The full answer
What actually decides it.
A lender does not separate the two. NHS income and private income are both simply income, and no lender applies a different treatment to one than the other. If your mix moved from mostly NHS to mostly private last year, that on its own changes nothing about how you are assessed.
What a lender is watching instead is whether the structure you trade through stayed the same. If you were a sole trader before and you are a sole trader now, or if you held 100% of your limited company before and hold 100% of it now, the figures across the two years are comparable and are treated as comparable. A change in trading status is the thing that resets the picture – not a change in where the work came from.
That leaves the real question, which is which year’s figure gets used. The answer varies by lender rather than by the nature of the income, and it is the same variation that decides how far back your accounts have to go. Some lenders average your last two years. Others take the most recent year on its own.
That matters more than it sounds, because a shift towards private work is often a shift upwards. If your income rose, a lender that averages two years will lend against a figure lower than what you now earn, and one that takes the most recent year will not. If it fell, the same choice works the other way round and averaging is your friend.
So the mix is not the issue and does not need explaining. Which lender reads the years, and how, is the issue.
Where lenders differ
- On the NHS-versus-private distinction itself there is no split to report. Lenders treat both as income, provided the way you trade has not changed.
- On which year they work from, lenders differ significantly. Some average the last two years. Some take the most recent year alone, which will usually let you borrow more where your income has risen.
- A change of trading status – sole trader to limited company, or a change in your shareholding – is treated differently again, and is worth raising with a broker before you apply rather than after.
Written from Colin Wallace’s recorded interview with Joe Wallace, 26 August 2026 and reviewed by Colin Wallace.