The system underneath everything
Patient Pulse: clinic CRM, patient messaging and follow-up in one system
One place to manage everything that happens between your marketing and a booked patient. Every enquiry, conversation, review request and lapsed patient, in one system built for MSK clinics.
Back pain
Google Ads
2 min
Sports injury
Website form
18 min
Sciatica
Google Business
41 min
Neck pain
Paid social
1 hr
Callback due
Missed call
3 hr
Post-op rehab
5 hr
Not ready yet
Paid social
6 days
Price enquiry
Website form
9 days
First visit
Google Ads
Today
Returning
Recall
Today
Follow-up
Today
Illustrative view of the Patient Pulse lead pipeline. Patient details are never shown.
Where Patient Pulse sits
Every enquiry your marketing creates ends up here
Websites, SEO and ads all do the same job: they get someone to make contact. What happens in the twenty minutes after that decides whether they become your patient or someone else's.

Our own clinic CRM, patient messaging and follow-up system, built for UK osteopaths, physiotherapists and chiropractors.
Everything lands here
Patient Pulse
One inbox, one patient database, one board. The layer that turns four separate marketing channels into one predictable flow of booked appointments.
- Captures the enquiry, whichever channel it came from
- Replies automatically within minutes, day or night
- Keeps it on a board until it is booked or closed
A booked patient
Straight into the Cliniko diary from the conversation, without a game of phone tag.
A patient who comes back
Review requested, nurture running, recall at 3, 6 and 12 months. All automatic.
What it replaces
You are probably already paying for most of this
A mailing list here, a booking link there, a review tool someone set up two years ago, and four apps open just to answer messages. Patient Pulse covers the same ground in one place, with your patient database underneath all of it.
| What your clinic needs | Bought separately | Typical cost | Patient Pulse |
|---|---|---|---|
| CRM and pipeline managementEvery enquiry stays visible instead of scattering across inboxes and spreadsheets | HubSpotZoho | from £45/mo3 logins | Included |
| Centralised conversations and live chatSMS, WhatsApp, Facebook, Instagram and TikTok messages land in one team inbox | IntercomZendesk | from £69/mo3 logins | Included |
| Email marketing and newslettersPatient newsletters and campaigns run from the same database as your enquiries | MailchimpCampaign Monitor | from £45/mo~2,500 contacts | Included |
| Two-way SMS to patientsReminders and replies by text, the channel patients actually answer on | PodiumSendlane | quote only | Included |
| Social media schedulingA month of clinic content planned and queued in one sitting | HootsuiteBuffer | from £78/mo | Included |
| Booking links and calendarsPatients pick a slot themselves instead of waiting for a callback | Calendly | from £24/mo3 logins | Included |
| Forms and patient intakeIntake completed before the appointment, not on a clipboard in reception | Typeform | from £20/mo | Included |
| Workflow automationFollow-up that runs itself instead of living in someone's head | ActiveCampaignKeap | from £39/mo | Included |
| AI replies and chatFirst response drafted and sent while you are still in the treatment room | Intercom FinDrift | quote only | Included |
| Reputation and review requestsGoogle review requests go out automatically, the same day treatment happens | BirdeyeReviews.io | quote only | Included |
| Landing pages for offersCampaign pages that match the ad the patient just clicked | LeadpagesUnbounce | from £39/mo | Included |
| Document signingConsent forms signed before the patient arrives | DocuSignPandaDoc | from £40/mo2 users | Included |
| Every job above, one login | 12 tools to buy, learn and reconcile | £399+/mo | One subscription |
Priced for a working clinic (three staff logins and a patient list in the low thousands) rather than a single-user starter tier, using the cheapest plan from each vendor that supports that. Checked August 2026, excluding VAT. Per-seat products are the published seat price multiplied by the number of logins shown. Where a vendor publishes in US dollars only, converted at £1 = $1.27. 3 of the categories above are quote-only and are left out of the total entirely, so a real clinic stack costs more than the figure shown, not less. Product names and logos are trademarks of their respective owners, shown for comparison only.
What Patient Pulse actually does
What Patient Pulse does at each stage
Marketing brings people to your door. Patient Pulse is what happens next, from the first message to the patient who comes back a year later.
Every enquiry lands in one place
A patient who messages your Instagram at 9pm, fills in a form on your website, or rings while you are treating someone: all of it arrives in the same inbox, attached to the same patient record.
- Website forms and live chatA question asked at 10pm becomes a tracked enquiry, not a lost visitor
- Facebook and Instagram messagesBoth inboxes flow in without opening either app
- TikTok messagesThe channel most clinics advertise on and then never check
- WhatsApp and SMSThe two channels patients actually reply on
- Google Business Profile messagesEnquiries from the map pack, where most local searches end
- Missed-call text-backAn unanswered phone sends an automatic text instead of losing the patient
- Offer and campaign landing pagesBuilt to match the ad the patient just clicked
- Full patient database underneathEvery conversation attached to a contact record, not a phone
Phone enquiries flow in too when Patient Pulse is paired with our call handling service.
Conversations
Nothing waits for someone to remember
The clinic that replies first books the patient. Patient Pulse answers within minutes automatically, then keeps every enquiry visible on a board until it is either booked or closed.
- Automatic first reply within minutesDay or night, whether or not anyone is at reception
- Two-way inbox across every channelReply by SMS, WhatsApp, email or social from one screen
- Lead pipelines with visible stagesYou can see what needs a call today and what has gone quiet
- AI-assisted repliesDrafts or sends the first response and moves enquiries along
- Cliniko booking integrationPatients book straight into the diary from the conversation
- Reception and team accessYour staff work the same board you do, with their own login
- Document signingConsent and intake forms signed before the patient arrives
- Appointment remindersFewer no-shows without anyone chasing
Opportunities
Stay in front of the patients you already have
Most clinics spend everything on acquisition and nothing on the database they already own. This is the cheapest growth available to you, and it runs on its own.
- Automatic Google review requestsSent the same day treatment happens, when patients actually reply
- Social media plannerA month of clinic content planned and queued in one sitting
- Email newsletters and campaignsSent to the same database that holds your enquiries
- Segmented patient listsMessage the right group instead of emailing everyone the same thing
- 12-month nurture sequencesLeads not ready today keep hearing from you, with no manual effort
- Reporting across every channelWhich source produced booked patients, by channel and campaign
Automations
Bring back the patients who drifted
Every clinic has hundreds of people who came once, got better, and were never contacted again. Reactivation is the fastest revenue most clinics can recover, and almost nobody does it.
- Recall at 3, 6 and 12 monthsLapsed patients contacted before they choose somewhere else
- Reactivation campaignsWritten for people who already know and trust your clinic
- Offer pages for returning patientsA reason to rebook, not just a reminder that you exist
- Replies land back in the team inboxA yes becomes a booking in the same conversation
New enquiry, Google Ads
"physio near me" · Auto SMS sent
Missed call, 07XXX XXX XXX
Callback queued
Review request sent
5-star reply: “Really helpful, would recommend”
6-month reactivation sent
Sarah M. replied: “Yes, please book me in”
14
enquiries
4 min
avg response
11/14
booked
Works with what you already use
The channels your patients already use, feeding one system
Plus SMS, email, website live chat and missed calls, all landing in the same team inbox as everything above.
Why speed decides it
Most clinics don't have a lead problem. They have a follow-up problem.
Every new enquiry, whether it arrives through Google at 2pm or a Facebook ad at 11pm, needs a response within minutes. The first clinic to respond wins the appointment, regardless of which clinic is better. That is the single least fair rule in private healthcare marketing, and it is the one a busy clinic loses by default.
Replies happen manually, during business hours, when somebody remembers. Patient Pulse removes that dependency entirely. The system responds automatically, immediately, every time, whether you are in a treatment room, at lunch, or completely offline.
What you get out of it is a consistent first impression ahead of every competitor who replies hours later, and a database that keeps working long after the ad spend stops.
Danny Morgan, who co-founded Clinic Evo, is a practising osteopath and founded Bodyfunction Clinic in Angel. That is the practice Clinic Evo's method was built and tested in before it was offered to anyone else.
See what the clinic's numbers didWhat the system does on its own
The clinic that replies first books the patient.
Patient Pulse closes the gap between enquiry and response, then keeps every lead and lapsed patient in contact automatically.
Who it is for
Why it works the way a clinic works
Most CRM platforms are built for sales teams. Patient Pulse is built for MSK clinics, by practitioners who understand the treatment arc, the patient relationship, and the specific compliance requirements of UK osteopaths, physiotherapists and chiropractors. It only carries the parts a clinic actually needs, configured the way clinics actually work.
And it is yours. When you stop working with Clinic Evo, Patient Pulse stays: your lead pipelines, your nurture sequences, your patient database. They belong to your clinic, not to us.
FAQ
Patient Pulse FAQs
Patient Pulse is Clinic Evo's managed clinic CRM and patient communication system. It holds your patient database, brings every enquiry from your website, Google Business Profile, Facebook, Instagram, TikTok, WhatsApp and missed calls into one team inbox, replies automatically within minutes, tracks each enquiry on a pipeline until it is booked, and then handles review requests, newsletters, social scheduling and lapsed-patient recall from the same place.
For most clinics, yes. Patient Pulse covers CRM and contact management, centralised conversations, email newsletters, social media scheduling, review and reputation requests, offer landing pages, website live chat and document signing. Clinics moving to Patient Pulse commonly retire a mailing-list tool, a social scheduler, a review tool and an e-signature subscription, and replace them with one login.
Automatically, within minutes, day or night. Every enquiry from Google, Facebook, your website or any other source triggers a response without anyone at the clinic needing to act, so the first impression is instant even when every practitioner is in a treatment room.
Yes. Patient Pulse integrates with Cliniko, and we can connect other practice management and booking systems as part of your setup. Patients can book straight from the conversation they are already having with your clinic, so a reply becomes an appointment without a game of phone tag. As part of your free clinic audit we confirm exactly how it connects to your current setup.
Yes. Your reception or admin staff get their own logins and work the same inbox and pipeline you do, so they can answer enquiries, move leads between stages and book patients in. Nothing depends on one person's mobile phone.
Yes. Your lead pipelines, nurture sequences and patient database belong to your clinic, not to us. If you ever stop working with Clinic Evo, Patient Pulse and everything in it stays with you.
Patient Pulse is built specifically for UK osteopaths, physiotherapists and chiropractors, with the consent, messaging and data handling expectations of regulated MSK practice in mind, rather than a generic sales CRM.
Yes. Lapsed patients are contacted automatically at 3, 6 and 12 months with messaging designed to bring them back before they choose a different clinic. This is one of the fastest ways most clinics recover revenue from people already in their database.
Take the first step
See Patient Pulse working for your clinic
Get a free clinic audit. We will walk you through Patient Pulse live on the call and show you exactly what your follow-up could be turning into bookings.
