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Accounting and invoicing for practices

Treatments, self-pay patients, courses and home visits: a practice runs several billing routes side by side. Saldiqo takes over the invoices to self-pay patients and companies, matches the payments and keeps your expenses together.

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What comes up for practices

Several billing routes

Public and private insurers mostly run through their own routes and billing agencies. Beside them are self-pay invoices, courses, reports and company jobs that you write yourself.

Exempt and taxable services

Medical treatment is VAT exempt in many countries, courses, sales and reports often are not. One invoice can contain both.

Sensitive details

The invoice does not say what a patient has, it says what you bill. Descriptions should be as neutral as the billing allows.

No-show fees and reminders

Whoever does not show up gets a no-show invoice. Whoever does not pay gets a reminder, friendly and with fixed deadlines.

How Saldiqo helps

  • Invoice for self-pay patientsYou write the invoice from your services as items, with a note on the tax exemption in the closing text if you like.
  • Tax rate per lineMix exempt treatments with taxable lines, each with its own rate.
  • Reminders in a friendly sequencePayment reminder and reminder levels with deadlines and fees, sent with one click.
  • Match paymentsUpload the bank statement, and Saldiqo matches payments to invoices and shows who is still open.
  • Receipts and practice costsPhotograph the receipt with your phone. Supplies, rent and insurance you keep in view with their due dates.

Typical invoice lines

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

  • Treatment, 30 minutes, self-pay
  • Home visit, flat rate
  • No-show fee for a missed appointment
  • Back school course, 8 sessions
  • Report by effort
  • Sale of care product

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.

For practices in the UK

Health services provided by registered practitioners are generally exempt from VAT in the UK. Courses and product sales may not be. In Saldiqo you set the matching rate per line, and which rule applies you clear with your accountant.

Frequently asked questions

Does Saldiqo replace billing with the insurers?

No. Saldiqo is for your own invoices, for example to self-pay patients and companies. Billing with public and private insurers runs through your billing agency or practice software.

How do I show an exempt service?

You set the line to 0 % and write the note on the exemption in the closing text. Which exemption applies to your service, you clear with your tax adviser.

May I store patient data in Saldiqo?

An invoice contains a name and address, and in health care the service can hint at health data. Keep descriptions as neutral as possible and, if needed, conclude a data processing agreement with us, which is linked in the page footer.

Do 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 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 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.

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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.