Botox is a prescribed product. If the OP were to sell it direct to the person who was going to use it they wouldn’t be able to administer it as the chain of control had been broken. If anything went wrong with the treatment they would investigate and no doubt MrsDrP would be in serious trouble for selling prescribed products to the public

Hmmm..
Think about when someone goes for a private treatment in hospital though…
If you have ‘take home pain relief’ after a private knee replacement, you have to actually pay for that also.

I’m not 100% confident you are right, but not 100% confident you are wrong…

Actually,.. in my surgery, we charge pateints for private travel vaccines, AND administer it…
Someone mght pay us £50 for yellow fever vaccine – this covers the cost of the vaccine and the administration.
So I’m kind of thinking that maybe THIS is a legitimate breakdown of the strands of income….

Hmm

DrP

Might be worth pointing out the definition of taxable turnover

https://www.gov.uk/vat-registration/calculate-turnover

If a lot of what Mrs DrP does is genuinely exempt, she might not be anywhere near the VAT registration threshold anyway.

That’s the first thing to sort out before you embark on potential tax avoidance schemes.

I assume you’ve read this?

https://www.gov.uk/government/publications/vat-notice-70157-health-professionals-and-pharmaceutical-products/vat-notice-70157-health-professionals-and-pharmaceutical-products