BT N3 SP COIN
Service Option Update
Overview of Typical NHS Data Flow
High bandwidth locally required for clinical and admin apps.
– Locally hosted clinical systems (eg. GP, Pathology, etc.)
– Document archiving
– Video conferencing
– Desktop management and support
– Financial systems / information systems
– Voice
– PACS
What is a COIN?
• Health Community sites sharing a Community
Of Interest Network (COIN)
• It is a “customised” service which differs from
the national offering
• Typically
Acute Hospitals
PCT’s – community sites and HQ’s
Mental Health
GP’s
Dentists
Customised Service CCN
• Agreed Dec 2005 with CfH
• Formalisation of structure to simplify process of delivering
COIN (customised services).
COIN vs. N3 Reference Architecture
• Economical design (fewer, shorter circuits)
• Performance of locally hosted apps.
• Rationalises national and local requirements into a single
network
COIN Considerations
• Local application requirements (VPN ?.)
• Existing N3 catalogue services –
possible charges for cessation (3 year
terms).
• Health community wide support for
project
• Local funding for COIN
• CfH contributions
• Site types and numbers
• Compelling events / timing
• Ongoing management of moves and
changes
Challenges faced initially faced
•
•
•
•
Affordability
Performance of locally hosted app’s e.g. PACS
Security model not suited to local needs
Leveraging local skills base
Early adopter N3 COINS
• The provision of N3 at each early adopter COIN site was
identical to a catalogue service
– SLA’s
were same as catalogue services.
– QoS
6 layer Quality of Service.
– CPE
same as cat service e.g. dual
router.
– Core
N3 POP style topology routed
based in BT exchanges.
– Security
Every site needed a firewall.
Customised Services Types
• CCN allows 2 types of Customised Service.
• Type A customised service
– Fully managed with national SLA availability
maintained.
• Type B customised service
– Deviation from SLA’s
Eg. Voice services, security, incorporating existing
networks.
COIN Variants – Benefits & Risks
Type A Customised Service
Benefits
• Equivalent SLA’s to national
offerings
• Business risks devolved /
mitigated
• Inherent contractual &
commercial safeguards
• Potential to reduce overall
business costs
• Enables core business focus
• Improved access to N3 skills &
expertise
• Predictability
Risks
• Perceived lack of local control
• Affordability
• Fitness for purpose
Type B COIN Variants
Typically
• Fully Managed – minor variations to catalogue SLAs
• Thin Wrap – Incumbent managed service provider
transfers assets and ownership to N3SP. N3SP offers
‘like for like’ SLAs
(where N3SP manages network services)
• Wires only – N3SP acts as a buyer. Local IT team
becomes managed service provider, taking on risk and
penalties
COIN Variants – Benefits & Risks
Type B Customised Service – Fully Managed/Thin Wrap
Benefits
•
•
•
•
•
•
•
•
Improved affordability
SLA variations to national offerings
Agreed set of business risks
devolved / mitigated
Inherent contractual & commercial
safeguards
Potential to reduce overall business
costs
Enables core business focus
Improved access to N3 skills &
expertise
Predictability
Risks
• Fitness for purpose
COIN Variants – Benefits & Risks
Type B Customised Service – Wires Only
Benefits
Risks
•
•
•
•
Reduced Costs
Local Ownership
Local Knowledge
•
•
•
•
•
•
Potentially Inferior SLA’s to N3
national offerings
Business risks retained by the
customer
Limited contractual & commercial
safeguards
No opportunity to leverage N3
network expertise
Potential increased business costs /
reduced economies of scale
Potential fragmented IT services
approach
Potential skills shortages & people
churn
Recent COIN Success (sample)
•
•
•
Type B – Fully Managed
– Sussex HIS
– Kent HIS
– Surrey HIS
– Peterborough
– North Cumbria
– Kent security solution
Type B – Thin Wrap
– Fylde Coast
– Stockport
Type B – Wires only
– Lincoln PACS network
– North Mersey
– Portsmouth
213 sites
230 sites
202 sites
3 sites
30 sites
36 sites
71 sites
8 sites
148 sites
58 sites
What Does This Mean?
• The range of COIN services available enables
organisations to determine the level of business risk
accepted in return for reduced service costs
• Enables new ways of delivering services and applications
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–
–
–
Flexible working
Mobility
IP voice services
Rationalising costs
• For more information contact your N3SP client
engagement manager (0800 0850503 option 3)
Thank you
Offices worldwide
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© British Telecommunications plc 2006