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Accounting and invoicing for osteopathy practices

Longer sessions, self-pay and privately insured patients, consultations and workshops: an osteopathy practice has few but longer appointments. Saldiqo writes invoices with date, duration and service, creates reminders for no-shows and records practice expenses.

Updated:

What comes up for osteopathy practices

Few long appointments

A session lasts 45 to 60 minutes and costs accordingly. No-shows hurt more.

Self-pay and refunds

Patients submit the invoice to their insurer for a refund. It has to contain all details.

Room and equipment

Couch, rent and further training are big items that belong to the practice.

How Saldiqo helps

  • Invoice with duration and serviceSession as an item with duration and amount.
  • No-show feeA separate invoice for appointments not cancelled.
  • Practice expensesRecord rent and training.
  • Match paymentsUpload the bank statement, and Saldiqo shows open invoices.

Typical invoice lines

Examples that often appear on invoices in this industry. You set the prices yourself.

  • Osteopathic session, 60 minutes
  • Follow-up session, 45 minutes
  • Consultation, 30 minutes
  • No-show fee
  • Back health workshop, 2 hours
  • Home visit, flat fee

Tax and invoicing in the UK

What applies to invoices in the UK, in short. As of October 2026.

VAT
Standard rate 20 %, reduced rate 5 % and zero rate 0 %. Saldiqo calculates each invoice line with the rate you pick.
VAT registration
You must register once your taxable turnover passes £90,000 over any 12 months, or you expect to pass it within the next 30 days. You can deregister below £88,000. Until you are registered, your invoices show no VAT, and Saldiqo adds up your 12-month turnover for you.
What goes on an invoice
If you are VAT registered: your VAT number, the tax point, unit prices and the VAT total in pounds. A limited company shows its registered name on every invoice, and its company number, registered office and part of the UK on letters, order forms and the website.
E-invoicing
There is no mandate today. From April 2029 e-invoicing is planned for all B2B and B2G sales that carry VAT, through Peppol. The exact date and standard are not yet in law, and the government’s roadmap follows with the Budget on 28 October 2026.
VAT returns
VAT returns go to HMRC through Making Tax Digital, usually quarterly, due one month and seven days after the period. Saldiqo shows sales and VAT per rate and exports CSV. It does not submit to HMRC, and for Making Tax Digital you need software recognised by HMRC.
Record keeping
Keep VAT records for 6 years.
Late payment
Statutory interest on late business payments is the Bank Rate (3.75 % in the second half of 2026) plus 8 points, so 11.75 %. On top comes fixed compensation of £40, £70 or £100, depending on the amount owed (under £1,000, from £1,000, from £10,000). Consumers have no statutory interest.
Getting paid
Your sort code and account number are on every invoice. Customers pay by Faster Payments or Bacs, and banks check the account name with Confirmation of Payee. There is no QR standard in the UK.

Frequently asked questions

How do I write invoices for the insurer?

You write the invoice with all details on service and duration. Which details the insurer requires, you learn from them.

How do I treat no-shows?

With a separate invoice for the no-show fee, with the date of the appointment.

Do osteopathy practices in the UK have to charge VAT?

Only once they are VAT registered. Registration is required when taxable turnover passes £90,000 over any 12 months, or is expected to within the next 30 days. Below that you may register voluntarily. If you are not registered, you must not show VAT on your invoices.

Do osteopathy practices in the UK need e-invoicing?

Not today. A mandate for B2B and B2G sales with VAT is planned from April 2029, and the details were still open as of October 2026. You can keep sending PDF invoices for now.

How long should osteopathy practices keep invoices?

Keep VAT records for 6 years. You can store receipts digitally in Saldiqo. The legal duty to keep records stays with you.

Try Saldiqo for free

Write invoices, match payments, collect receipts and send reminders: free and without a trial period.

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As of October 2026. General information, not legal or tax advice, without guarantee. For your case ask your tax adviser.