Hippo Flex
Find the patients who need recalling and reach them on the NHS App, free. Only pay £1.99 for bookings Hippo produces from email, text or WhatsApp. No subscription, no lock-in.
2.5m+ patients covered
Direct EMIS integration
Cyber Essentials Plus
DSPT compliant
Getting started
No procurement cycle, no surprise friction. Here's exactly what happens between signing up and going live - including the one bit that's out of our hands.
On EMIS Web, you set up Hippo in EMIS yourself in about 20–30 minutes, using our step-by-step guides and videos.
Always included
Send NHS App recalls for free, and use the manual recall lists, analytics and the rest of the app at no cost. NHS App bookings are never charged.
£0
for the platform, plus all NHS App recalls & bookings.
No subscription, no lock-in.
Automated patient identification
Hippo surfaces exactly which patients need action, refreshed daily from your EMIS data. No manual searches.
Manual recall lists
Work through your harder-to-reach patients at your own pace, straight from the platform.
Practice analytics & reporting
Track performance against QOF and your own targets with live dashboards, from day one.
Free recalls on the NHS App
Send recall campaigns through the NHS App as often as you like, with no charge per message or per booking.
Pay per booking
NHS App recalls are free. Add card or billing details to unlock email, text and WhatsApp recalls at £1.99 ex VAT per booking. Here's what a month on Flex looks like.
Example month · Riverside Surgery
October
Recall messages with no booking
£0
Free
31 × £1.99
plus VAT
Only pay for results
There are no minimum charges - a campaign that books nothing costs nothing.
What counts as a booking
The patient booked through a Hippo self-booking link, or booked within a month of the message and we saw relevant care recorded after that appointment.
One invoice a month
At the start of each month, one invoice for the previous month's bookings, with a line per campaign. NHS App bookings are listed and marked free.
Sponsored campaigns are covered
Some campaigns are paid for by a sponsor, such as a cancer alliance or an ICB project. Those campaigns cost your practice nothing.
Start on Flex for free. Move to Plus for the full Hippo feature set - no minimum term on Flex, and you keep your data. Pro, with ORCA booking, is coming soon.
The free plan
Hippo Flex
Free
+ £1.99 per booking on email, text and WhatsApp
Automated patient identification
Manual recall lists
Practice analytics & reporting
Guided self-serve setup (20–30 min)
NHS App recalls: free
Email, text and WhatsApp: £1.99 per booking
Hippo Plus
£0.60
per patient, per year
Everything in Flex, plus:
No per-booking charges or daily limit
Custom recall wording
Any condition, not just QOF
Prioritisation and questionnaires
Setup done for you by our team
Hippo Pro
£0.90
per patient, per year
Everything in Plus, plus:
Multimorbidity engine
ORCA optimisation
Public health management
Attend+
Setup done for you by our team
All prices exclude VAT. Flex has no commitment, no subscription and no lock-in - you get one invoice a month for the previous month's bookings. Plus is priced per patient per year; talk to our team about annual and multi-year options.
Compliance & security
Everything your DPO and IG lead will ask for, ready to browse for approval.
DSPT compliant
Cyber Essentials Plus
DPIA & DPA available
Clinical safety (DCB0129)
Direct EMIS integration
Frequently asked questions
How long until we're live?
About one week from signing up. The pacing item is your EMIS data sharing agreement, which EMIS takes ~5 working days to process - not us. Everything on our side is same-day, and you can track progress the whole way.
Who can sign up?
Any NHS practice with an nhs.net or nhs.uk email address. One Flex account per practice.
What does a campaign cost on Flex?
NHS App recalls are free, and NHS App bookings are never charged. Adding card or billing details unlocks email, text and WhatsApp recalls at £1.99 ex VAT per booking. We count a booking as billable when the patient booked through a Hippo self-booking link, or booked within a month of the message and we saw relevant care recorded after that appointment. There are no minimum charges - a campaign that books nothing costs nothing.
What are the limits on Flex?
Flex is the base tier, and it has some restrictions. Sending is limited to 50 recalls a day. Recalls must use the Hippo template library, and their wording can't be customised. Only QOF and the national programmes (e.g. immunisations, vaccinations, NHS Health Checks) are included. Smart Send and Translation are always on. Questionnaires and coding response links aren't available. Campaigns run in the standard order, with no prioritisation modes, no message-only campaigns and no opportunistic data capture. To lift these restrictions, move to Plus.
Can we upgrade later? Can we downgrade?
Yes to both. To lift Flex's restrictions, move to Plus - book a call with our team. Per-booking charges stop from the day you switch, and bookings before that go on your final Flex invoice. You can step back down without penalty, and your data stays with you throughout.
Do you support SystmOne (TPP)?
Yes. Flex works with both EMIS Web and SystmOne, with the same features on each. On SystmOne, setup is currently Hippo managed: we host the connection securely in the cloud, so there's nothing to install at your practice. In future, SystmOne practices may move to practice managed, where the connection runs on a gateway machine at the practice.
What happens if we stop using it?
There's no minimum term on Flex. If you leave, you keep your data and we support a clean offboarding - no lock-in.
Good to know
A note on Flex
Flex is new, and for now your practice may be able to use every Hippo feature, including some that are part of Plus rather than Flex. That extra access isn't part of the Flex plan.
We reserve the right to limit, change or switch off any feature at any time, including features outside what Flex offers, and to change how Flex works as it develops. Where a change affects campaigns you're running, we'll aim to tell you in advance.
We don't have self-serve billing or the relevant feature gates in the app yet. Until we do, we reserve the right to bill you manually for per-booking charges, and to turn off functionality your plan doesn't include.
Start free today - or talk to us if you'd like a hand working out which plan fits.