Cliniko vs Jane vs Practice Digital, a clinic owner's decision guide

I see a lot of clinic owners arrive at our door already trapped on a per-practitioner SaaS that priced fine when they were two physios in one room and now hurts when they're eight. That conversation has happened often enough that I want to lay out the actual comparison, honestly, and let you make your own call.

This is written from the perspective of someone who has signed off on clinical pages for NHS general practice, dental, physiotherapy and aesthetic-medicine sites; it's not a SaaS reviewer's take. Where we compete with Cliniko or Jane, I'll say so. Where they're a better fit, I'll say that too.

The decision before the decision: booking-only, or booking + clinical record?

The first split is not about brand. It's about what you actually need.

A booking-only stack handles: patients self-serving appointment booking, calendar sync to your practitioners' diaries, treatment menus, automatic confirmation and reminder emails or SMS, no-show tracking, and a front-desk admin view. That's it. Notes, consent forms, treatment plans, you keep those on paper, in another tool, or in your own clinical record.

A full clinical stack adds: treatment notes, consent forms with e-signature, treatment plans, patient history, file attachments, outcome measures, document and letter templates, audit trail and regulator-ready export. This is where the per-practitioner pricing starts to bite, because every clinician needs their own login and their own seat.

If you only need booking, the right move is the cheapest tool that does booking well. If you need the clinical record, the question becomes total cost of ownership over a 36-month horizon at your projected practitioner count.

What Cliniko and Jane actually cost in 2026

Both publish their prices openly, and both bill in US dollars, so your sterling cost moves with the exchange rate. These figures were checked against each supplier's own pricing page on 7 October 2026.

A correction, and why it matters to you. An earlier version of this page said Cliniko charges roughly £35 to £95 per practitioner per month, and built a three-year saving on that figure. That was wrong, and it flattered us. Cliniko is banded per clinic: a four-practitioner clinic pays USD $95 a month in total, not per head. We have corrected the page and removed the saving figures that depended on the error. We sell against these two, so you should check both pricing pages yourself rather than take our word for any of it.

Cliniko

Where it shines. Cliniko's UI is the cleanest in the category and the integrations are well documented. SOAP-style notes are flexible, the reporting is properly thought through, and the team-management features (commission splits, room booking, classes) are mature. Every feature is included in the band price, there is no contract, data import from another system is free, and the company says it has not raised its prices since 2011. On cost alone it is hard to beat, and we do not try to.

Where it doesn't. It is booking and clinical records, not a website. You still need a site to put the booking widget on, and that is a separate project with a separate bill. Billing is in US dollars, hosting is North American, and nothing in it is built around UK or NHS conventions.

Who it fits. Most UK allied-health clinics that already have a website they are happy with. If that is you, Cliniko is a good answer and this page is not trying to talk you out of it.

Jane

Where it shines. Canadian-built, very strong in physio and chiropractic, and the clinical charting workflow is well liked by therapists. Telehealth is built in and works well. The community of clinicians using Jane is large and genuinely helpful. Data imports and onboarding are free.

Where it doesn't. This is where per-practitioner pricing actually bites. The base plan covers one full-time practitioner and every additional bookable practitioner carries a licence fee, with half-rate licences for anyone booking under 24 hours a week. The features clinics most often want, AI Scribe, group telehealth, insurance billing, are priced per practitioner on top. A website is a further USD $59 a month per clinic. There is no free trial. Some UK-specific things (NHS letterhead conventions, UK GDPR-aware export language, Welsh-language interfaces) are not first-class, and hosting is North American by default.

Who it fits. Physio, chiropractic and movement-therapy practices that want the charting polish and the community, and are comfortable with a bill that grows as the team grows.

Semble

Where it shines. Semble is built squarely for UK private GPs and consultants. Document templating is strong, integrations with private medical insurance billing are real, and the secretary or practice-manager workflow is treated as a first-class user rather than an afterthought.

Where it doesn't. Priced per practitioner, and it does not publish its rates openly, so you have to ask. Treatment-plan workflow is less natural for allied health than for medical consultants.

Who it fits. Private GP, consultant and private hospital outpatient settings.

Practice Digital

We should be straight about what we are. We are a website company that added booking and a clinical record, not a practice-management company that added a website. That shapes who we suit.

Where we fit:

• You need a website as much as you need booking. If you are starting from scratch, rebuilding, or paying separately for a site plus a booking tool, one supplier doing both is a genuinely simpler life. Every clinic plan includes the full bespoke site: design, hosting, SSL, accessibility, six languages.
• Your team is growing and you would rather the bill did not. Flat per clinic, unlimited practitioners. This matters against Jane's per-licence model more than against Cliniko's bands.
• You want UK and EU hosting, and a clinician on the other end. Practice Digital sites are built by our tech team and signed off by doctors.

Where we don't fit:

• You already have a website you like. Then you are buying booking software, and Cliniko at USD $45 to $145 a month is cheaper than us and more mature than us. Go and look at it.
• You have a years-long Cliniko or Jane setup with custom forms, commission splits and complex room booking. The migration cost outweighs the saving.
• You are a single practitioner. Flat-per-clinic pricing has nothing to offer you; per-head pricing at that size is cheaper.
• You need native integration with a specific insurer's billing pipeline. Semble has a head start.

What the comparison hides

Three things the price comparison doesn't capture:

1. The website itself. Cliniko does not include one at all: you build the site elsewhere and embed the booking widget. Jane sells one as an add-on at USD $59 a month per clinic, which is more than the Practice plan itself. Practice Digital bundles the site because the site is the product. When you compare the monthly figures, make sure you are adding the website cost to the same column it belongs in.

2. The hosting region. Practice Digital hosts in the UK and EU only. Some of the bigger competitors host primarily in North America, which creates an awkward DPIA conversation if you take it seriously.

3. Who fixes things when they break. The Practice Digital team are clinicians. When something feels wrong about an aesthetic-clinic gallery flow or a GP triage-redirect or a Welsh-language phrase, you can describe it in clinical or operational language and the person on the other end already speaks it.

How to choose, in fifteen minutes

Three questions:

1. Do you already have a website you are happy with? If yes, you are shopping for booking software, and Cliniko is probably your cheapest good answer. If no, you are shopping for two things, and the comparison changes completely.

2. How many bookable practitioners will you have in 24 months? Against Jane, every one of them adds a licence fee, so growth changes the answer. Against Cliniko's bands, it only changes the answer when you cross a band boundary.

3. How specific is your workflow? If you have a years-long Cliniko or Jane setup with custom forms and integrations, the cost of moving is real. If you're starting from scratch or your current setup is bare-bones, switching is mostly a content lift.

Frequently asked questions

Is Cliniko or Jane better for a UK clinic?

Neither is better outright; they are priced differently and that is usually what decides it. Cliniko charges one banded price per clinic based on practitioner count, from USD $45 a month for one practitioner to $95 for two to five and $145 for six to eight, with every feature included. Jane charges a base plan from USD $59 to $99 a month plus a licence fee for each additional bookable practitioner, with AI Scribe, group telehealth and insurance billing priced per practitioner on top. If your team is growing, Cliniko’s total cost is more predictable. If you want Jane’s charting workflow and community, you are paying for it per head.

How much does Cliniko cost in the UK?

Cliniko publishes one price per clinic by practitioner band, billed in US dollars: $45 a month for a single practitioner, $95 for two to five, $145 for six to eight, $195 for nine to twelve, $295 for thirteen to twenty-five and $395 for twenty-six or more. Every feature is included, SMS is 10 cents a message, there is no contract and data migration is free. Because billing is in dollars, the sterling cost moves with the exchange rate.

How much does Jane cost?

Jane’s plans are Balance at USD $59 a month (one practitioner, capped at 20 appointments a month), Practice at $79 and Thrive at $99. Each includes one full-time practitioner; every additional bookable practitioner carries a licence fee, at half rate for anyone booking under 24 hours a week. Add-ons are priced per practitioner: AI Scribe $15, group telehealth $15, insurance billing from $20. A Jane website is a further $59 a month per clinic. There is no free trial.

Does Cliniko or Jane include a website?

Cliniko does not. It gives you a booking widget and you supply the website yourself. Jane sells Jane Websites as an add-on at USD $59 a month per clinic, which costs more than its own Practice plan. If you need a website as well as booking software, add that cost in before you compare monthly figures.

Is there a UK alternative to Cliniko and Jane?

Yes. Semble is built for UK private GPs and consultants. Practice Digital, who wrote this page, bundles a bespoke website with booking and an optional clinical record at a flat price per clinic with unlimited practitioners, hosted in the UK and EU. We are a website company that added booking rather than a practice-management company that added a website, so if you already have a site you are happy with, Cliniko is likely the cheaper answer.

Can we move our data from Cliniko or Jane to something else?

Both allow you to export, and both offer free imports if you are moving to them. Moving away is a data export plus a rebuild of templates and forms. The honest constraint is not the data, it is the custom forms, commission splits and room-booking rules you have built up. If those are extensive, budget for the rebuild rather than assuming the export covers it.

If you want to look

We have a working demo at riverside-physio.pages.dev, a fictional Manchester physiotherapy clinic running on our stack. You can open the booking flow, see the practitioner pages, walk through the patient journey. Built on exactly what your site would run on.

Full clinic pricing is on the pricing page. If you want to talk it through, the team has a 20-minute discovery call slot at contact us, or run the application wizard if you're ready to start.

About the author. Our team includes practising NHS GPs and is based in North Wales. We sign off clinical content for GP surgeries, aesthetic clinics and allied-health practices, and reads regulator bulletins for fun on Sunday evenings.