Three questions matter if you are comparing physiotherapy software in the UK. How it bills a UK insurer, through Healthcode, Bupa and AXA. Whether exercise prescription costs more. Whether a price for each practitioner suits a clinic that uses associates and locums. The main platforms that come up for UK physios are Cliniko, TM3 (Blue Zinc), PPS (Rushcliff), WriteUpp, Jane, Nookal and Pabau. Each has different strengths on notes, booking and UK-specific billing. None of them is a perfect fit for every clinic, which is why the comparison matters.
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Cliniko is a cloud practice management system. Many UK allied health clinics use it, physiotherapy among them. Capterra rates it 4.7 out of 5 from 23 reviews, checked in July 2026. It covers scheduling, clinical notes, invoicing, online booking, payments and reporting. UK clinics use it for physio and similar disciplines. It does not offer native Healthcode integration; clinics needing electronic PMI claims typically use a third-party bridge (such as Effra) or submit directly.
The price follows bands of practitioners, and not a strict count. It is about $45 a month for one, and $95 for 2 to 5. A larger team pays up to $395. The prices are in dollars, and converted when you are billed. The full feature set is included at every tier. Exercise prescription is not native; most UK users pair it with Physitrack or Rehab My Patient as a separate subscription.
TM3 is a UK-developed cloud system with a strong physiotherapy user base. It includes appointments, clinical notes, billing, online booking, embedded payments (ClearAccept) and reporting. It is positioned for UK private practice workflows and has physiotherapy-specific planning and care delivery tools.
Pricing is subscription-based and usually quoted per user or site; it is one of the platforms UK physios mention alongside Cliniko and WriteUpp. Insurance billing support is present but confirm the exact Healthcode flows for your main insurers. Exercise prescription is typically handled via integration.
PPS (Private Practice Software from Rushcliff) is a UK system used by physiotherapy and other private practices. It offers appointment scheduling, treatment notes (SOAP), client and insurance billing, online booking, KPI reports and database auditing. It has a documented integration with Rehab My Patient for exercise prescription.
Pricing starts from around £15-£60 per month depending on package. Some professional associations (e.g. Physio First) have offered extended trials or discounts. It is one of the more customisable UK options, which is a strength for clinics with specific billing or notes requirements.
WriteUpp is a UK cloud PMS aimed at healthcare professionals including physiotherapists, rated 4.7/5 on Capterra (from 7 reviews, checked July 2026). It includes scheduling, clinical notes, invoicing, online booking, payments and direct Healthcode integration for major UK insurers (Bupa, AXA Health, WPA and others). This native UK billing support is a meaningful differentiator for clinics with significant PMI volume.
Pricing is per-user with practice fees: Flex around £19.95/mo, Solo £27.95/mo, Group from £45.95/mo for 2+ clinicians. Add-ons for online booking and video. It is one of the platforms that surfaces most often when UK physios discuss alternatives to Cliniko.
Jane is a cloud practice system. It is strong on clinical charting and treatment plans, and it covers booking, billing and a client portal. It has the best reviews here, at 4.8 out of 5 on Capterra from 528 reviews, checked in July 2026. It has a UK presence and documented support for Healthcode submission (beta and export flows). It is popular for the depth of its notes and workflow tools.
Pricing is plan-based with per-practitioner elements on higher tiers. UK-specific setup and billing configuration are available. Exercise prescription depth is limited compared to dedicated tools; most users pair it with Physitrack or similar.
Nookal (Australian origin with UK users) and Pabau (UK-based) are the other two platforms that regularly appear in UK physio comparisons. Pabau is well-reviewed at 4.7/5 on Capterra from 643 reviews (checked July 2026). Both offer cloud PMS with booking, notes and billing. Healthcode support varies by configuration and requires verification for your specific insurer mix. Pricing is per-practitioner or per-location models; exercise prescription is typically via integration or add-on rather than core.
| Platform | Type | UK focus | Insurance billing | Exercise prescription | Pricing model | Key strength |
|---|---|---|---|---|---|---|
| Cliniko | Cloud | International (UK users) | No native (third party or direct) | Bolt-on / integration | Tiered by practitioners | Clean interface, booking, notes |
| TM3 (Blue Zinc) | Cloud | Strong UK physio | Supported (verify Healthcode) | Via integration | Per user / site (quote) | UK private practice fit |
| PPS (Rushcliff) | Cloud / server | UK private practice | Built-in insurance billing | Rehab My Patient integration | From ~£15-£60/mo | Customisable, UK billing |
| WriteUpp | Cloud | UK healthcare | Native Healthcode | Bolt-on / integration | Per user + practice fee (~£20-£50+) | Direct UK insurer claims |
| Jane | Cloud | International (UK support) | Healthcode support (beta/export) | Bolt-on / integration | Plan-based, per-practitioner elements | Clinical notes and plans depth |
| Nookal / Pabau | Cloud | UK users (AU/UK origin) | Healthcode in some configs | Bolt-on / integration | Per practitioner or location | Alternative cloud options |
| Bespoke (ESRE) | Cloud (owned) | UK bespoke | Built for your insurers (Healthcode where registered) | Built in, no separate sub | One-off cost, no per-clinician fees | Ownership, exact fit, single record |
Start with your clinic type and volume of PMI work, then work backwards.
Most UK physio platforms charge for each practitioner, or by a band that grows with your headcount. They also charge separately for exercise prescription. Physitrack costs £19.49 plus VAT for each practitioner each month. Rehab My Patient starts at about £11 to £20. UK PMI billing adds another layer: either native Healthcode support (rare and valuable) or a third-party bridge or manual process.
For a solo or small fixed team with low PMI, the per-practitioner model and bolt-on exercise cost may be acceptable. Some clinics use associates or locums, or are growing. Others do a great deal of Bupa and AXA work. For them two things start to matter. The monthly total. The split between systems, with the notes here, the exercises there, and the claims somewhere else. Switching platforms later is expensive and disruptive; understanding the full stack cost and data flow before committing is worth the due diligence.
All of the platforms listed above include clinical notes and some form of record management. They differ in how well they hold you to the HCPC Standards of proficiency for physiotherapists and the CSP record-keeping guidance. That means audit trails, and the consent you record. It also means keeping a record as long as the NHS Records Management Code of Practice says, which is 8 years for an adult. UK GDPR and the Data Protection Act 2018 apply to all health data. This is covered in more detail in the clinical notes and record-keeping article below.
You can see this in a working system. The ESRE live physiotherapy demo opens with no login, and it shows the work in this guide. 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, not a screenshot.
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Every platform here charges for each practitioner, or by a band that grows with your team. The software does the same work for your fifth clinician as for your first.
That arrangement decides more than the monthly bill. It decides whether you can afford an associate or a locum. It is also why exercise prescription is billed separately. It is why a clinic keeps its notes in one system and its exercises in another.
We charge for the build, not for your headcount. You own the system, the data and the machine. Every clinic we build for shares one foundation. It already holds a patient, an appointment, a clinical note, an exercise plan, a consent record and an invoice. Another clinician costs nothing.
We set out the full cost in what does it cost to own and run your own systems. We explain the shared foundation in bespoke software for a whole sector.
The platforms above are built for typical private MSK physiotherapy. Some clinics carry a lot of NHS contract work. Some take referrals down several routes at once: self-pay, insurance, first contact practitioner and corporate. Some mix physiotherapy with Pilates and classes. A general system makes all of them work around it. They cannot export the outcome measures they need. They cannot follow an authorisation. They cannot report missed appointments and use of time as their contract asks.
A system of your own is built around your real clinical work, your billing and your compliance. For those clinics it removes the daily friction of a system built for somebody else. You own the system outright, with no fee for each clinician. It can be ready for AI from the first day, so that it can structure a SOAP note or draft an exercise plan. See why clinics choose bespoke for the full picture.
For independent small clinics with low PMI, Cliniko or WriteUpp are the most commonly discussed. WriteUpp or PPS if you want stronger native UK insurance billing. TM3 for UK physio-specific design. None of the off-the-shelf options include full exercise prescription with no second subscription (Physitrack or Rehab My Patient). The best choice depends on your PMI volume, use of associates, and whether you want to avoid per-practitioner scaling.
Most vendors do not publish full pricing. Those four together usually cost £30 to £150 for each practitioner each month. That is the practice system, exercise prescription, the Healthcode work and the accounts. The figure depends on the platform and the extras. WriteUpp and PPS are often cited for UK billing strength. Cliniko is transparent on tiered pricing. Always request a quote based on your actual clinician count and calculate the five-year total including the separate exercise subscription. See our costs article for the detailed breakdown.
All major platforms support basic clinical record-keeping. They differ in four ways. How strong the audit trail is. How they record consent. How they keep a record for as long as the Records Management Code of Practice says. How easily you can export what an HCPC audit or a CSP review asks for. See our clinical notes and record-keeping article for a detailed assessment.
For a fixed small team it may be manageable. Some clinics use associates or locums, and some are growing. Two things then become a real problem. A cost that rises with every person. Data in two places, with the notes in one system and the exercises in another. A bespoke system removes both the per-clinician fees and the bolt-on problem.