Health, beauty & wellness
MTD software for osteopaths and chiropractors.
Bring the same care to your practice records.
Consultations, registration renewals and treatment-room costs create a financial routine of their own. Avona helps private practitioners organise that routine while keeping clinical work separate from bookkeeping.
- Who it is for
- Osteopaths and chiropractors working as sole traders, managing their own business records and MTD for Income Tax updates.
- Available now
- Digital records, bank feeds, statement imports, transaction categorisation and quarterly self-employment updates. Pro adds customer invoicing, VAT accounting and reporting.
- Monthly price
- From £15/month for Lite. Pro is £20/month.
- Free trial
- Full access for 7 days. No credit card required.
- Annual-return limitations
- Quarterly updates do not replace your annual tax return. HMRC lists annual-return items including PAYE income, interest, dividends and pensions as in development. Check the listing and confirm support for your income sources before relying on Avona for your annual return.
Making Tax Digital
It’s what comes in.
Before costs go out.
Private treatment fees and other practice receipts count before premises and equipment costs. A busy clinic can exceed the MTD threshold even when lease payments absorb much of its cash.
Understand Making Tax Digital →When does MTD apply?
Combined qualifying self-employment and property income, before expenses:
- Over £50,000 in 2024/25
- From 6 April 2026
- Over £30,000 in 2025/26
- From 6 April 2027
- Over £20,000 in 2026/27
- From 6 April 2028
Eligibility and exemptions matter. These are income thresholds, not tax-free allowances.
Check HMRC’s eligibility guidance ↗From the work to your records
Clear records for your clinic consultations.
Bring the evidence into Avona, review the suggested categories and check the figures before submitting. These three examples show the records behind your clinic consultations, shared purchases and a treatment-table purchase.
| What you bring | How you use Avona | What you check |
|---|---|---|
| £560 for your clinic consultations £140 spent on treatment-room rental | Connect your bank or import the payment, then upload the invoice or receipt for treatment-room rental. Review the income and the purchase as separate records. | Keep £560 as the sale and the £140 cost separately. The £420 left after this cost is not turnover. Check that the spending is eligible for your business. |
| £100 mixed purchase £80 for clinical consumables for appointments; £20 for personal wellbeing supplies | Upload the itemised receipt and review the suggested category. Identify clinical consumables for appointments separately from personal wellbeing supplies. | Only the eligible £80 business portion belongs in business costs. Exclude the £20 personal purchase, and check that importing both the bank transaction and the receipt has not counted the spending twice. |
| £1,200 equipment invoice The purchase price may differ from monthly repayments | Upload the invoice for a treatment-table purchase and retain any hire-purchase or finance agreement. Review what was bought and any private use. | Do not treat each finance repayment as an ordinary running cost. Equipment treatment depends on your accounting method and the agreement; keep purchase cost, interest and repayments distinguishable for review. |
Keep supporting documents alongside your figures, review business use and apply your accounting method consistently. HMRC: keeping business records ↗
The costs behind your work
Six expenses worth
keeping records for.
Examples for osteopaths and chiropractors. Claim only eligible business costs; mixed use, equipment and your accounting method can change the treatment.
GOsC or GCC retention fees
Treatment table maintenance
Clinic rent
Clinical waste collection
Relevant continuing education
Professional indemnity insurance
One thing to watch
Treat new equipment separately from its finance payment
A table purchase, repair and loan repayment are not interchangeable expenses. Keep the agreement and ask for the correct treatment instead of categorising the whole monthly debit as a running cost.
HMRC: office, property and equipment ↗Fit the admin around the work
A routine around your clinic consultations.
Review patient-fee receipts without clinical details, attach registration evidence and flag equipment agreements for professional review when needed.
Capture the supporting documents
Upload receipts or invoices for treatment-room rental. Keep the date, supplier and amount legible, and distinguish clinical consumables for appointments from personal wellbeing supplies.
How document capture works →Reconcile your clinic consultations payments
Review each customer receipt against the work it covers. Keep the breakdown for a treatment-table purchase available alongside the bank entry, so fees, refunds or timing differences can be explained.
How bank review works →Review before you submit
Review Avona AI’s suggested categories, check that your clinic consultations income is complete, and remove duplicate or personal spending. Keep the evidence for a treatment-table purchase ready for your annual-return review too.
Before you get started
Questions from osteopaths and chiropractors.
Does MTD apply to everyone in this profession?
No. This page covers osteopaths and chiropractors working as sole traders. Your start date depends on combined qualifying self-employment and property income before expenses, and any exemptions. Employment and limited-company work have different reporting arrangements.
What evidence do I need for a treatment table?
Retain the supplier invoice and any finance terms. Buying equipment is different from renting a treatment room, and its accounting treatment needs to match your method.
How do I record a treatment-table purchase?
Example: £1,200 equipment invoice (the purchase price may differ from monthly repayments). Do not treat each finance repayment as an ordinary running cost. Equipment treatment depends on your accounting method and the agreement; keep purchase cost, interest and repayments distinguishable for review.
Which bookkeeping issue should I watch for?
Treat new equipment separately from its finance payment. A table purchase, repair and loan repayment are not interchangeable expenses. Keep the agreement and ask for the correct treatment instead of categorising the whole monthly debit as a running cost.
Can I keep using my existing spreadsheet?
Yes. Bring your clinic consultations income records and evidence of treatment-room rental into Avona using supported spreadsheet uploads. Check dates, categories, personal spending and duplicates against the original documents before you approve the records.
Do quarterly updates complete my annual tax return?
No. You still need the annual tax return and any relevant adjustments or other income. HMRC currently lists annual-return items including PAYE income, interest, dividends and pensions as in development for Avona. Confirm support for your own income sources and circumstances before relying on Avona for the annual return.
Built for the way you earn
Keep your clinic finances in good order.
Choosing Avona
Your questions, answered.
Can I create customer invoices?
Yes. You can create customer invoices with Avona Pro.
What if I am VAT-registered?
Full VAT accounting is available with Avona Pro, so you can manage your VAT-registered business with Avona.
Can my accountant review my records?
Yes. You can connect your Avona account to your bookkeeper or accountant so they can review your records.
Can I use my phone on site?
Yes. Every feature has a mobile-friendly version, so you can manage your accounts from your phone while you are on the move.
Can I keep using my personal bank account?
Yes. Avona supports Open Banking connections and PDF bank statement uploads. You can clearly separate personal and business transactions to keep your business records organised.