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Head-to-head · Nurse Scheduling

OnShift vs HealthRota

  • Updated Nov 2026
  • Both researched from official sources
  • 5 checks side by side
Higher score OnShift #3 in Nurse Scheduling 8.6/10 Pricing on request ✓ 4 of 4 features Visit OnShift
HealthRota #7 in Nurse Scheduling 7.9/10 Pricing on request ✓ 2 of 4 features Visit 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 Email
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
  • 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
  • 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.
Cons
  • 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
  • Usage-based pricing requires a sales conversation.
  • Support is provided through email.
  • Its workflows are tailored to healthcare rather than general-purpose scheduling.
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 →
  1. OnShiftNurse Scheduling 8.6Pricing on request
  2. HealthRotaNurse Scheduling 7.9Pricing on request

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 →

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Nov 2026

Last updated · How we research and update