Hi Jim – actually we only have a handful of NHS users out there – by far the majority of our customers are in private practice, so I’m not sure you’ll get much of answer I’m afraid.
The best recommendation I can make is to download the 30-day trial version and perhaps give it a go yourself to see how it fits in with your practice. We are happy to undertake customization – but obviously we would have to charge for it.
Hope this helps a little!