n3 / help the hospices - connecting hospices workshop
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N3 / Help the Hospices - Connecting Hospices Workshop. John Hemsley Business Leader N3 Self Funding Customers. Domestics. Objectives of the day. The objectives of today are to: Provide a description and background to N3 Benefits to a Hospice of being connected to N3 - PowerPoint PPT PresentationTRANSCRIPT
N3 / Help the Hospices - Connecting Hospices Workshop
John HemsleyBusiness Leader N3 Self Funding Customers
Domestics
Objectives of the day
The objectives of today are to:
•Provide a description and background to N3
•Benefits to a Hospice of being connected to N3 •Present the options available to a Hospice
•Overview and detailed
•Provide an opportunity for questions and answers
•Outline the next steps for up you to gain access to N3
Agenda
Time Speaker
10:30 Welcome and objectives of the day John Hemsley, N3SP
10:35 Hospice Connect and the current state of play Dr Steve Plenderleith, Help the Hospices
11:55 Hospice Connect/ICT Hub Survey 2008 Jacquie Wakeford, Miriona
11.35 Coffee break
11:55 N3 Service and options for hospices John Hemsley, N3SP
12:15 Set-up & configuration of N3 connection Kaushik Roy, N3SP
12:45 Lunch & networking on 34th floor
13.45 CFH Information Governance – Statement of Compliance
David Stone, CFH & Dr Kevin King, CFH
14.45 A hospice experience Dr David Butler, Consultant in Palliative MedicineCountess Mountbatten House, Southampton
15.15 Next steps John Ellis, N3SP
15.35 Q & A
16.05 Finish
Gossip, Rumour and Salacious Tittle Tattle
Dr Steve Plenderleith
March 2008
Possibly !!
THEN
“The Magnificent 7 10 and me”
• Northern Cluster MeetingJason Coleman Cluster Lead [email protected] Julia Riley Cluster Clinical Lead [email protected]
• Southern ClusterSouth East Region - - South West Region - Peter Thomson Peter.Thomson@rowcroft-
hospice.org.uk- Chris Halling-Brown
• Northern ClusterNorth West Region - Liam McCarthy [email protected] East Region - Darren Harvey [email protected] Region - Tony Colson [email protected] Region - Darren Holmes [email protected]
• Steering GroupDr Steve Plenderleith [email protected]
Proposed Meetings
• Annual National Meeting – September/October– Organised by Help the Hospices– National speakers on new areas of interest– Followed by Steering Group Meeting
• Cluster Group meeting – March/April– Formal in part, summary produced, may be followed by informal session– London– Southern– Northern
• Regional Meetings – November/December - June/July
– Informal, mentoring/networking group – SE, SW– NW, NE, Midlands, Eastern– London
I am writing to ask for your help in addressing some of the barriers that hospices, as key voluntary sector providers of palliative and end of life care, are encountering in gaining connection to the NHS IT network.
Help the Hospices is the national membership body for hospice care, representing almost 200 independent hospices across the UK. We work to help our members to deliver the very best care for patients and their families through education, training
and support, as well as providing a national voice for the hospice movement. I enclose, for your information, a list of hospices within your region.
Hospices play a major role in the delivery of local services to those approaching the end of life. They provide holistic support to people facing a terminal diagnosis, and supply over 75 per cent of specialist palliative inpatient capacity
within the healthcare system, by working closely in collaboration with NHS clinicians.
Many hospices have been trying to establish a connection with the NHS network since the National Programme for IT began. Their success has been variable, depending often on the interest and good will of local IT professionals within the NHS.
Others have faced significant barriers where professionals have either lacked interest in working with organisations outside the NHS or have been unsure whether they have the permission to develop such links.
The latest guidance from the Department of Health on information management (Guidance on Preparation of Local IM&T Plans for 2008/09) clearly articulates an expectation that localities will work with NHS organisations on these issues . It stated that in developing local IT plans there is a need to “develop information sharing arrangements with independent sector providers of NHS funded care”. We hope that this unambiguous reminder will encourage greater local dialogue
and progress in all areas.
Palliative and end of life care is also receiving increasing attention from Government, with the development of a national End of Life Care Strategy, and recognition within the NHS Operating Framework and the emerging NHS Next Stage Review. A key part of improving and developing end of life care in all communities will be the technological infrastructure which supports the
process. The availability of up-to-date patient information for all providers of palliative and end of life care is crucial to delivering service improvements.
I hope that you will be able to clarify with those working to implement the roll out of the NHS IT network in your region, including PCTs in your area, that they can and must engage with hospices and ensure connection to the
network.
A letter to the SHA’s
NHS Operating Framework 2008 -09
NOW
CfHDigital Information Governance Team
Hospice Requirements
• Information Governance Management 101, 102, 103, 105, 106 107, 109 (if applic.), 110, 111, 112, 113
• Confidentiality and Data Protection Assurance 201, 202, 203, 204, 205, 206, 208, 210, 214 (if applic.)
• Information Security Assurance 301, 303 (smart cards if applic.), 305, 306, 307, 308, 313, 314 (if applic.),
• Clinical Information Assurance 401, 403, 405
• Not 603 FOIA
• Tie in with Healthcare Commission standards?
THANKS - Policies
• St Catharine’s Hospice• Saint Francis Hospice• St Mary’s Hospice• St Oswald’s Hospice• Farleigh Hospice• Rowcroft Hospice
• Katharine House Hospice• N London Hospice• Southport & Ormskirk• St Peter’s Hospice• Pasque Hospice
More Needed
Library
Software Review
• RiO – A good work in progress.• Infoflex – update needs writing up.• SystmONE & Crosscare – need updating.• Palcare – Struggling with new MDS.
IGSoC – Information Governance ToolkitHELP !
• LPfIT London IG Group meets every 2 months 3.4.08, 29.5.08, 31.7.08 @ 14:00 - to attend please contact [email protected] Invite from Stephen Elgar
• Others – by the time these slides go out.
NEXT
HospitalSystems
PACSINFO
Prescrip-tions
CommunitySystems
Secure NHS e-
ClinicBooking
NELH
N3
SpineN3
Spine
ActivityData
30IGSoC
Requirements Hospice Specific
e -Prescribing
LaboratoryResults
EPR SNoMed
CTe - Staff
Record
ESR
• Electronic Staff Record
• Do hospices need it ?
• Can we have it?
• Education, Training and Development (ETD) series replaces ECDL
NHS ELITE (eLearning IT Essentials)
NHS Health (eLearning for Health Information Systems)
NHS National Learning Management System (NLMS), linked to the Electronic Staff Record (ESR).
• Electronic Staff Record http://www.esrsolution.co.uk/
• Microsoft NHS Resource Centre
Secure NHS e-mail
PACS
CommunitySystems
LaboratoryResults
ActivityData
EPR SNoMed
CT
e -Prescribing
INFO Prescrip
-tions
•Northern ClustersLorenzo by another name
Part of the LSP contract ?
•LondonRiO being rolled out to PCT’s & Mental Health Trusts
Is it available for hospices?
•SouthernMillennium for all!
ACSS
ACSS
• Set up to cover specialities and areas of NHS IT need, not covered in the original LSP contracts.
• Tendering has just closed for companies applying for eligibility to supply to specialities within Lot 2.
• Long list of companies involved available on their website.– TPP not there
– CSE Servelec are.
-Additional Supply Capability & Capacity Framework
Lot 2 Clinical Information Technology Services
Service Category Hospice Care: (2.8)
Objective of this Service Category:
This Service Category encompasses the requirements for hospice services
Details removed as document not available for publication – yet.
ACSS
• Further Info needed• Potential for bulk buys• Who negotiates for hospices and who pays
• SHA ? - SHA ?• LSP ? - LSP ?• HtH ? -
Hospice ?• Clusters ?
Freedom of Information Act 2000: Designation of additional public
authorities
• Consultation document• Cost implication or just another requirement• 603
THE FUTUREMore Ideas Welcome
!
Help the Hospices/ICT HubHelp the Hospices/ICT HubIT Survey 2008IT Survey 2008Seminar 18 March 08
AgendaAgendaIntroductionThe survey results
◦ Basic hospice demographics
◦ The IT team
◦ IT governance
◦ IT infrastructure
◦ Business and system applications
◦ Security
◦ Hot topics
◦ Skills, training and supportNext steps
IT Survey 2008 ObjectivesIT Survey 2008 Objectives
To enable HtH and its Hospice Connect cluster groups to focus on those areas where hospices most need help
To enable HtH to establish which common services and suppliers are being used, to apply leverage and gain value
To provide Hospice IT teams with useful sector data to benchmark against
HOSPICE HOSPICE DEMOGRAPHICSDEMOGRAPHICS
Hospice IncomeHospice Income
52
17156
Total replies = 90
Number of IT UsersNumber of IT Users
3028
20
812
Total replies = 98
IT TEAMIT TEAM
Team SizeTeam Size Of those with an in-house team, about 70% have 2 or less IT staff. Average number of staff increases in line with number of users:
8
Total replies = 85
Managed ServicesManaged Services
Type of Managed Service# who use this
(total replies = 90)Desktop maintenance/fault fixing 46 (52%)
Printer/copier maintenance/fault fixing 59 (66%)
Server/network maintenance/fault fixing 69 (77%)
Hosted applications 31 (34%)
Helpdesk/Service desk 41 (46%)Specialist help for projects on an ad-hoc basis
59 (66%)
Consultancy when no in-house expertise 2 (2%)
Managing User RequestsManaging User Requests
Activity# who use this
(total replies = 87)We have a Helpdesk/Service Desk 30 (35%)
Users just email, phone or visit the IT team 64 (74%)
We log all issues to resolution 33 (38%)
We can do remote IT support for fault fixing 50 (58%)We can do remote software installations/upgrades
31 (36%)
We have a Service Level Agreement for user requests/issues
19 (22%)
IT GOVERNANCEIT GOVERNANCE
IT BudgetsIT Budgets
Operating Budget
Capital Budget
15 13
26 24
5
8
44
1911
1
Total replies for both = 83
IT Decision MakingIT Decision Making
48 40
57
9 6
Total replies = 75
IT StrategyIT Strategy
2421
25 13
Total replies = 83
Policies and AgreementsPolicies and AgreementsTop 3 in place
◦Data Protection: 79 (95%)◦Use of Internet/Email: 69 (83%)◦Information Security Policy: 59 (71%)
Top 3 planned◦Communications Policy: 20 (25%)◦Information Security Policy: 18 (22%)◦Internal Service Level Agreement: 17 (21%)
Total replies = 83
ComplianceCompliance
Top ‘aware and compliant’ = Data Protection: 71 (87%)
Top ‘aware and planning response’ = Freedom of Information: 29 (35%)
Top ‘unaware’ = Email Retention: 26 (32%)
Total replies = 82
Management ProcessesManagement Processes
Top ‘have in place’ = incident/problem management: 47 (59%)
Top ‘planning’ = asset management: 22 (28%)
Top ‘no and not planning’ = change management: 28 (35%)
Total replies = 80
IT INFRASTRUCTUREIT INFRASTRUCTURE
HardwareHardware
ServersDesktopsLaptopsPDAsPrinters/copiersNetwork equipment
SuppliersSuppliers
The Top 4 (total replies = 76)
Dell 30 (21%)
HP 25 (17%)
Local 16 (10%)
Misco 8 (5%)
Reason for using current suppliers response (total = 78)
Price 66 (85%)
Quality 65 (83%)
Good customer service 55 (71%)
We’ve used this supplier for a long time 28 (36%)
Hospice Connect Cluster GroupsHospice Connect Cluster Groups
Total replies = 52
Northern Southern London
Already involved 16 (31%)
13 (25%)
9 (17%)
Intend to be involved
8 (15%)
3 (6%)
6 (12%)
BUSINESS AND SYSTEM BUSINESS AND SYSTEM APPLICATIONSAPPLICATIONS
Most Common ApplicationsMost Common ApplicationsDesktop = XP: 71 /77Server = Server 2005: 63 /70Email = Exchange 2003: 44 /71 Human Resource = bespoke: 13 /74Payroll = Sage: 36 /75Finance = Sage: 52 /74Fundraising = Donorflex: 35 /75Patient & Family Info = Palware: 30 /77Lottery = Sterling Members: 26 /73
SECURITYSECURITY
DR/Business ContinuityDR/Business ContinuityResponse
%Response
count
Our critical business applications have a ‘warm start’ backup (eg mirrored, clustered, replicated servers)
51% 36
We keep spare equipment so that we can quickly rebuild if necessary
28% 20
Our users have agreed that there will be no formal business continuity/DR measures
0% 0
We have a documented Disaster Recovery IT Plan 32% 23
We have an alternate location available for IT if our main location is lost
27% 19
We have a UPS to cover at least our critical systems 82% 58
Total replies = 71
Data Back-upsData Back-upsResponse
%Response
count
We have a process of daily/weekly/monthly back-ups
88% 68
Our back-ups are automated 66% 51
We back-up to tape only 44% 34
We backup to hard drive (instead of or as well as tape)
34% 26
Our backups are securely stored off-site 68% 52
We regularly practice data restores 39% 30
Total replies = 77
Security MeasuresSecurity MeasuresIn Place Planning
Anti-virus protection on desktops and servers 76 (100%) 0 (0%)
Malware checking for external emails 53 (70%) 3 (4%)
Malware checking for internal emails 36 (47%) 5 (7%)
Hardware firewall(s) 62 (82%) 1 (1%)
Software firewall(s) 56 (74%) 2 (3%)
Website filtering/restrictions 44 (58%) 5 (7%)Management of portable memory units (Eg memory sticks, iPods) 14 (18%) 17 (22%)
Anti-spam 64 (84%) 2 (3%)
Total replies = 76
HOT TOPICSHOT TOPICS
The Top Five Planned...The Top Five Planned...
Already have/use
Will implement in next 12 months
Will trial/pilot in next 12 months
NHS Connect 14 (21%) 15 (22%) 18 (27%)
Application implementation/ major upgrades
11 (16%) 28 (41%) 2 (3%)
DR/BC 22 (32%) 21 (31%) 4 (6%)
VoIP/IP telephony 10 (15%) 2 (3%) 16 (24%)
Remote working 30 (44%) 10 (15%) 7 (10%)
Total replies = 68
SKILLS, TRAINING AND SKILLS, TRAINING AND SUPPORTSUPPORT
User Competence and TrainingUser Competence and Training
Competence:◦Most are ‘Reasonably competent’: 36 /77
(47%)
Training:◦Most done by the IT Team: 36 /75 (48%)
IT Staff IT Staff Training:
◦Most common: reading/self-study: 50 /58 (86%)
Formal qualifications:◦Most common: technical: 27 /64 (42%)◦ ‘None’ is the same...
Pressure of work◦Most common: ‘Busy’: 37 /62 (60%)
Support for IT TeamSupport for IT Team
some lotswould like
to haveInternal support 25 10 8
Local PCT 8 3 17Umbrella groups (such as Help the Hospices)
14 2 10
IT groups (such as British Computer Society)
9 0 5
Mentoring (from internal person) 5 1 1Mentoring (from external person)
9 2 4
Total replies = 53
WHAT NEXT?WHAT NEXT?
Next StepsNext Steps
Complete the summary results report and issue to responders
Complete recommendations reportAgree an action planImplement actions!
A similar survey may be done in 2009
N3 Introduction & Background
What is N3?
• New National Network for the NHS
• N3 connects all NHS locations to allow digital sharing and exchange of information.
• NPfIT – February ‘04 – BT awarded contract as network integrator.– Live for 4 years now.
• Probably the largest network in Europe.
• Coverage for England & Scotland.
NPfIT contracts
LSP
LSP
LSP
LSP
LSP
NISP N3
NASP EBS
NASP NCRS
The Value of N3
• Metcalfe's law states that the value of a telecommunications network is proportional to the square of the number of users of the system (n²).
• N3 has >34,000 sites with over 500,000 users.
Savings from N3
• NAO report 14th March 08
– The Department of Health said that of savings totalling £208m, N3 generated £192m, with digital imaging and scanning saving a further £14m and software licensing and hardware maintenance contributing £617,000.
N3 Service options for Hospices
• The question of resilience
N3 Hospice Configuration
Local Network
N3 Customer Router
Backup via ISDN
N3 Core Network
DSLNetwork
ISDN
IPstream CentralPrimary via
IPstream Max Premium
N3 Service options for Hospices
GPRS
MobileCommunity network
256K to 1G sites (GP to Hospital)
8M to 1G data centre (LSP, NASP)
N3 core
Hospice
Internet
ISP and remote VPN (Home working) VPN
Gateway
Hospice Catalogue Services
N3-9-6IPstream primary
+ 128kb/s ISDN backup line
N3-2-53IPstream primary
+ 256kb/s ISDN backup lines
N3-2-542Mb/s Private Circuit primary
+ IPstream backup
N3-9-5IPstream primaryNo backup line
N3-9-6
Prices (subject to site survey and vat)
Installation Monthly Rental
• £ 1,220 £ 31 (£2,336 3 yr)
• £ 1,620 £ 75 (£ 4,320 3yr)
• £ 4,220 £ 155 (£ 9,800 3yr)
• £ 9,580 £ 705 (£34,960 3yr)
N3-9-6
N3-2-53
N3-2-54
N3-9-5
Set-up & Configuration of N3 Connection
Name Kaushik RoyTitle Technical Consultant
NOT TO BE SHOWN OUTSIDE OF N3SP
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Topics for Today
•N3 Network Overview
•Connectivity Options
•An Example Solution Design
•Questions & Comments
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Access: N3 / Internet
Care History Care Plans Care Services
NHS CRS
CRS Spine CAB
ETPPACS
CRS = Care Records Service
CAB = Choose and Book
ETP = Electronic Transfer of Prescriptions
PACS = Picture Archiving Communication System
N3 Network Overview
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
N3 Network Overview
•Access to the following applications: NHS Email, CAB, PACS, ETP, Clinical Records, etc.
•Access to local community applications - through your local PCT
•Internet Access
What does the access to the N3 network give you:
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
N3 Network Overview
•The N3 network is based on 58 PoP locations throughout England & Scotland
•Each PoP location is an interconnection of thousands of individual connections
•Each PoP is connected to the BT MPLS network to provide a private network with any-to-any connectivity
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
N3 Network Overview
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Connectivity Options
•Most connectivity options are based on a catalogue system
•This offers various bandwidths and different levels of redundancy
•Bandwidths options range from ADSL to Gigabit Ethernet
•Bespoke designs are also available
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Connectivity IPStream
•Typical Consumer Broadband but for Business Use
•Downstream bandwidth between 288kbps and 8128kbps
•Upstream Bandwidth between 64kbps and 832kbps
ADSL Router BT Exchange
BT Wholesale Network N3 Network
Downstream Bandwidth
Upstream Bandwidth
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Connectivity IPStream
•Based on Max Premium service from BT Wholesale
•Rate Adaptive – bandwidth related to distance from nearest BT Exchange
•No QoS guarantees – QoS can be applied to packets
•However no guarantee that packets will not be dropped within BT Wholesales network
•However Max Premium will be prioritised over residential broadband
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Connectivity: N3-9-5
•Non-Resilient Connectivity
•Single Cisco 1801 Router at Customer Site
•Single IPStream Connection to N3
N3 Network
Single non-resilient IPStream circuit
ADSL Router
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Connectivity: N3-9-6
•Resilient Connectivity
•Single Cisco 1801 Router at Customer Site
•Primary IPStream Connection to N3
•Secondary ISDN at 128kbps
N3 Network
Primary: IPStream
Secondary: ISDN
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Connectivity: N3-2-53
•Resilient Connectivity
•Single Cisco 2811 Router at Customer Site
•Primary IPStream Connection to N3
•Secondary ISDN at 256kbpsN3
Network
Primary: IPStream
Secondary: ISDN
ADSL Router
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Connectivity: N3-2-54
•Resilient Connectivity
•Single Cisco 2811 Router at Customer Site
•Primary 2Mbps private circuit Connection to N3
•Secondary IPStreamN3
Network
Primary: 2Mbps Private Circuit
Secondary: IPStream
Router
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Connectivity: N3-2-56
•Resilient Connectivity
•Single Cisco 3825 Router at Customer Site
•Primary 10Mbps Ethernet Connection to N3
•Secondary IPStreamN3
Network
Primary: 10Mbps Ethernet
Secondary: IPStream
Router
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Connectivity – What You Get
•Managed Service
•N3 Operations 0800 085 0503
•HSCR Bandwidth utilisation Reporting
•N3 Portal Access
•Full Access to N3 - Internet and Applications
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Connectivity – What we need
•Power – 240V AC 24 x 365
•Rack Space – eg., Cisco 1801 1RU
•Space and Power for Access Circuits: IPStream/PSTN, ISDN, Private Circuit or Ethernet
•Physical Security of equipment
•LAN port to connect N3 router
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Solutions Design
•Thanks to Darren Holmes, Head of ITC for St Barnabas Lincolnshire Hospice
•St. Barnabas consists of a 7 smaller sites and 1 main site
•Solutions Design uses both non-resilient IPStream and Private Circuit connectivity
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Solution – St. BarnabasSite Name Post Code Nearest BT
Wholesale PoPConnectivity Distance (straight
line) in Km
Nettleham Road LN2 1RE Lincoln IPStream w. no backup 1.08
Hawthorn Road LN2 4QX Primary: N3 PoPSecondary: Lincoln
2Mbps private circuit w. IPStream backup
Primary: 6Secondary: 3.2
Cardinal Close LN2 4SY Lincoln IPStream w. no backup 1.92
Boston Day Hospice PE21 9NB Boston IPStream w. no backup 1.76
Gainsborough Day Hospice
DN21 3AD Gainsborough IPStream w. no backup 1.93
Spalding Day Hospice PE11 3GD Spalding IPStream w. no backup 1.28
Sutton-on-Sea Day Hospice
LN12 2LL Sutton On Sea IPStream w. no backup 849m
Boston Welfare Support
PE21 9HH Boston IPStream w. no backup 722m
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Solution – St. Barnabas
Lincoln
Nettleham Road
Hawthorn Road
Cardinal Close
Boston Day Hospice
Gainsborough Day Hospice
Spalding Day Hospice
Sutton-on-Sea Day Hospice
Boston Welfare Support
N3
KeyIPStream circuitPrivate circuit
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Solution – St. Barnabas
•What kind of bandwidth can you expect from an IPStream connection?
•Quick DIY guide http://www.samknows.com/broadband/
British Telecommunications plcRegistered office: 81 Newgate Street, London EC1A 7AJ
Registered in England No. 1800000www.n3.nhs.uk
Setup & Configuration
Thank you for your time.
AgendaTime Speaker
13.45 CFH Information Governance – Statement of Compliance
David Stone, CFH & Dr Kevin King, CFH
14.45 A hospice experience Dr David Butler, Consultant in Palliative MedicineCountess Mountbatten House, Southampton
15.15 Next steps John Ellis, N3SP
15.35 Q & A
16.05 Finish
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Information Governance
Connecting Hospices Workshop
BT Tower
18th March 2008
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Creating the environment
Organisational Controls
Physical Measures
Personal Behaviour
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Key stakeholder drivers
Care Record Guarantee
IG Statement of Compliance
IG Toolkit
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Stakeholder satisfaction - IG
CPNIMI5
SHAs
HealthcareCommission
N3 SPProgrammes
NHS CFHIG
N3SP
PCTCommissioners
NHS CFHN3
DepartmentOf Health
Hospices
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Contact
David Stone – Communications Manager0113 397 369807947 [email protected]
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Information GovernanceStatement of Compliance Migration Programme(IGSoC)
Hospice TrainingInformation Governance and IT Security
Dr Kevin J. KingIGSoC Processing ManagerInformation Governance Statement of Compliance Migration Programme
18th March 2008
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Contents
ObjectivesWhat – Integrating Quality AssuranceWhy – Quality Assurance ViewDocument Details – Quality Assurance ViewInformation GovernanceIT SecurityIGSoC IT Security HeadlinesTypical Specifics (1 to 3)One Computer ModelActions for One ComputerComputer InterchangeContactsHelp! - Information Sources (1 to 12)Help! - Summary
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Objectives
To focus on: The IGSoC Process Document Set Information Governance IT Security Proposed ‘Single Computer’ Set-Up
To provide: A guide to sourcing information An overview of headline subject areas Some specifics from a QA perspective Discussion on Information Governance Toolkit (IGT)
Requirements (questions and answers at end of day)
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What – Integrating Quality Assurance
What is the IGSoC Process?
Application Form
NACS Code
Information Governance Toolkit (Acute Hospital Trust)
Sponsorship Letter
Logical Connection Architecture
IGSoC Declaration
Offshore Policy/ISMS
Quality Assurance Process
Audit
Purpose• Starts the Process (Register)• Unique Identifier• Self-Assessment of IG and IT
Security Position• Confirms Validity of Need• Ensuring the Network is Fit for
Purpose• Commitments and Obligations• Patient Identifiable Data
Outside England• Checking Up• Fine Toothcomb
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Why – Quality Assurance View
Why is the IGSoC needed by NHS CFH?
Availability
Confidentiality
Integrity
Protect Patient Identifiable Data
Patient Confidence
DPA for employee data
Care Record Guarantee
Why is the IGSoC needed by organisations?
Access to digital services
Service Delivery
Industrial Good Practice
Management of Public Image
Focus on central and local
DH Legal and Professional Obligations
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Document Details – Quality Assurance View
Simple StuffApplication Form, look out for detailed business need, this helps NHS CFH assess submissionsIGSoC, read carefully, follow all links and complete the obvious like date, signatory name and position, submit from correct mailbox, if IT Outsourcer involved they must also submit an IGSoCSponsorship Letter, complete the obvious like date, NHS organisation name, signatory name and position and IP addresses
More ComplicatedIG Toolkit, n requirements, long
lead time activity, need to understand ISO 27001/2, conduct gap analysis, account for business need
LCA, network topology, show relationship to N3, other networks e.g. corporate, Internet, tell how user and device access to N3 is reduced to a minimum
Offshore Policy, if PID is stored or viewed outside England, includes back-ups
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Information Governance
Information Governance is a framework providing a consistent way for employees to deal with the many different information handling requirements, including:• Information Quality Assurance• The NHS Confidentiality Code of Practice• Information Security Assurance• The Data Protection Act (1998)• Records Management• The Freedom of Information Act (2000)
It allows organisations and individuals to ensure that personal information is dealt with legally, securely, efficiently and effectively, in order to deliver the best possible care
H. Cayton: IG must “provide sound policy, standard setting, independent oversight, monitoring, arbitration and enforcement”
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IT Security
All based on:• Availability• Integrity• Confidentiality
Most recognised standard is ISO 27001/2
Other standards such as CobiT and ITIL help as can Basle 2, SOX, PCI
A large part of Information Governance
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IGSoC IT Security Headlines
Network Access Management
User Access Management
Policies
S/W H/W Maintenance
Asset Management
Audit Controls
Legal Compliance
Stop network intrusion external and internal
Stop unauthorised user activity
N3, PID, Password etc.
Downloads, Hardening
Protecting What/How
Making sure
IGSoC, DPA, NHS Codes and Practices ...
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Typical Specifics (1)
Do this:
DH Legal and Professional Obligations
Penetration Testing
Password Policy
Asset Register
Software Updates
Risk Register
Hardening
and this:
• Offshore PID
• Security Incident Log
• Anti-Spyware
• Knowledge of Standards
• Monitoring Systems
• Anonymise PID Data
• IGSoC from Correct Mailbox
• IT Outsourcer (QA & IGSoC)
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Typical Specifics (2)
and this:
Logging
Mobile Code
PID Guidelines
Audits
Documentation in General
External Audit
Headline Issues
Policy Expansion
and this:
• Policy Range
• Security Policy
• Vulnerability Scanning
• Anti-Virus Updates
• BCP/DRP
• Devices Connected to N3
• Data Protection Act
• Future Usage
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Typical Specifics (3)
and this:
IGT Guidance
LAN Segregation
LCA Update
Legislation
NHS CFH Contact
Policy Deviation Numbers
Policy Training
RA Procedures
and this:
• Review ISO 27001/2
• Send IGSoC
• Software Download
• Sponsorship Letter
• Standards Certification
• Third Party Contracts
• URL Filter
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One Computer Model
N3
CorporateInternet
Associate
Interchange:•CD•USB•Hard Drive•Hard Copy•Fax•E-mail•Etc.
Actions depend on Interchange
N3 Router
Actions required
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Actions for One Computer
All the IG Toolkit Requirements are mandatory
Pay attention to:• Anti-virus and anti-spyware updates• Security patch updates• Operating system updates• Productivity product updates (MS Office, Adobe etc.)• Account administration• Account monitoring• Third party access• Screen controls (password timeout, visibility)• Clinical or business application updates
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Computer Interchange
Is the one computer really standalone?
No, not really, somehow updates are applied.
And the likelihood is that data exchanged with N3 via• The screen• File transfer• NHSMail
may need to be used elsewhere on the corporate LAN, or even
exchanged with other parties, so all the IG Toolkit requirements
for the one computer apply to the Corporate LAN.
An N3 or PID policy, signed by the relevant staff, is a good way to
address some of the IG Toolkit requirements.
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Contacts
Dr Kevin J. King – IGSoC Processing Manager
0113 397 3666
07891 151304
IGSoC Team
0113 397 3646
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Help! – Information Sources (1)
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Help! – Information Sources (2)
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Help! – Information Sources (3)
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Help! – Information Sources (4)
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Help! – Information Sources (5)
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Help! – Information Sources (6)
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Help! – Information Sources (7)
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Help! – Information Sources (8)
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Help! – Information Sources (9)
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Help! – Information Sources (10)
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Help! – Information Sources (11)
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Help! – Information Sources (12)
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Everything you need is on www.connectingforhealth.nhs.uk
Like an Intranet the HOME tab contains current articles e.g. IGSoC
Afterwards moved to SYSTEMS and SERVICES tab
Multiple links of interest on SYSTEMS and SERVICES tab
Information Governance, NHS Number, NHSMail more…
NHS Codes of Practice
Records Storage
DH Legal and Professional Obligations
Knowledge Base
Remember RHS menus and contact details
Help! - Summary
IT Issues – an NHS View
Dr David ButlerMacmillan Consultant in Palliative Medicine
Countess Mountbatten House
Southampton University Hospitals NHS Trust
Setting the Scene
• SUHT main base - SGH
• Unscheduled Care Division
• Cancer Care Group
Setting the Scene
Setting the Scene
• Specialist Palliative Care Service
• Based mainly at Moorgreen Hospital
• IT links via Southampton City PCT
Setting the Scene
Setting the Scene
• SPC Service
• Catchment approx 710,000
• 2 PCTs (previously 5)
• In patient unit
• Day Care
• Community Service
• Hospital Palliative Care Team (SGH)
• Education
Setting the Scene
IT for SPC
• Pallicare (1999)
• Clinisys CIS Healthcare
• Linked to PAS / Chemocare / RTcare
• Terminals all areas and Winchester Hospital and SGH Chaplains
• Runs on Citrix
A patient
• Referral from GP on Friday 29th Feb.
• Not known to me but had been in SGH.
• Discharged previous day
• Would it be appropriate to admit?
Pallicare System
• Link to PAS
• Possible use for Commissioning purposes
Conclusion
• Information on the hospital system enabled me to discuss the patient and agree admission was appropriate.
• Then provided information prior to admission and before notes arrived.
The Next Steps
John EllisN3 SFC Manager
Hospice Trial
• 4 Hospice’s
• Bespoke
• Different Solutions
• Results
• Product availability
Stand Alone Site
Multi-Site
Hosted SiteMulti Solution
N3 Helpdesk Introduction
• 0800 085 0503 , Option 3• Mike Atrill• [email protected]• [email protected]• 01977 595760• Connectivity Process:
IG SOC Access Agreement
Calling Plan
• Product Options
• Set Pricing Options
• Advice on process
• Placing orders
• Advice on Implementation and timelines
Support
• IG SOC Team
• N3 Helpdesk
Option 1 In Life Faults
Option 2 Delivery
Option 3 Helpdesk
CRM and Service Portal
Review
The objectives of today were to:
•Provide a description and background to N3
•Benefits to a Hospice of being connected to N3 •Present options available to a Hospice
•Overview and detailed
•Provide an opportunity for questions and answers
•Outline the next steps for up you to gain access to N3
Question Time
Thank you for your time today