accounting for NHS workers

Rated 5/5 on Google★★★★★
AAT QUALIFIED ACCOUNTANT

Accounting for NHS Workers, Done Properly

I handle self assessment, bank shift income, tax relief claims and NHS pension questions for NHS staff across the UK — so you do not have to figure it out alone.

Fixed fee, same-day responses, and you deal with me directly every time — no junior staff, no handoffs.

★★★★★Google Review

“Would 100% recommend, is always polite, professional and helpful! His knowledge has been a saving grace many times.”

Sally Radford · verified client
AAT qualified accountant Luke Jackson helping NHS workers with self assessment and tax returns
7+ years in accountancy practice
AAT Level 4 qualified — FMAAT
5.0 star rating on Google
Same-day responses, always
QuickBooks ProAdvisor and FreeAgent Partner

Are you paying the right amount of tax on your NHS income?

Answer five quick questions and get a clear next step tailored to your situation.

WHAT I DO

What I handle on your behalf

From your self assessment return to your bank shift income and NHS pension questions, I take the whole thing off your plate.

01

Self Assessment for NHS Staff

If you earn bank shift or agency income on top of your NHS salary, HMRC requires you to file a self assessment return. I calculate your total tax position, claim every relief you are entitled to, and file the return accurately on your behalf. You tell me what came in — I handle the rest.

Core service
02

Tax Relief and Allowable Expenses

Most NHS workers miss legitimate tax relief they are fully entitled to claim — professional registration fees such as NMC, HCPC or GDC, union subscriptions, uniform costs and mileage for clinical duties. I review your position in full and make sure nothing is left on the table. A quick check often recovers more than the cost of my fee.

Included in all plans
03

NHS Pension and Annual Allowance Guidance

The NHS Pension Scheme is generous but complicated. The standard annual allowance for 2026/27 is £60,000, but it can taper down to as little as £10,000 if your adjusted income is high enough. I help you understand where you stand so there are no surprise tax charges at year-end. If carry forward or Scheme Pays applies to your situation, I will explain that clearly too.

Tax planning
WHY IT WORKS

Why clients come back every year

The people who stay with me do so because they feel looked after, not just processed.

You always speak to me directly

I do not have a team of juniors. Every question you send lands with me, and I reply the same day. If you have just finished a night shift and a letter from HMRC has landed, you can message me directly without navigating a phone system or waiting days for a response. That direct line matters when something feels urgent.

Fixed fees with no surprises

You know exactly what you pay before we start. There are no hourly rates that spiral and no surprise invoices when you ask an extra question. I set out the fee clearly upfront, and it does not change mid-year. For NHS workers who are already managing enough financial complexity, predictability matters.

Plain English from start to finish

I explain your tax position in language that makes sense, not in jargon that leaves you more confused than when we started. If your pension contribution rate is changing, I will tell you what it means for your take-home pay and your tax bill in actual numbers. You will always know where you stand.

FROM CLIENTS I WORK WITH

What clients say

★★★★★

“I had been doing bank shifts for two years without realising I needed to file a self assessment. Luke sorted it all out, reclaimed overpaid tax I did not know I was owed, and made the whole process completely painless.”

R.H.
Band 6 NHS Nurse
★★★★★

“The NMC fee, the mileage, the uniform costs — I had no idea any of that was claimable. Luke went through everything and my tax bill came back lower than I expected. He replies to messages quickly, which means a lot when you are working shifts.”

K.M.
NHS Paramedic, Agency Work
★★★★★

“I was worried about the pension annual allowance after a pay review pushed my income up. Luke explained exactly where I stood, what carry forward meant in my case, and what I needed to do before April. I felt in control for the first time in years.”

P.W.
NHS Band 8 Manager
GETTING STARTED

How it works

Four simple steps and you will not have to think about your tax again until I tell you everything is done.

01

Book a free call

We have a short call where you tell me your situation — your NHS role, any bank or agency shifts, and any concerns you have about your tax position. I will tell you exactly what I can do for you and what the fixed fee looks like. No obligation.

02

I review your income and tax position

You share your payslips, P60, and any relevant income records. I go through everything carefully — including expenses you may be entitled to claim and any pension considerations that are relevant to your band and earnings.

03

I prepare and file everything

I prepare your self assessment return, calculate your tax liability accurately, and file it with HMRC on your behalf. If there is a refund owed to you, I identify that clearly. You approve everything before it is submitted.

04

You stay in the picture all year

Tax does not stop at the filing deadline. If your shifts change, your pay banding moves, or a question comes up mid-year, you message me directly and I reply the same day. You always know who to call.

COMMON QUESTIONS

Common questions

Yes, if your bank or agency income takes your total earnings above the self assessment threshold, or if HMRC has asked you to file, you are required to submit a return. This catches a lot of NHS workers off guard, particularly those who only do a handful of extra shifts. The good news is that once it is set up, the process is straightforward and I handle it entirely.
Quite a few that most people overlook. Professional registration fees — NMC, HCPC, GDC — are claimable. So are Royal College subscriptions, union fees, and mileage for travel that is not covered by your employer. Some uniform costs are claimable too, depending on your circumstances. I go through your position in full so nothing is missed.
It depends on your earnings and how much your pension has grown in the year. The standard annual allowance for 2026/27 is £60,000, but if your adjusted income is above certain thresholds, this can taper down to as little as £10,000. Many senior NHS staff are caught out by this without realising it. I can help you understand where you stand and what options are available, including carry forward and Scheme Pays, before any charge becomes a problem.
I quote a fixed fee before we start, so you know exactly what you are paying with no surprises. In many cases, the tax relief and overpaid tax I recover covers the fee entirely — sometimes more. On the free call, I will tell you honestly whether I think I can add value for your specific situation before you commit to anything.