Our Solution: We perform a full contract risk assessment and negotiate terms with the agency or client to avoid PAYE misclassification. We’ve helped clients reduce their tax burden by £10,000+ per year through proper IR35 strategies.

Problem 1 IR35 Compliance​

Problem 2: Pension Allowance Breach

We work closely with medical professionals across the UK and keep pace with changes in tax law, pension thresholds, and government guidelines. With our team, you won’t get generic advice. You’ll get actionable solutions based on your financial structure and goals.

Scenario: An NHS consultant exceeded the pension annual allowance and is facing a £15,000 tax charge.

Our Solution: We provide pension growth projections and tax-efficient alternatives, preventing future breaches and ensuring compliance with both annual and lifetime allowance limits.

Problem 3: Expense Denials

Scenario: HMRC disallowed several professional expense claims due to insufficient evidence.

Our Solution: We implement an expense documentation system, ensuring proper records for indemnity insurance, courses, and clinical equipment. Our tax-saving strategies have passed multiple HMRC audits.

Expense Denials

Frequently Asked Questions

The current allowance is £60,000, but tapering can reduce this for high earners. If your adjusted income exceeds £260,000, your allowance may shrink to £10,000. We calculate your threshold income to determine how tapering affects you and offer planning strategies to minimize penalties.

If you’re classified as inside IR35, your agency or client must deduct PAYE and National Insurance from your pay. This can significantly reduce take-home income. We assess contracts for IR35 risk and structure engagements to protect your tax status.

Yes. Training related to maintaining your professional competence is allowable. This includes CPD courses, specialist certifications, and conference fees. However, non-professional development training may not qualify, depending on HMRC guidelines.

Late filing incurs an automatic £100 penalty, increasing over time. We offer a fast-track tax return service to prevent penalties, including detailed reviews to identify and claim all allowable expenses.

Late filing incurs an automatic £100 penalty, increasing over time. We offer a fast-track tax return service to prevent penalties, including detailed reviews to identify and claim all allowable expenses.

Ready to Take Charge of Your Tax Situation?

You’ve worked hard to build your career. You shouldn’t be losing money to poor tax planning. Let’s work together to improve your tax efficiency, prevent compliance risks, and keep more of what you earn. We offer a free consultation to get started. Schedule your session today.