The $159.6 million agreement was secured through the federal government’s AWS procurement arrangement and supports NSW Health’s broader multi-cloud strategy, which also includes Microsoft Azure.

Cloud infrastructure currently underpins several of the department’s critical systems, such as electronic medical records (eMR), its enterprise data lake, contact centres, and the Telestroke service for stroke patients.

In addition, the forthcoming single digital patient record is being hosted on AWS under a separate 10-year deal valued at $163 million, signed last year.

“By adopting cloud technologies, NSW Health is accelerating innovation, modernising service delivery, and improving outcomes for patients and clinicians while keeping information safe and secure,” an eHealth NSW spokesperson said.

“NSW Health’s cloud transition aligns with the NSW government cloud strategy… and is pivotal to NSW Health’s digital transformation.”

NSW Health’s latest annual report outlines significant progress in its cloud modernisation efforts, with more than 20 systems—including electronic medical and intensive care records—now operating on its AWS-hosted enterprise data platform.

As part of this transformation, seven separate instances of the iPharmacy service, which gives pharmacists access to patient prescriptions and medical histories, were consolidated into a single, state-managed cloud environment.

eHealth NSW, the agency overseeing digital health initiatives, also confirmed that 60% of its critical business applications have been migrated to the public cloud.

Meanwhile, the department’s statewide data centre reform program has seen 87% of targeted applications and 83% of infrastructure transitioned from locally hosted systems to the centralised cloud platform.