Fixed-fee accounting and tax support for self-employed physiotherapists, whether you run your own clinic, work as an associate, or see patients on a home-visit basis, covering self assessment, VAT and Making Tax Digital, UK-wide.
Building an independent physiotherapy practice usually means treating patients most of the week and doing the books late in the evening. We work with self-employed physiotherapists at every stage, from your first associate contract to running your own clinic and taking on staff, keeping your HCPC registration, CSP membership, equipment purchases and mileage properly accounted for, so your records are accurate and your tax bill is never a surprise.
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We prepare and submit your personal self assessment tax return, bringing together income from clinic work, associate contracts and home visits into one accurate return, filed well ahead of the January deadline.
We keep your practice records up to date, reconciling patient income, room hire, equipment purchases and mileage so your accounts and tax return are always built on accurate, current figures.
Thinking of moving from associate work to your own clinic? We advise on whether a sole trader or limited company structure suits your plans, and handle the registrations involved.
Many physiotherapy services provided by an HCPC-registered practitioner qualify for the VAT health and welfare exemption. We review your specific services and advise on how the rules apply to you.
From treatment couches and TENS machines to HCPC and CSP fees, professional indemnity insurance and home-visit mileage, we make sure you claim everything you are entitled to.
If you take on a receptionist, an associate physiotherapist or admin support, we run your payroll so PAYE and National Insurance are calculated and reported correctly and on time.
Whether you work as a locum across several clinics, run your own private practice, or split your time between the NHS and private work, here is what matters most for your accounts.
Physiotherapy fees are generally exempt from VAT where you are registered with the Health and Care Professions Council (HCPC) and the treatment is within your registered scope and provided for the protection, maintenance or restoration of the patient’s health. This means most physiotherapists never need to register for VAT on their treatment income, regardless of turnover, though any non-treatment income should be reviewed separately.
Many physiotherapists work as locums across several clinics rather than in one fixed role. Where a clinic or agency directs how and when you work, HMRC’s agency rules can require PAYE to be operated on your fees rather than you being treated as self-employed, regardless of any invoice you raise. We review your working arrangements at each clinic to confirm your correct employment status.
Treatment tables, TENS machines and other clinical equipment usually qualify for capital allowances, while consumables such as tape and dressings are deductible as they are used. If you travel between clinics or to home visits, mileage can also be claimed using HMRC’s approved rates, provided accurate records are kept.
Your annual HCPC registration fee, professional indemnity insurance and continuing professional development courses required to maintain your registration are generally allowable business expenses. We make sure these are captured correctly each year.
Many physiotherapists start out as sole traders for simplicity. As private practice income grows, or if you take on associates or staff, a limited company can become more tax-efficient. We talk through the numbers based on your circumstances before you decide.
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. If you work as an associate, treat private patients, or run your own clinic outside of PAYE employment, you need to register for self assessment with HMRC and report that income each year. We can register you and confirm your filing deadlines.
Common allowable expenses include HCPC registration and CSP membership fees, professional indemnity insurance, treatment equipment, room hire or clinic rent, mileage for home visits, uniforms and laundry, and CPD course costs. We help you keep accurate records and claim what you are entitled to.
Most physiotherapists starting out trade as sole traders for simplicity. A limited company can become more tax-efficient once your income grows or you plan to take on staff and expand your clinic. We talk through the tax and administrative differences based on your circumstances.
Many physiotherapy services provided by a registered practitioner for the primary purpose of protecting, maintaining or restoring a patient’s health qualify for the VAT health and welfare exemption, regardless of your turnover. Where you supply other taxable goods or services, ordinary VAT registration rules apply once turnover exceeds £90,000. We review your specific services and advise accordingly.
HMRC allows a fixed mileage rate for business journeys in your own vehicle. We show you a simple way to log home-visit mileage as you go, so the figures are accurate and ready for your tax return at year end.
This is very common. We combine your associate income, any tax already deducted, and your independent private patient income into a single self assessment return, making sure nothing is taxed twice and every allowable expense is claimed.
No. While most clients prefer cloud software such as Xero, QuickBooks, Sage or FreeAgent, we understand not everyone wants to work in the cloud. If you'd rather not use cloud software for your bookkeeping, we also support off-cloud software such as VT Transaction+.
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.