The verdict in three sentences
For a group medical practice, bespoke software costs EUR 40,000 to EUR 90,000 in 2026, with a 5-9 month build and maintenance of EUR 600/month. The point is to pool diary, shared records and billing across several clinicians while integrating telehealth and GDPR-compliant clinical hosting. Bespoke wins when a vendor's per-clinician monthly fee durably exceeds the amortised cost of a dedicated build.
The scope of a group practice
Unlike a solo GP, a group needs a shared view: a patient must be bookable with any clinician, on a common record, with centralised billing. Telehealth and a patient portal are now standard.
| Module | 2026 range (EUR) | Indicative timeline |
|---|---|---|
| Shared multi-clinician diary | 8,000 - 18,000 | 1 - 2 months |
| Shared patient records | 12,000 - 28,000 | 2 - 3 months |
| Integrated telehealth | 7,000 - 16,000 | 1 - 2 months |
| Billing & insurer claims | 9,000 - 20,000 | 2 - 3 months |
| Patient portal | 5,000 - 14,000 | 1 - 2 months |
| Compliance & security | 5,000 - 11,000 | 1 - 2 months |
Recurring costs stay moderate for a group practice, but hosting and maintenance form the non-negotiable core.
| Recurring item | 2026 estimate (EUR) |
|---|---|
| Maintenance | 600 / month |
| Compliant hosting | 250 - 600 / month |
| Support | 150 - 400 / month |
| Annual enhancements | 4,000 - 9,000 |
| Backup & DR | 120 - 300 / month |
Cost per clinician over five years
A healthcare vendor typically bills EUR 80-150/clinician/month in 2026. The table below compares, for a 12-clinician practice, an off-the-shelf vendor with a bespoke build at EUR 70,000 + EUR 600/month maintenance.
| Scenario | 5-year cost (EUR) | Cost/clinician/year |
|---|---|---|
| Vendor at EUR 110/clinician/month | 79,200 | 1,320 |
| Vendor at EUR 150/clinician/month | 108,000 | 1,800 |
| Bespoke 70,000 + 600/month | 106,000 | 1,767 |
| Bespoke 55,000 + 500/month | 85,000 | 1,417 |
At 12 clinicians it is close; above 15-18 clinicians bespoke pulls clearly ahead because its cost does not scale linearly with users.
Mini case study
Dr O'Brien coordinates a 14-clinician practice in Dublin. The current vendor costs EUR 21,000/year (EUR 125/clinician/month) and lacks the telehealth he wants. A bespoke build at EUR 72,000 + EUR 600/month costs EUR 79,200 in year one then EUR 7,200/year. From year 2 the licence saving (EUR 21,000) covers maintenance three times over; over five years the practice saves about EUR 30,000 while bringing telehealth in-house.
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FAQ
What budget for a group practice in 2026?
Between EUR 40,000 and EUR 90,000. A 10-15 clinician practice with telehealth often lands around EUR 65,000-75,000.
Does telehealth blow up the budget?
No: budget EUR 7,000-16,000 for an integrated module. The main cost is shared records and billing.
Do we need compliant hosting for a city practice?
Yes, as soon as you store health data. Budget EUR 250-600/month, not optional.
How fast is it operational?
Five to nine months. A diary + shared records core ships in 5-6 months; telehealth and portal come after.
Should we keep the vendor below 10 clinicians?
Often yes: under 10 clinicians a vendor's monthly cost stays below bespoke amortisation.
Let's scope your project. Tell us clinician count, telehealth and billing needs, and target budget; we will model cost per clinician over five years. Detailed quote within 48 h. WhatsApp +221 77 596 93 33.
Mohamed Bah
Fondateur, Kolonell
Passionate about digital and entrepreneurship in Africa, Mohamed has been helping Sénégalese businesses with their digital transformation since 2020. Founder of Kolonell, he believes every SME deserves a professional and accessible online présence.
