For patient transport drivers

MTD for Income Tax for non-emergency patient transport.

Contract and framework income from NHS and care providers, DBS and training, an accessible vehicle and plenty of mileage. Here's how Making Tax Digital for Income Tax applies to patient transport drivers, and when it starts.

When does it start for me?

April 2027 for many, later if you're part-time.

MTD for Income Tax phases in by gross income before expenses. Many patient transport drivers work part-time, so it's worth checking your gross income.

£50,000
Already live, from April 2026
Your likely date
£30,000
In scope from April 2027
£20,000
In scope from April 2028
Contract income is tidy

Scheduled payments keep records simple.

Contract and framework work is usually invoiced or paid on a schedule, so your income records are naturally clean. Recording the vehicle, mileage and compliance costs keeps your profit clear.

What records you need →
What's changing

Digital records, four quarterly updates, one final declaration.

When you're in scope, your annual Self Assessment return is replaced by four short quarterly updates and a year-end final declaration, all through recognised software.

What to keep digital

  • Contract and framework income
  • The accessible or adapted vehicle
  • Fuel and mileage
  • DBS checks and training
  • Insurance and licensing
  • Cleaning and PPE

Record each scheduled payment and log mileage as you go so your quarter is complete.

  • Contracts Scheduled, tidy income
  • Accessible vehicle Major asset, claimed by method
  • DBS and training Deductible business costs
The transport detail

The bits specific to patient transport.

Contract and framework income

Scheduled payments from NHS and care providers keep records tidy. Record each and it totals into your quarterly update.

Accessible vehicle

An adapted vehicle is a major asset. Record it correctly for capital allowances or deduction.

Mileage

Plenty of mileage between pickups is deductible. Log it as you go, by flat rate or actual costs.

DBS and training

DBS, first-aid and passenger-assistance training are deductible. Keep them recorded so nothing is missed.

Why Clear Books

Contracts, the vehicle and mileage.

Scheduled income and an adapted vehicle need clear records. Clear Books keeps them tidy and gives HMRC exactly what MTD needs, whenever you're in scope.

  • Record contract and framework income
  • Record the accessible vehicle correctly
  • Log mileage between pickups
  • Keep DBS, training and insurance logged
  • Send HMRC-compliant quarterly updates in minutes
  • Free plan available, no timer
The Clear Books MTD for Income Tax submissions screen showing four quarterly updates submitted to HMRC
Q1 update submitted
HMRC recognised
Common questions

Patient transport MTD FAQ.

When does MTD for Income Tax start for patient transport drivers?
The key date for many is April 2027, at £30,000 of gross income. Over £50,000 it applies now, and from April 2028 it drops to £20,000. Many drivers work part-time and may sit under £30,000.
How do contract and framework payments work?
Income from NHS or care-provider contracts is usually invoiced or paid on a schedule, keeping records tidy. You record each payment as income and Clear Books totals them into your quarterly update.
Can I claim my accessible vehicle?
Yes. An adapted vehicle is a major asset, usually claimed through capital allowances if bought, or deductible if leased. Fuel and running costs are recorded separately.
Are DBS and training deductible?
Yes. DBS checks, first-aid and passenger-assistance training and any required registration are deductible business costs.
What if I work part-time?
You can carry on with annual Self Assessment for now, but tidy digital records mean you're ready the moment you tip into scope. The position under £20,000 is still under government review.
Free for sole trader drivers

Know where you stand before the deadline.

Record contracts, the vehicle and mileage as you go, watch your gross against the thresholds, and be ready to submit when your wave lands.