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What is the best approach to keeping on top of this from a tax as these can be short term contracts.
It's all PAYE isn't it? Main job on a normal tax code and everything else on emergency/zero-allowance? In which case, you just complete self assessment online at the end of the year and fill in as many separate employments as you have had, using the P60 for each. You end up with a total income, a total of tax/NI already paid and a total tax/NI liability, then you pay the balance or receive the refund as applicable. For small differences they can adjust your code, and in theory if it's all PAYE they should work it out without your help.
The emergency/zero-allowance code is probably right if your primary employment gets you over the basic rate threshold but your secondary employments don't then take you over the higher rate threshold.
You don't need an accountant, if you want to plan for a possible tax liability at the end of the year a simple spreadsheet will do. Add income received and tax/NI paid every time you get a pay slip, use the total income received so far with the thresholds and rates to calculate your actual ongoing liability
Tax question I’m utterly clueless:
My wife works for multiple NHS trusts and NGOs she has 1-2 days a week PAYE but the rest is on emergency tax rate.
What is the best approach to keeping on top of this from a tax as these can be short term contracts. I’m assuming the emergency rate is wrong. Will an accountant cost in, or this just a case of hours on the phone with HMRC?