Home exercise programmes are core to physiotherapy. Patients need clear instructions, videos they can follow, and a way to report adherence. A physiotherapist needs three things. A library that matches their clinical approach, so they can prescribe quickly. A record of progress. That data inside the clinical record, for notes, reporting and audit. Most UK PMS platforms do not include a full exercise prescription module as standard. The result is a separate subscription (Physitrack or Rehab My Patient are the most common) and another data silo. This article looks at the practical options and the trade-offs.
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Physitrack is one of the most widely used exercise prescription platforms for physiotherapists in the UK and internationally. It has a large video library, the ability to create personalised programmes, patient apps for adherence tracking, and telehealth/video call features. UK pricing is £19.49 + VAT per practitioner per month (or £210.49 + VAT annual with 10% discount). It integrates with several PMS platforms.
Strengths: professional video quality, adherence tracking and reporting, telehealth built in, outcomes tracking in some plans. One drawback affects most UK clinics. It is nearly always a separate subscription beside the PMS. That means another login, another store of data, and another monthly cost that grows with your headcount.
Rehab My Patient is a UK-designed exercise prescription tool, created by physiotherapists for physiotherapists. It offers a large library of exercises with videos and photos, customisable templates, telerehab, and community templates. Pricing is flexible: individual from around £11.42/mo or £123.34/yr; clinic plans from ~£14.42/mo per practitioner (with discounts for annual). It has a well-documented integration with PPS and is popular with UK private practices and Physio First members.
Strengths: UK focus and support, good value, easy to use for home programmes. Again, for most users it is a separate tool from the main PMS.
When exercise prescription lives in a separate system:
A clinic with three or four clinicians can add £100 to £200 a month, or more. That sits on top of the PMS subscription, and the data splits across two systems.
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A system that has exercise prescription built in (as part of the clinical record) means:
Off-the-shelf PMS platforms rarely offer this level of integration without the separate tool and fee. A system of your own holds the exact library, templates and adherence tracking your clinic uses. It delivers by app, by print or through a portal. All of it sits in the main record from the first day.
The bolt-on tool costs more each year for a reason that has nothing to do with the tool.
You pay for each clinician. Your fee therefore rises when you hire, and it rises again at renewal. Neither rise follows from you getting more value.
The split data has the same cause. Two suppliers each hold their own idea of a patient and an appointment. Nobody can then report across both without a person joining them.
We build clinic systems on engage.re, and we charge no fee for each seat. Your headcount and your bill are separate numbers. Exercise plans are a record type in the same dictionary as your notes and your bookings, so one report covers all three.
We work through the full cost of a set of separate tools in what does it cost to own and run your own systems. We explain why a rented price rises each year in your software bill goes up every year.
Exercise prescription may be a large part of what you offer. You may want that data beside the notes, the bookings and the billing. A system of your own does that, with no further fee for each clinician. The plan, the videos, the patient's reported adherence and any outcome scores live in the same record as the SOAP note. Reporting on adherence, DNA, revenue per clinician and case mix draws from one source. You own it, so you can add new exercises, templates or reporting fields without waiting for a vendor.
If you want to see what built-in exercise prescription looks like in a working system, ESRE's live physiotherapy demo opens without a login. Sign in as a physio and prescribe a home programme as part of the treatment, or as the patient and view it. See the physiotherapy software hub for the demo and more.
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