Driving Value the NIMM, the EA, the CUI, CASE

1
Driving Value the NIMM, the EA, the CUI, CASE
the TR

• Dr Mark Ferrar, NHS Connecting for Health
• 26-FEB-2008

2

• And in the next 40 mins...

• NHS Infrastructure Maturity Model (the NIMM)
• Microsoft Enterprise Agreement (the EA)
• Common User Interface Programme (the CUI)

3
The NHS Infrastructure Maturity Model (the NIMM)
4
We Can Only Influence Change
5
NHS infrastructure numbers game
1.34m
People working for the NHS in England
5th
5th Larger Employer in the World
850k
70
of IT Budgets Spent on Infrastructure
Operations
IT Users in the NHS
1.54bn
Annual NHS Spend on Infrastructure Operations
(Excluding NPfIT!)
6
Average Number of IT Identities a Typical
Knowledge Worker has
10k
NHS People Working on Infrastructure Operations
6

• We need to raise the bar...

• Patchy IT infrastructure maturity and
  performance
• 2005 Infrastructure Themes still valid today
  (in fact theres evidence best/worst gap is
  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

7

• Infrastructure Challenges...

• Expensive - according to analysts, 70 of typical
  IT spend goes on IT Infrastructure! (run the
  organisation) (70 of 2.2bn 1.54bn)
• NHS IMT Managers should not just rely on gut
  feel when setting investment priorities
• Inconsistent terminology makes it difficult to
  benchmark (TCO)
• Organisational changes in the NHS means that many
  IT infrastructures are in silos and not optimally
  managed
• Some suppliers dont create infrastructure
  solutions that NHS Trusts request, actually need
  or are ready for
• Many NHS Trusts need help to build coordinated
  infrastructure improvement plans
• Some key tasks often get overlooked because their
  impact on infrastructure is not obvious

8
Infrastructure Challenges

• Expensive - according to analysts, 70 of typical
  IT spend goes on IT Infrastructure! (run the
  organisation)
• NHS IMT Managers should not just rely on gut
  feel when setting investment priorities
• Inconsistent terminology makes it difficult to
  benchmark
• Organisational changes in the NHS means that many
  IT infrastructures are in silos and badly managed
• Some suppliers dont create infrastructure
  solutions that NHS Trusts request, actually need
  or are ready for
• Many NHS Trusts need help to build coordinated
  infrastructure improvement plans
• Some key tasks often get overlooked because their
  impact on infrastructure is not obvious

9

• 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)

10
Common Themes Integrated Projects
Responsiveness
Re-use
Innovation
Agility
Competency
Manage Risk
ROI/Business Value
Efficiency
Consistency
Standards
11
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

12
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

13
NIMM Example - SAM Maturity KPIs (Level 4)
14
NIMM Example - Gap Analysis for SAM
15
Management Scope of the NIMM
Business of Delivering Infrastructure Services
Value Management
Business Objective
Procurement
Governance
Process Automation
Business Alignment
People Skills
Business Alignment
16
Technology Scope of the NIMM
Patterns Practices
IT Security Information Governance
17
NIMM Summary
18
Gartner Model Mapping to NIMM
1
3
2
4
5
19
Microsoft IO Model Mapping to NIMM
3
4
5
1
2
20

• 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 dont default to
  Enterprise products that arent especially if
  your organisation isnt ready to exploit them

21
The Microsoft NHS Enterprise Agreement (the EA)
22

• 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

23

• EA offers...

• Office 2007 Professional Plus Edition
• Access
• PowerPoint
• Word
• Excel
• Outlook
• Publisher
• Communicator
• Integrated Enterprise Content Management
• Integrated Electronic Forms
• Information Rights Policy
• Enterprise 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 CAL
• Enterprise CAL also includes
• Office Communications Server Standard CAL
• Office Communications Server Enterprise CAL
• Windows Rights Management CAL
• Office SharePoint Enterprise CAL

24

• 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

25

• 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

26

• New LAR deal

27

• 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

28
The Common User Interface Programme (the CUI)
29
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 (IMT)
  Tools
• Knowledge Worker Tools (KWT)
• (New)
• NHSmail Technology Refresh (TR)

30
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

31
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

32
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

33
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

34
IMT 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 DI guidance and when remaining
  pilots Live, at least 75,000 PCs benefiting from
  the NHS CUI DI guidance
• 9 of the 10 Infrastructure Optimisation assessed
  trusts moved from Basic to Standardised maturity
  level following Systems Management Server pilots