Mixed income streams tracked
Clinic sessions, private clients and workshops all recorded properly, so your full income picture is accurate and complete.
Health & Wellness Practitioners
Accounting for health & wellness practitioners.
Locum clinicians, therapists and coaches often earn from several places at once — clinic sessions, room-rental private practice, the odd workshop or online offering — and each one raises its own questions about self-employed status and what's genuinely deductible. Buzz works with practitioners who want that mix properly sorted, not lumped together and hoped for the best.
Mixed income needs a clear structure, not a guess
Locum shifts, room-rental clinic time and your own private clients can all carry different self-employed status questions depending on how the arrangement actually works. Getting that structure right from the outset — and keeping records that reflect it — makes tax time far simpler and avoids awkward surprises later.
What practitioners need from an accountant
Support built around how practitioners actually earn
Room-rental and status clarity
Practical guidance on self-employed status where you rent a room or work across more than one setting.
An accountant who actually listens
Straightforward conversations about your business, in plain English, from someone who takes the time to understand it.
Self Assessment handled properly
Your tax return prepared and filed correctly, reflecting the full mix of how you actually earn.
A dedicated accountant
Someone who gets to know your practice and doesn't need it re-explained every time you call.
One fixed monthly fee
No hidden extras and no surprise bills, whatever combination of clinic and private work you're doing that month.
Coach your clients. We'll coach you.
You help other people work on themselves — who helps you run your practice?
Plenty of practitioners on this page are coaches, therapists and clinicians who spend their working life supporting other people's growth and wellbeing. Buzz's own coaching arm exists for exactly this — practical support and accountability for you, the business owner, alongside the accounting.
Who this is for
Built for practitioners with more than one income stream
- Locum and self-employed clinicians working across multiple settings
- Therapists and coaches earning from clients, workshops and room-rental practice
- Anyone unsure how their self-employed status applies to a room-rental arrangement
- Practitioners who want a fixed monthly fee, not a bill that varies with income mix
- Anyone who wants an accountant who takes the time to understand their practice
Frequently asked questions
Common questions from practitioners
How much does it cost?
A fixed monthly figure agreed in writing after a 30-minute discovery call. For practitioners the drivers are the number of income streams that need keeping separate — locum shifts, private clients, room-rental clinic time, workshops or online products — plus whether you are VAT registered and whether anyone is on payroll. Mixed income is the thing that adds work, not the amount of it, because each stream can carry a different status and VAT question. FreeAgent is included, worth up to £330 a year, and there is no hourly charge for asking a question between appointments.
Is my income exempt from VAT?
Not automatically. The exemption for medical services applies to care provided by a registered health professional for the purpose of protecting, maintaining or restoring health — so it turns on both who you are and what you are doing. Cosmetic treatments without a therapeutic purpose, wellbeing coaching, most fitness and nutrition work, and the sale of products are generally standard-rated. A practitioner with a mix of exempt and taxable income may also face partial exemption on their input VAT. This is worth establishing before you approach the £90,000 threshold, not after.
I rent a room in a clinic. Does that make me self-employed?
It depends on the substance of the arrangement rather than the label on the agreement. Genuine room rental — you set your own hours and fees, keep your own client list, carry your own indemnity insurance and bear the financial risk — points to self-employment. A clinic that books your diary, sets your prices, supplies the clients and pays you a percentage looks considerably more like employment. Getting it wrong leaves the clinic liable for PAYE and National Insurance. Have the arrangement reviewed before it has been running for two years.
What can I claim as a practitioner?
Professional registration and indemnity insurance, supervision, equipment and consumables, room hire, CPD that maintains existing competence, practice management software, and the business proportion of home working where you see clients or do admin there. The distinctions that catch people out: training that qualifies you in a genuinely new modality is often capital and disallowed rather than a normal expense, and travel between home and a clinic you attend regularly is commuting. Keep records digitally, since Making Tax Digital will require it from your mandation date.
How do I keep client confidentiality and still hand records to an accountant?
By separating the financial record from the clinical one, which you should be doing anyway. We need what was invoiced, to whom in name only or by reference, when it was paid and what it was for — not case notes, diagnoses or anything clinical. Practice management systems generally export a financial report that contains exactly that and nothing more. If your system does not, use client references rather than full details on the ledger. Your professional body's confidentiality requirements sit above any convenience in bookkeeping.
Should I be a limited company?
Check your professional body's rules first, because some regulated professions restrict how practice can be structured or require specific arrangements for indemnity and ownership. Once that is clear, the usual test applies: incorporation starts to make sense when profits are consistently above what you need to draw personally, and less so when they are not, given the extra cost of accounts, filings and payroll. If you hold contracts with the NHS or an insurer, check whether they will contract with a company before restructuring around the assumption they will.
Accreditations & Partnerships
