Guides · Updated 13 October 2026
Most locums start as sole traders and some later move to a limited company. Neither is right for everyone. This sets out what changes between the two, so you know what to ask an accountant.

You and the business are the same thing in law. You keep the profits after tax, and you report your income through Self Assessment. The other side of that is unlimited liability: you are personally responsible for the debts of the business.
A limited company is legally separate from the people who own it. As a director you are responsible for running it, and that carries duties of its own.
A general picture. An accountant will tell you exactly what applies to you.
The tax position depends on your income and how you take it, which is a calculation for an accountant, not a guide.
You are not locked in. GOV.UK notes that you can move from one structure to another, and that it is usually easier to go from sole trader to limited company than the other way.
As a sole trader the profit is yours as it is earned. In a company the money belongs to the company first, and you take it out as salary or dividends, each with its own rules. That step is where most of the extra paperwork comes from.
Check what your indemnity cover says about working through a company, and whether bookings would be made with you or with the company. Sort both out before the first session under the new arrangement.
Either way you need the same record: every session, what was invoiced and what was paid. Locbase keeps it and exports it for whoever does your accounts.
No. Many work as sole traders. Whether a company suits you depends on your income and circumstances, so take advice before setting one up.
Yes. You can move from one structure to another, and going from sole trader to limited company is usually the easier direction.
Yes. A company has accounts, a Company Tax Return and a confirmation statement to file each year, and most directors pay an accountant to do it.
A company keeps business debts separate from your own. It does not replace professional indemnity cover.
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This guide is general information, not tax or legal advice. Check with HMRC or a qualified accountant. Sources: GOV.UK: set up a business; GOV.UK: set up as a sole trader; GOV.UK: running a limited company.