In real terms, NHS dentistry spending in the UK has fallen by around £1.9bn since 2006, and many practices now describe a £1.2bn gap between the cost of NHS care and what the NHS actually pays for it. Some practices lose more than £25 on a routine NHS check-up and over £100 on some root canal treatments once staff time, materials and lab costs are added up. With around 13.3 million adults facing unmet need for NHS dental care in England, the pressure on remaining NHS capacity keeps growing.

Your UDA Rate Decides Whether Your NHS Contract Pays You Fairly

Your UDA rate decides whether your NHS contract makes money or loses it. We look at your contract value, your UDA target and your actual delivery to work out true profitability, not just the headline income figure, and we keep your dental accounts up to date so nothing gets missed.

Working Out Your Real Cost Per Surgery And Per Clinical Hour

We help you calculate the real cost of running each surgery and each clinical hour, including staff, materials and overheads. Almost half of practice owners, 44 percent, say they plan to reduce their NHS commitment over the next five years, and clear financial reporting explains why so many need an honest picture of where NHS work actually pays.

Good tax planning is not something you do once a year in January. We look at your financial situation as a whole rather than one tax year in isolation, and work with dental clients throughout the year to manage tax liabilities, plan ahead for tax bills, and claim the capital allowances you are entitled to on equipment, surgery fit-outs and a qualifying practice purchase. Maximising tax efficiency this way is one of the fastest routes to achieving financial success without taking on more patients.

If your practice has income outside NHS and private dental treatment, such as cosmetic work, teeth whitening or retail sales, you may need to register for VAT once you pass the £90,000 threshold. We help you separate exempt dental income from taxable income so your VAT position stays correct, and your management accounts stay accurate month to month.

Since April 2026, Making Tax Digital for Income Tax means many self-employed dentists earning over £50,000 must now keep digital records and report to HMRC every quarter, not just once a year. Getting ready for digital tax reporting now, rather than in a rush, protects your long-term financial stability.

Support When You Are Buying Or Expanding Your Practice

Buying a dental practice or opening a second site involves valuations, due diligence, finance applications, and cash flow forecasting before you sign anything. Specialist dental accountants prepare the financial information lenders and sellers actually want to see, so your practice acquisitions move faster and with fewer surprises, and your business goals stay realistic from the start. Good dental accountants also look at tax efficiency and NHS pension implications before you sign anything, not after.

Planning Your Exit When You Are Ready To Sell

When you are ready to sell, tax planning matters as much as the asking price. We help prepare your accounts, structure the deal tax efficiently, and support you through practice sales from the first valuation to completion. We also support multi-site groups with consolidated financial performance reporting, so you can see how each practice contributes to total practice performance. That reporting gives you valuable insights into which sites are actually driving profit, and which ones need attention.

Whether you are buying your first practice or planning to step back after years of ownership, our specialist services can help with:

• Practice valuations and due diligence
• Practice acquisitions, finance applications and cash flow forecasting
• Tax planning around the purchase or sale
• Structuring as a sole trader or limited company

NHS pensions are a major part of most dentists' retirement planning, and getting the numbers right matters for your long term financial stability. We help you understand what your NHS pension actually means for your financial health in retirement, and where a SIPP or other wealth management options might fit alongside your NHS pension. This is one area where strategic guidance and proper financial planning make a real difference to dentists over the course of a career, whether you run your own business or work as an associate across several practices.

Planning for later life looks different depending on whether you are an associate, a practice owner, or already thinking about practice sales as part of your exit. We build your personal tax planning and pension planning around your practice, not the other way round, so your business grows on your terms.