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How Does RxSure Compare?

An honest look at how RxSure stacks up against other approaches to running private prescribing services. We focus on what matters: compliance, pricing transparency, and clinical workflow.

How Does RxSure Compare to Other Prescribing Software?

There are several ways to run private prescribing services. Here’s how they compare.

RxSure is a flat-rate private prescribing platform built specifically for UK independent prescribers, and it differs from alternatives in three critical areas: clinical depth, compliance tooling, and pricing transparency. Unlike generic clinic management software, RxSure includes BNF-aligned drug interaction checking, AI clinical decision support, SOAP clinical notes, and guided consultation workflows designed around the prescribe-advise-refer model. Competing per-consultation platforms often charge between three and fifteen pounds per transaction, whereas RxSure costs a fixed £199 per month with zero platform fees on patient payments collected through Stripe or PayPal. On the compliance side, RxSure provides both GPhC and CQC dashboards, automated audit trails, structured incident reporting, and NHS DSPT compliance as standard features rather than paid add-ons. Paper-based prescribing offers none of these digital safeguards and lacks the electronic records that regulators increasingly expect during inspections.

There are four main approaches to private prescribing software in the UK, each with distinct trade-offs in cost, clinical control, and regulatory compliance. Paper-based prescribing remains common but is manual, error-prone, and lacks any automated audit trail, making governance difficult during inspections. Generic clinic management software handles scheduling and records but is rarely built for prescribing workflows, missing features like drug interaction checking and prescription generation. Per-consultation platforms offer purpose-built prescribing tools but charge a fee on every transaction, typically between three and fifteen pounds, meaning costs grow directly with patient volume and can become substantial at scale. Flat-rate SaaS platforms like RxSure provide unlimited prescribing, consultation management, and compliance tools for a fixed monthly fee of £199, with zero platform fees on patient payments. The right choice depends on your consultation volume, compliance requirements, and how much control you need over the patient journey.

FeatureRxSurePaper-BasedGeneric Clinic SoftwarePer-Consultation Platforms
Prescribing & Clinical
Electronic private prescriptionsVaries
Drug interaction checking (BNF-aligned)VariesVaries
AI clinical decision supportVaries
Guided clinical workflowsVaries
Controlled drugs (Schedules 2–5)VariesVaries
SOAP notes & fit notesVaries
Compliance & Governance
GPhC compliance dashboardVaries
CQC compliance dashboard
Automated audit trailVaries
Incident reportingManualVaries
UK-based data storageN/AVariesVaries
NHS DSPT compliantVaries
Booking & Payments
Online patient booking
Integrated payments (Stripe/PayPal)Varies
Zero platform feesN/AVaries
Pre-screening questionnairesVaries
Pricing Model
Pricing transparencyPublished on websiteN/AVariesVaries
Commission on consultationsNoneN/AVariesTypically yes
Monthly cost (pharmacy)£199/moFree£50–500/moVaries + commission

“Varies” means the feature depends on the specific product. We have not tested every platform on the market. This comparison reflects general categories, not specific competitors. Last updated: May 2026.

Why Choose a Flat-Fee Platform over Per-Prescription Pricing?

The difference between paying per consultation and paying a flat monthly fee

A flat-fee prescribing platform eliminates the unpredictable costs that per-prescription pricing creates as your clinical practice grows. Per-consultation platforms typically charge three to fifteen pounds per transaction, so a pharmacy conducting 200 private consultations monthly could pay between £600 and £3,000 in platform fees alone. RxSure charges a fixed £199 per month regardless of consultation volume, meaning the effective cost per consultation drops to under £1 at scale. Flat-fee pricing also removes the perverse incentive to limit patient access: every additional consultation improves your margins rather than increasing your software bill. RxSure takes zero commission on patient payments processed through Stripe or PayPal, so every pound collected goes directly to your account. All features, including AI clinical decision support, GPhC and CQC compliance dashboards, and electronic prescriptions, are included at every tier with no upsells or gated functionality. Start a free trial to see the full platform.

Flat-rate pricing is better than per-consultation pricing because it provides predictable monthly costs that make budgeting straightforward, regardless of how many patients you see. Per-consultation platforms typically charge between three and fifteen pounds per transaction, which means a practice conducting 200 consultations per month would pay between £600 and £3,000 in platform fees alone. At RxSure’s flat rate of £199 per month, that same practice saves significantly and the cost per consultation decreases as volume grows. There is no financial penalty for growth, so expanding your services or taking on more patients does not increase your software costs. Per-consultation models also create a perverse incentive to limit patient access, whereas flat-rate pricing encourages practices to maximise their service offering. RxSure charges zero platform fees and takes no commission on patient payments, meaning every pound collected through Stripe or PayPal goes directly to your account.

Predictable Costs

Know exactly what you’ll pay each month regardless of consultation volume. No surprises when your practice grows.

Better Margins at Scale

Per-consultation fees eat into your margins as you grow. A flat rate means every additional consultation improves your economics.

Full Feature Access

All features included in the subscription. No tiered feature gating, no upsells, no hidden costs for compliance tools or AI features.

What Makes RxSure Different from Patient-Facing GP Services?

Transparency about our platform’s scope

RxSure is a professional prescribing platform designed exclusively for independent prescribers, pharmacies, and private clinics, not a consumer-facing GP appointment service. Patient-facing platforms such as online GP services typically operate their own clinical workforce and marketplace, controlling pricing, branding, and the patient relationship. RxSure takes the opposite approach: prescribers maintain full clinical autonomy, set their own consultation fees, and manage patients through their own branded booking pages. The platform does not integrate with NHS systems like EMIS or SystmOne, nor does it connect to the NHS Electronic Prescription Service, because it is purpose-built for private prescribing workflows only. RxSure does not handle dispensing or stock management either. Instead, it focuses on the consultation-to-prescription journey, providing electronic private prescriptions, BNF-aligned drug interaction checking, SOAP notes, and dual GPhC and CQC compliance dashboards for £199 per month.

NHS clinical system integration

RxSure does not integrate with EMIS, SystmOne, or other NHS clinical systems. Private patient records are maintained separately.

NHS EPS (Electronic Prescription Service)

RxSure generates private prescriptions only. It does not connect to the NHS EPS for NHS prescriptions.

Dispensing or stock management

RxSure is a prescribing and consultation platform. It does not manage dispensing workflows, stock levels, or wholesale orders.

White-label marketplace

RxSure does not operate a patient marketplace. You bring your own patients through your own booking page and marketing.

Related Resources

More information to help you decide

Frequently Asked Questions

We compare against categories of approach (paper-based, generic clinic software, per-consultation platforms), not specific competitors. Where a feature varies by product, we say “Varies” rather than making assumptions. We also list what RxSure doesn’t do, because transparency builds trust.

RxSure charges £199/mo with zero platform fees. If a per-consultation platform charges £5–10 per consultation, the breakeven is approximately 20–40 consultations per month. Above that volume, RxSure costs less. Below that volume, a per-consultation model may be more economical.

Yes. Our onboarding team can assist with data migration. The complexity depends on your current platform’s export capabilities. Contact us for a migration assessment before committing.

You can start using RxSure alongside paper prescriptions and transition at your own pace. The platform includes onboarding support to help you digitalise your workflow. Most prescribers are fully digital within 1–2 weeks of starting.

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