Connectivity between the Health and National Education & Research Network in the UK TERENA, Bruges...
-
Upload
katherine-pearson -
Category
Documents
-
view
216 -
download
1
Transcript of Connectivity between the Health and National Education & Research Network in the UK TERENA, Bruges...
Connectivity between the Health and National Education &
Research Network in the UK TERENA, Bruges
May 2008
Malcolm Teague, JANET(UK)NHS-HE Co-ordinator
NHS-HE Connectivity Project
Objective: ”To achieve good inter-operability between
NHS and Higher Education (HE) networks that enable secure anytime, anywhere access by medical, nursing and allied profession students, clinical teachers and researchers”
www.nhs-he.org.uk
To move away from “2 PC syndrome”
Overview
• Context: Health NREN Network infrastructure models
• Experience to date with the early adopter N3 JANET Gateway, and plans for the future
Network Infrastructure:Some National Models
1. “Health” and Education & Research use the same network, security in applications eg Denmark http://www.terena.org/events/tnc2006/programme/presentations/show.php?pres_id=305
Use of Connection Agreement System….
Unitary Authorities Tier 2: own MPLS layer
NHS Tier 3: own MPLS layer
Possibly Welsh Assembly in future
Education & Research (JANET) Tier 1: IP Layer
2. “Health” and Education & Research use the same network, but in different network tiers eg Wales public services broadband aggregation network (being implemented)
Interconnectivity still needs to be achieved
National Models contd.
3. “Health” and Education & Research use different networks, security partly in network, but mostly in applications eg England, Scotland, Sweden, many others (especially if include Regional health networks)
4. As above, but with Education & Research networks extended to key “Health” sites eg Italy, Brazil
National Models contd.
5. “Health” uses a mixture of public and commercial providers with no national grouping, NREN for Education & Research eg Belgium, USA, Canada
Scotland
EnglandWales
Northern Ireland
Countries of the UK
Health (and social care) policy is the responsibility of the devolved administrations in Scotland, Wales and Northern Ireland
Health Network in England & Scotland (N3)
N3 Goals (the New NHS National broadband network)
Broadband network linking 20,000 sites in England, up to 3,000 in Scotland and 10,000 non-NHS Enabling key NHS applicationsOne of the largest VPN networks in EuropeExpected savings c£900m over seven yearsServing one of the World’s largest employers – 1.3m
N3 Service Provider
BT fulfilling a network aggregator role 4 years into 7year contract58 PoPs and 12,780miles of Fibre to date400 People employed within BT
Slide adapted from John Hemsley, BT
Wales
Scotland
England
Northern Ireland
N3 – Enabling the NHS National Programme for IT
Electronic Transmission of Prescriptions
Picture Archiving & Comms Systems
.
NHS Mail
NHS Care Records Service
Choose & Book
Slide adapted from John Hemsley, BT
(England)
N3 JANET Gateway
Experience so far in an health and education & research interconnectivity project in England and Scotland
N3 Scotland
JANETGateway
N3England
Scotland
England
Wales
N Ireland
NHS Wales
Health & Social Services in NI HSCnet
N3, NHS network in England and Scotland
Internet
N3, “by invitation only” but considered “hostile”
N3 JANET Gateway Objectives
to build a gateway for “early adopter” useselected projects as pathfinders
to analyse traffic crossing the gatewayamounts, and types of use
to demonstrate practical collaborationsestablish that investment was worthwhile
to prepare a case for a permanent gatewaysized and operated appropriately
Physical gateway
connect JANET backbone & N3 core
IPSFirewall
single 100 Mbps interconnection in London (Kingston Exchange & Telecity)
Today
• Gateway infrastructure in place early November 2007 (clock ticking on 1 year contract)
• Traffic is passing for 4 early adopter communities – some diverted from N3 Internet Gateway and some “new”
• Sessions initiated in N3, “Any N3” through “Any port” but to early adopter IP addresses only
• Tandberg Expressway in place and about to be commissioned (for H.323 videoconferencing as part of Janet Videoconferencing Service, JVCS)
Early adopters
• CETL4HealthNE: University of Newcastle with University and NHS partners in NE of England
• University of Bristol & University of West of England & Clinical Academies at NHS Trusts
• University of Birmingham – primary care research• Wellcome Trust Sanger Institute – chromosome anomaly
database
And soon…• JANET Videoconferencing Service (JVCS)• University of Edinburgh • Interested in others
Information Governance (England)
• NHS “Statement of Compliance” (SoC) emerged: organisation’s self-assessment against a set of standards, with potential for audit.
• SoC for JANET(UK) as the aggregator• SoC for each University as an early adopter?
Agreed not for the initial set up………as long as no patient identifiable data (PID) involved……then agreed that not needed for any sessions initiated in N3.
Now: Sessions initiated in N3
Sessions initiated in:
N3 JANET
No PID
PID
Now
Eg access to VLEs
Eg collecting research data
Investigating:
Eg NHS intranets
Access to NHS clinical systems
PID = Patient Identifiable Data
N3 JANET
Gateway
NHS, N3 Education & Research, JANET
User
Sessions initiatedin N3
Eg Secure web access research database
Responsibility is with the organisations involved and research ethic committee approval
Next 1: Sessions initiated in JANET; no PID
Sessions initiated in:
N3 JANET
No PID
PID
Now
Eg collecting research data
Eg NHS intranets
Access to NHS clinical systems
N3 JANET
Gateway
NHS, N3 Education & Research, JANET
User
Next 1: Sessions initiated in JANET; no PID
NHS Trust intranet, or licensed knowledge resources
Proxy Server
Is there a need for this or is IP address authentication likely to disappear?
Next 2: Sessions initiated in JANET: PID involved
Sessions initiated in:
N3 JANET
No PID
PID
Now
Eg collecting research data
Eg NHS intranets
Access to NHS clinical systems
NHS staff needing access from JANET for NHS work
University Research staff needing access to PID for research (with ethical approval)
Next 2: Sessions initiated in JANET; PID involved
• Not so much the connectivity…• The authorisation and authentication is the
key• NHS in England have role based access
linked to smartcards• And VPN with secure token via internet• Investigating how these can be used from
JANET+ NHS now have a research capability programme to look at improved mechanisms for accessing clinical data for research
Summary for Gateway• Evaluation now, creating the business case for
after the year +. The main drivers include:– health research competitiveness
– Increased numbers and healthcare involvement in health teaching, across whole NHS, integral e-learning
– Creation of Academic Health Science Centres eg Imperial
• More early adopters and use cases• Action learning for all parties. Helping to generate
policy and tools. Building trust
and support from the NHS
Conclusion
• Could we do a “Denmark”? Not in the medium term – but might share more
• Can we use the same Gateway approach for other public service networks? Depends on their security model, not for current UK government secure intranet
• Isn’t the internet sufficient? Not at the moment