However when we go for our medical we are not there with healthcare as the primary motive. We are there for certification
That's certainly true, in principle. But there are areas that I regard as a bit grey here. In my experience it's actually quite unusual for a whole medical (eg a Class 1 ) to be carried out here without some sort of health promotion or health advice being asked for, given or discussed.
How many class 1 pilots would admit to asking their AME about a minor matter, a trivial symptom, an inocuous "spot" of some sort, or such like ? Can't be bothered to make a separate appointment; don't like to trouble the GP with something so small; much less time pressure when the AME has one hour for the medical, instead of the GP's four minutes !
The visit to the AME may well have certification as its "primary" motive, but can VAT liability of the overall fee be apportioned if health advice is given as well as the class 1 certificate ?
Is there anyone out there with accountancy or taxation expertise who could advise on this ? Just as importantly, is there anyone out there who cares ?