SystmOne

UK clinical record holding 61 million patient histories across NHS primary and community care

Quick Overview

Company The Phoenix Partnership (Leeds) Ltd
Category Healthcare & EHR Software
Headquarters Leeds, England, United Kingdom
Founded 2000
EU Presence United Kingdom (adequacy decision, outside the EEA)
Open Source No
Pricing Supplied to NHS and care organisations via national framework contracts
Free Option Demo on request
Replaces Epic, Oracle Health, EMIS Health

Detailed Review

Pros and Cons

Pros

  • 61 million patient records on a single shared database
  • Used across 7,800+ NHS organisations and 25+ care settings
  • One record spans GP, community, mental health and more
  • UK-owned, with no non-UK parent in the ownership chain
  • Two and a half decades of continuous NHS deployment

Cons

  • Sold through NHS framework procurement, not a public price list
  • United Kingdom jurisdiction, outside the EEA
  • Built around NHS workflows, limited relevance outside the UK
  • Onboarding a new organisation is a formal NHS IT project

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Frequently Asked Questions

What is SystmOne?

SystmOne is the clinical system behind a striking amount of NHS activity: TPP's own figures put 61 million electronic health records on the database, accessed by more than 300,000 users across roughly 7,800 NHS organisations spanning more than 25 care settings — general practice, community nursing, mental health, prisons and hospices among them.

That single shared record is the actual product: a district nurse, a GP and a mental health team can see the same patient history rather than three separate ones.

Where is SystmOne based?

SystmOne operates from Leeds, England, United Kingdom, which places it under United Kingdom (adequacy decision, outside the EEA).

What does SystmOne cost?

Supplied to NHS and care organisations via national framework contracts. Demo on request.

Who is SystmOne best for?

NHS primary, community and mental health services at national scale. One database behind 61 million records: SystmOne is built so a district nurse and a GP already share the same patient file.

What are the drawbacks of SystmOne?

Sold through NHS framework procurement, not a public price list. United Kingdom jurisdiction, outside the EEA. Built around NHS workflows, limited relevance outside the UK. Onboarding a new organisation is a formal NHS IT project.

Who worked on this review

Three people touch every tool page: one writes it, a second edits it, and a third checks the compliance and pricing claims against the vendor's own documentation.

Sebastiaan Smits
Written by

Sebastiaan Smits

Founder & Editor · Netherlands

Selects the tools, writes the reviews, and checks where each company is actually established.

Ingrid Halvorsen
Edited by

Ingrid Halvorsen

Managing Editor · Oslo, Norway

Runs the review process and decides when a page is ready to publish or needs another pass.

Daniel Brandt
Fact-checked by

Daniel Brandt

Privacy & Compliance Researcher · Berlin, Germany

Checks the compliance claims: where the company is established, where the data sits, and what the DPA actually says.

Read our editorial process for how we source, verify and update these pages — and how we keep affiliate income separate from what we recommend.

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