VAT updates: November 2019

In this month’s VAT updates, Graham Elliott, director at City & Cambridge Consultancy, considers whether direct patient contact is necessary for medical services, how waiting for a single document lost a self-builder’s tax claim, and whether a husband and wife’s businesses were one or two businesses

Case: medical services

Two cases have recently been decided which deal with the same general issue, one being a First Tier Tribunal (FTT) decision, and the other the decision of the Court of Justice of the European Union (CJEU). The issue is whether the medical exemption can extend to cases where there appears to be a supply of staff rather than actual medical services.

In Medacy (TC07370), an agency provided pharmacological services by means of arranging for pharmacists to be placed within GP practices. The company is paid fixed sums and the GP practice directs patients to the pharmacists for attention as necessary.

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