
Track time off in lieu for doctors, nurses, clinical support staff, and administrators. Manage TOIL from on-call shifts, bank holiday cover, and winter pressure overtime — accurately and automatically.
TimeTally keeps TOIL tracking alongside sick leave and annual leave in one system — so clinical managers have a complete picture of team availability at all times.
Clinical environments create TOIL complexities that general HR systems aren't built to handle.
Callouts during on-call shifts generate TOIL entitlements — but without a system, these are logged informally and often forgotten entirely.
Doctors and nurses work significant extra hours during busy periods, accruing TOIL they cannot realistically take until pressures ease. By then, the records are unclear.
Taking TOIL off is only possible when minimum clinical cover is maintained. Approving TOIL without checking staffing levels can create patient safety risks.
Different rules apply to different employment types. Without clear records per person, TOIL entitlements get confused across the team.
Demonstrating that clinical staff are not regularly exceeding 48-hour weekly averages requires accurate records — something spreadsheets cannot reliably provide.
When junior doctors or nurses rotate every few months, TOIL records built up in informal systems get lost. New managers have no visibility of what was owed.
Healthcare workers check their TOIL balance and submit requests through the TimeTally app between patients or after a shift. Managers receive the request instantly and can approve or decline with a note — no paperwork, no chasing.
Available between shifts
Clinical staff don't need to find a computer to manage their leave — the iOS app handles everything
Manager approval with staffing in mind
Managers can check the team calendar for clinical coverage before approving TOIL requests
Complete records for every employee
Every TOIL accrual, request, and approval is stored permanently — useful for HR and compliance records

See TOIL bookings, annual leave, and sick leave together on the team calendar. Before approving a TOIL request, managers can check clinical staffing levels — preventing any day falling below safe minimum cover.
TOIL, annual leave, sick leave, and study leave all on one calendar for a complete picture
Managers see how many clinical staff are already off before approving more TOIL requests
Export absence data for HR records, WTR compliance reporting, or payroll processing


Set your TOIL accrual rate, maximum balance cap, and expiry period once — and TimeTally applies them consistently across every clinical and non-clinical employee. No more inconsistent application of TOIL rules across departments.
Pair TOIL management with on-call tracking and healthcare rota software for a complete workforce management solution.
Useful for healthcare teams: Create separate TOIL types for on-call callouts (1.5:1) and regular overtime (1:1) — each with their own colour so managers can see at a glance what was earned and why.
One price. Every feature. No surprises.
On-call hours that result in active work can be logged as overtime in TimeTally's timesheet, and the resulting TOIL accrual approved by a manager. You set the accrual rate in your TOIL policy settings — for example, 1:1 for standard on-call callouts or 1.5:1 for unsocial hours — and balances update automatically.
TimeTally's timesheet tracking gives you a record of hours worked per employee, which is useful for monitoring compliance with the 48-hour weekly average under the Working Time Regulations 1998. You can export this data for HR records or compliance reporting.
Managers can see who has TOIL booked on the team calendar before approving further requests. This allows you to maintain clinical minimum staffing levels when deciding whether to approve TOIL time off on any given day.
Yes. You can add any worker type to TimeTally as an employee. Locum and bank staff can have their own leave entitlements and TOIL tracking, separate from permanent staff, within the same account.
Balances are recorded accurately throughout the year. When clinical pressures ease, managers can see who has accumulated TOIL and plan time off accordingly. Setting a maximum TOIL cap and expiry period helps prevent unmanageable balances building up.
No minimum. TimeTally is used by small GP practices and large clinical teams alike. At £2 per employee per month, it is affordable for any team size.