Hizmedia logoHIZMEDIA
ComparisonsBy · 7 min read ·

Cliniko, Pabau, Semble or WriteUpp: when to switch, and when to build

Unhappy with your practice software? How to tell whether you need a different product, better setup, or a custom system, with an honest look at the main UK options.

Built with a modern, owned stack

  • Next.js
  • TypeScript
  • React
  • Expo
  • Tailwind CSS
  • Supabase
  • Neon
  • PostgreSQL
  • Medusa
  • Stripe
  • Resend
  • FastAPI
  • Cloudinary
  • Node.js
  • Vercel
  • Next.js
  • TypeScript
  • React
  • Expo
  • Tailwind CSS
  • Supabase
  • Neon
  • PostgreSQL
  • Medusa
  • Stripe
  • Resend
  • FastAPI
  • Cloudinary
  • Node.js
  • Vercel

Most clinics search for an alternative after one bad week: a booking rule the software cannot handle, a price rise, or another afternoon spent copying details between systems. Before you switch, it is worth working out what is actually wrong, because the answer is not always a different product.

The main UK options, in brief

A plain summary. Check each provider's own site for current features and prices.
SoftwareBest known forHow it is priced
ClinikoPractice management for physios and allied health clinicsMonthly, in bands by number of practitioners
PabauAll in one software popular with aesthetics clinicsMonthly plans by clinic size, larger plans quoted
SemblePractice management and records for private medical clinicsPer user, with pricing on request
WriteUppPractice management for UK therapists and allied healthPer user per month, with add-ons such as online booking

All four are established products used by many UK clinics. If one of them fits the way you work, it will almost always be cheaper and quicker than anything built for you.

Three different problems, three different fixes

  • The software can do it, but nobody set it up properly. Fix: a few days of configuration and training, not a migration.
  • Another product does it better. Fix: switch, with a proper plan for moving patient records, forms and future bookings.
  • Nothing on the market fits how you deliver care. Fix: keep what works and build the missing part, or move to a custom clinic system.

Signs a different product will fix it

  • Your clinic type is a standard one, such as physio, dental or aesthetics, and other clinics like yours are happy on another product
  • The gap is a common feature, such as online payments, reminders or a client app
  • Your main complaint is price, and a competitor's per practitioner pricing works out cheaper for your team size

Signs you have outgrown off-the-shelf software

  • You run services the templates do not cover: home visits, fasting blood tests, test kits, results that need a clinician's sign off
  • Reception copies the same details between booking, email, spreadsheets and records every day
  • You pay for several tools that do not talk to each other, and per practitioner fees rise every time you hire
  • You want the patient experience to look and feel like your clinic, not like a software vendor

If those sound familiar, read when a custom system is worth it and what custom clinic software costs in the UK.

If you do switch, plan the move

  • Export patient records, notes, forms and future appointments, and check the new system can import each one
  • Agree a cut-over date and run both systems briefly for bookings already made
  • Update booking links on your website, Google Business Profile and emails on the same day
  • Check your privacy notice and data processing agreements under UK GDPR before patient data moves

We build custom clinic systems when off-the-shelf really does not fit, and we will tell you when it does. Plenty of clinics are best served by one of the products above, set up properly.

Frequently asked questions

It depends on your clinic. Physio and allied health clinics often compare Cliniko with WriteUpp, aesthetics clinics with Pabau, and private medical clinics with Semble. If none fits how you deliver care, a custom system built around your workflow is the alternative.

It takes planning rather than effort. The work is in exporting records and future bookings, checking they import correctly, and updating every booking link on the same day.

Only if off-the-shelf software genuinely does not fit how your clinic runs, and the workarounds cost real time every week. For many clinics, a well set up product is the better choice.

Want this built for you?

Tell us about your clinic and what you want more of, or less of. We will tell you plainly what we would build and what it should bring back.

Related service: Clinic Systems