ScALAbLE hEALThcARE
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ScALAbLE
hEALThcARE
2 Scalable
Healthcare
Scalable
Healthcare 3
Taking care
of healThcare
The healthcare industry is facing an unprecedented period of
change. The challenge of delivering high-quality care while adhering
to strict budgets has never been more demanding. Furthermore,
managing technology has become ever more complex.
Facing the possible disbandment of primary
care trusts and strategic health authorities as
At Scalable, we recognise that healthcare
professionals need the ideal environment to
Our team’s day-to-
day experience neTworking mobiliTy securiTy
centralised procurement vehicles, hospitals
need to plan for a future as both foundation
provide exemplary care for their patients.
This means the best communication service
of helping
healthcare
DemanDs Healthcare professionals Trusts have obligations to
trusts and social enterprises. They also face and infrastructure, secure and safe access to organisations Migration towards require access to electronic the Data Protection Act
increased private sector competition for information and the ability to work effectively gives them a a single, centrally information from wherever for all patient data. As the
clinical services under the government’s ‘any wherever they may be. It’s an ethos that has unique insight
willing provider’ policy. With the annual NHS made Scalable the IT and telecoms partner of into the best managed, secure and they are. Wireless networks Information Commissioner’s
budget rising just 0.1% above inflation over choice for such high-profile organisations as ways to work more auditable electronic care are commonplace, but the Office is now imposing
the next four years, hospitals need to look at the London Ambulance Service, Simplyhealth effectively.
innovative shared and community services to and Alder Hey Hospital. record for patients and GPs, advent of devices such as penalties for data loss and
survive in what has been described as a ‘new This brochure has been email compliance, Freedom the iPad and BlackBerry breaches, CIOs need to
world’ for the health service. Understanding is essential in making an designed to focus on the six key areas of IT
informed diagnosis. Which is why Scalable and telecommunications that we believe can of Information requests, PACS PlayBook means that there make sure all logical security
With the move to a more locally-led IT employs a dedicated, highly experienced help you deliver the care and service your and other similar applications are multiple points of access steps are implemented.
procurement strategy, CIOs face significant healthcare team. Their wealth of knowledge patients and staff demand – while ensuring
challenges. In order to be competitive, they and sensitivity to industry-specific concerns that budgetary requirements are met at all have considerable impact which do not necessarily
need to provide leading-edge infrastructures make them invaluable to our clients. From all times. on networks and electronic share agreed security. buDgeTary
for clinical services, as well as improve
productivity, increase efficiency and reduce
first meeting through to implementation
and on to creating strategies for long-term data storage. Consequently, conTrol
bureaucracy. Which is where Scalable can developments, they provide balanced, networks need to be improveD Keeping within budget has
really help. independent and considered advice.
optimised to access them. communicaTions always been important
Whether via central services – however, in the current
flexible working such as NHS Direct, a climate, all CIOs face
NHS flexible working hospital’s main numbers, or increasing pressure to reduce
schemes help retain staff, bleep and paging systems, operational costs.
boost productivity and can the ability to route calls
lower costs. The ability to quickly and effectively to the
work remotely – at home or in right destinations is essential.
clinics via high-speed, secure Furthermore, as the nature of
connections – is therefore communications is changing,
essential to help deliver care, hospital staff need to be
savings and efficiencies. accessible via voice, video
and data communications.
4 Scalable
Healthcare
Scalable
Healthcare 5
neTworking
DemanDs
At Scalable, we believe that hospital IT infrastructures need availability The interfaces to the clinical applications end security tools. Furthermore, we provide cost efficiency
Scalable offers network design optimised to – whether they are based on the local area full audit mechanisms to ensure that every At Scalable, we understand that organisa-
to be intelligent and capable of delivering all clinical services deliver 99.999% uptime, with mechanisms network, a storage network or the web – organisation understands who, where and tions need to be sure that any investment
via a one-wire or one-radio signal model. We are experts delivering sub-millionth of a second failover must also be optimised to ensure they have what is accessing their network at all times. will not put a strain on subsequent years’
and low latency throughput. Combined, priority over other non-critical traffic. budgets. Which is why we focus on ways
in the design of both wired and wireless networks that can these ensure clinical staff have uninterrupted simplified management to help costs remain controllable.
boost availability, increase performance and security, while application access and a platform to support security For healthcare networks, supporting
Voice over IP (VoIP) and video-based With a mobile workforce accessing the automation and orchestration is vital. Using such solutions as network designs
also driving efficiencies. communication and collaboration. network from a wide range of locations and Making sure the correct service is provided that embrace virtual chassis technology
devices, the scope for security breaches to the right user profile without an to reduce power draw, intelligent power
performance is significant. The healthcare sector also administrator’s involvement is key to both solutions that lower power use over
The modern healthcare network must be needs to address compliance issues for flexible access and cost reduction. Our Ethernet, cost-effective lifetime warranty
capable of provisioning core services – connectivity to N3 and the Public Services healthcare solutions include intelligent tools schemes and deployment of consistent
whether clinical or administrative – to any Network, and be mindful of global security such as 802.1x, host and integrity checking, operating systems, Scalable can ensure
network point within the healthcare campus, parameters such as FIPS (if collaboration directory-based network access control budgets are adhered to.
or via a remote connection. Scalable ensures is to take place overseas). Our network and XML scripting. These are deployed
that this is seamless, easy to provision and solutions utilise leading manufacturers’ alongside industry-leading management
cost effective to scale. products to provide fully compliant end-to- and monitoring tools.
6 Scalable
Healthcare
Scalable
Healthcare 7
flexible anD
mobile working
flexible working patients alike. Similarly, it is possible to files, scans and other staff morale and motivation can be home, or wherever they may be. It is also high-quality video streams, they reduce
It is a legal requirement for NHS track almost anyone or anything within the crucial documents can helped by offering flexible working an effective tool should clinicians and other the need for unnecessary travel and simplify
organisations to offer staff flexible working confines of the network – meaning that be shared with others, hours and the ability to work from key workers be unable to work at their the exchange of important information.
options. As part of these schemes, users time-critical equipment, patient samples while notes can be easily home. Not only that, but you usual location.
may need access to IT and voice systems and key personnel can be found quickly disseminated in a matter of can help ensure continuity Scalable can advise on the perfect
from remote locations, such as their own and accurately. seconds. of care and increase Teleworking conferencing solution for your needs.
homes, clinics, or patients’ residences. efficiencies. For more permanent home workers or Some of our more advanced solutions
Providing access to these services for It’s also an ideal way to avoid duplicate As these advances move from the consultants regularly based at other allow up to 200 people to communicate at
occasional use, while retaining compliance orders and ensure stocks are managed innovative to the ubiquitous, it’s Perhaps the easiest sites, a teleworking solution is ideal. It’s a any one time. Many combine the benefits
and security standards, can be a challenge effectively. Four hospitals in Belfast saved vital that your organisation receives way to implement such simple plug-and-play solution, providing of a feature-rich audio conferencing
for organisations. £1.1 million in one year in this way. the right solution. Making sure that schemes is through full access to voicemail, conferencing and solution with easy-to-use, intuitive web-
all devices can work alongside each remote access. At a other features of the office phone system. conferencing facilities. These enable users
Scalable provides robust end-to-end mobile solutions other, that your users have the right basic level, this is a way to enhance a conference call or meeting
solutions for secure remote access. This Mobile telephony is part of the very device for their needs and that they can of connecting a user to Using an IP telephone – or softphone through the use of shared documents,
includes two-factor authentication overlays, fabric of daily life, but it can do more be used without service interruption is the site server, allowing installed on a laptop – users are able presentations, chat and video.
N3 smartcard integrations and Public than simply keep your staff in constant key. Just as every patient is different, so them to use their to work from anywhere with an Internet
Services Network multi-layer encryption. contact. Research suggests that mobile every organisation has its own unique desktop, documents connection. This gives these workers the The advantages of having your own
These solutions extend to web-based email provides a 30% boost in efficiency – requirements – which is why Scalable will and email in the same access they need to operate at the same conference solution over traditional
applications, laptop or fixed PC users, improving productivity by an hour a day. match your fixed or wired network to the way they do in the level of efficiency as if they were on the outsourced conferencing services include
smartphone users and fixed-phone home For the healthcare industry its benefits mobile solution you need to deliver the office. This is managed hospital campus. It can also help reduce improved control and management, ease
workers. We securely provide the clinical are even more far-reaching. care your patients require. over a highly resilient costs by routing all their calls through the of use and virtually cost-free running
work tools for consistent or occasional use. network, ensuring that telephone system and the Internet, so they and maintenance.
Access to patient records and schedules remote access sensitive data is secure at are not subject to variable charges.
wireless networking at the touch of a button reduces Non-patient-facing and back-office all times.
Mobile working not only improves efficiency administration time, as well as providing staff provide crucial support for conferencing solutions
and productivity, it also revolutionises a more patient-focused approach. Instant their colleagues – and improving This access method can Video and audio conferencing are viable
the way a healthcare facility is managed. messaging can improve response times and their working experience also be used for medical staff, and increasingly important tools in the
Wireless networking provides significant communication between specialists and can pay dividends for any giving them the option to catch healthcare industry. From simple pin-code
time savings, benefiting nurses, staff and other colleagues. Using tablet computing, organisation. Maintaining up on essential paperwork from access solutions to a virtual conference or
8 Scalable
Healthcare
Scalable
Healthcare 9
inTelligenT
communicaTions
ip telephony phone- and web-based appointment access, resources – which can lead to a marked SIP trunking provides business-class voice unified communications The flexibility of unified communications
With effective communication – both automated reminders, and pre-registration downturn in DNA rates. services, allowing full PSTN and inter-site Fully unified communications is an ever- also helps in moving from traditional paper
internally and externally – an absolute over the Internet can reduce patient connectivity to terminate voice calls, ensuring more important way of keeping everyone charts to electronic medical records (EMRs)
necessity for all healthcare organisations, waiting time and decrease administrative Scalable can advise on the best way to the best possible voice quality and resilience. from clinicians to clerical staff in touch. accessed on mobile devices. This allows
how your telephones are provisioned is of staff’s workload. The net result of which automate your answering service, whether Scalable offers a complete end-to-end Communications – voice, email, mobility, clinical staff to find patient information
vital importance. Traditional, or ‘legacy’, is substantial cost savings and improved by using interactive voice response (IVR) solution, comprising SIP voice channels, DDI conferencing, applications and more – can quickly and easily, without breaking stride.
telephone systems are fast becoming unfit efficiency in the delivery of health services. technology or simple call menus. Adapting numbers and associated calling features, be integrated and synchronised, so that Aside from flexibility and cost savings, unified
for purpose: expensive to run, difficult to the solutions used by the vast majority of as well as IP connectivity, Session Border everyone in the organisation can be kept communications also offers real scalability.
upgrade, and complex to maintain. For this Unified voice, video and data communi- contact centres around the word for the Controller and the required IP-PBX. These as fully informed as possible. The range of platforms and applications can
reason, the move to IP telephony is now a cations can also assist with the evaluation healthcare sector provides a more focused, are supported by availability and voice be combined, implemented and deployed
matter of urgency for everyone – especially and treatment of patients through remote more personal and more accurate service quality-of-service guarantees – all through Single-number access for multiple devices – to suit your immediate needs and budget –
to ensure critical 999 and non-critical enquiry diagnostics and shared video images, for every caller. one point of contact. desktop phone, mobile, laptop, etc – allows these can then be expanded or contracted
calls are dealt with effectively. coupled with secure access to electronic colleagues to be easily contactable wherever as needs dictate.
medical records whilst on the move. Alongside other automation services, SIP is a great disaster recovery option at they may be, enabling the kind of immediate
IP telephony offers a huge array of user these solutions can make a real difference a fraction of the cost of equivalent ISDN response necessary in critical situations. In addition, most elements of unified
benefits, and much wider advantages Furthermore, the integration of SMS to the day-to-day running of a healthcare services (e.g. DDI Dual Parenting). Calls can All kinds of hardware can be synchronised, communications can be integrated into
besides. On a very basic level, these include notifications with the telephony and organisation. Already applied in many acute be load-balanced across multiple locations meaning that your staff are all constantly your IT infrastructure with little expense and
a better quality of service, easier-to-use booking systems can reduce the amount and primary care trusts, GP consortia, to maximise the uptime on your telephony. updated and capable of answering in without costly, time-consuming training –
interfaces and increased menu options. of do-not-attend (DNA) appointments. DNA foundation trusts and private clinics, Furthermore, SIP provides ISDN line whatever manner suits best. ideal for healthcare professionals who cannot
But it is the advanced applications where appointments were estimated by the NHS automated voice services are proven to lower rationalisation options and can reduce the afford downtime on the job. The management
healthcare professionals can really see the Information Centre in 2010 to be costing costs, improve service and bolster efficiency. number of PBXs needed, while retaining full With unified communication, voice and end-user interfaces are highly intuitive
difference. the service around £600m a year. control of the associated numbers. messages can be converted to text (or vice and quickly mastered. Moreover, return on
sip trunking versa); immediate presence information investment potential is excellent, as is the
Applications like unified communications, automation and speech services A further development from IP telephony, Utilising Scalable’s SIP solution provides on colleagues is visible; calls from specific total cost of ownership.
presence and availability, and hot-desking Using automated speech services can SIP trunking is widely considered to be a highly resilient IP-based alternative to numbers can be blocked or allowed, ensuring
provide significant improvements in user radically improve patient experience and the future of fixed-line telephony. For the ISDN 30, through one supplier. Some of our vital calls can be made or taken no matter
productivity. They facilitate collaboration, support, as well as reduce administration specific needs of the healthcare industry, clients have already experienced over a 50% what the situation.
access to centralised expertise and give time. In most cases, the simple reduction in SIP offers a raft of benefits, such as line saving in their opex spend, and considerably
hospitals the ability to manage a dispersed call volumes going through a switchboard rationalisation, ease of use and increased reduced time spent on administration.
community GP support model. Tools for shows a significant saving in time and disaster recovery options.
10 Scalable
Healthcare
Scalable
Healthcare 11
securiTy
The way people access information has changed
considerably in the last decade – as have the risks. Security
needs to not only guard against hackers attempting to break
computer password codes or initiate DDOS attacks, but also
defend the network from worms and viruses from outside
and from within the corporate network.
With the increasing diversity of data access devices,
organisations are under ever more pressure to provide
secure entry to the network, while optimising productivity.
This means that variable levels of security are needed, from
guest usage to clinicians who need 24/7 access to sensitive
web applications. This can be set at administrator level and
gives every organisation the control it needs.
Our solutions can help your company prevent security
incidents from happening in the first place and cost-
effectively protect your organisation and its assets. Working
with our preferred security partners, we provide end-to-end
security in all the solutions we design, embracing a multi-
layered approach and understanding that the biggest threats
actually come from within your four walls.
intrusion detection prevention
Implementing packet inspection on the external and internal
network interfaces helps network managers to identify
behavioural anomalies and spot early any trends which
indicate a security breach. Given the highly sensitive nature
of patient records – and the governmental regulations that go
with data storage and access – this is a useful first defence
against a compromise of your security.
network access control
Based on machine – laptop, PC or mobile phone – or user
profile, our solutions allow personal profiles and virtual
networks to be propagated to the specific wired or wireless
network port the employee is using. We can also check the
integrity of that host machine for virus subscriptions, service
packs and software versions before even granting access to
the network. This guards against internal virus proliferation
as well as giving employees total mobility across the network
with full access to their own prohibited data.
12 Scalable
Healthcare
Scalable
Healthcare 13
Scalable helps NHS organisations simplify
their datacentre network and reduce the total
cost of ownership (typically 30% opex and
25% capex). The result is easier to manage
and administer networks, accelerated
application deployments and increased
efficiencies in space, power, cooling and
storage management.
efficient datacentres
As the industry moves towards datacentre
consolidation, there are key principles in
datacentre design which Scalable works
towards. These include:
• Reduce the numbers of interfaces to allow
more efficient use of staff.
• Increase electrical efficiency – avoid
traditional datacentre losses of 21% to
27% of power by utilising virtual chassis
active equipment, cooling and airflow
innovations and by eliminating centralised
UPS and PDU power functions.
• Design the datacentre with automation
and orchestration in mind. Allow a single
management interface to provision a
user’s secure profile, a virtual server or
application instance based on a security
profile; provision additional SAN or file
storage, or provision an IP phone or
Wireless Access Point with power – all
buDgeTary
at a click of a single button.
• Ensure business critical applications
conTrol
and storage are efficient, available
and optimised. Utilise load balancing,
application-aware firewalling, SSL
offloading, access control and web
acceleration to get the most from a
consolidated datacentre.
Scalable not only helps your alternative portal can help reduce admin time, increase the For more complex billing requirements, The latter is a unique hybrid approach patient services
Scalable believes that considerable clarity of telecoms spend and ultimately we also offer a full Telecoms Expense that allows clients to offset voice and data The competitive landscape of the changing
NHS clients adhere to their improvements can be made in the accuracy reduce costs. Management service. This can be tailored rebate charges against lease payments – health service, coupled with patient
budget through better of telecoms records and the management to the exact needs of the hospital or trust. which shortens the lease period or lowers expectations, means that access to the
of cost information. In our experience, most Through one easy web-interface, users can Scalable has extensive experience in this the lease payments. Internet – wherever the patient is – has
reporting and lower rates trusts could save an average of £200,000 per view their bill, with information available 24 area and has helped several clients, including to become the norm. Add to this the
and tariffs, but also through annum by simply maintaining an accurate hours after calls have been made, run reports NHS Greater Glasgow and Clyde, to take full virtualisation responsibility of the trust to secure this
inventory and managed billing service. based on a wide variety of parameters, and set control of their telecoms. Virtualisation delivers significant cost access to protect users, and investment
intelligent ways of lowering alerts for unauthorised or suspicious usage. savings; but connecting virtual and physical in technology is necessary to stay ahead.
costs. These are just some For this reason, Scalable healthcare clients flexible finance devices while managing these resources
have access to Your Alternative Portal – our Your Alternative Portal also allows users Scalable recognises that capital budgets can be a daunting task. Complexity and Scalable is helping trusts deploy solutions
of the ways that healthcare exclusive online billing and management to raise and log queries or faults, and then are not always readily available. Which is cost increase exponentially as more for patients that add value and improve
organisations can retain application. Designed to help organisations monitor their progress. This key function why we offer fully flexible finance options. devices are added. Applying the principles the patient experience – such as bedside
get the most up-to-date and in-depth makes the administration of faults much These include operating and finance leases, of cloud computing to a network can help systems, telephony billing and guest access
control of their outgoings. telecom spend information possible, it easier and transparent. fully managed services and offset leasing. organisations overcome such obstacles. for WiFi.
14 Scalable
Healthcare
Scalable
Healthcare 15
abouT scalable
service is our culture
We support the full lifecycle of your
network. All our services are managed
through our comprehensive Service
At Scalable Communications we put the intelligence into IP Management Application and Network
Operations Centre. The result is service
networks; secure, converged, high performance IP networks of the highest quality. The proof is our
that are optimised for you now and provide agility for your 96% customer retention rate.
future. A bold claim? Certainly. But one we can make strength in numbers
because we consistently deliver through four key attributes In 2010 we recognised we needed
strong backing to achieve our longer
that, together, make us unique. term ambitions, so we joined the
Alternative Networks Group. Now we
benefit from its financial scale, and from
ip is our ip best-of-breed is our policy its complementary product offerings,
IP is at the heart of IT and we’re IP experts. We work with best-of-breed technology, particularly in voice and mobile solutions.
Scalable Communications was founded not best-of-brand. We don’t want to be
in 1997 as an IP networking and security constrained by one vendor, because Scalable and the Alternative Group are
specialist. IP is our intellectual property. we want to deliver the best solutions. financially stable and strategically well-
We’ve designed, built and run hundreds of By building strong relationships with positioned to give you a competitive
IP networks. We understand the technology a selected partners we get the best edge. We work hard for our clients, and
inside out and can really help you to make commercial and technical support, which you can rely upon us to improve the
the most your technology estate. we can then pass on to you. effectiveness of your communications.
parTnership is key
Scalable partners with world-class manufacturers and suppliers to ensure that our clients only
get the very best in service and support. We are proud to be associated with these companies
and have close strategic links with them all.
w. splc.co.uk
e. info@splc.co.uk
t. 0844 742 2010
Scalable Communications plc LONDON NORTH OFFICE
(registered number 3441929) City Office Network Operations Centre (NOC)
England & Wales at Chatfield Court City Tower Endeavour House, Mercury Park
56 Chatfield Road 40 Basinghall Street Wycombe Lane, Wooburn Green
London, SW11 3UL London EC2V 5DE Buckinghamshire HP10 0HH
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