Cliniko is a popular cloud practice management system among UK allied health clinics, including physiotherapists. It offers clean scheduling, clinical notes, invoicing, online booking and reporting. Two gaps appear again and again for UK private physiotherapy. Healthcode insurance billing is not built in. Exercise prescription usually needs a separate Physitrack or Rehab My Patient subscription. This article looks at why clinics consider alternatives and what TM3, PPS, WriteUpp, Jane, Nookal and bespoke actually deliver on the UK-specific pain points.
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Cliniko is a popular cloud PMS among UK allied health clinics, including physiotherapy. It offers clean scheduling, clinical notes, invoicing, online booking, payments and reporting. The interface is simple, and the tiered pricing is open. Every band includes the full features. A solo practitioner pays about $45. Two to five pay $95. Twenty-six to two hundred pay $395. You are billed in your own currency.
However, for UK private physiotherapy practices the gaps are consistent:
Cliniko is perfectly functional for many clinics. Ask whether that mix suits your practice. Billing workarounds and a second exercise tool. Or do you end up keeping spreadsheets and extra logins beside the "all-in-one"?
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UK-developed cloud system with a strong physiotherapy and MSK focus. Appointments, clinical notes (including sketchpad/templates), billing, online booking, embedded payments (ClearAccept) and reporting. Positioned for UK private practice workflows. Insurance billing support is present; confirm current Healthcode depth for your main insurers. Exercise prescription via integration. Quote-based pricing, often competitive for UK physio clinics.
UK private practice software with appointment scheduling, SOAP treatment notes, client and insurance billing, online booking, KPI reports and auditing. Explicit Healthcode Electronic Billing integration. Strong documented integration with Rehab My Patient for exercise prescription. Pricing from around £15-£60+/mo depending on package. Customisable, which suits clinics with specific billing or notes requirements. Good for UK-focused physio practices.
UK cloud PMS for healthcare professionals including physiotherapists. Scheduling, clinical notes, invoicing, online booking, payments and direct native Healthcode integration for major UK insurers (Bupa, AXA Health, Aviva, Vitality, WPA etc.). This is one of the stronger native UK billing options. Pricing per-user with practice fees: Flex ~£19.95/mo, Solo ~£27.95/mo, Group from ~£45.95/mo. Add-ons for booking and video. Frequently mentioned when UK physios discuss Cliniko alternatives.
Cloud PMS with strong clinical charting, treatment plans, scheduling, billing and client portal. UK presence with documented Healthcode submission support (beta and export flows). Good depth in notes and workflow. Physitrack integration available for exercise. Pricing plan-based with per-practitioner elements on higher tiers. Strong for clinics that value detailed clinical documentation.
Cloud PMS with booking, notes, billing and reporting. UK users alongside Australian base. Native Healthcode integration (0.3% per successful claim on some plans). Per-practitioner pricing. Case management for tracking authorisations and budgets. Exercise via integration or add-on. Transparent pricing and direct Healthcode for high-volume PMI clinics.
| Platform | Healthcode | Exercise | Pricing model | Key watch-out |
|---|---|---|---|---|
| Cliniko | No native (third party) | Bolt-on | Tiered by practitioners | Billing and exercise friction |
| TM3 (Blue Zinc) | Supported (verify) | Via integration | Per user/site (quote) | Confirm current Healthcode depth |
| PPS (Rushcliff) | Native electronic billing | Rehab My Patient integration | From ~£15-£60/mo | Interface can feel traditional |
| WriteUpp | Native Healthcode | Bolt-on | Per user + practice fee | Feature depth varies by tier |
| Jane | Healthcode support (beta/export) | Physitrack integration | Plan-based, per-practitioner elements | UK billing configuration required |
| Nookal | Native (0.3% per claim) | Bolt-on / integration | Per practitioner | Verify full UK feature set |
| Bespoke (ESRE) | Built for your insurers | Built in (no separate sub) | One-off cost | Higher upfront, full ownership |
Every platform here will hold your clinical records. None of the marketing says what happens when you leave.
The obstacle is rarely the export itself. The meaning of each field lives in the supplier's code. Your file arrives with a status column of numbers, and the rule that says what each number meant stays behind.
Ask three questions of any platform on this page. Show me a real export from a live system, with the field definitions. Who holds the encryption keys? Could I run this system myself?
We build clinic systems on engage.re, where your meaning is held as data. An export carries the definitions with the records. You hold your own keys, and we publish the platform behaviour at version 2.0.0 so a third party can build a system that conforms.
We set out the other four questions in vendor lock-in, what can you prove. We explain what a market looks like when buyers keep that choice in what does an interoperable software market look like.
Some clinics handle a real volume of private medical insurance work. Others want exercise prescription inside the clinical record, rather than behind a second login and a second fee. For both, the off-the-shelf mix creates daily effort. A system of your own can hold all of it in one set of records. Booking that follows your pathways. Your exact notes templates and body charts. Exercise prescription built in. Insurance billing for the insurers you actually see. You own it outright, with no fee for each clinician.
If you want to see what a unified system actually looks like, ESRE's live physiotherapy demo opens without a login. Sign in as a physio and write up a treatment with an exercise plan, or as the patient and see it on your phone. It is a working system. See the physiotherapy software hub for the demo and more.
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