For practices
Hiring a self-employed practice manager.
Hiring a self-employed practice manager is allowed, as long as the work is genuinely independent.
- Speed
- Often arranged quicklyfrom a network we know personally
- First
- We look at the factsdoes self-employment fit how the work actually looks?
- If it doesn’t fit
- Secondmentthe same person in a different arrangement
Why this comes up so often.
Hiring a self-employed practice manager works well for a defined project: an accreditation, a refurbishment or a reorganisation. If someone runs the practice structurally as manager, it is no longer self-employed work.
A practice manager runs the day-to-day: team, planning, purchasing, administration and often the numbers. Whether that works depends above all on how much mandate the role really gets, and that is rarely clear in advance.
Honestly: we don’t judge on behalf of the Dutch tax authority, and we don’t give tax advice. What we do is choose the arrangement that fits how the work actually looks in the practice — and warn you when a construction doesn’t strike us as sustainable. Better that conversation up front than a back tax bill afterwards.
How it works.
We look at the actual situation
Does someone run their own schedule, set their own rate, have the right to send a substitute, work for more than one client? That determines whether it holds up as genuinely independent work.
Self-employment fits? Then we find the right contractor
From a network we know personally — not from a database of keywords.
Self-employment doesn’t fit? Then we say so
And then secondment is the alternative: the same person, a different arrangement, no discussion afterwards.
Also possible.
Practice manager, other arrangement
Interim, other role
- Hire a self-employed dentistThe same approach, for a dentist.
- Hire a self-employed dental hygienistThe same approach, for a dental hygienist.
- Zzp-orthodontist inhurenThe same approach, for an orthodontist.
- Recruitment and selection in dental careLooking for someone permanent? This is how we go about it.
Frequently asked questions.
Can I still use a self-employed contractor?
As long as it is genuine self-employment, yes. But someone who is a fixed part of your rota, works under your direction and has no other clients doesn’t look self-employed — whatever the agreement is called.
What does the Dutch tax authority look at?
Mainly at the facts: is there a relationship of authority, does the work have to be done personally, and is there genuine entrepreneurial risk? The paperwork weighs less heavily than how things actually run in the practice day to day.
And if self-employment isn’t possible?
Then secondment is the route: the person joins our payroll and works in your practice. You keep the cover and the risk doesn’t sit with you.
Do you arrange the agreement?
We make sure the arrangements are clearly on paper before anyone starts: days, rate, period and substitution. For tax or legal assessment we refer you to your own adviser — that is where it belongs.
