Head-to-head · Nurse Scheduling
OnShift vs HealthRota
OnShift leads on 0 checks, HealthRota on 0, and 5 are even. Who comes out ahead on the 5 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.
Our verdict
- Highest scoreOnShift · 8.6/10
- Most featuresOnShift · 4 of 4
OnShift scores higher on our rubric for nurse scheduling: 8.6 against 7.9 out of 10; our editors rank them #3 and #7.
OnShift is the better fit for care providers wanting mature scheduling and integrations. HealthRota is the better fit for NHS teams needing electronic rostering and compliance.
- OnShift fits best
Care providers wanting mature scheduling and integrations
- HealthRota fits best
NHS teams needing electronic rostering and compliance
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Side by side
| Feature | OnShift 8.6/10 Visit ↗ | HealthRota 7.9/10 Visit ↗ |
|---|---|---|
| At a glance | ||
| Editor score | 8.6 | 7.9 |
| Ranking | #3 in Nurse Scheduling | #7 in Nurse Scheduling |
| Best for | Care providers wanting mature scheduling and integrations | NHS teams needing electronic rostering and compliance |
| Pricing model | Paid | Paid |
| Starting price | Pricing on request | Pricing on request |
| Free plan | — | Not checked yet |
| Free trial | — | — |
| Deployment | Cloud, Mobile | Cloud, Mobile |
| Platforms | Web, iOS, Android | Web, iOS, Android |
| Support | Email, Phone, Tickets, Community, Docs · 24/7 | |
| Compliance | GDPR | ISO 27001 |
| Integrations | 70+ integrations | 5 integrations |
| Built for | Mid-market, Enterprise | Mid-market, Enterprise |
| Features OnShift 4/4 · HealthRota 2/4 | ||
| Self-scheduling | ✓ | ✓ |
| Shift swapping | ✓ (best) | Not checked yet |
| Open-shift management | ✓ | ✓ |
| Staffing rules | ✓ (best) | Not checked yet |
| Specs | ||
| Mobile platforms | Both | Not checked yet |
| Integrations | UKG, Paychex, Paycom, Ceridian Dayforce, AOD, Empeon, Proliant, Viventium, Timeco, SBV, Netchex, SwipeClock, PeopleGuru, Asure, MatrixCare, Yardi, Inova, Paylocity, isolved, Workday, Paycor, ADP, Payactiv, PointClickCare, Online Rewards | Not checked yet |
| Our review | ||
| Pros |
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| Cons |
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| Our verdict | OnShift is cloud workforce-management software from ShiftKey, LLC, designed for long-term, post-acute, and senior-living organizations. Schedule X handles recurring and ad-hoc schedules through templates, shift requirements, coverage… Read the review → |
HealthRota brings electronic rostering and workforce management together for NHS trusts and healthcare providers. Staff can view schedules on mobile, submit availability and leave requests, choose preferred shifts, swap shifts and respond… Read the review → |
Strengths and trade-offs
OnShift — where it wins
- Self-scheduling, open shifts, swaps, availability preferences, and call-off recording
- Coverage rules, overtime warnings, reporting, and PBJ compliance monitoring
- Web, iOS, and Android access with extensive HR, payroll, and clinical integrations
Where it doesn't
- Pricing requires contacting sales rather than self-serve checkout
- No free plan is offered
- Its senior-care focus may not fit organizations outside long-term and post-acute care
HealthRota — where it wins
- Supports self-rostering, shift preferences, swaps and staff-selected shifts.
- Automates rotas from job plans, templates and rolling patterns.
- Connects with NHS ESR and Power BI for data exchange and reporting.
Where it doesn't
- Usage-based pricing requires a sales conversation.
- Support is provided through email.
- Its workflows are tailored to healthcare rather than general-purpose scheduling.
- OnShift8.6/10 · Pricing on request
A senior-care scheduling suite with self-service staffing, mobile access, and broad integrations.
Visit OnShiftFull verdict → - HealthRota7.9/10 · Pricing on request
NHS-focused rostering combines staff choice, automation, compliance checks and reporting.
Visit HealthRotaFull verdict →
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All nurse scheduling comparisons → · Full ranking →
Reviewed by iTechGuides Editors · Editorial team · Updated Nov 2026
Last updated · How we research and update





