PMS Market Share in UK Clinics (2026)
We crawled 52,935 unique clinic domains across England to map which practice management systems are actually in use. The UK market is far more fragmented than Australia, with 86.6% of clinics showing no detectable PMS signal and no single vendor holding more than 5% of the market.
The Big Picture
Only 13.4% of UK clinic websites expose a detectable PMS signal. The remaining 86.6% either use NHS systems that leave no public web footprint (EMIS, SystmOne, Vision), manage bookings via phone, or use tools we haven't fingerprinted yet.
This is a fundamentally different market to Australia (where 42.8% show a signal). The NHS infrastructure means most GP practices use backend systems invisible to website crawling, so the detectable market skews heavily towards private clinics and allied health.
Top 10 PMS Platforms by Domain Count
Ranked by the number of unique clinic domains where the platform was detected via public website signals. Unlike Australia where Cliniko dominates with 11.6%, the UK market leader (also Cliniko) holds just 4.9%.
| Platform | Domains | % of Total |
|---|---|---|
| 1.Cliniko | 2,605 | 4.9% |
| 2.Fresha | 1,066 | 2.0% |
| 3.Exact SOE | 925 | 1.7% |
| 4.Timely | 516 | 1.0% |
| 5.Dentally | 506 | 1.0% |
| 6.Phorest | 319 | 0.6% |
| 7.Semble | 313 | 0.6% |
| 8.Power Diary | 248 | 0.5% |
| 9.Practice Better | 131 | 0.2% |
| 10.Nookal | 107 | 0.2% |
PMS Preferences by Clinic Type
Each vertical has different dominant platforms. Dental runs on legacy UK systems (Exact SOE, Dentally), while allied health mirrors the Australian market with Cliniko dominance.
Dentists
1,884 domains
Physiotherapists
2,101 domains
Chiropractors
1,346 domains
Psychologists
938 domains
Key Takeaways
Cliniko is the cross-border winner. With 2,605 UK domains (and 2,656 in Australia), Cliniko is the only platform with significant market share in both countries. It dominates UK physiotherapy (421 domains) and chiropractic (274 domains).
UK dental is Exact SOE + Dentally.These two platforms account for nearly all detectable dental PMS installs (390 + 235 = 625 domains). The UK dental PMS market is more consolidated than Australia's.
Fresha is a UK-specific phenomenon. With 1,066 domains, Fresha is the second-largest platform overall but barely exists in Australia. It serves beauty, wellness and allied health clinics with an integrated booking + payments + POS model.
Psychology is almost entirely invisible. Of 938 psychology domains, only 14 show a detectable PMS. This vertical likely uses NHS-backed systems, generic scheduling tools, or phone-based bookings that leave no web footprint.
The greenfield is enormous.86.6% of UK clinic domains show no public PMS signal. That's 45,800+ domains. For vendors entering the UK market, the opportunity is both larger and less contested than Australia.
UK vs Australia: How the Markets Compare
| Metric | Australia | UK (England) |
|---|---|---|
| Total clinic domains | 22,821 | 52,935 |
| PMS detection rate | 42.8% | 13.4% |
| Market leader | Cliniko (11.6%) | Cliniko (4.9%) |
| Greenfield (no PMS) | 13,051 domains | 45,864 domains |
Methodology
Data sourced from the Yoluko clinic intelligence platform. 52,935 unique clinic domains across England are crawled regularly. PMS detection is based on public website signals: embedded booking widgets, JavaScript includes, meta tags, DNS records and link patterns. NHS backend systems (EMIS, SystmOne, Vision) are not detectable via website crawling and are excluded from this analysis.
Account Executive, Yoluko
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