Medicinal Equipment and Supplies – Zero rate VAT relief guidance For help/advice on VAT please email Corporate Accounting on VAT@exeter.ac.uk Room 253, Northcote House VAT is not payable on zero-rated supplies, and an invoice for a zero-rated supply will not constitute a VAT invoice. There are certain instances where medical equipment and supplies can be zero-rated for VAT purposes when bought by a charitable organisation such as the University. In these instances a certificate should be obtained from the Corporate Accounting team to declare its eligibility for relief. This certificate should then be provided to the supplier at the point of purchase so that they know to class VAT as zero rated on the invoice. The zero rating relief covers the following equipment only when purchased mainly for medical or veterinary research, training, diagnosis or treatment: o medical equipment; o scientific equipment; o computer equipment and certain software; o video equipment; o sterilising equipment; o laboratory equipment; o refrigeration equipment; o Parts and accessories for use in or with any of the above equipment o the repair and maintenance of qualifying goods. Equipment is articles designed or used for a specific purpose. It will usually be durable, although certain disposable items, such as syringes that are designed to be used once only, may still be equipment. The following items are not equipment and do not qualify for zero-rating, even when supplied to, or for donation to, an eligible body: bulk materials such as liquids, powders, sheets, pellets, granules; clothing (other than specialist medical equipment such as surgical masks, gowns and gloves); and consumables such as chemical reagents, fuel, ink, medicines, oil, paper, and cleaning and sterilising fluids. However, medicines and chemical reagents may qualify for zero-rating under a separate relief when supplied to certain charities (see below). Further information can be found in Notice 701/1 Charities. Medical equipment is equipment that has features or characteristics that identify it as having been designed for a medical (including dental) purpose or function, such as the diagnosis or treatment of patients. This covers a wide range of goods, from simple items like bandages and tongue depressors, to complex machinery such as x-ray machines and scanners. General use items used to equip a medical facility, such as a television purchased for use in a hospital ward, are not medical equipment. Scientific equipment is equipment designed to perform a scientific function. This includes precision measuring equipment and analytical equipment such as thermometers, weighing machines and spectrometers. Equipment that is not designed to perform a scientific function, but merely works on a scientific principle, is not scientific equipment. As well as medical equipment there are also reliefs available for medical substances and medicinal products: Note 1: A charity engaged in medical or veterinary research can purchase substances directly used for testing, or for mixing with other substances in the course of that research, at the zero rate. A ‘substance’ can be natural or artificial, and can be in solid or liquid form or in the form of a gas or vapour. If the substance is purchased in the form of gas the zero-rating will also apply to the cylinder rental. March 2013 Page 1 of 4 Note 2: A charity engaged in the treatment or care of people or animals, or in medical or veterinary research, can purchase medicinal products at the zero rate. A ‘medicinal product’ is a substance presented as a medicine, or an ingredient for a medicine, capable of being administered to people or animals for a medicinal purpose. The zero rate covers medicinal products purchased by a charity for the purpose of testing the efficiency of those products. ‘Medicinal purpose’ means: treating or preventing disease; diagnosing disease, or ascertaining the existence or degree of a physiological condition; contraception; inducing anaesthesia; otherwise preventing or interfering with the normal operation of a physiological function, whether permanently or temporarily, and whether by terminating, reducing or postponing, or increasing or accelerating the operation of that function, or in any other way. Checklist: A brief checklist of allowable and unallowable items is included below, if the item is not included below, please do not hesitate to contact the Corporate Accounting team for advice: Eligible for relief X X X X X X X X See note 1 X X March 2013 Page 2 of 4 Goods Air conditioners Alarms, security or smoke Alarm bracelets Anaesthetic apparatus Aprons, lead lined for x-ray protection Aprons, other Artificial limbs Autoclaves Bandages Barometers Bedpans Bedpan washers, with sterilising steam cycle Bedpan washers, other Beds, highly specialised e.g. net suspension or medical water beds Beds, hospital - with tilting action or variable height features Blankets Bunsen burners Cameras, still Cameras, video Catering equipment Catheters Centrifuges Chemicals Clamps - medical Cleaning equipment Closed circuit television systems Commode chairs Computer disks and tapes Computer keyboards Computer mouse Computer printers Computer screens Eligible for relief as: Medical equipment Medical equipment Goods for use of disabled person Sterilising equipment Medical equipment Scientific equipment Medical equipment Sterilising equipment Medical equipment Goods for use of disabled person Laboratory equipment Video equipment Medical equipment Scientific or laboratory equipment Medical equipment Goods for use of disabled person Accessory to computer equipment Computer equipment Accessory to computer equipment Accessory to computer equipment Accessory to computer equipment Eligible for relief X X X X X X X X X X X X See note 2 X X X X X March 2013 Page 3 of 4 Goods Computer screen filters Computer server Computer stationery Cotton wool Curtains Deep freezers Dental chairs Dental drills Dental mirrors Dental spittoons Disinfectants DNA sequencing DNA primers Drip poles Drugs trolleys Endoscopes Electro-cardiographs Eye test charts Examination couches, adjustable First aid kits - supplied as pre-packaged units Forceps Fuel Fume cupboards Gloves, surgical Gloves, other Gymnasium equipment Hearing aids Heart pacemakers Hoists and patient lifting devices Hypodermic needles Ice making machines Identification bracelets for patients Kidney bowls Laboratory animals Laboratory benches Laboratory glassware Lockers Mattresses, specially designed for the relief/prevention of pressure sores Medicine measures, graduated Medicinal products Microscopes Nurse call systems Occupational therapy materials Operating lights Overbed tables Overhead projecting units Pagers Patient trolleys and stretchers Physiotherapy equipment, specialised - other than gymnasium equipment Eligible for relief as: Accessory to computer equipment Computer equipment Refrigeration equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Laboratory equipment Medical equipment Medical equipment or goods for use disabled person Goods for use disabled perso Medical equipment Refrigeration equipment Medical equipment Medical equipment Laboratory equipment Laboratory equipment Medical equipment Medical equipment Scientific or laboratory equipment Medical equipment Medical equipment Medical equipment Eligible for relief X X X X X X X X X X Goods Pillows, orthopaedic, specially designed and used for neck or spinal injuries Pillows, other Pipettes Radiography equipment Renal dialysis units Resuscitation equipment Resuscitation dummies Scalpels Screens Sphygmomanometers Splints Stationery Sterilising solutions Stethoscopes Surgical gloves Surgical gowns Surgical masks Suture needles Swabs Tape recorders Television sets Test tubes Thermometers, clinical Thermometers, other Tongue depressors Towels Uniforms Video cameras Video tapes Video players Video monitors Waste disposal bags, boxes, jars and sacks Waste disposal machinery Weighing machines Wheelchairs Wound dressings X-ray films/plates X-ray machines - medical X-ray machines - other X-ray viewers Further information can be obtained from: HM Customs & Excise website: www.hmrc.gov.uk Notice 700 - The VAT Guide, All sections March 2013 Page 4 of 4 Eligible for relief as: Medical equipment Laboratory equipment Medical equipment Medical equipment or goods for use of disabled person Medical equipment Resuscitation training model Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Medical equipment Laboratory equipment Medical equipment Scientific equipment Medical equipment Video equipment Video equipment Video equipment Video equipment Scientific equipment Goods for use of disabled person Medical equipment Medical equipment Medical equipment Scientific equipment Medical equipment