Chair: Shirley Wood, training and support director, Jisc. 14:00-14:40 - A Cambridge lesson on building your own fibre network Speaker: Jon Holgate, University of Cambridge. 14:40-15:15 - Experiences in rolling out new (and supposedly automated) services Speaker: Paul Jennings, University Hospital Birmingham.

1. Plenary session
Chair: Shirley Wood

2. A Cambridge lesson
on building your
own fibre network
Jon Holgate, Cambridge University

3. A Cambridge lesson on building your
own fibre network
1992 – Present: Reflecting on the first 25 years
Jon Holgate, Head of Networks

4. 1992 - Present
4

5. Proposed in March 1987
5
World Wide Web - 1991
Zoom Shape 1

8. Proposed in March 1987
8
World Wide Web - 1991

9. Proposed in March 1987
9
World Wide Web -
1991

10. Proposed in March 1987
10
World Wide Web -
1991
Zoom Shape 1

11. Cambridge was always making a difference (engine)
11

12. University Network - 1977
12
“Optical fibre cabling across University and
Colleges, and combining mainframe with other
computers and personal machines.”
Granta Backbone Network - 1987

13. University Network - 1977
13
“Optical fibre cabling across University and
Colleges, and combining mainframe with other
computers and personal machines.”
Granta Backbone Network - 1987

14. Building a network: 1988 - 1992
14
£3.9 million (1992)
36kms ducting & tray work
Installed in:
1. Wine Cellars ~2.2km
2. Green spaces
3. Carriageway

15. Wine Cellars
15
Zoom Shape 1

18. Wine Cellars
18

19. Wine Cellars
19

20. Green spaces and the perils of ‘soft dig’
20

21. Green spaces and the perils of ‘soft dig’ cont.
21

22. Green spaces and the perils of ‘soft dig’
22
£1,000

23. Standards
23
Zoom
Shape 1

27. Standards
27

28. Standards
28
Footway: 350mm Depth
Carriageway: 600mm Depth
Footway: 600mm Depth
Carriageway: 800mm Depth

29. What is the fibre used for?
29

30. Outside Public Wi-Fi
Data Centre Hosting
Building Management Systems
College
Hostels
CCT
V
What else is the fibre used for?

31. GBN Customers

32. What is the cost of running a private fibre network?
32
£500,000

33. What is the cost of running a private fibre network?
33
£500,000
• ~850 active circuits
• £260 per kilometer
• Staff
• Equipment
• Maintenance of the network
• Extensions to the network
• Office overheads
• Promotion

34. 34
Promoting the network, and the problems of theft

35. 35
Zoom Shape 1

39. 39

40. European Commission
40

41. The future is unashamedly fibre
41
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.

42. The future is unashamedly fibre
42
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.

43. 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.

44. 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.

45. Generic Internet Consumption Chart
45
TIME
DAT
A

46. OECD Fibre Coverage to premises
46

47. OECD Fibre Coverage to premises
47

48. BIG data
48
40Gb Internet
connection
6 YEARS 9 MONTHS

49. BIG data is coming to us all
49

50. 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!
50
£260 km

51. From research to commodity
51

52. Q&A

53. jisc.ac.uk
Jon Holgate
University of Cambridge

54. Experiences in rolling out new
(and supposedly automated)
Services in Healthcare
Paul Jennings
Head ofTechnical Operations & Infrastructure

55. Experiences in rolling out new
(and supposedly automated)
Services in Healthcare
Paul Jennings
Head of Technical Operations & Infrastructure

56. Queen Elizabeth Hospital Birmingham

57. 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

58. 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.

59. 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

60. Change Advisory Group
• Weekly meeting
• Forms submitted in advance
• Members
• Clinical
• IG
• Operational

61. Key solutions delivered
Electronic
Patient
Record
(EPR)
GP
Practice
Page
Clinical
Portal
MyHealthPICS
OPTIMS

62. 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

63. 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.

65. Patient context page
Timeline 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

66. 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

67. 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.

68. 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.

69. Challenges for the future
• Cyber Security
• General Data Protection Regulation
(GDPR)
• Internet of Things (IoT)
• Bring Your Own Device (BYOD)

70. Future Projects
• Secondary Data Centre
• New Network Support Partner
• Regional Working
• Virtual Clinics
• Junior Dr / Task Management & BYOD

71. 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

72. Thank you &
Questions?

73. jisc.ac.uk
Paul Jennings
University Hospital Birmingham