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development
of telehealth hub infrastructure
Andrew Leng
I.T. Solutions Architect
Airedale NHS Foundation Trust, UK
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Key considerations
• NHS (N3) to none NHS (Internet)
connectivity
• Information Governance
• Interoperability
• Functional requirements
• Separate core infrastructure from the
hospital’s IT infrastructure
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NHS to none NHS
connectivity
• previous Telemedicine based upon
dedicated end point to end point ISDN
connections
• large user base who have Internet
connectivity only not N3.
• needed a solution that could bridge
connection between N3 and the Internet
securely
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N3 overview
Airedale
One way only!
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Information
governance
• needed to comply with the IGSoC process
by completing annual IGT, incorporating
Telehealth hub.
• all elements of IG covered including
Information Security
• finally a CESG CHECK accredited Network
Penetration test undertaken
• IGT repeated annually to provide assurance
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interoperability
• need to support multiple providers and
equipment
• align to fast moving market place as required
• platform developed using industry based
open standards: i.e. AES, SSL/TLS,
SIP,H.323/H.460 across IP network
• this allows interoperability with all vendors
and future services and developments.
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functional
requirements
• quick and easy transfer of patient from
triage to clinicians if required
• virtual waiting room
• image quality for diagnostic purposes
• ease of use for the user e.g. Set Top Box
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separate core
infrastructure
• minimise impact on existing Trust IT
infrastructure and applications/systems
• reliability & contingency – failover across
all core components = high availability
• allows dedicated reporting/management of
infrastructure
• scalable - future expansion readily
available without impact to the Trust.
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the
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the the solution?...
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the Questions and Answers
• Technology - Andrew Leng
• Operational/Clinical - Rachel Binks
• Promoting/Influencing - Marie Buchan