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Driving Value – the NIMM, the EA,
the CUI, CASE & the TR
Dr Mark Ferrar, NHS Connecting for Health
26-FEB-2008
1
And in the next
40 mins...
• NHS Infrastructure Maturity Model (the NIMM)
• Microsoft Enterprise Agreement (the EA)
• Common User Interface Programme (the CUI)
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 (in fact
there’s 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
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 IM&T 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 don’t 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
Infrastructure Challenges
• Expensive - according to analysts, 70% of typical IT spend goes on
IT Infrastructure! (run the organisation)
• NHS IM&T 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 don’t 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
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
Re-use
Responsiveness
CASE
Agility
Innovation
CUI
Manage Risk
Competency
NIMM
ROI/Business
Value
Efficiency
Consistency
Standards
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
NIMM Example - SAM Maturity KPIs (Level 4)
KPI Description Metric
Availability of electronic Asset Management system used
records on software Records for >80% of software purchases
purchased or no longer used
Policy for software purchase Policy exists and enforceable for >80% of
exists and enforceable purchases
Accountability for maintaining Formal central IT accountability exists,
records performance of this role measured every six
months
On-going - Technology and Coverage Accuracy
process in place to track Greater than 80% Greater than 80%
software installed of PC estate
Ad-hoc - Technology and Greater than 80% Greater than 80%
process to perform audit of of PC estate
software licensing position
NIMM Example - Gap Analysis for SAM
Capability Description Target Maturity Current Maturity Needs Gap
Availability of electronic Records for >80% of Records for approximately 50% Need to deploy an asset management
records on software software purchases of purchases exist. Absence of an system.
purchased or no longer asset management system
Need to improve record keeping by
used makes it difficult to track this
30%
capability.
Policy for software purchase Policy exists and A policy exists but is not regularly Need to create communications
exists and enforceable enforceable for >80% of communicated. channels for IT policies.
purchases
Need to incorporate IT policies in HR,
and training processes.
Accountability for Formal central IT Accountability for this is informal Accountability is informal and
maintaining records accountability exists, and shared between purchasing responsibility is unclear.
performance of this role and the service desk
measured every six
months
Technology in place to track >80% Accuracy Unknown Accuracy Need technology with processes that
software installed can measure accuracy in tracking
deployed licenses
Technology in place to track >80% of PC estate <50% of PC estate covered Need to increase coverage by 30%
software installed covered
Technology to perform ad- >80% Accuracy Unknown Accuracy Need technology with processes that
hoc audit of software can measure accuracy in auditing
licensing position deployed licenses
Technology to perform ad- >80% of PC estate <50% of PC estate covered Need to increase coverage by 30%
hoc audit of software covered
licensing position
Management “Scope” of the NIMM
Technology “Scope” of the NIMM
NIMM Summary
Gartner Model Mapping to NIMM
Service- Policy/Value-
Based Based
Virtualized Dynamic
Rationalized Services optimization to
Standardized Infrastructure managed meet SLAs
Consolidate to resources holistically
Basic Standard fewer pooled
Uncoordinated resources,
infrastructure configurations Service- Business
Economies Flexibility, level agility
Reduce reduce costs
Objective of scale delivery
React complexity
Ability to Months to Weeks to Weeks to Minutes to
Weeks Minutes
Change weeks days minutes seconds
Variable
Pricing Reduced, Fixed shared Variable
Scheme
None, ad hoc Fixed costs business
fixed costs costs usage costs
costs
Business Class-of- Class-of- End-to-end Business
No SLAs Flexible SLAs
Interface service SLAs service SLAs SLAs SLAs
Resource Service- Policy-based
Unknown Known Rationalized Shared pools
Utilization based pools sharing
Pooled Service- Business-
Organization None Central control Consolidated
ownership oriented oriented
IT
Chaotic – Reactive - Proactive Proactive Service Value
Management Reactive Proactive Mature Prediction, End-to-end Policy
Processes Ad hoc Life cycle problem mgmt dynamic service management
management capacity management
Microsoft IO Model Mapping to NIMM
Basic Standardized Rationalized Dynamic
Identity & Access Management
Directory services, User provisioning, Directory-based authentication
Desktop, Server, and Device Management
Software distribution, Patch management, Mobility, Imaging, Virtualization
Security and Networking
Policy, Anti-malware, Firewall, Access control, Network protection, Quarantine
Data Protection and Recovery
Backup, Restore, Storage management
IT and Security Process
Best practice guidance on cost-effective solution design, development, operation, and support
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...
Windows Vista Business Edition Office 2007 Professional Plus Edition
• Upgraded to Windows Vista Enterprise Edition • Access
• Four Virtual Operating Systems • PowerPoint
• Windows Bit Locker Drive Encryption • Word
• Multi Lingual User Interface
• Excel
• Outlook
Desktop Optimisation Pack
• Publisher
• Softgrid
• Communicator
Core CAL • Integrated Enterprise Content
• Windows Server CAL Management
• Office Exchange Server Standard CAL • Integrated Electronic Forms
• Office SharePoint Server Standard CAL • Information Rights & Policy
• Systems Management Server CAL Enterprise Edition also includes
Enterprise CAL also includes • OneNote
• Office Communications Server Standard CAL • Groove
• Office Communications Server Enterprise CAL
• Windows Rights Management CAL SQL 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 Number of
LAR Allocation
Areas Desktops
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
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