Tax Deductions for Medical Expenses
Q. My client is a self-employed cellist. She suffers from back pain which is made worse by long periods of sitting still, particularly during concert performances, so she pays for regular visits to a chiropractor. Are the costs of treatment deductible from income for tax purposes?

A. The Courts were asked to consider a similar case of a professional guitarist who paid to have medical treatment on a finger injury which was preventing him from playing. His costs were found not to be allowable because he also played the guitar as a hobby so there was “duality of purpose” and he failed the “wholly and exclusively” test.

It seems likely your client also fails the wholly and exclusively test since, presumably, one of the purposes of paying for the treatment is to enable her to enjoy other non-business sedentary activities.

If you have a tax query, why not contact the Tax Advice Line on 0844 892 2470 to discuss it. Our team of experts have a wealth of experience and can also provide a written consultancy service at £180 per hour plus VAT.


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Tax Advice Consultant
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Colin began to specialise in tax in 1983. He has previously spent time as a tax partner with two leading accountancy firms and, more recently, as partner in a specialist tax consultancy business providing planning advice and problem solving for successful owner-managed businesses and their owners across the UK.