1. minimising IT costs, maximising operational efficiency www.esteem.co.uk IO and NIMM: Now is the time Glyn Knaresborough Director of Strategic Consulting minimising IT costs, maximising operational efficiency

2. www.esteem.co.uk NHS IT Budgets 70% Maintenance 70% Maintenance 30% New Cost Reduction Keep Organisation Up & Running End User Productivity End User Productivity Patient / Clinician Connection Patient / Clinician Connection Organisational Change Technology Change Regulatory Compliance Security Business Results & New Value

3. minimising IT costs, maximising operational efficiency www.esteem.co.uk a different approach is needed An approach that… Looks holistically across the infrastructureLooks holistically across the infrastructure Addresses underlying structure and complexityAddresses underlying structure and complexity Creates an integrated, uniform environmentCreates an integrated, uniform environment Adopts IT solutions that support proven Best PracticesAdopts IT solutions that support proven Best Practices Prioritises and sequences IT projects in a structured, systematic mannerPrioritises and sequences IT projects in a structured, systematic manner

4. minimising IT costs, maximising operational efficiency www.esteem.co.uk IT Infrastructure as a strategic asset Unified & Virtualised Business Focused Service Enabled Service Enabled Process Led, Model Driven Separate logical operation from physical hardware More flexible to and streamline change Strengthen business continuity Scale rapidly to meet business demand Separate logical operation from physical hardware More flexible to and streamline change Strengthen business continuity Scale rapidly to meet business demand Captures process, structure and expertise in models Sets rules and tolerances for system health Triggers self-correction when outside tolerance Provides visibility between people and systems Captures process, structure and expertise in models Sets rules and tolerances for system health Triggers self-correction when outside tolerance Provides visibility between people and systems Provides link between internal & external services Extend capability with ‘web2.0’ services Integrate emerging services with less development Strengthen connections with customers, partners Provides link between internal & external services Extend capability with ‘web2.0’ services Integrate emerging services with less development Strengthen connections with customers, partners Connects natural workflow with applications Weave real workflow into application design Enable rich user experiences Integrate familiar interface with powerful apps Connects natural workflow with applications Weave real workflow into application design Enable rich user experiences Integrate familiar interface with powerful apps

5. minimising IT costs, maximising operational efficiency www.esteem.co.uk Level 1 Basic Disjointed, manual Infrastructure Knowledge not shared Reactive & ad- hoc Unpredictable service performance User driven “who shouts loudest” Focus is to Avoid Downtime Level 2 Controlled Coordinated, manual Infrastructure. Knowledge silos exist Reactive with some planning in place Services manageable & getting predictable Problem driven Focus is to Get Control Level 3 Standardised Standardized Infrastructure Individual Level collaboration and knowledge sharing Reactive & becoming proactive Stable & architected IT Infrastructure Request driven Focus is to Adopt Standards & Best Practice Level 4 Optimised Consolidated and virtualized Infrastructure Team level knowledge sharing & collaboration Proactive & accountable Continuous service improvement Service driven Focus is on Efficiency Level 5 Innovative IT & business stakeholders work in partnership Enterprise level knowledge sharing & collaboration Strategic assetDrives service innovation Value driven Focus is to become a Catalyst for Innovation NIMM Optimisation Strategy

6. minimising IT costs, maximising operational efficiency www.esteem.co.uk Benefits of driving NIMM Control Cost Simplify, automate and centralise IT operations to optimise resource utilisation Improve Service Levels Integrate management and security tools to maximise system uptime Drive Agility Adapt the IT infrastructure rapidly according to organisational needs Cost Agility Service Levels InnovativeStandardisedOptimised Basic / Controlled

7. minimising IT costs, maximising operational efficiency www.esteem.co.uk InnovativeOptimisedBasic / ControlledStandardised 1 Data Based on IDC research, all cost savings are industry averages for a 1 year period 2 Data based on 7-Elerven case study, Microsoft corporation 2006 3 Data based on SOK group case study, Microsoft Corporation 2006 What could this means in £’s annually Avg PC’s per IT FTE 1 IT Labour (per PC) 1 Reduce remote support costs 2 Reduce IT systems downtime 3 76 £660 -5% 0% 172 £290 -30% -20% 442 £115 -80% -40% Green IT Will Be 2008's Top Strategic Technology: Gartner Reduce your carbon footprint Oct 2007

8. minimising IT costs, maximising operational efficiency www.esteem.co.uk Innovative Uncoordinated,manualinfrastructure Managed IT Infrastructure with limited automation automation Managed and consolidated IT Infrastructure Infrastructure with maximum automation Fully automated management, dynamic resource usage, business linked SLAs OptimisedBasic / ControlledStandardised UK organisations today

9. minimising IT costs, maximising operational efficiency www.esteem.co.uk IO and NIMM in Practice minimising IT costs, maximising operational efficiency

10. www.esteem.co.uk Innovative Optimised Basic / Controlled Simple assessment Security, Networking, & Monitoring Identity & Access Mgmt Desktop Lifecycle Secure, Managed Messaging Data Protection Standardised

11. minimising IT costs, maximising operational efficiency www.esteem.co.uk Innovative Optimised Standardised Security, Networking, & Monitoring Identity & Access Mgmt Desktop Lifecycle Secure, Managed Messaging Data Protection Organisational priorities Automated patch management Standard desktop images Centralised firewall Internal DNS and DHCP Virtual desktop delivery from centrally managed environment Basic / Controlled

12. minimising IT costs, maximising operational efficiency www.esteem.co.uk Innovative Optimised Standardised Security, Networking, & Monitoring Identity & Access Mgmt Desktop Lifecycle Secure, Managed Messaging Data Protection Business justification £51- £70 per user £30 - £50 per user £99 - £120 per user Basic / Controlled

13. minimising IT costs, maximising operational efficiency www.esteem.co.uk NIMM: Key Business Technology Map The core application delivery solutions that support both local and distributed locations Servers and desktops providing workload operations in data centers, departments and remote offices Automated hardware, applications, security and user management solutions Technologies across the infrastructure to provide information collaboration, KPI management, virtual teams and improved communication