For Individuals · Healthcare Professionals
Direct answer: if you work as a locum or agency nurse, allied health professional, dental or medical staff member, FinPilot handles your self assessment properly — including the NHS Pension Annual Allowance question most generalist accountants miss.
Most healthcare services are VAT-exempt, so there's usually no VAT registration or return to think about. Income is typically a handful of day-rate payments from one or two agencies, and expenses are a short, standard list — professional registration and indemnity, mileage, CPD, subscriptions. That's genuinely simple to get right.
The one area that catches people out: if you're still contributing to the NHS Pension Scheme through permanent or bank work alongside locum income, your pension growth is tested against an annual allowance, which can be tapered lower for higher earners. Missing this can mean an unexpected tax charge — it's a real, commonly mishandled complexity, and it's exactly the kind of thing an FP&A-trained accountant is built to catch.
Locum and agency-placed nurses, physiotherapists, pharmacists and other allied health professionals, and dental and medical staff covering absence or working flexibly through an agency — across Rugby, Coventry, Northampton and Warwickshire. This isn't built around GP-specific accounting, which is already well served by specialist firms elsewhere.
Most healthcare services are VAT-exempt, so the majority of locum nurses, allied health professionals and medical/dental locums have no VAT registration or return to worry about at all — one less compliance layer than many other self-employed professions.
If you're still contributing to the NHS Pension Scheme through permanent or bank work while also earning locum income, your total pension growth can be tested against an annual allowance — and for higher earners, a tapered, lower allowance can apply. Getting this wrong can mean an unexpected tax charge; it's one of the most commonly mishandled areas for locums doing both NHS and agency work.
Typically professional registration and indemnity fees, mileage between placements, CPD courses, professional subscriptions and specific equipment or uniform costs — a short, fairly standard list across most locum and agency healthcare work.
No — this is built around locum and agency-placed nurses, allied health professionals (physiotherapists, pharmacists and others), dental and medical staff, not specifically GP locums, who are already well served by specialist GP-focused accountants.
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