About Open Plan IT

We build and run open-source health and social care records for services working with underserved populations in the UK and Ireland.

Cloud-based and device-agnostic: no local installation, no network restrictions, secure access wherever care happens.

Recognised work

  • Winner, Best Digital Transformation in Healthcare and Life Sciences, Digital Transformation and AI Awards 2025
  • Winner, Best of Open Source Technologies, Public Sector Digital Transformation Awards 2024

Community and street medicine

Street medicine teams, charities and small voluntary services deliver care to people no commissioned service reaches, usually with no IT budget at all. For those services we provide a hosted, clinically configured OpenEMR instance at cost and, in specified situations, at no cost.

There is no application form. Our directors agree access case by case, by direct discussion. Tell us who you serve, where you work and what you are managing your records with today.

Goes directly to Maxine Radcliffe, our chief clinical officer.

More on the Community tier

Who the platform is built for

Inclusion health and street medicine

Homeless health, addiction services, direct provision centres, Roma community outreach, and street medicine teams. Systems configured for mobility, multi-agency working and complex safeguarding.

Primary care practices

Surgeries, community clinics and practice networks in the UK and Ireland. OpenEMR configured for Irish and UK primary care workflows.

Public sector commissioners

Regional and national health commissioners requiring full data sovereignty, EU-hosted infrastructure and no vendor lock-in.

Humanitarian responses

Emergency health teams and cross-border health networks needing rapid deployment, on cloud or local infrastructure as the setting allows.

Who we serve today

We currently deliver managed services to Health Service Executive social inclusion services in Ireland, covering homeless health, Roma community outreach, and refugee and migrant health across mobile and fixed sites, and to individual private practitioners in the UK and Ireland.

What we provide

  • Electronic health record implementation and configuration (OpenEMR)
  • Ongoing configuration and workflow modification as clinical needs change
  • Clinical safety governance under DCB0129, the Data Coordination Board standard for clinical risk management in health IT, with clinical risk assessment and sign-off by a named clinical safety officer
  • Training and support from clinicians who have worked in these settings
  • Data migration and sovereignty: your data remains yours, and you can export it without permission or penalty

We contribute the improvements we build back to the OpenEMR community. Work one service funds reaches every other service running the platform, including ones with no development budget at all. Your instance already carries work paid for by services you will never meet.

We are also building privacy-focused AI capability and new integrations across several areas of clinical workflow. See what is in development

Why open source

Health systems build digital infrastructure for the populations they already serve well. We build for the ones they do not.

Proprietary electronic health record vendors license you access to your own patients' data. The schema is theirs. The migration tools are theirs. The decision about whether to continue operating in your market, and at what price, is theirs.

OpenEMR is licensed under the General Public License. The source code is public, the schema is open, and your data is yours in a format you can read, export and migrate without permission, penalty or negotiation. The data layer is a public utility, not a proprietary asset.

We host on UK or EU infrastructure. A public health service in the UK or Ireland should never be structurally dependent on a decision made outside its own jurisdiction.

Leadership

Maxine Radcliffe: Chief Clinical Officer

Nurse practitioner with over 20 years of NHS and HSE clinical experience. Designed and implemented Ireland's first device-agnostic, cloud-based community health record for social inclusion populations. Holds the clinical safety officer role under DCB0129.

RN, NP, DTN, MPH, FRSPH, Clinical Safety Officer, Stage 2 PhD Scholar UCD, Fellow Royal Society for Public Health

Pete Boyd: Founder and Chief Executive Officer

Software engineer with health-sector IT experience since 1994. Founded Open Plan IT in 2000 on a principled commitment to free and open-source software.

BSc (Hons) Software Engineering, twenty-plus years of open-source practice

Get in touch

Tell us about your service. We read every enquiry personally.

Get in touch