Quick answers
The Self Assessment workflow at a glance
- Who may need Self Assessment?
- A GP with self-employed locum income may need a return even if they also have PAYE employment. HMRC has filing criteria and notices to file; check the current GOV.UK service rather than relying on job title alone.
- When is the online deadline?
- The standard online filing and balancing-payment deadline is 31 January after the tax year. Paper returns normally have an earlier 31 October deadline, and payments on account can create additional January and July payments.
- Do invoices or bank receipts count?
- The applicable accounting basis and facts determine when business income and expenses enter the accounts. Cash basis is widely used, but do not switch between invoice and payment dates informally. Ask your accountant which basis applies.
- Does MTD replace the return?
- MTD for Income Tax adds digital records and quarterly updates for eligible people. It does not make year-end information, adjustments or tax-payment responsibilities disappear.
Who needs Self Assessment
Self-employment is one common reason to file, but HMRC's criteria cover other circumstances. A salaried GP can still need Self Assessment for locum profit. Check HMRC's current criteria and any notice to file. Keep contracts and seek advice where ‘locum’ work could instead be employment, agency or company work.
Registering as self-employed, UTR and Government Gateway
If you need to report new self-employment, use the official HMRC registration route. A first-time filer is normally expected to tell HMRC by 5 October following the end of the relevant tax year, although the practical requirement depends on why a return is due and any existing record. Register early enough to receive access details before January.
The Unique Taxpayer Reference identifies the Self Assessment record. It is not the same as a National Insurance number, GMC number or Government Gateway user ID. Store the UTR securely, keep recovery details current and do not send sign-in credentials to an accountant. Accountants use an authorised-agent process rather than your password.
Example: a GP starts locuming in September 2026
- September 2026 — first self-employed locum session
- 5 April 2027 — 2026/27 tax year ends
- 5 October 2027 — usual first-time registration date
- 31 January 2028 — standard online filing and payment deadline
- 31 July 2028 — second payment on account may be due
This is the standard sequence, not a personalised instruction. File earlier where possible and follow HMRC correspondence.
Build a tax-year timeline
The tax year runs from 6 April to 5 April. Reconcile sessions, payments, expenses, mileage and pension records monthly, then close the full year after 5 April. Standard dates include 31 October for paper returns and 31 January for online returns and balancing payments. Payments on account can also fall on 31 January and 31 July.
- Monthly — reconcile sessions, invoices and bank receipts.
- Quarterly — review expenses, mileage and missing evidence.
- After 5 April — close the year and resolve unknown entries.
- Before filing — check PAYE forms, pension documents and other income.
- Before payment — confirm the calculation and payment reference.
Paid versus invoiced records
Keep both the work/invoice date and the bank paid date. The applicable accounting basis determines when amounts are recognised, and year-end adjustments may be needed. Cash basis broadly follows money received and paid; traditional accounting broadly follows income earned and expenses incurred. Rules and eligibility can change, so confirm the basis used in the return.
An unpaid invoice crossing 5 April is a good test of record quality. Do not delete it from the old year or treat it as paid because the work happened. Keep the session, invoice, due status and eventual receipt connected, then let the accounting basis decide the return treatment.
Example: an unpaid invoice crosses tax years
- Session worked: 20 March 2027
- Invoice issued: 25 March 2027
- Tax year ends: 5 April 2027
- Practice pays: 18 April 2027
- Records retained: session date, invoice date, due date and actual paid date
Give all dates to the accountant. Do not choose the return year from one date without checking the accounting basis.
Mixed PAYE and locum income
Many GPs combine PAYE work with self-employed locum sessions. The return brings relevant sources together; PAYE tax already deducted may not cover locum profit. Keep P45, P60 and P11D documents and flag professional costs shared between roles rather than claiming them twice.
Example: PAYE job plus locum income
- Three-day salaried role: P60 retained
- Weekend locum work: sessions, invoices and payments recorded separately
- Professional subscription: used across both roles and flagged for review
- Return handoff: P60, locum income/expense export and relevant pension documents
The final bill depends on total income, tax already deducted, allowances, pension and other facts.
Expense, mileage and NHS pension records
Expense records need supplier, date, amount, business purpose, receipt and any private or reimbursed element. Mileage needs journey date, origin, destination, purpose and distance. A total reconstructed from a calendar is weaker than a contemporaneous journey log.
NHS pension documents are not interchangeable with expense entries. Preserve the session, pensionable-pay context, Locum A/B or other official records, contributions paid and dates. An accountant can assess the tax-return entries; airGP does not decide pension eligibility or authoritative contribution figures.
- Expense export matched to receipt references.
- Mileage log with individual business journeys.
- Pension contribution and official submission/payment evidence.
- Reimbursements separated from the original cost.
- Unknown or mixed-use items listed for accountant review.
Payments on account and the first January bill
Payments on account are advance instalments towards the next Self Assessment bill. HMRC normally calculates each as half of the previous year's relevant bill, with instalments on 31 January and 31 July. They are generally not required where the relevant bill is below the current threshold or most tax was collected outside Self Assessment; check the live rules.
This is why a first substantial January payment can feel larger than one year's balancing amount. A claim to reduce payments on account may be possible if the next bill is genuinely expected to be lower, but reducing too far can lead to interest. Use current figures and accountant advice rather than changing them to solve short-term cash flow.
Illustrative first bill with payments on account
- Balancing amount for completed year: £12,000
- Illustrative first payment on account: £6,000
- Total potentially due 31 January: £18,000
- Illustrative second payment on account due 31 July: £6,000
This is arithmetic only, not a tax forecast. The actual calculation, exclusions and thresholds depend on HMRC rules and your return.
How much should a GP locum set aside?
No single percentage is safe for every GP. PAYE income, tax bands, profit, National Insurance, student loans, pension, other income and payments on account all matter. Ring-fence money as payments arrive and ask an accountant for an in-year forecast based on actual figures.
Accountant handoff checklist
Ask the accountant what format and cut-off date they prefer. Reconcile totals to the bank and list missing receipts, disputed invoices, equipment, mixed costs, uncertain travel and reimbursements. Use HMRC's agent-authorisation process rather than sharing your Government Gateway password.
- UTR and National Insurance number supplied securely.
- P60/P45/P11D documents and other income details.
- Locum income, invoice and paid-date export reconciled to the bank.
- Expenses, receipts and mileage log.
- Pension documents and contributions.
- Student loan, Gift Aid, property, interest, dividends or other relevant details.
- Questions and uncertain treatments highlighted explicitly.
Corrections, late filing and missing records
Do not ignore an error because a return was submitted. HMRC provides amendment and disclosure routes with time limits. The right action depends on the error and timing. Tell the accountant promptly, preserve the corrected source record and avoid editing historical exports without an audit note.
Late filing and late payment can create separate penalties and interest. If records are incomplete, submit accurate information using the appropriate process rather than inventing precision. Contact HMRC or seek professional help early when illness, access problems or missing data threaten a deadline.
How Making Tax Digital fits
MTD for Income Tax adds digital records and quarterly updates for eligible people in phases; it does not remove year-end information or tax payment. Keep reliable source records and check current thresholds. airGP's optional direct-submission add-on is coming soon and awaiting approval, not a live filing route.
Frequently asked questions
GP locum tax FAQs
When do GP locums register for Self Assessment?
A first-time filer who needs a return is normally expected to notify HMRC by 5 October following the relevant tax year. Use the official checker and registration service because the requirement depends on your circumstances and existing record.
What records should I keep?
Keep sessions, invoices, paid dates, bank evidence, expenses and receipts, mileage, pension documents, PAYE forms, contracts and other relevant income information. Preserve the connection between each source record and the reported total.
Do I declare invoices or payments?
The accounting basis determines timing. Keep invoice, work and payment dates and ask your accountant which basis applies. Do not alternate between dates informally.
What are payments on account?
They are advance instalments towards the next Self Assessment bill, normally due in January and July when the rules apply. They can make the first substantial January payment larger than the balancing amount alone.
How much should I set aside?
There is no universal safe percentage. Use a separate reserve and obtain a forecast based on PAYE income, locum profit, pension, student loan, other income and likely payments on account.
Do pension contributions go on the tax return?
Pension treatment depends on the scheme, contribution and tax facts. Give official pension and payment documents to the accountant rather than assuming an expense category.
Do I need an accountant?
An accountant is not compulsory solely because you locum, but medical-professional experience can be valuable for mixed PAYE work, pension, travel, payments on account, property or company questions.
Does MTD replace Self Assessment?
No. MTD adds digital records and quarterly updates for eligible people; year-end information, adjustments and payment obligations remain.
Can airGP submit my tax return?
No. airGP does not prepare or submit a Self Assessment tax return. Its optional MTD quarterly-submission add-on is coming soon and awaiting approval, and is separate from the annual return process.
Related GP locum guides
Use the broader guides when the task changes
See the wider tax, expenses and pension context.
GP locum expensesBuild a defensible expense and evidence record.
Making Tax DigitalCheck digital-record and quarterly-update preparation.
GP locum invoicingKeep work, invoice and payment dates connected.
NHS pension contributionsRetain the official pension records used at tax handoff.
Primary sources
Check the current Self Assessment rules
Rates and rules change. These official pages supported the review on 27 June 2026.
- GOV.UK: Register for Self Assessment
Official registration routes and timing.
- GOV.UK: Self Assessment deadlines
Current registration, paper, online and payment dates.
- GOV.UK: Payments on account
How instalments are calculated, paid and reduced.
- GOV.UK: Self-employed records
Business records required for the return.