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
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.
The single-database design is unusual in this category. Rather than integrating separate systems per care setting, SystmOne runs one record that different services view through different modules, which is what makes cross-organisation handover work without a separate interoperability project layered on top.
The Phoenix Partnership (Leeds) Ltd, trading as TPP, is based in Horsforth, Leeds, and has been incorporated since 2000; Companies House lists Tpp Finance Limited, a UK entity at the same address, as the company's sole person with significant control, so ownership sits inside the UK.
SystmOne is supplied to NHS and care organisations through national and regional framework contracts rather than sold off a public price list, and the UK sits outside the EEA under an adequacy decision rather than inside EU jurisdiction directly.
What SystmOne does well
- 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
Where SystmOne falls short
- 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
Standout feature. One database behind 61 million records: SystmOne is built so a district nurse and a GP already share the same patient file.
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
Alternatives to SystmOne
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.
Is SystmOne a good alternative to Epic?
SystmOne is built as a European alternative to Epic: UK clinical record holding 61 million patient histories across NHS primary and community care. It will not be a like-for-like feature match in every respect, so check the review above for where the two genuinely differ before switching.
How does SystmOne compare to other Healthcare & EHR Software?
SystmOne is one of several European Healthcare & EHR Software we cover. It is most often compared with Epic, Oracle Health, EMIS Health.