Opportunities to work in groups are now on the increase for more consultants. Richard Norbury gives tips on the various structures you need to consider

With the NHS’s current challenges, the focus is on cutting waiting list times – but many consultants are understandably anxious about performing additional work and being paid extra salary under PAYE.

They are obviously concerned for a variety of reasons, including:

* High tax rates;

* Loss of certain childcare benefits;

* The potential tapering of the annual allowance causing additional pension tax charges.

 Now NHS trusts are becoming more innovative to try and reduce their waiting list times and are under significant pressure to do so.

 And that means consultants may have opportunities to group together.

This could be in a variety of formats with different levels of commitment, starting from a loose/cost-sharing arrangement to a more formal legal structure such as a company or limited liability partnership (LLP).

It is important to establish the common goals and objectives of the group as early as possible, because this will, no doubt, have an impact on the decisions made, including which tax structure you choose.

Consultants who are new to their posts may find they are offered the opportunity to join existing arrangements. They will have varying commitment levels to such groups, from being very involved in the management to effectively subcontracting. More...