The verdict in three sentences
A physiotherapy group with 6 clinics and 34 physios around Dublin running a separate diary in each clinic loses hundreds of slots every month to no-shows and scheduling gaps. The right architecture combines practice management software at 40 to 80 EUR per clinician per month for billing and clinical notes, with a custom layer of 30,000 to 70,000 EUR for a unified diary and multi-site reporting. With GDPR-compliant EU hosting and a 3 to 4 month project, a realistic goal is to cut no-shows from 9 % to 4 %.
The problem with a group that grew clinic by clinic
Each clinic opened with its own habits: one practice system here, a consumer booking app there, a spreadsheet for locums. The founder cannot see utilisation per site, revenue per clinician or patients who could be moved to a quieter clinic nearby. Appointment reminders go out when reception remembers.
Billing private insurers such as VHI, Laya and Irish Life Health, and managing clinical notes, is best left to established practice software. What is missing is the group-level view.
| Indicator (2026 estimate) | Separate diaries | Unified diary with reporting |
|---|---|---|
| No-show rate | 9 % | 4 % target |
| Average clinician utilisation | 78 % | 86 to 90 % |
| SMS reminders before sessions | inconsistent | automatic at D-2 and H-4 |
| Moving a patient to another site | phone, case by case | suggested by the diary |
| Dashboard per clinic | rebuilt each quarter | real time |
| Locum management and revenue share | spreadsheets | automatic calculation |
Off-the-shelf, custom or both: 2026 costs
Three architectures are possible. Off-the-shelf alone works for a single clinic. Full custom is not advised, as rebuilding insurer billing and clinical records is expensive. The combination keeps the practice system and adds a group layer.
| Item | Off-the-shelf only | Custom layer added |
|---|---|---|
| Practice software licence (34 clinicians) | 40 to 80 EUR per clinician per month, 16,300 to 32,600 EUR a year | unchanged |
| Unified diary and dashboards | not available | 30,000 to 70,000 EUR |
| Secure EU health data hosting | included by vendor | 300 to 900 EUR a month |
| Online booking | third-party tool, 100 to 150 EUR per clinician per month | built into the layer |
| Time to go live | 1 month | 3 to 4 months |
| Layer maintenance | not applicable | 12 to 15 % a year |
Replacing the third-party booking tool with the integrated diary alone can save 40,000 to 60,000 EUR a year across 34 clinicians, which funds much of the build.
Compliance: the non-negotiables
Health data requires EU hosting with strong security certifications, a data protection impact assessment under GDPR, strong authentication for clinicians and full access logging. The Data Protection Commission expects clear records of processing. Integration with the practice system goes through its API or a secure export, never a database copy. CORU registration details for each physio should also be tracked in the system.
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Aoife, founder of a 6-clinic group in Dublin, has 34 physios each seeing 18 patients a day over 220 days, about 134,600 sessions a year. At 9 % no-shows, 12,100 sessions are lost; at 4 %, 5,400. The 6,700 recovered sessions, at 35 EUR clinic share per session after clinician split, represent about 235,000 EUR of extra revenue a year. With a 55,000 EUR layer and 7,200 EUR of annual hosting, payback comes within months, even if only half the target is reached (estimate).
FAQ
How much does software for a physiotherapy clinic group cost?
Practice software costs 40 to 80 EUR per clinician per month. A custom layer for unified scheduling and multi-site reporting runs 30,000 to 70,000 EUR, plus 12 to 15 % a year in maintenance.
Do we need to rebuild insurer billing?
No, insurer billing and clinical notes stay in the practice software. The custom layer connects to it, which saves months of work and tens of thousands of euros.
What hosting is required for health data?
Health data must be hosted securely in the EU with GDPR safeguards and access logging. Plan 300 to 900 EUR a month depending on volume and redundancy.
How do we reduce no-shows?
Automatic SMS reminders at D-2 and H-4, one-click confirmation and a waiting list that fills freed slots bring the rate from 9 % to around 4 %. Each point gained across 34 clinicians is worth more than 1,300 sessions a year.
How long does the project take?
Plan 3 to 4 months: scoping and DPIA in 3 weeks, development in 8 to 10 weeks, then clinic-by-clinic rollout over 3 to 4 weeks.
Let's scope your project. Tell us how many clinics and clinicians you run and which practice software you use, and we will price the scope, indicative budget and timeline. 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.
