Expanding Our Expertise in NHS VAT, Employment Taxes, Corporate Taxes, Land Taxes & Custom Duties
For years, CRS VAT has been the trusted partner for NHS bodies seeking to maximise VAT recovery, strengthen compliance, and reduce HMRC risks. From 1 October 2025, we will evolve into CRSTAX, reflecting our ability to deliver a broader range of tax services to the NHS while maintaining the same unrivalled VAT expertise you know us for.
This change brings together our established VAT specialists with experts from across our group, creating a single, dedicated team supporting NHS organisations covering all areas of taxation – including employment taxes, corporate taxes, land taxes, and customs duties.
Why the Change Matters for the NHS
We understand the pressures facing NHS finance teams – rising costs, compliance challenges, and the constant need to maximise savings. Employment tax obligations are growing more complex each year as well and even small errors can result in costly penalties and underfunding of vital services. With CRSTAX, you have a partner who not only understands the NHS but has the technical expertise to protect its financial future.
Our Expanded NHS Tax Services
As CRSTAX, we continue to offer our full suite of NHS VAT services – including recovery reviews, compliance checks, COS re-reviews, training, and HMRC enquiry support. Alongside this, our enhanced service portfolio now includes:
HMRC Compliance Reviews
HMRC continues to carry out compliance reviews of NHS organisations, often focusing on expenses and benefits, salary sacrifice, IR35 compliance, Construction Industry Scheme (CIS), and termination payments. Errors can lead to significant liabilities and penalties.
We have a proven record of achieving positive outcomes for NHS bodies. In one case, HMRC initially calculated a liability of over £400,000, but following our intervention the final settlement was reduced to just £30,000.
Expenses and Benefits
We advise NHS organisations on the full tax treatment of staff benefits – from salary sacrifice arrangements and staff awards to P11D reporting/payrolling of benefits and PAYE Settlement Agreements. This ensures benefits remain tax-efficient while fully compliant.
Status and Off-Payroll Working (IR35)
With the revised IR35 rules placing responsibility for assessing employment status onto NHS bodies, we provide practical support. This includes drafting or revising policies, assisting with individual status determinations, supporting SDS appeals, and managing HMRC disclosures.
Construction Industry Scheme (CIS)
NHS finance teams can often be unfamiliar with the complexities of CIS, leading to errors in reporting. We deliver training, audit checks, and practical guidance to ensure compliance – reducing the risk of penalties.
Termination of Employment
Payments made under settlement agreements or redundancy schemes can have complex tax implications. We advise NHS bodies to ensure these payments are structured correctly, avoiding unexpected liabilities.
Pension Planning and Education
Working closely with NHS finance and HR teams, we deliver pension education and tailored planning advice to ensure compliance and optimise staff outcomes.
Corporate Taxes
NHS organisations engaged in trading or commercial activities may face corporation tax obligations. We provide guidance on structuring, compliance, and disclosure to ensure that NHS bodies meet their obligations while minimising liabilities.
Land Taxes (SDLT, LTT, LBTT)
Property transactions such as lease arrangements, acquisitions, or disposals can give rise to Stamp Duty Land Tax (SDLT in England), Land Transaction Tax (LTT in Wales), or Land and Buildings Transaction Tax (LBTT in Scotland). Our advisers ensure that NHS organisations apply the correct tax treatment, claim available reliefs, and avoid costly errors.
Customs Duties
Where NHS organisations import medical supplies, pharmaceuticals, or specialist equipment, customs duties can apply. Our team advises on tariff classification, duty reliefs, and the correct use of import documentation to avoid overpayments or penalties.
Case Studies – Delivering Taxation Value to the NHS in Practice
- VAT COS Re-review Savings – Our secondary reviews frequently uncover £30K to £800K in additional recoveries, after a competitor has already completed a review.
- HMRC Settlement Success – As highlighted above, we reduced one NHS organisation’s HMRC liability from £400K to £30K, delivering immediate savings and future compliance confidence.
- Employment Tax Clarity – We have helped NHS bodies rewrite IR35 policies and successfully defend HMRC challenges, ensuring correct application without unnecessary costs.
Taxation Built for the NHS
Unlike generic tax advisers, CRSTAX is a dedicated full-taxes team focused exclusively on NHS organisations. Our advisers include Chartered Tax Advisers and former HMRC officers, combining frontline knowledge with practical sector experience.
This unique expertise ensures we don’t just identify issues – we deliver solutions that [provide value/save money], improve compliance, and strengthen internal processes.
Next Steps – How We Can Support Your NHS Organisation
If you’d like to explore how CRSTAX can support your organisation, we invite you to:
Whether you’re looking to recover more VAT, strengthen compliance, or reduce HMRC risk, our team of sector specialists is here to help. We bring together unrivalled NHS knowledge with expertise across VAT, Employment Taxes, land taxes, customs duties and corporate tax – giving you one trusted team for all your tax needs.
- Book a meeting with our team to discuss your NHS tax needs.
- Download our COS VAT checklist to identify opportunities for additional VAT recovery.
