accuRx

accuRx is the most widely used patient-communication platform in English general practice, reportedly in use across around 98% of GP practices. At its core it lets clinicians and admin staff contact patients securely by SMS, video or email instead of playing phone tag.

Pricing

A free "Lite" tier covers basic messaging (with caps). Paid bundles for batch messaging, Florey questionnaires and triage are priced per patient per year by list size — Accurx’s published "Plus" bundle is around £0.61 per patient/year, with SMS billed separately on top. A third-party estimate puts full Total Triage at roughly £1.07 per patient/year (£10k+ a year for a 10,000-patient practice). Pricing is quote-based, so confirm current figures and SMS costs with the supplier. (As of July 2026.)

Function

Beyond messaging, the range covers several jobs a practice does daily: batch SMS for recalls, screening and campaign outreach; self-book appointment links sent straight from the inbox; and Total Triage, a shared inbox that collects all patient requests (online and reception-entered) for the team to triage before booking — supporting the online-access requirements introduced from October 2025 (which mandate online routes for routine requests during core hours; a full "total triage" model itself remains optional and won’t suit every practice). Scribe, its ambient AI tool, records a consultation and drafts structured notes, suggests SNOMED codes and generates referral letters for the clinician to review and save into EMIS or SystmOne.

Ease of setup

Supplier-led and designed for NHS general practice, so the heavy lifting (information governance, integration) is largely handled for you. The free tier can be running quickly; Total Triage and Scribe involve more configuration and team training, and are best rolled out with a lead in the practice and buy-in from reception and clinicians.

Ease of use

Generally regarded as one of the more intuitive tools in the space, with a familiar messaging-style interface used across reception, nursing and GP roles. Triage and Scribe change existing workflows, so expect a short adjustment period rather than a steep technical learning curve.

Applications / best fit

Broad appeal across practice sizes. Small practices may run happily on the free tier for basic messaging; larger and PCN-scale practices tend to see the most value from Total Triage and batch messaging, though the per-patient pricing means the annual cost scales with list size. Particularly relevant to practices moving to an online-triage-first model.

Things to check before buying

Which modules you actually need (the free tier may be enough for messaging alone), total annual cost against your list size, contract length and support terms, and the current DTAC/DSPT/clinical-safety position for your ICB. Confirm exactly how data is saved back to your clinical system.

Compare with

eConsult, PATCHS, Anima, Klinik and Rapid Health — see the other online consultation & triage tools.