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Driving Value – the NIMM, the EA, the CUI, CASE & the TR

Dr Mark Ferrar, NHS Connecting for Health

15-JAN-2008

And in the next half hour...

• NHS Infrastructure Maturity Model (the NIMM)

• Microsoft Enterprise Agreement (the EA)

• Common User Interface Programme (the CUI)

• Collaboration Architecture & Solution Enablers (CASE)

• NHSmail Technology Refresh (the TR)

The NHS Infrastructure Maturity Model(the NIMM)

We Can Only Influence Change

NHS infrastructure numbers game

We need to raise the bar...

• “Patchy” IT infrastructure maturity and performance

• 2005 “Infrastructure Themes” still valid today (some

evidence best/worst gap widening)

• NHS not getting to lowest (or even competitive) TCO

• A consistent, well-managed desktop is key to supporting

Local NPfIT programmes (NLOP)

• Overall value eroded by premature use of high value

technology

The NIMM can help...

• NHS Infrastructure Maturity Model provides guidance and helps trusts objectively benchmark for themselves their “as-is” infrastructure capabilities, then:

• Use it to build a plan for coordinated capability improvement in a systematic way

• Use it to set investment priorities and create a benefits plan to understand desired outcomes

• Use it to collaborate with NHS suppliers so they create infrastructure solutions that NHS needs (and is ready for)

Common Themes – Integrated Projects

NIMM

CUI

CASE

Manage Risk

Responsiveness

Innovation

Competency

Efficiency

ROI/Business

Value

Standards

Re-use

Agility

Consistency

Maturity Model Delivery Approach

• Iterative & collaborative approach will regularly release new and

updated features based upon feedback and requests from users

• Develop the NIMM body of knowledge first then create tools to

help users automate assessments and provide a management

scorecard

• Delivered online via PSPG (infrastructure best practice site)

• Capability Maturity Documents developed for specific

infrastructure capabilities

• Virtual group of NIMM Champions from the NHS and key suppliers

will feed into a feature wish list of maturity guidance that needs to

be developed

• ROI modeling tool being developed to help NHS Trusts create their

own business case for improving maturity

NIMM & Microsoft EA

• We only have a limited number of Enterprise CAL Licenses (eCAL)

• This will ramp up every year for the next 3 years

• Enterprise Collaboration Technology needs eCAL

• Not straightforward, check with you LAR

• We want to get the most value from these licensees

• We need to report our licensing position against eCAL

• There are 2 capabilities that we want to use to gauge readiness

• Software Asset Management

• Collaboration Technology

• We have developed Capability Maturity Documents for these that

• Describe what we mean by these capabilities

• Describe each Maturity Level including KPIs for each level

• Recommend a level to aim for

• Suggest resources to help achieve this

KPI Description Metric

Availability of electronic

records on software

purchased or no longer used

Asset Management system used

Records for >80% of software purchases

Policy for software purchase

exists and enforceable

Policy exists and enforceable for >80% of

purchases

Accountability for maintaining

records

Formal central IT accountability exists,

performance of this role measured every six

months

On-going - Technology and

process in place to track

software installed

Coverage Accuracy

Greater than 80%

of PC estate

Greater than 80%

Ad-hoc - Technology and

process to perform audit of

software licensing position

Greater than 80%

of PC estate

Greater than 80%

NIMM Example - SAM Maturity KPIs (Level 4)

Capability Description Target Maturity Current Maturity Needs Gap

Availability of electronic

records on software

purchased or no longer

used

Records for >80% of

software purchases

Records for approximately 50%

of purchases exist. Absence of an

asset management system

makes it difficult to track this

capability.

Need to deploy an asset management

system.

Need to improve record keeping by

30%

Policy for software purchase

exists and enforceable

Policy exists and

enforceable for >80% of

purchases

A policy exists but is not regularly

communicated.

Need to create communications

channels for IT policies.

Need to incorporate IT policies in HR,

and training processes.

Accountability for

maintaining records

Formal central IT

accountability exists,

performance of this role

measured every six

months

Accountability for this is informal

and shared between purchasing

and the service desk

Accountability is informal and

responsibility is unclear.

Technology in place to track

software installed

>80% Accuracy Unknown Accuracy Need technology with processes that

can measure accuracy in tracking

deployed licenses

Technology in place to track

software installed

>80% of PC estate

covered

<50% of PC estate covered Need to increase coverage by 30%

Technology to perform ad-

hoc audit of software

licensing position

>80% Accuracy Unknown Accuracy Need technology with processes that

can measure accuracy in auditing

deployed licenses

Technology to perform ad-

hoc audit of software

licensing position

>80% of PC estate

covered

<50% of PC estate covered Need to increase coverage by 30%

NIMM Example - Gap Analysis for SAM

Management “Scope” of the NIMM

Technology “Scope” of the NIMM

NIMM Summary

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 asset

Drives service innovation

Value driven

Focus is to become a

Catalyst for Innovation

Gartner Model Mapping to NIMM

Basic

RationalizedVirtualized

Service-Based

Standardized Infrastructure resources

pooled

Services managed holistically

Uncoordinated infrastructure

Standard resources,

configurations

Consolidate to fewer

Policy/Value-Based

Dynamic optimization to

meet SLAs

Objective

Ability to Change

Pricing Scheme

Business Interface

Resource Utilization

Organization

IT Management

Processes

Reduce complexity

Economies of scale

Flexibility, reduce costs

Service-level delivery

React

WeeksWeeks to days

Weeks to minutes

MinutesMonths to weeks

Fixed costsReduced, fixed costs

Fixed shared costs

Variable usage costs

None, ad hoc

Business agility

Minutes to seconds

Variable business costs

Class-of-service SLAs

Class-of-service SLAs

Flexible SLAsEnd-to-end SLAs

No SLAs

Known Rationalized Shared poolsService-based pools

Unknown

Central control ConsolidatedPooled ownership

Service-oriented

None

Business SLAs

Policy-based sharing

Business-oriented

Reactive -Proactive

Life cycle management

Proactive

Mature problem mgmt

Proactive

Prediction, dynamic capacity

Service

End-to-end service management

Chaotic –Reactive

Ad hoc

Value

Policy management

Microsoft IO Model Mapping to NIMM

DynamicStandardized RationalizedBasic

Desktop, Server, and Device ManagementSoftware distribution, Patch management, Mobility, Imaging, Virtualization

Data Protection and RecoveryBackup, Restore, Storage management

Security and NetworkingPolicy, Anti-malware, Firewall, Access control, Network protection, Quarantine

IT and Security ProcessBest practice guidance on cost-effective solution design, development, operation, and support

Identity & Access ManagementDirectory services, User provisioning, Directory-based authentication

How should you use the NIMM?

• Perform a self assessment using the NIMM

• Prioritise and invest to improve lowest scoring areas

• Aim for a balanced score, rather than excellence in isolation

• Higher value MS EA technologies only available to those with CAPABILITY to exploit them

• Leverage capabilities of Core EA products that are licensed for all and don’t default to Enterprise products that aren’t –especially if your organisation isn’t ready to exploit them

The Microsoft NHS Enterprise Agreement(the EA)

EA Framework

• Remaining 6 years of the 9 year EA

• Orders placed for years 4, 5 & 6

• Software Assurance on all products

• Deploy up to 800,000 seats over 6 years (850K inc. “flex”)

• Core CAL & Enterprise CAL Suites

• Growth in “Knowledge Worker” tools

• 340,000 SQL Client Access Licences

EA offers...

Office 2007 Professional Plus Edition• Access• PowerPoint• Word• Excel• Outlook• Publisher• Communicator• Integrated Enterprise Content

Management• Integrated Electronic Forms• Information Rights & PolicyEnterprise Edition also includes• OneNote• Groove

SQL CAL

Windows Vista Business Edition• Upgraded to Windows Vista Enterprise Edition

• Four Virtual Operating Systems• Windows Bit Locker Drive Encryption• Multi Lingual User Interface

Desktop Optimisation Pack• Softgrid

Core CAL• Windows Server CAL• Office Exchange Server Standard CAL• Office SharePoint Server Standard CAL• Systems Management Server CALEnterprise CAL also includes• Office Communications Server Standard CAL• Office Communications Server Enterprise CAL• Windows Rights Management CAL• Office SharePoint Enterprise CAL• Office Exchange Enterprise CAL• Operations Manager Client OML• Forefront Security Suite (Anti Virus)

And also...

• Windows Update Services Server(s) within N3

• Access to Digital Learning Academies & Digital Literacy

Programme

• Home User Programme and EPP

• Training Vouchers & E-Learning Tools

• Desktop Deployment Planning Services

New Stuff...

• SharePoint CAL for all desktops

• Groove growth at 50,000 per year

• Anti-Virus (Forefront)

- 223,000 in Year 4 allowing existing AV deals to “unwind”

• Vista Enterprise

- Only pay for Vista Business

• SoftGrid

- Application virtualisation fixes “Java Hell”

New LAR deal

Enrolment

AreasLAR

Number of

DesktopsAllocation

NWWM Bytes 160,900 25%

South Bytes 138,350 21%

London Bytes 111,200 17%

NE & DH Trustmarque 116,150 18%

EM & ALBs Computacenter 123,400 19%

TOTAL 650,000 100%

Value

• Most Favoured Customer.

• Lower cost per desktop than initial 3 years

• Improved collaboration and security.

• 50% increase in CUI funding

• Contributes to OGC discounting

The Common User Interface Programme(the CUI)

CUI Phase 2

• 3rd October 2007 - Development Agreement signed for 4 Projects delivery in Phase 2:

(“Classic”)

• Clinical Applications and Patient Safety (CAPS)

• Information Management and Technology (IM&T) Tools

• Knowledge Worker Tools (KWT)

(“New”)

• NHSmail Technology Refresh (TR)

CUI Phase 2 - Management

• 3 discrete governance controls across the Classic and New projects.

• Phase 2 of CUI “Classic” Projects governance changes:

• Prof Michael Thick (CFH CCO) joining the programme at Steering Board level

• Formal cross Projects Board, including:

- National Clinical Leads

- SHA CIOs

- ISB

- Service Implementation

CUI Phase 2 - Controls

• Distribution of the Products brought in-house to NHS CFH (via existing cui.nhs.uk and PSPG)

• Development of CUI integrated communications plan across the Tech Office

• Utility of new and emerging engagement channels

• Tie in with CFH initiatives

• NIMM framework and taxonomy

• Collaboration Architecture & Solution Enablers (CASE)

• Smarter internal use of EA technologies (e.g. SharePoint) to manage stakeholders

CAPS - Delivery

• Design guidance has begun to influence NHS systems development

• Extensive guidance published to the Clinical and Supplier community

• 12 Requirement DSCNs approved and issued by the ISB

• CUI documents undergoing incorporation into the NHS CFH Technical Baseline where possible

• 6 UK suppliers actively adopting CUI guidance

• UK and Worldwide interest in using CUI guidance in requirements and contracts

KWT - Delivery

• Guidance, research and products covering:

• Enablers to support NHS Entities migration through fundamentals of attaining NIMM levels 1-3

• Abbreviation Manager

• NHS Office Client Installer

• User Task Analysis

• Office Version Migration Guides

• Document Collaboration and Compliance

• Medical Research Services

IM&T Tools - Delivery

• Documents, tools and templates have been created and made easily accessible to NHS Trusts via the interactive Planning and Deployment Guide (see slide 21)

• 36 NHS Entities using guidance as Early Adopters

• 72 people from 51 NHS Trusts attending 14 dedicated Special Interest Group meetings shaped the guidance

• 19,080 NHS PCs are already live and benefiting from NHS CUI D&I guidance and when remaining pilots Live, at least 75,000 PCs benefiting from the NHS CUI D&I guidance

• 9 of the 10 Infrastructure Optimisation assessed trusts moved from Basic to Standardised maturity level following Systems Management Server pilots

The Collaboration Architecture & Solution Enablers(the CASE)

In CASE you were wondering...

The NHSmail Technology Refresh Project(the TR)

Back to the future...

• NHSmail “as is” (i.e. based on Mirapoint) is an adequate, robust, scalable, low-cost email platform, but...

... it’s growth and development pipeline was starting to look limited in features and stretched-out in time

• Best solution? – Move back to Microsoft Exchange.

• Exchange 2007 can & does scale to accommodate the NHS

• Close collaboration on design & implementation by Cable & Wireless, Microsoft and NHS CFH

Service outline

• Microsoft Exchange 2007 “back end” – fully featured

• Both Thin and Smart Clients supported• Outlook Web Access (browser-based, best experience using IE7)

• Outlook 2003 & Outlook 2007 for off-line working

• ActiveSync for Windows Mobile & Symbian smart phone clients

• Active Directory for 1million+ accounts

• Full Calendaring across nhs.net

• Same service levels and service features as current service

• Also looking at IM, VOIP integration & archive options – make NHSmail the centre of NHS Unified Communications strategy

Project outline

• High Level Design work nearing completion

• Tested architecture, build and scaling at MS EEC in December

• Detailed design underway

• More testing planned for absolute scalability assurance

• Migration planning in progress

• Discussing compression/parallelisation of some design activities to allow earlier migrations

• Current view is migration starts in Calendar-Q3/2008

• Cut-over of existing accounts followed by “new” migrations