Accounts, tax, payroll and pricing work for Liverpool and Merseyside veterinary practices — including the employment costs that all moved in 2026/27.

Start here. Liverpool is in England. The RCVS regulates veterinary surgeons and veterinary nurses across the whole UK and does not regulate practices at all, and the CMA's draft Order extends to England and Wales, Scotland and Northern Ireland under Article 1(3) — so nothing about your regulation changes at a border. The one thing that is England-only is business rates: five multipliers from 1 April 2026, and a veterinary practice is not a Retail, Hospitality and Leisure property.
Liverpool has an approved veterinary school on its doorstep and a market that runs from city first opinion practices to a Wirral and Cheshire hinterland with equine and farm work in it.
The University of Liverpool's veterinary teaching sits at the Leahurst campus at Neston on the Wirral, about twelve miles out of the city, and the Small Animal Teaching Hospital there is staffed round the clock. A referral hospital and a first opinion practice look similar from the outside and are different businesses financially: the referral centre's revenue is a smaller number of higher-value cases arriving on referral, its cost base is specialist salaries and equipment, and it sits inside the CMA Order's scope for some duties while the first opinion pricing package is built around somebody else. It also does not count towards the fifteen first opinion practices and out-of-hours centres that make a business Large rather than Small.
For a city practice with a large nursing and reception team, the numbers that moved most in 2026/27 are employment ones and they all moved the same way. Employer National Insurance runs at 15% above a secondary threshold of £5,000, the Employment Allowance is £10,500, and the National Living Wage rose to £12.71 an hour for those aged 21 and over on 1 April 2026, with £10.85 for 18 to 20 year olds and £8.00 for under-18s and apprentices. Auto-enrolment starts at earnings of £10,000, with qualifying earnings from £6,240. Three changes in one payroll year is enough to move a staff cost percentage without anybody hiring anyone.
Two things are worth stating before anything else, because they are the two an English practice is most often told wrongly. The RCVS regulates veterinary surgeons and veterinary nurses across the whole United Kingdom, and it has no statutory power over the businesses they work in — so nothing about your practice's regulation changes at a national border, and nothing about it is signed off by a regulator at all. And the CMA's draft Order is UK-wide: draft Article 1(3) says in terms that it extends to England and Wales, Scotland and Northern Ireland. Being in England gives you no different set of remedies and no different implementation window.
What England does have to itself is business rates. From 1 April 2026 England runs five multipliers: a standard 48.0p, a small business rate of 43.2p where the rateable value does not exceed £50,999, two lower Retail, Hospitality and Leisure multipliers of 43.0p and 38.2p, and a high-value multiplier of 50.8p where the rateable value reaches £500,000. A veterinary practice is not a Retail, Hospitality and Leisure property, so it pays 48.0p, 43.2p or 50.8p and never the lower two — which means the coverage that framed April 2026 as a business rates cut for high-street premises was not written about you. The 2026 revaluation took effect on 1 April 2026, on values based on rents at the 1 April 2024 valuation date, and a redesigned transitional relief scheme phases increases over three years. None of those figures apply in Wales, Scotland or Northern Ireland.
The University of Liverpool is one of the nine schools whose veterinary degrees the RCVS lists as approved, and its clinical facilities, including the Small Animal Teaching Hospital, are at the Leahurst campus on the Wirral rather than in the city. The University of Central Lancashire opened a veterinary school in Preston in September 2024 with provisional RCVS accreditation; its first cohort has not yet graduated. The Harper and Keele Veterinary School, run jointly by Harper Adams University and Keele University, is the third within reach. Three schools inside an hour or two is a genuine recruitment advantage and a genuine obligation: employing a vet who graduated in 2021 or later means being an RCVS-Approved Graduate Development Practice with a designated VetGDP Adviser, a veterinary surgeon with at least three years on the UK practising register, giving an hour of protected time a week.
Every premises that stores or supplies medicines registers separately, at £38 a year, exempt from VAT, renewing 1 April. A Merseyside practice with a branch on the Wirral and a farm dispensary is three registrations rather than one, and the trigger list includes any location taking a wholesale delivery of medicines. On rates, England's 2026 revaluation took effect on 1 April 2026 on rents at the 1 April 2024 valuation date, and a practice at or under a rateable value of £50,999 pays 43.2p against the standard 48.0p — never either of the Retail, Hospitality and Leisure multipliers.
In a Liverpool practice the first thing we look at is the staff cost line as a percentage of fee income, and then the employment changes landing on it. Employer National Insurance at 15% from a £5,000 threshold, an Employment Allowance of £10,500 and the National Living Wage at £12.71 from 1 April 2026 all pull the same way, and the Employment Rights Act 2025 dates keep arriving: the employment tribunal claim limit extends from three to six months on 1 October 2026, the duty to take all reasonable steps to prevent sexual harassment and liability for third-party harassment of employees start on 30 October 2026, and in January 2027 the unfair dismissal qualifying period falls to six months with uncapped compensatory awards. Practice payroll tracks all of it.
Non-vets have been able to own a UK veterinary practice since 1999, and the RCVS has no statutory power to regulate the businesses vets work in — only the individual veterinary surgeons and veterinary nurses on its registers. The Practice Standards Scheme is, in the RCVS's own words, a voluntary accreditation.
The CMA identified exactly this in its final report of 24 March 2026: that the system of regulation applies only to veterinary professionals and not to the businesses in which they work.
If your practice supplies or stores medicines you must register the premises with the RCVS, which holds the Register of Veterinary Practice Premises on behalf of the VMD. The fee is per premises — a main site and two branches is three registrations — at £38 a year in England and Wales, VAT exempt, renewing on 1 April.
Defra's consultation on reforming the Veterinary Surgeons Act 1966 closed on 25 March 2026 and proposes licensing veterinary businesses. The response has not been published and nothing is in force.
No, and it is worth saying why rather than simply asserting it. Everything runs remotely — video and phone around consulting hours rather than ours, records and approvals handled securely online. What you gain by widening the search past your postcode is a practice that already knows what premises registration is charged on, which IR35 regime a locum falls into and what the CMA's draft Order does and does not require, without being taught any of it. What you would gain from proximity is a shorter drive to a meeting that happens over video anyway. Tell us where your practice stands and we will tell you honestly whether we can add anything — and the eight free calculators ask for nothing at all if you would rather look first.
Yes — and so do they everywhere else in the UK, which is the part worth knowing. Draft Article 1(3) of the Veterinary Services Market Investigation Order 2026 states that the Order extends to England and Wales, Scotland and Northern Ireland, so being in England gives you neither a different set of remedies nor a different timetable. The question that actually matters is when. The Order has not been made: the CMA published its final report on 24 March 2026 and then has six months to put the Order in place, so its own deadline for making it is 23 September 2026 — a drafting deadline, not a date anyone has to comply by. The obligations follow three to twelve months after the Order is made, and a Small Veterinary Business, meaning one with fewer than 15 first opinion practices and out-of-hours centres, gets three months longer on most of them but not on all.
The standard 48.0p, or the small business multiplier of 43.2p where the rateable value does not exceed £50,999, or 50.8p where the rateable value reaches £500,000. What it does not pay is either of the two Retail, Hospitality and Leisure multipliers introduced at 43.0p and 38.2p from 1 April 2026, because a veterinary practice is not an RHL property. That distinction is the reason the April 2026 changes read as a cut in general coverage and as a rise in a lot of practice accounts. The 2026 revaluation took effect on 1 April 2026 using rents at the 1 April 2024 valuation date, with transitional relief phasing increases over three years. All five multipliers are England only.
Take an illustrative practice with fifteen employees, total pay of £520,000, and every employee earning above the £5,000 secondary threshold. Employer National Insurance at 15% applies to the pay above those thresholds — £520,000 less fifteen lots of £5,000, so £445,000 — which is £66,750. Set the £10,500 Employment Allowance against it where the practice is eligible and the bill is £56,250. A single-director company where that director is the only employee liable for secondary Class 1 National Insurance cannot claim the allowance at all, and neither can a business for workers inside the off-payroll rules. On top of that the National Living Wage reached £12.71 an hour for those aged 21 and over on 1 April 2026, so any role priced near the floor moved with it. The figures are illustrative; the mechanics are not.
Only if you have fifteen or more first opinion practices and out-of-hours centres between them. The draft Order defines a Large Veterinary Business as one with 15 or more first opinion practices and/or out-of-hours centres, and a Small Veterinary Business as one with fewer, so referral centres, crematoria, laboratories and online pharmacies do not count towards the fifteen even though the Order reaches them in other respects. A group with four first opinion practices and a referral hospital is therefore Small, and gets the longer implementation windows on most remedies. Not on all of them: the prescription fee cap gap is six months against twelve, and on ownership information and the whole complaints package there is no difference at all.
No. We work remotely with veterinary businesses across England and the whole United Kingdom, by video, phone and email, with records and approvals handled securely online. That is a deliberate choice rather than a limitation: it means the people looking at your figures work only with veterinary businesses, so nobody has to be told what a POM-V is, why premises registration is charged per branch rather than per practice, or what a cap on written prescription fees does to a dispensary. The thing a nearby generalist is most likely to get wrong about a Liverpool practice is that a veterinary practice gets the lower Retail, Hospitality and Leisure business rates multiplier. It does not. A practice two hundred miles away that already knows that starts from a different place than the nearest general accountant, who will spend the first meeting being taught how a veterinary business works.
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