For self-employed locum GPs & doctors

MTD for Income Tax for locum GPs & doctors.

High day rates, several practices, sizeable indemnity and GMC fees. Here's how Making Tax Digital for Income Tax affects locum GPs and doctors, and why you're almost certainly in scope now.

Does this apply to me?

Most locum GPs and doctors are firmly in scope.

MTD for Income Tax is measured on gross self-employed income before expenses. On typical day rates, that's well over £50,000 for most locums.

Live now
£50,000
Gross income from April 2026
£30,000
Threshold from April 2027
£20,000
Threshold from April 2028
Pensions handled separately

MTD reports income, not your pension.

MTD covers your self-employed income and business expenses. Pension contributions and NHS pension arrangements are dealt with separately from your day-to-day MTD records, although they may affect your overall Income Tax calculation. Your accountant can advise how they interact with your tax return. Keeping accurate digital records makes the year-end process easier.

What records you need
What's changing

Digital records, four quarterly updates, one final declaration.

Your annual Self Assessment return is replaced by four short quarterly updates and a year-end final declaration, all through recognised software.

What to keep digital

  • Sessional income from every practice
  • Medical indemnity cover
  • GMC and college fees
  • Mileage to practices
  • Courses, CPD and exams
  • Equipment used for your work

Record each session as you complete it so your quarterly total reflects the work you actually did.

  • Several practices Reconciled into one update
  • Indemnity and GMC Deductible business costs
  • Pensions Handled separately from MTD
The locum detail

The bits specific to locum medicine.

Multiple practices

Every practice is one income source. Recorded together, they total into a single quarterly update.

Indemnity and GMC

Significant, and fully deductible. Keep them recorded so your expense total is complete at year-end.

Mileage and CPD

Travel to practices and ongoing training are deductible. Log them as you go and nothing is missed.

Pensions stay separate

MTD reports your income and expenses. Your pension arrangements are handled separately, with your accountant.

Why Clear Books

One place for every session.

Your time is stretched between practices. Clear Books pulls your income together and gives HMRC exactly what MTD requires, with your accountant a click away.

  • Record sessional income from every practice
  • Track indemnity, GMC and college fees
  • Log mileage and CPD as you go
  • Send HMRC-compliant quarterly updates in minutes
  • Invite your accountant to review the figures
  • Free plan available, no timer
The Clear Books MTD for Income Tax submissions screen showing four quarterly updates submitted to HMRC
Q1 update submitted
HMRC recognised
Common questions

Locum GP & doctor MTD FAQ.

Do locum GPs and doctors have to use MTD for Income Tax?
On typical day rates, most locums are over £50,000, so it applies from 6 April 2026. The threshold drops to £30,000 from April 2027 and £20,000 from April 2028.
I work across several practices, how is that reported?
All your self-employed sessional income sits in one set of records. Clear Books totals it into a single quarterly update so you review once and submit.
How does the NHS Pension Scheme fit with MTD?
MTD reports your self-employed income and expenses. Pension contributions and NHS scheme arrangements are handled separately, and your accountant can advise how they interact with your tax.
Is my indemnity and GMC registration deductible?
Yes. Medical indemnity and GMC registration are business costs for your locum work, as is relevant professional body membership. Record them digitally with your other expenses.
What else can I claim?
Typical costs include indemnity, GMC and college fees, mileage to practices, courses and CPD, and equipment used for your work.
Free for self-employed locums

Every session in one place.

Record your work and costs as you go, and send your first quarterly update in minutes.