Non-EU vendorHealthcareHeadquarters: GB

SystmOne: sovereignty score and 8 European alternatives

SystmOne is the core clinical record system of TPP (The Phoenix Partnership), used across the NHS in general practice, hospital, urgent care, mental health and social care settings. TPP describes it as a software as a service model and states that the patient records it holds are stored securely in its databases and made available across the NHS.

TPP was founded in 1997 and is based in Horsforth, near Leeds, England. Its registered entity is The Phoenix Partnership Ltd. TPP states that it has no shareholders and is therefore not controlled by profit. As a UK company, TPP is outside the EU and EEA. TPP's pages cite ISO 27001 and Cyber Essentials certifications, but do not say where SystmOne data is hosted, which cloud provider is used or whether any EU data location is available. A European organisation considering SystmOne, for example for cross-border care, should confirm hosting locations and transfer terms directly. No open-source or self-hosted option is described.

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Sovereignty score

32 / 1000 = high exposure
100 = sovereign

Jurisdiction SOV-250
Headquartered outside the EU (GB)
Data residency SOV-30
No hosting in Europe (OTHER)
Cryptographic key sovereignty SOV-340
Key management with a non-European vendor
Freedom from lock-in SOV-640
Closed source: switching requires data migration
Source & runtime sovereignty SOV-4 · SOV-630
Closed source, runtime with the vendor

SOV codes: the matching objective in the European Commission's Cloud Sovereignty Framework. Official source

How the score is calculated

Facts and evidence

Last checked October 11, 2026

Headquarters	GB (OTHER)Verified by hand
EU adequacy decision	Yes — found adequate by the European CommissionVerified by hand
Sovereignty model	Vendor-hosted (non-EU)Verified by hand
Data hosting	OTHERVerified by hand
Open-source	NoVerified by hand
GDPR-compliant	NoVendor-stated
Category	Healthcare
Type	Product
Website	tpp-uk.com ↗

How we verify · Something wrong? Suggest a correction

Top EU-based & GDPR-compliant alternatives to SystmOne

The European alternatives to SystmOne come from our knowledge base of over 6,800 vendors. We only list vendors headquartered in the EU or the EEA; fully European-owned vendors rank before vendors with a foreign owner. For each alternative you see the country, the open-source status and a short description.

Score per alternative: 0 = high exposure, 100 = sovereign

59 European Healthcare vendors are in the catalogue. View the whole category · Submit an alternative · View category on the map

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Why digital sovereignty matters with SystmOne

SystmOne is headquartered in GB, outside the EU. Contracts and data therefore also fall under non-European law. The GDPR applies through contractual terms, but in a conflict with local legislation you have less certainty than with a European vendor.

SystmOne hosts data outside the EU (OTHER). Personal data therefore leaves the EU, which requires a transfer mechanism under the GDPR and pulls the data residency score down.

SystmOne is closed source and hosted by the vendor. The encryption keys and the runtime sit with the vendor and switching requires data migration. Ask about bring-your-own-key, export options and open standards.

What this means for your organisation depends on your whole stack and context. The free assessment weighs SystmOne together with your other vendors and gives a total score, a heatmap and the main risk drivers.

Frequently asked questions

What is the best European alternative to SystmOne?

It depends on your use case. Strong EU alternatives to SystmOne include Ada Health, Agfa HealthCare and Aiforia. On this page you can compare 8 EU alternatives by jurisdiction, data residency and open-source status.

Are there open-source alternatives to SystmOne?

Our list of EU alternatives to SystmOne is mostly commercial options. Browse the category on the map for open-source choices.

Is SystmOne GDPR-compliant and where is the data hosted?

SystmOne is headquartered in GB (OTHER) and hosts data in OTHER. Its GDPR compliance is limited or unclear. For full EU data residency the EU alternatives on this page usually offer more certainty.

Details and sources

Verified by handHeadquarters, owner, hosting locations and licence have been checked by us against public sources. Free of charge and for every vendor, not a paid label. Nothing in this knowledge base is taken over automatically. Last checked on October 11, 2026.

Sources

Public sources used in the latest check of this record.

Compliance evidence

The links below point to the vendor's own public documents. We only record what we found: a missing link means "not found publicly", not "not compliant".

No public compliance evidence has been recorded for this vendor yet. Do you know its DPA or subprocessor list? Something wrong? Suggest a correction

Digital sovereignty in Healthcare

Healthcare: Healthcare — medical imaging, PACS, clinical systems. In this category the choice of vendor determines who has legal access to your data, where that data lives and how easily you can switch later.

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