1. Stuart Hill CEO N3 Service Provider N3 – more than a network Len Chard NHS CFH N3 Programme Director

2. 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

3. 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 Mail Nearly 1m emails transmitted daily PACS 1m images stored daily Choose and Book 20,000 bookings daily Making the NHS more efficient and technologically advanced than ever before

4. 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

5. 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 NHS CFH Advisory Board NHS SHAs

6. Fact: QoS introduced across estate

7. Fact: not as expensive as you think

8. Fact: internet gateway increased

9. Fact: Bandwidth utilisation is low Figures taken from HSCR,10/09/07

10. Working directly with EMIS LV  EMIS LV over N3 – problems identified 2006  Worked together through various issues  Satisfactory conclusion early 2007  N3 deployed the QoS configuration across entire Main-to-Branch estate  EMIS 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

11. 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

12. Business DSL – The Good (1) Business DSL – during ‘training’ – Delivered performance

13. Business DSL – The Good (2) Business DSL – after ‘training’ – Delivered performance

14. Business DSL – The Bad Business DSL – after ‘training’ – Delivered performance

15. Business DSL – The Ugly Business DSL – after ‘training’ – Delivered performance

16. Further information tailored for GPs

17. More than a network Capabilities & processes Catalogue Services and COINS Applications (e.g. Voice, Video, Presence) Support Services NHS experience Converged infrastructure Local Apps (EMIS, PACS, RIO) National Apps (Choose & Book, ETP) Customer integration Innovation and Delivery Platform Core infrastructure Gigabit Ethernet Core 6-layer Quality of Service enabled Other networks Product portfolio

18. PSTN Building blocks are in place Spine Acute Hospital Local Surgery Social worker PACS EPR EPS Hosting & Storage CDM Internet VoIP Mobile Presence SIP Federation SecureDatazone Fixed to Mobile NHS Fusion Collaboration

19.  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

20. Q&A