Wholly performed or directly supervised: Legal background
EU law requires Member States to exempt from VAT the supply of medical care by the medical professions, but it allows Member States to define the medical professions as they see fit. The UK has defined the medical professions by reference to the statutory medical registers.
Note 2 to Group 7 allows corporate bodies, partnerships and others to exempt supplies wholly performed or directly supervised by a person who is registered or enrolled in any of the statutory healthcare registers except for the register of dispensers of hearing aids or the register of persons employing such dispensers.
Note (2A) allows corporate bodies, partnerships and others to exempt supplies wholly performed by pharmacists, but not supplies directly supervised by pharmacists.