Care Group Structure: Holding Company, CQC and the VAT Trap
For care providers growing to a second service in London & the UK

Care Group Structure: Should Each Care Service Be Its Own Company, and What Happens to CQC Registration, VAT and Tax If You Restructure?

The honest answer is that a second company protects you from one kind of risk and quietly creates three others, so this guide sequences the restructure so you keep the protection and avoid the ยฃ24,000 VAT mistake.

Last updated: 14 September 2026
โ˜… 4.8 Google rating
100+ verified reviews
Mon to Sat 10am to 7pm
Qualified accountants

Each care service can be its own limited company, but a new company has to register with CQC from scratch, every charge between your companies carries 20 percent VAT that an exempt care company cannot recover, and two companies under one owner halve the corporation tax limits to ยฃ25,000 and ยฃ125,000. Sequence the restructure properly and all three are manageable.

K By Kris Nick, Account Manager
Reviewed and signed off by a senior qualified accountant on the LOYALS team
12 min read

Should each care service be its own limited company?

Only once the second service carries a risk, a commissioner or an exit plan that the first one does not. That is the whole test, and most owners who ask us about a group structure are asking because one of those three things has just changed: a domiciliary agency has won a supported living contract with a different council, a care home is buying a second home, or a mixed provider wants to sell the complex care arm in a few years without selling everything else.

A separate company does three useful things. It stops a bad contract or a claim in one service reaching the cash and the CQC registration of the other, it lets you sell or close one service on its own, and it gives a lender or a buyer a clean set of accounts for exactly the thing they are financing. Those are real benefits and we would not talk anyone out of them.

What a separate company also does is create a second regulated entity, a second payroll, a second set of statutory accounts, a corporation tax position that now has to be looked at across the group, and a VAT problem on every pound that moves between the two companies. Below roughly ยฃ1 million of combined turnover the running cost of all that usually outweighs the protection, and the better answer is often a single company with a clear cost-centre split in the management accounts. Above that, and certainly once a third setting is on the horizon, the group structure starts to earn its keep. Our care agency accountants page sets out how we run the finance function for providers at that stage.

There is one more reason people restructure that is worth naming, because it is the one that goes wrong: the belief that a holding company can charge the care company a management fee and recover VAT on the group's overheads. It cannot, and the section on the VAT trap below explains why with the numbers.

What happens to CQC registration when you move a service into a new company?

Nothing transfers. The Care Quality Commission registers the person who carries on the regulated activity, and a limited company is a person in law, so a new company is a new provider from CQC's point of view even when it is taking over your own locations, your own staff and your own clients. Under section 10 of the Health and Social Care Act 2008 a company that carries on a regulated activity without being registered commits an offence, so the new company cannot start delivering care on the day it is incorporated. It has to apply and be granted first.

CQC's own process recognises the situation. Its new provider application guidance has a specific route for a provider that is registering and taking over locations from an existing registered provider where the registered managers want to continue, which is exactly what a restructure looks like. Your registered manager carries across, the location carries across, but the provider registration is fresh, with the fit person interviews, the statement of purpose and the financial viability evidence that go with it. If you need a reminder of what that evidence looks like, our guide to the CQC cashflow forecast for a care home registration covers the same Regulation 13 test the new company will face.

The practical consequence is a gap. Between incorporating the new company and CQC granting its registration, the old company must keep carrying on the activity, keep employing the staff and keep invoicing the commissioner. Owners who transfer everything on incorporation day, on the assumption that the registration will catch up, are trading unregistered for the whole of that gap. We have never seen CQC be relaxed about it. Allow months rather than weeks for the application, check CQC's current published timescales when you plan, and do not give a commissioner a go-live date until the certificate is in hand.

Adding a taxable service such as training, consultancy or staff supply alongside exempt care? Run the turnover through our free VAT registration calculator first, because only the taxable part counts towards the ยฃ90,000 threshold.

What order should a care group restructure happen in?

Registration first, contracts second, staff third, money last. Every restructure that has gone badly in our experience went badly because the money moved before the registration did, or the staff moved before the contracts did. The sequencing checklist below is the one we hand to a client on the first call, and the flowchart under it shows where each step waits on the one before.

  1. Decide the shape on paper. Single company with cost centres, sister companies owned personally, or a holding company with subsidiaries. The choice decides whether group relief, a VAT group and a clean future sale are even available, so it comes before anything is incorporated.
  2. Incorporate the new company and apply to CQC. Use the continuing managers route so the registered manager's registration carries across. Prepare the financial viability evidence for the new entity, which has no trading history of its own, so the forecast and the funding letter carry the weight.
  3. Agree novation with every commissioner. Council and ICB (integrated care board) contracts sit with the old company and do not follow the service automatically. Each one needs a novation agreement, or an assignment if the contract allows it, and most commissioners will not sign until the new company's CQC registration is granted. Private clients need a fresh care agreement with the new company.
  4. Set the TUPE date to match go-live. The carers assigned to the service transfer under the Transfer of Undertakings (Protection of Employment) Regulations with their existing terms and continuity intact. Regulation 11 of TUPE requires the old company to give the new one the employee liability information at least 28 days before the transfer, and the consultation with staff representatives has to happen long enough before it to be meaningful. A payroll transition inside a group is easier than a transfer to a stranger, but the paperwork is the same.
  5. Move the bank, the pension scheme and the PAYE reference. The new company needs its own PAYE scheme, its own auto-enrolment pension employer record with the same scheme provider, and its own bank account with the commissioners' remittances redirected. Do this in the week before go-live, not the week after, or the first pay run lands in the wrong company.
  6. Only then move the money. Stock, equipment and any property go across at market value with the VAT treatment checked (a transfer of a going concern is usually outside the scope of VAT, but the conditions have to be met), and the intercompany balance that results is documented as a loan with terms.
Care group restructure sequence: registration, contracts, staff, money A six-step care group restructure flow for a UK provider: decide the shape, incorporate and apply to CQC, agree novation with commissioners, TUPE the staff with 28 days notice of employee liability information, move bank, pension and PAYE, then move assets and cash last. Restructure in this order Each step waits on the one above it 1. Decide the shape holdco or sisters 2. Apply to CQC new provider route 3. Novate contracts council, ICB, private 4. TUPE the staff 28 days notice 5. Bank and PAYE week before go-live 6. Move assets, cash documented loan Old company keeps trading until step 2 is granted.
Care group structure for a London or UK provider: registration first, contracts second, staff third, money last. Moving the money before the CQC certificate arrives is the mistake that costs most.
Illustrative LOYALS client scenario Picture a 40-carer domiciliary agency in outer London that wins a supported living contract and sets up a second company for it in March. The owner incorporates, moves the six supported living staff across on 1 April and starts invoicing the council from the new company the same week. CQC grants the new provider registration in late July. For sixteen weeks the new company has delivered regulated care with no registration, the council's invoices have been raised by an entity it has no contract with, and the payroll has run under a PAYE scheme that was not yet open. Unpicking that costs more in fees, credit notes and goodwill than the restructure was ever going to save. Done in the order above, the same agency keeps trading through the old company until the certificate lands and moves everything on one clean date.

Why does a management charge from a holding company cost a care company VAT?

Because a management charge is a standard-rated supply of services, and a care company that only makes exempt welfare supplies has no right to recover the VAT on its costs. Under VAT Notice 701/2, updated 14 August 2026, care provided by a state-regulated provider, which for our purposes means a CQC-registered company, is exempt from VAT. Exempt income is the reason your agency does not charge VAT to the council, and it is also the reason it cannot reclaim VAT on rent, software, insurance, and anything a sister company charges it.

Here is what that does in practice. Say the holding company employs the owner, the registered manager for the group, the finance person and the compliance lead, and recharges those costs to the care company as a ยฃ120,000 management charge each year. That charge must carry VAT of ยฃ24,000, so the care company pays ยฃ144,000 to the holding company and can recover none of the ยฃ24,000. The holding company pays the ยฃ24,000 to HMRC. Nothing has been saved and ยฃ24,000 a year has left the group for ever. At ยฃ60,000 the leak is ยฃ12,000; at ยฃ180,000 it is ยฃ36,000. The chart below sets those figures against the position inside a valid VAT group, where the same charges are disregarded.

Irrecoverable VAT on a management charge to an exempt care company Illustrative UK figures: a management charge of ยฃ60,000, ยฃ120,000 or ยฃ180,000 from a holding company to a welfare-exempt care company leaves ยฃ12,000, ยฃ24,000 or ยฃ36,000 of irrecoverable VAT a year when charged between separate registrations, and nil where the charge is disregarded inside a valid VAT group. VAT lost on a management fee Illustrative, ยฃ000 a year, exempt care company 0 20 40 12 0 ยฃ60k charge 24 0 ยฃ120k charge 36 0 ยฃ180k charge Separate registrations Inside a VAT group
Care group structure VAT trap, UK illustration: a ยฃ120,000 management charge to an exempt care company loses ยฃ24,000 a year unless the companies are in a genuine VAT group. Illustrative figures, not client data.

The fix is rarely a VAT group, for the reasons in the next section. The fix is usually to stop the charge existing. If the people who run the group are employed by the care company that makes the exempt supplies, their cost sits where the income is and no supply between companies is needed. Where a cost genuinely has to be shared, a documented apportionment of a third-party invoice is not the same as a management charge, and the treatment of each recharge has to be looked at on its own facts. What you cannot do is bolt on a holding company, route the overheads through it and expect the VAT to wash. It does not.

If you already have two companies and one of them invoices the other, the question is whether that charge has been carrying VAT and whether the exempt side has been recovering it. Send Kris the two company names and roughly what moves between them each year and you will get a straight answer on whether there is a problem to fix. WhatsApp Kris with your group set-up.

Does a VAT group fix the intercompany VAT problem for a care group?

Sometimes, and less often than it used to. A VAT group treats its members as one taxable person, so supplies between members are disregarded and the group files one return through a representative member. VAT Notice 700/2, updated 22 July 2026, sets the conditions: the companies must be under common control, each must be established in the UK, and every member becomes jointly and severally liable for the whole group's VAT debts. Two things in that notice matter enormously for care.

The first is that a group cannot be formed by wholly exempt businesses. At least one member has to make taxable supplies outside the group, and the partial exemption de minimis limits are applied to the group as a whole rather than company by company. A domiciliary agency and its supported living sister, both exempt, cannot simply group to make the management charge disappear.

The second is Revenue and Customs Brief 2 (2025), published 24 April 2025. HMRC now treats the structure where an unregulated company sits between the regulated care provider and the council or ICB, invoicing the commissioner at the standard rate so the group can recover input tax on welfare costs, as tax avoidance. It refuses new VAT group applications built to do that and is reviewing existing groups, with the power to remove members. If your restructure has been sold to you on the promise of VAT recovery on care costs, that promise is now the thing HMRC is looking for.

Where a VAT group still makes sense is a mixed group with a genuine taxable arm, a training business or a domiciliary agency that also supplies staff to other providers for example, where the intercompany charges are real and the taxable supplies to the outside world are real. Even then the joint and several liability means a VAT problem in the training company is now a problem for the care company too, which is exactly the risk the second company was meant to fence off. Our guide to care agency VAT and partial exemption works through what happens once taxable income sits alongside exempt care.

How do associated companies change the corporation tax a care group pays?

They divide the limits. Corporation tax in 2026/27 is 19 percent on profits up to ยฃ50,000, 25 percent above ยฃ250,000 and an effective 26.5 percent on the slice between. When two companies are under the control of the same person, HMRC's Company Taxation Manual at CTM03935 says the upper and lower limits are divided by one plus the number of associated companies. Two trading companies each get ยฃ25,000 and ยฃ125,000. Three get ยฃ16,667 and ยฃ83,333. A dormant company is ignored, but a company that has traded at all in the period counts, and it does not matter whether it made a profit.

The cost depends on where the profit sits. Take an illustrative agency with ยฃ80,000 of profit as one company: ยฃ9,500 at 19 percent on the first ยฃ50,000 plus ยฃ7,950 at 26.5 percent on the next ยฃ30,000, ยฃ17,450 in all. Now put the same trade into two companies, the original one making ยฃ90,000 and a new supported living company running a ยฃ10,000 start-up loss. The original company's limits are ยฃ25,000 and ยฃ125,000, so its bill is ยฃ4,750 plus ยฃ17,225, which is ยฃ21,975. The new company pays nothing and, because the two are owned personally side by side rather than through a holding company, its ยฃ10,000 loss cannot be set against the other's profit. The group pays ยฃ4,525 more than the single company did on the same ยฃ80,000 of combined profit.

A holding company that owns at least 75 percent of both subsidiaries changes that, because group relief lets the loss in one company reduce the profit in the other in the same year. It does not change the associated company count, so the divided limits stay. Our post on what a multi-branch care group pays for its accounts shows why consolidation and the associated companies calculation are part of the monthly work rather than a year-end afterthought.

Illustrative care group restructure timeline over seven months Illustrative seven-month restructure timeline for a UK care provider: month one decide and incorporate, months one to five CQC new provider application, months three to five commissioner novation, month five TUPE employee liability information 28 days before transfer, month six go-live with bank, pension and PAYE moved, month seven first group management accounts. A realistic restructure calendar Illustrative seven months, CQC timing varies M1 M2 M3 M4 M5 M6 M7 Decide, set up CQC application Contract novation TUPE consult Go-live, bank, PAYE First group accounts Nothing moves until registration is granted.
Care group restructure timeline for a UK provider: the CQC application is the long pole and nothing moves until it is granted. Illustrative months, not a CQC service standard.

Here is how the three common approaches actually compare on a care group restructure:

What you need DIY / software Generic accountant LOYALS specialist
Knows a new company needs a new CQC registration before it trades โœ— Found out late โ— Often assumes transfer โœ“ Sequenced from day one
Tests every intercompany charge for irrecoverable VAT โœ— โ— If asked โœ“ Welfare exemption is our daily work
Checks a proposed VAT group against Brief 2 (2025) โœ— โœ— โœ“ Before the application
Runs the associated companies count every year end โœ— โ— Company by company โœ“ Group view, group relief claimed
Runs TUPE payroll transition and two PAYE schemes cleanly โœ— โ— โœ“ Weekly care payroll, both entities
Open Mon to Sat for the call before you sign โœ— โœ— Mon to Fri 9 to 5 โœ“ 10am to 7pm Mon to Sat

This is why providers who are about to become a group tend to move to a care specialist before they incorporate the second company, not after.

What to do before you incorporate the second company

Model it first and incorporate second. The decision turns on four numbers you can get in a week: the combined profit and where it sits, the value of any charge that would move between the companies, the taxable income if any that could support a VAT group, and the time to CQC registration for a new provider in your area right now.

  1. Write down why. Risk, sale or lender. If the honest answer is VAT recovery, stop here.
  2. Choose between sisters and a holding company. Personally owned sister companies are simple and give no group relief. A holding company gives group relief and a cleaner sale but adds a third entity and its own accounts.
  3. Price the leaks. Irrecoverable VAT on any intercompany charge, the extra corporation tax from divided limits, and the second set of accounts, payroll and CQC fees. Set that against the protection you are buying.
  4. Plan the CQC application before anything else. New provider, continuing managers, financial viability evidence for an entity with no history.
  5. Book the novation conversations with commissioners early. They take longer than the paperwork suggests.
  6. Fix one go-live date that sits after the registration is granted and at least 28 days after the TUPE information has been handed over.

A group is not a one-off project. Once it exists there are two or three sets of statutory accounts, intercompany balances that have to agree at every month end, an associated companies calculation on every corporation tax return, a VAT position that has to be run monthly across exempt and any taxable income, and a lender or a buyer who will one day ask for the group's figures on a single page. That is the point at which owners stop treating accounting as a year-end cost and start treating it as the finance department they do not want to hire. LOYALS Accountants & Business Consultants runs exactly that for care groups from King's Cross, with weekly payroll across both entities, council and ICB invoicing, and the group corporation tax and VAT position handled as one piece of work rather than two.

Useful? Share it with a fellow care provider.

What this typically costs at LOYALS

  • Care Finance Department: from ยฃ1,495 a month (up to 50 carers, council and private invoicing and weekly credit control included)
  • Care Finance Department Plus: from ยฃ2,495 a month (larger or multi-contract groups, invoice-finance reporting included)
  • Care home groups: from ยฃ1,995 a month
  • Structure and Tax Review before you incorporate: ยฃ750 one-off, credited against the first month

All fees exclude VAT and are fixed for twelve months. Quotes are issued in writing within 24 hours after a 15-minute call, and we do not take on ongoing work below ยฃ500 a month. See full price list.

Becoming a care group? Our care agency accountants run the accounts, weekly payroll, council invoicing and the group VAT and corporation tax position for multi-entity providers, with the Care Finance Department from ยฃ1,495 a month.

Frequently asked questions

Does CQC registration transfer to a new company when I restructure?+
No. CQC registers the legal entity that carries on the regulated activity, so a new company has to apply as a new provider even if it is taking over your own locations, staff and clients. Your registered managers can carry their registration across using the continuing managers route, but the company itself starts from a fresh application, and it cannot deliver regulated care until that registration is granted.
Can a holding company charge my care company a management fee without VAT?+
Only inside a VAT group, and only if the group is eligible. A management charge from one company to another is a standard-rated supply, so a care company making exempt welfare supplies cannot recover the 20 percent VAT it is charged. Supplies between members of a VAT group are disregarded, but a group cannot be formed by wholly exempt companies and HMRC now refuses care groups built to recover VAT on welfare costs.
Do two care companies under the same owner count as associated for corporation tax?+
Yes. Companies under the control of the same person or persons are associated, and the ยฃ50,000 and ยฃ250,000 corporation tax limits are divided by one plus the number of associated companies. With two trading companies each gets limits of ยฃ25,000 and ยฃ125,000, so the 25 percent rate is reached far earlier, and a dormant company is ignored only while it does no business at all.
What happens to my carers and council contracts if the service moves to a new company?+
Your carers transfer under TUPE with their existing terms and continuity, and you must give the new company their employee liability information at least 28 days before the transfer. Council and ICB contracts do not move automatically. Each one needs a novation or an assignment agreed with the commissioner, and most commissioners will want the new company's CQC registration before they sign.
Is a separate company for each care service worth it for a small provider?+
Usually only once a second service carries a different risk, a different commissioner or a planned sale. A separate company ring-fences contract risk and makes a later disposal cleaner, but it adds a CQC registration, a second set of accounts and payroll, associated company limits and VAT friction on every charge between the two. Below roughly ยฃ1 million of combined turnover the running cost often outweighs the protection.
K

Kris Nick, Account Manager

Kris is the account manager and day-to-day point of contact for LOYALS clients, working alongside our team of qualified accountants and experienced finance professionals across care, hospitality and construction. Open Mon to Sat 10am to 7pm.

Message Kris on WhatsApp

Three ways to get the structure right before you sign

Quotes issued in writing within 24 hours.

Free 15-min call

Tell us the two services, the profit and what would move between the companies. You will leave knowing whether a group is worth it.

Sense-check your group structureFree 15-min call

See our fees

For providers ready to run both entities through one finance function. Fixed monthly fee, care specialism, Mon to Sat support.

See our feesNo commitment

Structure and Tax Review

A written review of the holdco, sister company and single company options for your group, with the VAT and corporation tax numbers.

Request the reviewยฃ750 one-off, credited against month one