EMIS Web vs TPP SystmOne (2025): The Coke vs Pepsi of the NHS

Last reviewed: 2025-12-17 · Reviewed by

At a Glance

Who is it for?

EMIS Web:GPs

TPP SystmOne:GPs / Community

Why choose EMIS Web?

  • **Market Leader**: Most common system in England.
  • **Partner Ecosystem**: Open to 3rd party apps (Accurx started here).
  • **UI**: Familiar Windows-style interface.

Why choose TPP SystmOne?

  • **One Patient Record**: Seamless sharing with Community/Hospice/Prisons.
  • **Reporting**: Incredible built-in search/reporting tools.
  • **Stability**: Rare downtime compared to EMIS.

Feature Comparison

CapabilityEMIS WebTPP SystmOne
PhilosophyFederated (Practice owns data)Centralised (Shared record)
CustomisationHigh (Protocol building)Very High (Complex visualisations)

In-Depth Analysis

Overview

EMIS Web feels like a traditional desktop program. It is friendly, flexible, and plays nice with others. SystmOne feels like a mainframe. It is powerful, rigid, and incredibly fast once you learn the hotkeys. Most GPs love the one they learned on and hate the other.

Looking for a faster way?

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Use-Cases

Integrated Care

When to choose EMIS Web

  • Improving, but fragmented.

When to choose TPP SystmOne

  • **Winner.** See the District Nurse notes instantly.

Third-Party Apps

When to choose EMIS Web

  • **Winner.** Easier to plug in new tech.

When to choose TPP SystmOne

  • Walled garden (harder to integrate).