Choosing the right practice management software can save you hours every week. We have compared the top options available to UK therapists in 2026 - looking at features, pricing, GDPR compliance, and whether each tool is actually built for how therapists work.
| Tool | Price | Best for | UK-based |
|---|---|---|---|
| WriteUpp | £19.95/mo+ | General healthcare | No (UK-founded, now Canadian-owned) |
| Cliniko | ~£35/mo (AUD) | Allied health | No (Australia) |
| Kiku | ~£16-17/mo | Therapists | Yes |
| Semble | £119/mo+ | Medical practices | Yes |
| Jane App | ~£54/mo (CAD) | Broad healthcare | No (Canada) |
| Zanda | ~£15/mo (USD) | Allied health | No (Australia) |
| Konfidens | £19-29/mo | Therapists | No (Norway) |
| SimplePractice | ~£40/mo (USD) | US therapists | No (USA) |
| bacpac | ~£18/mo | Counsellors | Yes |
| PracticePal | £25/mo+ | Allied health | Yes |
| Bloom | £29/mo | Therapists & counsellors | Yes |
WriteUpp has been a popular choice for UK healthcare practitioners for years. It covers the basics - scheduling, client records, and appointment reminders. Pricing starts at £19.95/month. The interface is starting to show its age, and there is no note encryption or built-in counselling agreement signing. Under new ownership, its focus has shifted toward the Canadian market.
Read our full WriteUpp vs Bloom comparisonCliniko is a well-built tool from Australia, widely used by physios and allied health practitioners. It is powerful, but it is designed for clinical settings rather than talking therapies. Pricing is in AUD (around £35/month), and support hours are Australian timezone.
Read our full Cliniko vs Bloom comparisonKiku is built by therapists, for therapists - and it shows. It is affordable (from around £16/month) and covers the essentials well. Where it falls short is in note encryption, e-signatures, and scheduling depth. A solid choice for therapists who want something simple and affordable.
Read our full Kiku vs Bloom comparisonSemble is an enterprise-grade platform designed for multi-site medical practices. It is feature-rich but starts at £119/month - overkill for most solo therapists or small practices. If you do not need lab integrations, prescribing tools, or CQC compliance, you are paying for features you will never touch.
Read our full Semble vs Bloom comparisonJane App is beautifully designed and popular in Canada. For UK therapists, the main issues are CAD pricing (around £54/month after conversion), North American support hours, and features built around clinical rather than therapeutic workflows.
Read our full Jane App vs Bloom comparisonZanda (formerly Power Diary) has been around for 15 years. It is feature-rich but complex, and its roots in Australian allied health mean the workflows are not tailored to UK talking therapies. SMS reminders cost extra on top of subscription fees.
Read our full Zanda vs Bloom comparisonKonfidens is a thoughtful tool originally from Norway, with strong video call integration and a therapist directory. The Solo plan (£19/month) limits you to 20 clients. The Pro plan (£29/month) removes that limit but still lacks e-signatures and automated onboarding.
Read our full Konfidens vs Bloom comparisonSimplePractice is the market leader in the US. But it is built around American healthcare - insurance billing, HIPAA compliance, CPT codes. For UK therapists, you are paying USD prices for features designed for a different system entirely.
Read our full SimplePractice vs Bloom comparisonbacpac was developed with BACP and has strong roots in the UK counselling community. It covers the basics of client records and scheduling. It lacks encrypted notes, payment tracking, e-signatures, and a modern interface - but it is affordable and familiar.
Read our full bacpac vs Bloom comparisonPracticePal has been serving UK practitioners since 2006. The base price is reasonable but add-ons for booking, notes, and marketing push the real cost higher. The interface feels dated, and there are no encrypted notes or automated onboarding.
Read our full PracticePal vs Bloom comparisonBloom is practice management software built specifically for UK therapists and counsellors. It includes scheduling, encrypted session notes, automated client onboarding with e-signatures, payment tracking, and a public booking page - all for £29/month. No add-on fees, no contracts, no features you will never use.