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Uncover the latest tax insights from our expert team, designed to help your business stay informed and ahead.


Matthew Watson Medical Partner, Ballards
As a medical Accountant and tax advisor at Ballards, I am very much involved in advising both GPs and Consultants. One of the most frequent questions I am asked is “How can we reduce our tax liabilities! How can we be more efficient?”
The first significant piece of advice is to consider tax liabilities as early as possible. This is because it gives you an opportunity to potentially mitigate the liability, but also because it allows you time to plan for payment of the liability.
Many GPs and consultants find themselves with unexpectedly high tax bills each year, this can be due to lack of of strategic tax planning. It is more palatable to be aware of a 31 January tax liability a year in advance, rather than the 30 January!
As with everything in life, adequate planning and foresight can potentially help to mitigate your ultimate tax liabilities. This is true for all different types of medics including, self-employed GPs, NHS hospital consultants, or running a private practice.
Some methods of mitigating the tax liabilities are as follows:
One of the first questions which we are asked is “what expenses can we claim against our income? The maximising of claims for allowable expenses against your taxable income is a prime method of reducing your tax liabilities. These may include:
Over recent years the potential breaching of the Annual Allowance cap (currently £60,000 unless tapered) has become an intrinsic part of the necessary annual tax planning process. It is possible to unknowingly breach the Annual Allowance and potentially face significant tax charges on their pension growth. Planning points to consider are:
It is a very wide question to consider, and the answer depends on personal circumstances and plans.
For consultants with substantial private income, operating through a limited company can potentially offer tax savings. This is because the corporation tax rate is 19% or 25% (or marginal rate) whereas the personal income tax rate can be either 40% or 45% or even potentially 60%. However the ultimate “tax” depends on how you plan to extract funds from the company and your own personal circumstances.
We would be happy to run through a bespoke example with you.
There are several other tax planning tools which Consultants and locums should utilise. These include, for example; consideration of sharing income with a spouse, claiming a home office allowance for a portion of household expenses and planning if it is possible to potentially delay income, or use pension planning strategically to help manage the various tax bands. For example keeping below £100,000 to maintain free child hours or to keep personal allowances, or keep taxable income to less than £200,000 to avoid tapering your annual allowance.
The conclusion is that you need to be proactive in your tax planning, and to undertake it at the earliest opportunity. Ballards are specialist experienced medical accountants and would be happy to help you achieve this. If you’re interested in discussing your financial position, feel free to get in touch.
Disclaimer
This insight does not constitute financial or legal advice. All businesses have different considerations, and you should contact a professional before acting upon any of the information contained in this insight.
Uncover the latest tax insights from our expert team, designed to help your business stay informed and ahead.