Stuart Hill

CEO N3 Service Provider

N3 – more than a networkLen Chard

NHS CFH N3 Programme Director

What is N3?

N3 (the new NHS National broadband network)

Broadband network linking 20,339 sites in England, 2,538 in Scotland and c10,000 non-NHS end users Enabling key NHS applications national and local One of the largest VPN Broadband networks in Europe Expected savings c£900m over seven years Serving one of the world’s largest employers – 1.4m employees

N3 Service Provider (BT)

BT fulfilling a network integrator role providing best value 3 years into 7 year contract 57 PoPs and 12,780 miles of fibre 24x7x365 support 4,000+ calls to the N3 Helpdesk monthly

a “DAY” in the life of N3

as of 10/09/07*

Electronic transmission of prescriptions

110,000 prescriptions daily

NHS care records service

50,000 uniquely authenticated daily

NHS MailNearly 1m emails transmitted daily

PACS 1m images stored daily

Choose and Book20,000 bookings daily

Making the NHS more efficient and

technologically advanced than ever before

BT has successfully delivered the broadband infrastructure

Cornish doctors on the highway

An advanced new high-speed network linking-up all of Cornwall and the Isles of Scilly's hospitals, medical centres and doctors' surgeries has been launched.

‘NHS IT will never be the same again’

Good news worth talking about

N3 – proactively working with NHS

N3SP Client Engagement

N3SP Helpdesk

N3 – NHS Centric– 30-plus Client Engagement Managers – 4 000 calls per month at the N3 Helpdesk– Dedicated website (inc N3TV) 4,000 hits per month– >500 customers attending F2F events per annum– Quarterly Product Development Forums– NHS Engagement Programme– Working proactively with GPs– N3 User Forums

NAGS

IM&T

GPITC

PUGS

NCL

NHSCFH

Advisory Board

NHSSHAs

Fact: QoS introduced across estate

Fact: not as expensive as you think

Fact: internet gateway increased

Internet Gateway

Fact: Bandwidth utilisation is low

Figures taken from HSCR,10/09/07

2907

24962312

848

411

0

500

1000

1500

2000

2500

3000

3500

0 - 5% 5.01 -10%

10.01 -25%

25.01 -50%

50.01 -100%

Peak Bandwidth Utilisation

Nu

mb

er

of

GP

sit

es

Working directly with EMIS LV

EMIS LV over N3 – problems identified 2006Worked together through various issuesSatisfactory conclusion early 2007N3 deployed the QoS configuration across entire Main-to-Branch estateEMIS LV transactional traffic prioritised with QoS;

AF1 – Bulk transfer traffic (e.g. prints/file transfers)AF2 – Transactional traffic (e.g. screen updates)

QoS – prioritised performance

Focus on GP-specific products

• Pilot underway – initially 45 sites– Technology ‘proving’– Second larger pilot – develop mass implementation capability

• Traffic will have QoS markings (but can’t guarantee they will be honoured end to end)

• Resilience initially via ISDN• May not support VoIP • Unlikely to be suitable for entire GP estate• Pilot includes formal user feedback

Business DSL – The Good (1)

Business DSL – during ‘training’ – Delivered performance

0100020003000400050006000700080009000

Date

Kb

ps

Interleave (RX)

Fast (RX)

Interleave (TX)

Fast (TX)

Business DSL – The Good (2)

0100020003000400050006000700080009000

Date

Kb

ps

Interleave (RX)

Fast (RX)

Interleave (TX)

Fast (TX)

Business DSL – after ‘training’ – Delivered performance

Business DSL – The Bad

0

1000

2000

3000

4000

5000

6000

Date

Kb

ps

Interleave (RX)

Fast (RX)

Interleave (TX)

Fast (TX)

Business DSL – after ‘training’ – Delivered performance

Business DSL – The Ugly

0200400600800

1000120014001600

Date

Kb

ps

Interleave (RX)

Fast (RX)

Interleave (TX)

Fast (TX)

Business DSL – after ‘training’ – Delivered performance

Further information tailored for GPs

More than a network

Capabilities& processes

Catalogue Services and COINS

Applications (e.g. Voice, Video, Presence)

Support Services

NHS experience

Convergedinfrastructure

Local Apps (EMIS, PACS, RIO)

National Apps (Choose & Book, ETP)

Customerintegration

Innovation and Delivery Platform

Coreinfrastructure

Gigabit Ethernet Core

6-layer Quality of Service enabled

Other networks Other networks Other networks

Productportfolio

PSTN

Building blocks are in place

SpineAcute Hospital

Local Surgery Social worker

PACSEPREPS

Hosting & Storage

CDM

Internet

VoIP

MobilePresence

SIP Federation

Secure Datazone

Fixed to Mobile

NHS Fusion

Collaboration

N3 Voice Services Driving Efficiencies and flexibility

Managed IP phone service – Two service levels: light or fully managed– IP phone functionality without capital outlay

N3 Gateway – fixed to mobile savings and on-net calls

Integrates with other N3 and local voice services

Targeting larger sites initially – GPs part of wider picture

Potential benefits delivered More front line financial resources

Lower administrative overhead

Enables greater collaboration and productivity

© Tomas Hanahoe, 2007

A vision for a connected NHS

Q&A