Priced by the hour, for exactly what you need
Every package is the same expert, healthcare-trained medical secretary support — the only difference is how much of it you need. You have one main secretary who knows your practice inside out, and a back-up who can answer the phone and do the basics when necessary. You pay by the hour, and the clock only runs when your secretary is actually working for you.

Fractional
£14 / hour
All prices + VAT
Part-time secretary support, as and when you need it — ideal when a full desk would sit idle half the week.
- A minimum of ten hours a week
- The clock only runs when your secretary is working
- One named medical secretary, healthcare-trained team behind them
- The full desk: correspondence, billing, front desk, live scribe (if required)
- No long contract
Best for: Part-time and single-handed private practices.
Practice
£13.50 / hour
All prices + VAT
Your own dedicated medical secretary — learns how your practice runs.
- One dedicated secretary working only for you
- Backed by our team for cover when they’re on the phone or away
- The full desk: correspondence, phone liaison, practice management, logistics planning, live scribing, hospital liaison, personal PA services, billing and bookkeeping
- A single point of contact who knows your practice
- No long contract
Best for: An established practice wanting someone who works just for them.
Enterprise
£13 / hour
All prices + VAT
Two to four dedicated secretaries, scaling with your clinic and consultant list.
- Two to four dedicated medical secretaries
- The same healthcare-trained team support behind them
- Scales across consultants and sites
- One point of contact for the whole desk
Best for: Busy or multi-consultant practices.
Bespoke
Contact us
All prices + VAT
Emergency cover, our platform for your own team, or anything not covered above.
- Emergency cover, ready within a day
- Use our platform to run your own team
- Tailored setups — just tell us what you need
Best for: Cover gaps, platform-only, or a tailored arrangement.
Tiered by the hours and the number of secretaries you need. Not sure which fits? Tell us about your practice and we’ll point you to the right one.
The same full desk, whichever package you choose
The package sets how much support you have and how many people are dedicated to your practice. The work itself is the same expert, healthcare-trained secretary support in every tier.
You always deal with one named medical secretary, with a healthcare-trained team behind them.
Correspondence
Clinic letters and medical typing, turned around the same day — not when the list finally clears.
Billing
Invoicing, statements and debt chasing through Healthcode, so nothing slips. (Please note Healthcode charges for their services.)
Front desk
New-patient enquiries, the diary and the inbox, expertly and efficiently dealt with.
Results & reports
Chased, filed and actioned before they become a backlog.
Live scribing
Have your PA join you in clinic or theatre — the notes done before you look at your screen to check, booking forms filled in ‘live’, and tests ordered and arranged automatically.
Additional services
Marketing, social media management, video editing and SEO optimisation, seamlessly integrated. It’s done by a specialist team, looked after by your main point of contact.

How billing works
You pay for the hours you use. No hidden costs, no extras bundled on — in fact the opposite: computer costs, email and phone lines are included, where other PA companies often charge extra for them.
| In-house secretary | Other secretarial firms | Halo Desk | |
|---|---|---|---|
| What you pay | A fixed monthly salary, plus employer’s NI, pension and cover | £28–£36 per hour, or 10% of turnover | By the hour — only when your secretary is working |
| Billing | Handled in-house | 4% of turnover | Included |
| Phone line | You provide it | Charged extra | Included |
| Email hosting | You provide it | Charged extra | Included |
| Marketing, media & advice | Not offered | Charged extra | Available, integrated |
Figures for other secretarial firms are typical of the traditional route and shown for illustration — not verified pricing for any named provider. All Halo Desk prices + VAT.

Not sure which package fits?
Tell us how your practice runs and we’ll recommend the right one. One enquiry, one reply from a person — no portal, no account, no long contract.
