Fixed-fee accounting and tax support for optometrists, whether you locum across several practices, hold NHS performer status, or own your own independent practice, covering self assessment, VAT and Making Tax Digital, UK-wide.
Optometry has a particular quirk that catches many practitioners out: the eye examination itself is generally exempt from VAT as medical care, while dispensing spectacles and contact lenses is a taxable supply, which means practice income often has to be split between exempt and taxable elements. We work with locum optometrists and independent practice owners across the UK, getting this mixed-supply position right and keeping your self assessment or company accounts accurate.
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We prepare and submit your self assessment tax return, bringing together locum sessions, NHS performer payments and any practice income into one accurate return.
We keep your records up to date, reconciling locum fees, NHS General Ophthalmic Services payments and dispensing income so your accounts are always accurate.
Thinking of buying into or setting up your own practice? We advise on the right business structure, whether sole trader, partnership or limited company, and handle the registrations involved.
Eye examinations are generally VAT-exempt as medical care, while dispensing spectacles and contact lenses is typically standard-rated, so many practices need to apportion income between the two. We help you get this split right and manage your VAT and Making Tax Digital obligations.
From GOC registration and professional indemnity to clinical equipment, CET courses and travel between practices, we make sure you claim everything you are entitled to.
If you employ dispensing opticians, reception or clinical support staff, we run your payroll so PAYE and National Insurance are calculated and reported correctly and on time.
We offer fixed-fee packages whether you work as a sole trader or through your own limited company. Each package covers the core compliance work below, with optional extras you can add as needed.
Self Employed
Optional
Limited Company
Optional
Limited Company
Optional
Limited Company
Optional
All packages are guide prices, excluding VAT. Your exact fee depends on your turnover, transaction volume and the level of support you need — request a quote for a price tailored to you.
Straightforward answers to the questions we’re asked most.
Yes. Locum optometry income, whether booked directly or through an agency, needs to be reported through self assessment. We register you if needed and file your return each year.
Eye examinations are generally exempt from VAT as medical care, but dispensing spectacles and contact lenses is a taxable supply. Practices that both examine and dispense usually need to apportion their income between exempt and taxable elements using an agreed method, and register for VAT once taxable turnover exceeds £90,000. We help you set this up correctly.
Common allowable expenses include GOC registration, professional indemnity insurance, clinical equipment, CET and CPD course costs, professional body subscriptions, and travel between practices. We help you keep accurate records and claim what you are entitled to.
This depends on how the practice is structured and your long-term plans. We talk through the tax and practical implications of each option before you commit to a purchase or partnership agreement.
NHS sight test fees are paid on a fixed-fee basis and need to be reconciled against your practice management system and bank records like any other income stream. We build this into your bookkeeping so nothing is missed.
We help you apply an appropriate apportionment method to separate exempt examination income from taxable dispensing income, in line with HMRC guidance for the optical sector, and handle your VAT returns under Making Tax Digital.
Tell us about your circumstances and we’ll come back to you with clear next steps, typically the same working day. Our support is available in person, by phone, email or a virtual video meeting, whichever suits you best.