THOMTAX

Capital allowances on surgeries and clinics

Medical and dental premises are offices with a great deal of specialist equipment attached to them, and the specialist part is where nearly all of the qualifying expenditure sits.

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A treatment room is not a room with a chair in it. It is a room with dedicated ventilation, medical gas, specialist drainage, controlled lighting, sterilisation support and often shielding. Practices that have fitted out or extended tend to have spent heavily on exactly the things the legislation treats as plant, and because it was spent to meet clinical standards it is usually recorded as practice investment rather than examined for allowances.

What qualifies in surgeries and clinics

Treatment room fit-out
Fixed cabinetry, services to the chair or couch, and the electrical installation.
Specialist ventilation and extraction
Local exhaust ventilation, laminar flow and clinical air handling.
Medical gas and compressed air
Pipework, manifolds and outlets.
Sterilisation and decontamination rooms
Autoclaves, wash stations and the plumbing serving them.
Plumbing and specialist drainage
Including amalgam separators in dental practice.
Imaging room provision
Services to the equipment. Shielding treatment depends on how it was built.
Reception, waiting area and call systems
Fitted reception, screens and patient call.
Access control, fire and security
Including drug storage and controlled access.
Heating, cooling and lighting throughout
Clinical spaces have tighter requirements than an office.

Not an exhaustive list, and not every item applies to every building. What counts in your case is established by survey, not from a page.

The clinical specification is the claim

Two premises of the same floor area can differ enormously here. A general office fit-out and a four-surgery dental practice cost very different sums, and the difference is almost entirely qualifying plant: the gas, the extraction, the drainage, the cabinetry, the sterilisation room. If the practice has been fitted out to a clinical standard, that specification is the reason the claim is worth investigating.

Which of these is you

You own the premises and run the practice

Both the property and every fit-out and upgrade since are in scope.

You lease the premises and fitted them out

Very common in medical practice, and the expenditure is yours if you funded it.

You bought an existing practice

The fixtures came with it. What the transaction documented about them decides a great deal.

You added surgeries or treatment rooms

Expansion projects are usually heavily weighted towards qualifying plant.

Questions we get about surgeries and clinics

We are an NHS practice. Does that change anything?

What matters is whether the practice pays UK tax and who incurred the expenditure. The funding route for the work is a separate question worth establishing, because expenditure met by a grant or reimbursement is not expenditure you incurred.

Does imaging shielding qualify?

It depends how it was constructed. Shielding built into the fabric is treated differently from a shielded enclosure installed into a room, which is exactly the kind of distinction a survey resolves.

We fitted out a leased unit five years ago.

Then the expenditure is almost certainly yours and worth looking at. Lease length does not prevent a claim.

Other property types

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