For many dental and pharmacy business owners in the UK, one of the biggest financial decisions is whether to incorporate the practice. Incorporation means operating as a limited company rather than as a sole trader or partnership. This choice can have major implications for taxes, liability, profit extraction, and long-term business growth.
In this guide, we explore the pros and cons of incorporation for dental and pharmacy businesses. We also explain how working with an accountant for dentists can help you make the right decision based on your specific situation.
Incorporation involves registering your business as a separate legal entity with Companies House. The business operates as a limited company, which has its own legal rights, liabilities, and tax obligations.
As a director and shareholder, you work for the company rather than being self-employed. Profits belong to the company, and you extract income through salary, dividends, or other approved methods.
Healthcare professionals often consider incorporation for:
Tax efficiency: Potential to pay less overall tax through dividends.
Limited liability: Personal assets protected from business debts.
Pension and retirement planning: More flexible contributions.
Succession planning: Easier transfer of ownership or shares.
Professional image: Perception of credibility for patients, suppliers, and lenders.
For dentists, incorporation can offer several financial advantages:
Corporation tax benefits: Corporate profits taxed at 25% (2024 rate), often lower than higher-rate personal income tax.
Flexible profit extraction: Ability to mix salary and dividends for tax optimisation.
Spouse shareholding: Share income with family members for tax efficiency (where allowed by HMRC).
Pension flexibility: Enhanced ability to make employer pension contributions.
Goodwill sale opportunities: In some cases, practice goodwill can be sold to the company, generating personal capital.
However, incorporation also brings complexity with NHS contracts and GDC regulations. An experienced accountant for dentists ensures compliance with both HMRC rules and dental sector specifics.
Pharmacies can also benefit from incorporation, especially as many combine NHS dispensing with private sales.
Advantages include:
Tax efficiency on mixed income: Corporation tax may lower total tax on NHS reimbursements and OTC sales.
Limited liability for business debts: Protects personal assets from supplier or lease obligations.
Succession and sale flexibility: Easier to sell shares rather than business assets when exiting.
Control over profit extraction: Flexibility in deciding how and when to take income.
An accountant for pharmacists in UK provides tailored advice on structuring NHS contracts, inventory valuations, and VAT considerations in an incorporated pharmacy business.
For dentists, NHS contracts may not be automatically transferable to a limited company. NHS England approval is often required, and some regions may impose additional conditions.
For pharmacists, NHS contracts can generally be held by limited companies but still require NHS England and GPhC consent during ownership transfers.
Both GDC (for dentists) and GPhC (for pharmacists) maintain standards for practice ownership and clinical responsibility. Incorporation doesn’t remove the need for personal professional accountability.
Annual Companies House filings.
Statutory accounts and Corporation Tax returns.
More complex bookkeeping and payroll systems.
Legal fees for incorporation and share structuring.
Tax Area
Sole Trader/Partnership
Limited Company
Income Tax
Up to 45% personal rate
25% corporation tax (2024 rate)
National Insurance
Employee + self-employed NI
Employer + employee NI (if salaried)
Dividend Tax
Not applicable
8.75% to 39.35% (depending on income level)
Capital Gains Tax (on sale)
Business Asset Disposal Relief available
Share sales may qualify for BADR
Pension Contributions
Limited by personal tax thresholds
More flexibility for employer contributions
An accountant for dentists or accountant for pharmacists UK can model your exact tax position under both structures to determine the best option for you.
Higher admin costs: More filings, legal fees, and professional accounting support required.
Less personal flexibility: Cannot simply withdraw cash from business bank accounts as with sole traders.
Dividend tax exposure: Dividend tax increases at higher income levels may erode some tax savings.
Contract transfer complications: NHS approvals may delay or limit incorporation benefits.
Scenario
Incorporation May Be Beneficial
Growing private income
Tax savings on non-NHS revenue
Multiple practice ownership
Easier to manage group structures
Long-term growth plans
Better succession and asset protection
High profitability
Tax savings on retained earnings
Family income splitting
Efficient profit extraction if structured correctly
Incorporating without full NHS contract review.
Ignoring GDC or GPhC requirements for directors.
Setting up company structures without proper tax forecasting.
Overlooking dividend tax impact.
Assuming all incorporation benefits apply equally to NHS and private income.
Always consult an industry-specialist accountant before making the decision.
Working with healthcare-specific accountants ensures:
Correct company setup and registrations.
NHS contract transfer management.
Pension and payroll integration.
VAT advice for private or mixed services.
Capital allowances for clinical equipment purchases.
Ongoing compliance with Companies House and HMRC.
A locum pharmacist accountant or specialist dental accountants can also review your future income projections and advise on the optimal time to incorporate based on practice growth and income mix.
Incorporation can deliver significant financial and operational advantages for dental and pharmacy businesses — but only if executed correctly. The decision depends on your income structure, growth plans, NHS contracts, and long-term goals. With professional advice from an accountant for pharmacists UK or an accountant for dentists, you can build a structure that supports both compliance and profitability.