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Pabau Engage alternatives: patient messaging options for UK clinics
Pabau Engage Plus is an add-on to the Pabau practice system that puts WhatsApp, Instagram, Facebook, a cloud phone system and AI agents into the same screen as the patient record, so it suits clinics that already run on Pabau; a clinic on another system, or one that only wants patient messages answered, has to look at other tools. This guide sets out what Pabau's add-on includes and costs, where it is the better choice, and what the alternatives are.
Every product fact below comes from the vendor's own page, read by us on 10 October 2026, and each one links to the page it came from. Prices are shown in the currency the vendor's page displayed to us; we have not converted anything. Where a vendor does not publish a price or a trial, we say "not published". Prices and features change, so confirm them with the vendor before you sign.
What do Pabau Engage and Engage Plus include?
Pabau sells two levels, and they are easy to confuse:
- Engage is "included with every Pabau plan". Pabau lists a shared inbox on the patient record, two-way email, text and web chat, and internal team chat (Pabau, Engage page).
- Engage Plus is the paid add-on. Pabau lists WhatsApp Business, Instagram and Facebook, your own number with a cloud phone system, call menus and voicemail transcription, click-to-call and eFax from the patient's chart, routing rules, call and response-time reporting, and "AI agents on voice and chat" (Pabau, Engage page).
On the AI agents, Pabau's wording is: "AI agents that triage, answer FAQs and book appointments are included with Engage Plus." It also says staff can see when the AI is handling a conversation and take over, and that "Handoff to a human is always on and cannot be switched off" (Pabau, Engage page). Pabau says WhatsApp messages are logged to the client record.
What does it cost?
- Engage Plus: "$159 a month, per location", described as an add-on to Pabau, with "No setup fee, no minimum term" (Pabau, Engage page). The figure was shown to us in US dollars. The page has a currency selector, so ask Pabau for the figure in pounds.
- Usage on top: "Calls, texts, WhatsApp and AI minutes use Pabau credits". Pabau's pricing page adds that messages and AI call minutes are "billed as you go" (Pabau, pricing). The price of a credit is not published on the two pages we read.
- The Pabau subscription underneath: not published. The pricing page says "Our pricing depends on where you're located and the number of users you'll need on the system" (Pabau, pricing).
- Trial: not published. The pages offer a product tour and a demo call.
So the full monthly cost for a clinic is the Pabau plan, plus the add-on per location, plus credits for what you use. Only the middle figure is public.
Who does Pabau Engage Plus suit?
Pabau describes itself as "the practice management platform behind 4,000+ medical practices and medspas across the UK, US and globally" (Pabau, Engage page). Its add-on is the stronger choice when:
- You already run your clinic on Pabau. The inbox sits inside the system your team already uses. Pabau says the conversation and the clinical record are on the same screen and that the add-on goes on your existing subscription with no second invoice.
- You want the AI to book. Pabau states that its AI agents book appointments. A tool that is not connected to your diary can only take a request for your reception team to confirm.
- You want phones and messages in one place. Engage Plus includes a cloud phone system, and Pabau says you can port your existing number.
- You want to see the vendor's compliance statements up front. Pabau's Engage page displays "GDPR compliant" and "SOC2 compliant" labels and a HIPAA badge. Those are Pabau's own statements; ask for the documents behind them, as you would with any supplier.
When is it not the right fit?
- You are not on Pabau and do not plan to move. Engage Plus is sold as an add-on to a Pabau subscription. We found no standalone version.
- You only want messages answered. If your practice system works and the problem is unanswered WhatsApp enquiries in the evening, changing practice system to fix it is a large project.
- You need a fixed monthly cost. Usage is charged in credits, and the credit price is not on the pages we read. Ask for a written estimate at your real message and call volume.
- You want to test before a sales call. No free trial is published.
What are the alternatives?
Only facts stated on each vendor's own site, checked on 10 October 2026. "Not published" means we did not find it on the pages we read, not that it does not exist. Products are listed as examples, not recommendations.
| Product | What it is | Channels | Books on its own? | Price published | Trial | Who it suits |
|---|---|---|---|---|---|---|
| Pabau Engage Plus | Add-on to the Pabau practice system | WhatsApp, Instagram, Facebook, phone, plus the email, text and web chat in Engage | Pabau says its AI agents book appointments | $159 a month per location, plus credits; Pabau plan not published (source) | Not published | Clinics already on Pabau |
| Vascue | "An AI front desk, built for Cliniko" | Says it "writes appointments directly into Cliniko" | Not published (source) | Not published | Clinics on Cliniko that want WhatsApp booking | |
| Verbalise | AI receptionist for phone calls, aimed at MSK and allied health practices | Phone | Says it manages bookings, reschedules and cancellations | £147 a month plus 55p a minute, including VAT (source) | Not published | Practices whose patients mostly phone |
| DenGro | Lead management (CRM) for dental practices | WhatsApp, email and SMS; website chatbot on the Pro plan | Not stated; the chatbot page describes capturing enquiries for the team | £199 or £249 per practice per month, including VAT; WhatsApp and SMS usage extra (source) | 14 days; payment details needed to set up | Dental practices that track leads |
| VoiceStack | AI phone system for dental practices | Phone, two-way texting | Says its AI receptionist can book "using live PMS availability" | Not published (source) | Not published; demo offered | Dental practices that want phones answered |
Vascue: WhatsApp booking for clinics on Cliniko
Cliniko's own directory of connected apps lists several AI receptionists, and says "Most of these apps were developed by third parties" and that you should do your own due diligence (Cliniko, connected apps). Many of the listed tools answer phone calls. Vascue is the one whose listing is about WhatsApp. On its own page it says it "writes appointments directly into Cliniko", that reschedules and cancellations stay in sync, and that it offers "24/7 multilingual triage"; it displays "ISO 27001 certified" (Vascue). Two things to know before you call: the page publishes no price and no trial, and the only deployment it names is a private hospital radiology department in Hong Kong. We found no UK customer named on that page, so ask about UK clinics, UK data storage and support hours.
Verbalise: a phone receptionist with a public UK price
Verbalise sells AI receptionists that answer phone calls, and describes its market as "MSK and allied health practices". It says the receptionist manages "bookings, reschedules, and cancellations" and uses UK regional voices; a customer quote on the page mentions Cliniko. The price shown was £147 a month plus 55p a minute, including VAT. The page displays GDPR and cyber security badges (Verbalise). It is a phone product: we found no WhatsApp or SMS on the page, so it does not replace the messaging half of Engage Plus.
DenGro and VoiceStack: if you are a dental practice
DenGro calls itself a CRM "built for ambitious dental practices and brands". Its team inbox covers WhatsApp, email and SMS, and it names integrations with the dental systems EXACT, Dentally, Aerona and SfD (DenGro). Plans were £199 and £249 per practice per month including VAT, with a 14-day free trial, and the pricing page says there is "No contract, tie in or set up fee" (DenGro, pricing). We cover it in more detail in our guide to DenGro and its alternatives.
VoiceStack describes itself as an "AI-powered phone system" and "Voice AI Platform for Dental Practices". It says its AI receptionist can answer overflow and after-hours calls and "book appointments using live PMS availability", and it names Open Dental and Dentrix among the systems it works with. No price is on the page; it offers a demo (VoiceStack). Ask whether it connects to the dental system your practice uses before you book the demo.
Do you need a tool at all?
Sometimes the right answer is not software, or not AI:
- Few messages out of hours. Count one month of enquiries first. If only a handful arrive after closing, an automatic "we are closed, we will reply by 10 am" message and a prompt reply in the morning may be all you need.
- Messages that are often clinical. After a procedure, during treatment or in mental health care, patients write about symptoms. No tool in this guide should be the thing that decides whether a message can wait. Those messages need a clinician.
- Patients who phone. If your enquiries come by phone, a messaging tool will not help, and a phone product or a person will.
Whatever you choose, every automatic reply should tell patients what to do if it is urgent: call 999 in an emergency, and use NHS 111 for urgent help that is not an emergency (NHS: when to use 111).
Questions to ask before you choose
- Does it work with the practice system I already use, and does it read the diary, write to it, or neither?
- What is the full monthly cost at my volume, including usage, WhatsApp fees and VAT?
- Can I keep my existing WhatsApp and phone numbers?
- What does the AI do with a message about symptoms? Can I see it happen?
- How does a patient reach a person, and how quickly?
- Where is patient data stored, and will you sign a data processing agreement?
- Can I test it with real questions before I pay or give card details?
- Is there a minimum term, and what happens to my conversation history if I leave?
Common questions
How much does Pabau Engage Plus cost? Pabau's page showed $159 a month per location on 10 October 2026, as an add-on to a Pabau subscription, with usage charged in credits on top. Pabau does not publish the price of its core plans.
Can I use Engage Plus without Pabau? Pabau describes it as an add-on that sits on an existing Pabau subscription. We found no standalone version.
Is Engage the same as Engage Plus? No. Engage (email, text, web chat and team chat) comes with every Pabau plan. Engage Plus adds WhatsApp, Instagram and Facebook, the phone system and the AI agents.
Disclosure: we make ClinicConvo. It is one more alternative, and you should weigh it knowing we wrote this page. It is an AI assistant that answers a clinic's WhatsApp, Instagram and Messenger messages at any hour. It is self-serve: a free trial with no card (up to 200 patient messages within 7 days), then US$99, US$199 or US$349 a month, priced in US dollars.
Where it is weaker than Pabau Engage Plus: it does not book into a practice system (by default it passes each request to your reception team to confirm), it has no phone product, and we claim no compliance certifications. If you are on Pabau and want booking and phones inside your practice system, Pabau's add-on is the better fit.
Where it may fit: a clinic that is not on Pabau and mainly wants enquiries answered out of hours without changing its practice system. It never diagnoses, and clinical questions go to your team. Try it here.
Sources
- Pabau. Engage: omnichannel patient engagement software.
- Pabau. Pricing.
- Cliniko. Connected apps.
- Vascue. An AI front desk, built for Cliniko.
- Verbalise. verbalise.ai.
- DenGro. Home, pricing and chatbot.
- VoiceStack. voicestack.com/en-GB.
- NHS. When to use 111.
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