Irish Health IT & Burnout

HSE Tender for National One Health Record

HSE Tender for National One Health Record

Key Questions

What is the HSE Tender for National One Health Record?

The HSE has launched a procurement tender for a National One Health Record system on a €1 billion scale, structured in four stages. It aims to replace legacy systems, with Dublin and North East regions going live in 2029. The project advances the Sláintecare EHR rollout under initiatives like the Tierney Roadmap, Health Information Bill, EHDS, and GenAI integration.

What risks are associated with the project, based on Northern Ireland's experience?

Northern Ireland's Encompass project is £100 million over budget, serving as a warning for potential risks in large-scale EHR implementations. The HSE tender emphasizes considerations like human-centered design (HCD), ethics, interoperability, cybersecurity, AI scribes, and burnout relief to mitigate these. It builds on established systems such as the Mid West MN-CMS maternity and NWIHP since 2016.

How does generative AI factor into the new EHR system?

The tender incorporates GenAI integration, including AI scribes to assist physicians and relieve burnout. This aligns with broader trends where large language models (LLMs) transform physician interactions with electronic health records. Related HSE job postings seek EHR Application Support Analysts to support these developments.

Procurement launched: €1b scale, four stages, Dublin/North East live 2029, replaces legacy; NI encompass £100m overbudget warns risks; advances Sláintecare EHR rollout under Tierney/Roadmap/Health Info Bill/EHDS/GenAI integration; builds Mid West MN-CMS maternity/NWIHP since 2016; HCD/ethics/interoperability/cyber/AI scribes/burnout relief.

Sources (2)
Updated Apr 22, 2026