networkshop45 day two plenary session
TRANSCRIPT
Plenary sessionChair: Shirley Wood
A Cambridge lesson on building your
own fibre networkJon Holgate, Cambridge University
A Cambridge lesson on building your own
fibre network1992 – Present: Reflecting on the first 25 years
Jon Holgate, Head of Networks
1992 - Present
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Proposed in March 1987
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World Wide Web - 1991
Zoom Shape 1
Proposed in March 1987
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Proposed in March 1987
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World Wide Web - 1991
Proposed in March 1987
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World Wide Web - 1991
Proposed in March 1987
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World Wide Web - 1991
Zoom Shape 1
Cambridge was always making a difference (engine)
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University Network - 1977
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“Optical fibre cabling across University and Colleges, and combining mainframe with other computers and personal machines.”
Granta Backbone Network - 1987
University Network - 1977
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“Optical fibre cabling across University and Colleges, and combining mainframe with other computers and personal machines.”
Granta Backbone Network - 1987
Building a network: 1988 - 1992
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£3.9 million (1992)
36kms ducting & tray work
Installed in:
1. Wine Cellars ~2.2km2. Green spaces3. Carriageway
Wine Cellars
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Zoom Shape 1
Wine Cellars
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Wine Cellars
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Green spaces and the perils of ‘soft dig’
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Green spaces and the perils of ‘soft dig’ cont.
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Green spaces and the perils of ‘soft dig’
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£1,000
Standards
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Zoom Shape 1
Standards
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Standards
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Standards
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Footway: 350mm DepthCarriageway: 600mm Depth
Footway: 600mm DepthCarriageway: 800mm Depth
What is the fibre used for?
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Outside Public Wi-Fi
Data Centre Hosting
Building Management Systems
College Hostels
CCTV
What else is the fibre used for?
GBN Customers
What is the cost of running a private fibre network?
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£500,000
What is the cost of running a private fibre network?
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£500,000• ~850 active circuits• £260 per kilometer• Staff• Equipment• Maintenance of the network• Extensions to the network• Office overheads• Promotion
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Promoting the network, and the problems of theft
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Zoom Shape 1
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European Commission
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The future is unashamedly fibre
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The goal of the GOLD project is to:
• Continue the work on G.fast standards to develop the planned second version of the G.fast standard.
• Further develop and spread know-how around deployment practices in order to ensure that G.fast becomes a market success.
• Boost the usability of G.fast towards dense city areas by developing an alternative backhauling option based on copper instead of fibre. This simplifies G.fast deployment significantly (less fibre digging) and opens a potential mass market for G.fast.
• Go beyond the first standard by initiating the planned second version of the standard promising a doubling of the bandwidth reaching 200 MHz, by exploring multiple-gigabit copper access.
The future is unashamedly fibre
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The goal of the GOLD project is to:
• Continue the work on G.fast standards to develop the planned second version of the G.fast standard.
• Further develop and spread know-how around deployment practices in order to ensure that G.fast becomes a market success.
• Boost the usability of G.fast towards dense city areas by developing an alternative backhauling option based on copper instead of fibre. This simplifies G.fast deployment significantly (less fibre digging) and opens a potential mass market for G.fast.
• Go beyond the first standard by initiating the planned second version of the standard promising a doubling of the bandwidth reaching 200 MHz, by exploring multiple-gigabit copper access.
The future is unashamedly fibre
43
The goal of the GOLD project is to:
• Continue the work on G.fast standards to develop the planned second version of the G.fast standard.
• Further develop and spread know-how around deployment practices in order to ensure that G.fast becomes a market success.
• Boost the usability of G.fast towards dense city areas by developing an alternative backhauling option based on copper instead of fibre. This simplifies G.fast deployment significantly (less fibre digging) and opens a potential mass market for G.fast.
• Go beyond the first standard by initiating the planned second version of the standard promising a doubling of the bandwidth reaching 200 MHz, by exploring multiple-gigabit copper access.
The future is unashamedly fibre
44
The goal of the GOLD project is to:
• Continue the work on G.fast standards to develop the planned second version of the G.fast standard.
• Further develop and spread know-how around deployment practices in order to ensure that G.fast becomes a market success.
• Boost the usability of G.fast towards dense city areas by developing an alternative backhauling option based on copper instead of fibre. This simplifies G.fast deployment significantly (less fibre digging) and opens a potential mass market for G.fast.
• Go beyond the first standard by initiating the planned second version of the standard promising a doubling of the bandwidth reaching 200 MHz, by exploring multiple-gigabit copper access.
Generic Internet Consumption Chart
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TIME
DATA
OECD Fibre Coverage to premises
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OECD Fibre Coverage to premises
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BIG data
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40Gb Internet connection
6 YEARS 9 MONTHS
BIG data is coming to us all
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What lessons have we learned
• Standards. Standards. Standards.
• Data demand is growing.
• Fibre IS the solution.
• Fibre is REALLY cheap.
• Private fibre is easy.
• Universities SHOULDN’T be doing this!
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£260 km
From research to commodity
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RESEARCH COMMERCIAL
Q&A
Experiences in rolling out new
(and supposedly automated)
Services in HealthcarePaul Jennings
Head of Technical Operations & Infrastructure
Experiences in rolling out new (and supposedly automated)
Services in Healthcare
Paul Jennings Head of Technical Operations & Infrastructure
Queen Elizabeth Hospital Birmingham
IT Services at QEHB
Medical Director
Director of IT
Service Delivery
Switchboard Service Centre
Technical Support
Infrastructure
Technical Services Telephony
Programme
Technical integration
Application & Development
Security & Testing
Project Office
ICT Introduction– Strategic innovator rather than tactical fixer!– A pedigree of supporting organisational change successfully.– Going beyond matching organisational objectives – being a
differentiator and a core competence.– Add value to organisational and workforce.– Improve stake holder satisfaction.– Refined experience and enhance quality.– A history of innovation, commercial success and awards.
ICT Introduction
Agile, Responsive & Adaptable
All areas of the organisation - Clinical, Admin & Operational
Supporting existing strategy e.g. EPR/HR
Meet Legislative, Governance and
Compliance needs.
24x7x365 Service Desk
Incident Management
ISO 9001 (quality) & ISO 27001 (security)
Certified
Adoption of industry best practice for
service (ITIL)
Service delivery & Performance
Service support (BAU)
Programme delivery (Meeting
Organisational Needs)
SLA For Delivery of Services to other
Trusts
Change Advisory Group• Weekly meeting• Forms submitted in advance• Members
• Clinical • IG• Operational
Key solutions delivered
Electronic Patient Record (EPR)
GP Practice
Page
Clinical Portal
MyHealthPICS
OPTIMS
GP Practice Page– A practice centric service, developed within the Trust that allows
GP’s to review the Trusts patient data relating to patient registered at their practice.
– Actively in use by 1200 users, across 400 + Practices.• Admissions• Discharges• Expected Admission• A&E Attendances• Outpatient Appointments• Laboratory & Radiology Results• Discharge correspondence• Outpatient correspondence
Clinical Portal– An internally developed web based application that enables clinical staff to view patient
information using a document repository, that links to PICS and WinScribe (digital dictation).– Actively in use by 5000 users, across all Trust Specialties.
• Referrals• Correspondence• Lab and Imaging results • 18 Week Outcome Recording • Admissions/Discharges/Ward Lists • Outpatient Appointments• Demographics• GP record (YCC)• Cas-Cards• Operation Notes• Consent , etc, etc.
Patient context pageTimeline to show any episodes recorded, e.g. outpatient visits, A&E. Hover over an event to show any documents, details and click to view. Can expand the view is required.
Buttons to applications as
currently available in clinical portal, will
open in patient context view
Icon alerts from PICS – DNR, blind,
deaf, care at home, etc
Tag Cloud – key words extracted
from Documentum and/or document tags added when
uploaded to portal
Address book will pull through details held in the PAS, additional address details could be captured.
Number indicators show number of
data items for that area. Clicking on the
icon will show further information
or launch the relevant system,
document, result, etc
Clicking on an icon in Medical Summary panel will show further details in this panel.
Active applications – this shows any CDEA applications that the user can access, click to expand to show which ones.
Current status inpatient (incl Ward
No.)/outpatient
Documents uploaded to the Portal will be shown; a list of the most recent will be shown when clicked
MyHealth– The Patient facing element of the Trusts EPR strategy is delivered through a solution called
MyHealth@QEHB. 13,000 signed up with over 7000 patients actively using the solution – The service provides the patient with access their own hospital generated electronic
records. • Demographics • Medication & Prescriptions• Results• Messages• Appointments• Correspondence • Contacts
PICS– Rules-based clinical management system, configurable by specialty,
allowing• Paperless’ management of drug therapy/protocols• In-built real-time checks on drugs, dosages, contra-indications,
interactions, etc.• Results• Automated lab requesting • Real-time, event driven alerts• Clinical procedures• Order communications• Clinical observations
– Trust has commercial partner (CSE-Healthcare Systems Limited) promoting solution in healthcare.
OPTIMS– Supports patient self arrival and logistics, using touch screen kiosks
similar to that found at airports and rail stations etc.• Used in conjunction with 3D way finding.• Waiting room management.• Improved patient experience.• Simple arrival function.• Integrated in real time to PAS.• Improved data quality.• Integrated to our EPR.• and 18 week outcome recording.
– Trust has commercial partner (Intouch with Health Ltd) actively promoting solution in healthcare.
Challenges for the future• Cyber Security • General Data Protection Regulation
(GDPR)• Internet of Things (IoT)• Bring Your Own Device (BYOD)
Future Projects • Secondary Data Centre• New Network Support Partner• Regional Working• Virtual Clinics• Junior Dr / Task Management & BYOD
Take away• Ensure that the foundations are in place
• Network Infrastructure• Agreed processes and policies• Change Advisory Board
• Listen to your users• Development / Focus groups
• Be prepared to change• Regulatory or business needs
Thank you &Questions?
