Written by Technical Team | Last updated 01.08.2025 | 12 minute read
This is a list of all 214 NHS Trusts in England and the Trust Integration Engine(s) (TIEs) they have implemented (as of February 2025).
Please bear in mind:
| NHS Trust | TIE | Type | County |
|---|---|---|---|
| Airedale NHS Foundation Trust | InterSystems Ensemble | Acute | West Yorkshire |
| Alder Hey Children’s NHS Foundation Trust | Summit Express Connect / MIRTH | Children’s Hospital | Merseyside |
| Ashford and St Peter’s Hospitals NHS Foundation Trust | Rhapsody | Acute | Surrey |
| Avon and Wiltshire Mental Health Partnership NHS Trust | Unknown | Mental Health | Wiltshire |
| Barking, Havering and Redbridge University Hospitals NHS Trust | InterSystems Healthshare Health Connect | Acute | Greater London |
| Barnet, Enfield and Haringey Mental Health NHS Trust | Rhapsody | Mental Health | Greater London |
| Barnsley Hospital NHS Foundation Trust | InterSystems Ensemble | Acute | South Yorkshire |
| Barts Health NHS Trust | InterSystems HealthShare HealthConnect | Acute | Greater London |
| Bedfordshire Hospitals NHS Foundation Trust | InterSystems | Acute | Bedfordshire |
| Berkshire Healthcare NHS Foundation Trust | The Access Group, Connexes | Mental Health/Community | Berkshire |
| Birmingham and Solihull Mental Health NHS Foundation Trust | Unknown | Mental Health | West Midlands |
| Birmingham Community Healthcare NHS Foundation Trust | Mirth, Rhapsody & Conexes | Community | West Midlands |
| Birmingham Women’s and Children’s NHS Foundation Trust | Rhapsody | Women’s and Children’s | West Midlands |
| Black Country Healthcare NHS Foundation Trust | Unknown | Mental Health | West Midlands |
| Blackpool Teaching Hospitals NHS Foundation Trust | InterSystems Ensemble | Acute | Lancashire |
| Bolton NHS Foundation Trust | InterSystems HealthShare / Ensemble | Acute | Greater Manchester |
| Bradford District Care NHS Foundation Trust | No TIE | Mental Health/Community | West Yorkshire |
| Bradford Teaching Hospitals NHS Foundation Trust | InterSystems HealthShare Connect | Acute | West Yorkshire |
| Bridgewater Community Healthcare NHS Foundation Trust | No TIE | Community | Cheshire |
| Buckinghamshire Healthcare NHS Trust | InterSystems Ensemble/Health connect Cloud | Acute | Buckinghamshire |
| Calderdale and Huddersfield NHS Foundation Trust | InterSystems Ensemble | Acute | West Yorkshire |
| Cambridge University Hospitals NHS Foundation Trust | Unknown | Acute | Cambridgeshire |
| Cambridgeshire and Peterborough NHS Foundation Trust | Azure Integration Services and HL7 Soup | Mental Health | Cambridgeshire |
| Cambridgeshire Community Services NHS Trust | No TIE | Community | Cambridgeshire |
| Camden and Islington NHS Foundation Trust | Rhapsody | Mental Health | Greater London |
| Central and North West London NHS Foundation Trust | No TIE | Mental Health/Community | Greater London |
| Central London Community Healthcare NHS Trust | No TIE | Community | Greater London |
| Chelsea and Westminster Hospital NHS Foundation Trust | Unknown | Acute | Greater London |
| Cheshire and Wirral Partnership NHS Foundation Trust | No TIE | Mental Health/Community | Cheshire |
| Chesterfield Royal Hospital NHS Foundation Trust | InterSystems Ensemble | Acute | Derbyshire |
| Cornwall Partnership NHS Foundation Trust | CITS shared service | Mental Health/Community | Cornwall |
| Countess of Chester Hospital NHS Foundation Trust | Iguana – supplied by Interfaceware | Acute | Cheshire |
| County Durham and Darlington NHS Foundation Trust | InterSystems Healthconnect | Acute | County Durham |
| Coventry and Warwickshire Partnership NHS Trust | Rhapsody | Mental Health | West Midlands |
| Croydon Health Services NHS Trust | Unknown | Acute | Greater London |
| Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust | No TIE | Mental Health | Cumbria |
| Dartford and Gravesham NHS Trust | Enovation Cloverleaf | Acute | Kent |
| Derbyshire Community Health Services NHS Foundation Trust | No TIE | Community | Derbyshire |
| Derbyshire Healthcare NHS Foundation Trust | InterSystems Ensemble | Mental Health | Derbyshire |
| Devon Partnership NHS Trust | Qvera Restart Consulting | Mental Health | Devon |
| Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust | InterSystems | Acute | South Yorkshire |
| Dorset County Hospital NHS Foundation Trust | 7Bridge supplied by Fortrus | Acute | Dorset |
| Dorset Healthcare University NHS Foundation Trust | NextGen Mirth Connect | Mental Health/Community | Dorset |
| Dudley Integrated Health and Care NHS Trust | No TIE | Integrated Care | West Midlands |
| East Cheshire NHS Trust | Enovation/Cloverleaf | Acute | Cheshire |
| East and North Hertfordshire NHS Trust | Unknown | Acute | Hertfordshire |
| East Kent Hospitals University NHS Foundation Trust | Infor Cloverleaf | Acute | Kent |
| East Lancashire Hospitals NHS Trust | Unknown | Acute | Lancashire |
| East London NHS Foundation Trust | Unknown | Mental Health/Community | Greater London |
| East Midlands Ambulance Service NHS Trust | Unknown | Ambulance | Nottinghamshire |
| East of England Ambulance Service NHS Trust | InterSystems – Health Connect | Ambulance | Norfolk |
| East Suffolk and North Essex NHS Foundation Trust | Rhapsody | Acute | Suffolk |
| East Sussex Healthcare NHS Trust | Rhapsody from Interoperability Health (UK) Ltd | Acute | East Sussex |
| Epsom and St Helier University Hospitals NHS Trust | Mirth Connect supported by NextGen | Acute | Surrey |
| Essex Partnership University NHS Foundation Trust | Unknown | Mental Health/Community | Essex |
| Frimley Health NHS Foundation Trust | InterSystems HealthShare – Health Connect | Acute | Surrey |
| Gateshead Health NHS Foundation Trust | InterSystems HealthShare | Acute | Tyne and Wear |
| George Eliot Hospital NHS Trust | No TIE | Acute | Warwickshire |
| Gloucestershire Health and Care NHS Foundation Trust | No TIE | Mental Health/Community | Gloucestershire |
| Gloucestershire Hospitals NHS Foundation Trust | InterSystems Ensemble/Healthshare | Acute | Gloucestershire |
| Great Ormond Street Hospital For Children NHS Foundation Trust | Intersystems, HealthShare Health Connect | Children’s Hospital | Greater London |
| Great Western Hospitals NHS Foundation Trust | InterSystems Ensemble | Acute | Wiltshire |
| Greater Manchester Mental Health NHS Foundation Trust | InterSystems | Mental Health | Greater Manchester |
| Guy’s and St Thomas’ NHS Foundation Trust | Restart Insight Direct | Acute | Greater London |
| Hampshire Hospitals NHS Foundation Trust | IBM AppConnect | Acute | Hampshire |
| Harrogate and District NHS Foundation Trust | Mirth | Acute | North Yorkshire |
| Herefordshire and Worcestershire Health and Care NHS Trust | EVIE, Synanetics Ltd | Mental Health/Community | Worcestershire |
| Hertfordshire Community NHS Trust | Unknown | Community | Hertfordshire |
| Hertfordshire Partnership University NHS Foundation Trust | Enovacom Integration Engine | Mental Health/Community | Hertfordshire |
| Homerton Healthcare NHS Foundation Trust | InterSystems Ensemble | Acute | Greater London |
| Hounslow and Richmond Community Healthcare NHS Trust | No TIE | Community | Greater London |
| Hull University Teaching Hospitals NHS Trust | InterSystems Ensemble | Acute | East Yorkshire |
| Humber Teaching NHS Foundation Trust | Upstream MIRTH | Mental Health/Community | East Yorkshire |
| Imperial College Healthcare NHS Trust | InterSystems Health Connect Cloud | Acute | Greater London |
| Isle of Wight NHS Trust | Rhapsody and Viaduct | Integrated Care | Isle of Wight |
| James Paget University Hospitals NHS Foundation Trust | InterSystems Ensemble | Acute | Norfolk |
| Kent and Medway NHS and Social Care Partnership Trust | Nextgen Mirth | Mental Health | Kent |
| Kent Community Health NHS Foundation Trust | No TIE | Community | Kent |
| Kettering General Hospital NHS Foundation Trust | Rhapsody | Acute | Northamptonshire |
| King’s College Hospital NHS Foundation Trust | InterSystems Ensemble | Acute | Greater London |
| Kingston Hospital NHS Foundation Trust | Enovation Cloverleaf | Acute | Greater London |
| Lancashire and South Cumbria NHS Foundation Trust | InterSystems HealthShare HealthConnect | Mental Health/Community | Lancashire |
| Lancashire Teaching Hospitals NHS Foundation Trust | InterSystems HealthShare Health Connect | Acute | Lancashire |
| Leeds Community Healthcare NHS Trust | No TIE | Community | West Yorkshire |
| Leeds Teaching Hospitals NHS Trust | InterSystems Healthshare | Acute | West Yorkshire |
| Leeds and York Partnership NHS Foundation Trust | RESTART QVERA | Mental Health | West Yorkshire |
| Leicestershire Partnership NHS Trust | InterSystems Ensemble | Mental Health/Community | Leicestershire |
| Lewisham and Greenwich NHS Trust | InterSystems Ensemble | Acute | Greater London |
| Lincolnshire Community Health Services NHS Trust | No TIE | Community | Lincolnshire |
| Lincolnshire Partnership NHS Foundation Trust | Rhapsody | Mental Health | Lincolnshire |
| Liverpool Heart and Chest Hospital NHS Foundation Trust | Rhapsody | Specialist | Merseyside |
| Liverpool University Hospitals NHS Foundation Trust | Lydiate Rhaspsody | Acute | Merseyside |
| Liverpool Women’s NHS Foundation Trust | Mirth | Women’s Hospital | Merseyside |
| London Ambulance Service NHS Trust | Mirth Connect | Ambulance | Greater London |
| London North West University Healthcare NHS Trust | Unknown | Acute | Greater London |
| Maidstone and Tunbridge Wells NHS Trust | Unknown | Acute | Kent |
| Manchester University NHS Foundation Trust | InterSystems Ensemble | Acute | Greater Manchester |
| Medway NHS Foundation Trust | Interoperability Health UK Ltd Rhapsody Orion | Acute | Kent |
| Mersey Care NHS Foundation Trust | Rhapsody | Mental Health/Community | Merseyside |
| Mersey and West Lancashire Teaching Hospitals NHS Trust | NextGen Mirth | Acute | Merseyside |
| Mid and South Essex NHS Foundation Trust | Rhapsody | Acute | Essex |
| Mid Cheshire Hospitals NHS Foundation Trust | Infor – Cloverleaf | Acute | Cheshire |
| Mid Yorkshire Hospitals NHS Trust | InterSystems Ensemble IRIS | Acute | West Yorkshire |
| Midlands Partnership University NHS Foundation Trust | MIRTH Connect from NextGen | Mental Health/Community | Staffordshire |
| Milton Keynes University Hospital NHS Foundation Trust | Unknown | Acute | Buckinghamshire |
| Moorfields Eye Hospital NHS Foundation Trust | Unknown | Specialist | Greater London |
| Norfolk Community Health and Care NHS Trust | No TIE | Community | Norfolk |
| Norfolk and Norwich University Hospitals NHS Foundation Trust | Ensemble (Restart) | Acute | Norfolk |
| Norfolk and Suffolk NHS Foundation Trust | InterSystems Health Connect | Mental Health | Norfolk |
| North Bristol NHS Trust | NextGen Mirth | Acute | Bristol |
| North Cumbria Integrated Care NHS Foundation Trust | NextGen / Mirth | Acute | Cumbria |
| North East Ambulance Service NHS Foundation Trust | InterSystems Health Connect | Ambulance | Tyne and Wear |
| North East London NHS Foundation Trust | Unknown | Mental Health/Community | Greater London |
| Northern Care Alliance NHS Foundation Trust | Orion Health Rhapsody | Acute | Greater Manchester |
| North Middlesex University Hospital NHS Trust | Unknown | Acute | Greater London |
| North Staffordshire Combined Healthcare NHS Trust | Unknown | Mental Health | Staffordshire |
| North Tees and Hartlepool NHS Foundation Trust | InterSystems Health Share HealthConnect | Acute | County Durham |
| North West Ambulance Service NHS Trust | Rhapsody | Ambulance | Greater Manchester |
| North West Anglia NHS Foundation Trust | InterSystems HealthConnect | Acute | Cambridgeshire |
| North West Boroughs Healthcare NHS Foundation Trust | Unknown | Mental Health | Greater Manchester |
| Northampton General Hospital NHS Trust | Rhapsody | Acute | Northamptonshire |
| Northamptonshire Healthcare NHS Foundation Trust | Rhapsody | Mental Health/Community | Northamptonshire |
| Northern Lincolnshire and Goole NHS Foundation Trust | Rhapsody | Acute | Lincolnshire |
| Northumbria Healthcare NHS Foundation Trust | Unknown | Acute | Northumberland |
| Nottingham University Hospitals NHS Trust | Lyniate Rhapsody | Acute | Nottinghamshire |
| Nottinghamshire Healthcare NHS Foundation Trust | InterSystems Ensamble | Mental Health/Community | Nottinghamshire |
| Oxford Health NHS Foundation Trust | No TIE | Mental Health/Community | Oxfordshire |
| Oxford University Hospitals NHS Foundation Trust | Unknown | Acute | Oxfordshire |
| Oxleas NHS Foundation Trust | No TIE | Mental Health/Community | Greater London |
| Pennine Care NHS Foundation Trust | InterSystems | Mental Health | Greater Manchester |
| Portsmouth Hospitals University NHS Trust | InterSystems Health Connect | Acute | Hampshire |
| Queen Victoria Hospital NHS Foundation Trust | Unknown | Specialist | West Sussex |
| Rotherham Doncaster and South Humber NHS Foundation Trust | No TIE | Mental Health/Community | South Yorkshire |
| Royal Berkshire NHS Foundation Trust | Rhapsody | Acute | Berkshire |
| Royal Brompton and Harefield NHS Foundation Trust | Unknown | Specialist | Greater London |
| Royal Cornwall Hospitals NHS Trust | InterSystems Iris | Acute | Cornwall |
| Royal Devon University Healthcare NHS Foundation Trust | Unknown | Acute | Devon |
| Royal Free London NHS Foundation Trust | Ensemble | Acute | Greater London |
| Royal National Orthopaedic Hospital NHS Trust | Rhapsody | Specialist | Greater London |
| Royal Papworth Hospital NHS Foundation Trust | Dedalus | Specialist | Cambridgeshire |
| Royal Surrey NHS Foundation Trust | Unknown | Acute | Surrey |
| Royal United Hospitals Bath NHS Foundation Trust | Unknown | Acute | Somerset |
| Salisbury NHS Foundation Trust | NextGen Mirth | Acute | Wiltshire |
| Sandwell and West Birmingham Hospitals NHS Trust | Orion Rhapsody | Acute | West Midlands |
| Sheffield Children’s NHS Foundation Trust | InterSystems Ensemble / Healthshare | Children’s Hospital | South Yorkshire |
| Sheffield Health and Social Care NHS Foundation Trust | Unknown | Mental Health | South Yorkshire |
| Sheffield Teaching Hospitals NHS Foundation Trust | Mirth | Acute | South Yorkshire |
| Sherwood Forest Hospitals NHS Foundation Trust | Orion Health Rhapsody | Acute | Nottinghamshire |
| Shrewsbury and Telford Hospital NHS Trust | Lyniate Rhapsody | Acute | Shropshire |
| Shropshire Community Health NHS Trust | No TIE | Community | Shropshire |
| Solent NHS Trust | No TIE | Mental Health/Community | Hampshire |
| Somerset NHS Foundation Trust | Unknown | Integrated Care | Somerset |
| South Central Ambulance Service NHS Foundation Trust | No TIE | Ambulance | Berkshire |
| South East Coast Ambulance Service NHS Foundation Trust | No TIE | Ambulance | West Sussex |
| South London and Maudsley NHS Foundation Trust | Intersystem Healthshare / Ensemble | Mental Health | Greater London |
| South Tees Hospitals NHS Foundation Trust | InterSystems IRIS | Acute | North Yorkshire |
| South Tyneside and Sunderland NHS Foundation Trust | Unknown | Acute | Tyne and Wear |
| South Warwickshire NHS Foundation Trust | Rhapsody | Acute | Warwickshire |
| South West London and St George’s Mental Health NHS Trust | No TIE | Mental Health | Greater London |
| South West Yorkshire Partnership NHS Foundation Trust | Restart Consulting QVera | Mental Health/Community | West Yorkshire |
| South Western Ambulance Service NHS Foundation Trust | No TIE | Ambulance | Somerset |
| Southern Health NHS Foundation Trust | InterSystems HealthShare | Mental Health/Community | Hampshire |
| Southport and Ormskirk Hospital NHS Trust | Unknown | Acute | Merseyside |
| St George’s University Hospitals NHS Foundation Trust | InterSystems Health Share | Acute | Greater London |
| St Helens and Knowsley Teaching Hospitals NHS Trust | Unknown | Acute | Merseyside |
| Stockport NHS Foundation Trust | Viaduct by Dedalus and Rhapsody by Lyniate | Acute | Greater Manchester |
| Surrey and Borders Partnership NHS Foundation Trust | No Tie | Mental Health | Surrey |
| Surrey and Sussex Healthcare NHS Trust | InterSystems Enemble | Acute | Surrey |
| Sussex Community NHS Foundation Trust | Restart QVERA | Community | West Sussex |
| Sussex Partnership NHS Foundation Trust | Enova integration engine | Mental Health | West Sussex |
| Tameside and Glossop Integrated Care NHS Foundation Trust | Rhapsody | Integrated Care | Greater Manchester |
| Tavistock and Portman NHS Foundation Trust | Rhapsody InterOperability Health (UK) Limited | Mental Health | Greater London |
| Tees, Esk and Wear Valleys NHS Foundation Trust | No Tie | Mental Health | North Yorkshire |
| Torbay and South Devon NHS Foundation Trust | InterSystems Ensemble | Integrated Care | Devon |
| The Christie NHS Foundation Trust | Rhapsody | Specialist | Greater Manchester |
| The Clatterbridge Cancer Centre NHS Foundation Trust | Iguana | Specialist | Merseyside |
| The Dudley Group NHS Foundation Trust | Unknown | Acute | West Midlands |
| The Hillingdon Hospitals NHS Foundation Trust | InterSystems Health Connect Cloud | Acute | Greater London |
| The Newcastle Upon Tyne Hospitals NHS Foundation Trust | NextGen MIRTH | Acute | Tyne and Wear |
| The Princess Alexandra Hospital NHS Trust | Unknown | Acute | Essex |
| The Queen Elizabeth Hospital, King’s Lynn, NHS Foundation Trust | Unknown | Acute | Norfolk |
| The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust | Orion Health Rhapsody | Specialist | Shropshire |
| The Rotherham NHS Foundation Trust | InterSystems Ensemble | Acute | South Yorkshire |
| The Royal Orthopaedic Hospital NHS Foundation Trust | Rhapsody | Specialist | West Midlands |
| The Royal Marsden NHS Foundation Trust | InterSystems HealthConnect | Specialist | Greater London |
| The Royal Wolverhampton NHS Trust | Microsoft BizTalk | Acute | West Midlands |
| The Walton Centre NHS Foundation Trust | Ensemble | Specialist | Merseyside |
| University College London Hospitals NHS Foundation Trust | Unknown | Acute | Greater London |
| United Lincolnshire Hospitals NHS Trust | InterSystems HealthConnect | Acute | Lincolnshire |
| University Hospital Southampton NHS Foundation Trust | InterSystems, Healthshare, Ensemble | Acute | Hampshire |
| University Hospitals Birmingham NHS Foundation Trust | Unknown | Acute | West Midlands |
| University Hospitals Bristol and Weston NHS Foundation Trust | InHealth | Acute | Bristol |
| University Hospitals Coventry and Warwickshire NHS Trust | InterSystems Healthconnect | Acute | West Midlands |
| University Hospitals of Derby and Burton NHS Foundation Trust | InterSystems Healthshare | Acute | Derbyshire |
| University Hospitals Dorset NHS Foundation Trust | MIRTH | Acute | Dorset |
| University Hospitals of Leicester NHS Trust | Unknown | Acute | Leicestershire |
| University Hospitals of Morecambe Bay NHS Foundation Trust | InterSystems HealthShare | Acute | Lancashire |
| University Hospitals of North Midlands NHS Trust | Lyniate Rhapsody | Acute | Staffordshire |
| University Hospitals Plymouth NHS Trust | InterSystems HealthShare HealthConnect | Acute | Devon |
| University Hospitals Sussex NHS Foundation Trust | InterSystems, Health Share Health Connect | Acute | West Sussex |
| Walsall Healthcare NHS Trust | Orion Health | Acute | West Midlands |
| Warrington and Halton Teaching Hospitals NHS Foundation Trust | InterSystems Ensemble | Acute | Cheshire |
| West Hertfordshire Hospitals NHS Trust | Rhapsody | Acute | Hertfordshire |
| West London NHS Trust | Mirth | Mental Health | Greater London |
| West Midlands Ambulance Service NHS Foundation Trust | InterSystems Health Share Health Connect | Ambulance | West Midlands |
| West Suffolk NHS Foundation Trust | Unknown | Acute | Suffolk |
| Whittington Health NHS Trust | Rhapsody | Integrated Care | Greater London |
| Wirral Community NHS Foundation Trust | No TIE | Community | Merseyside |
| Wirral University Teaching Hospital NHS Foundation Trust | Unknown | Acute | Merseyside |
| Worcestershire Acute Hospitals NHS Trust | Rhapsody | Acute | Worcestershire |
| Wrightington, Wigan and Leigh NHS Foundation Trust | Lyniate Rhapsody | Acute | Greater Manchester |
| Wye Valley NHS Trust | Orion Health Rhapsody | Acute | Herefordshire |
| York and Scarborough Teaching Hospitals NHS Foundation Trust | ReStart | Acute | North Yorkshire |
| Yorkshire Ambulance Service NHS Trust | Synanetics | Ambulance | West Yorkshire |
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