Nick Umney Lead Technology Specialist (Health & Education) Microsoft Ltd

1. Infrastructure Optimisation in the NHS Nick Umney Lead Technology Specialist (Health & Education) Microsoft Ltd

2. Agenda • Pressure on IT • Infrastructure Optimisation • What is it • IO, NIMM • Why is it important to you and your customers • Process • Examples • Business Intelligence • Business Desktop Deployment

3. Pressure on IT TechnologyChange RegulatoryCompliance Government (TCO) Security CostReduction Keep BusinessUp & Running Patient Connection Clinician Productivity Business Results& New Value Annual NHS Spend on Infrastructure & Operations (excluding NPfIT) is £1.54bn

4. Infrastructure Optimisation • Based on Gartner IT maturity model • 4 Levels : • Basic • Standardised • Rationalised • Dynamic • Across 3 areas: • Core Infrastructure • Business Productivity • Application Platform • Measures IT maturity (not MS Products)

5. Infrastructure Optimisation Managed and consolidated IT Infrastructure with maximum automation Fully automated management, dynamic resource Usage , business linked SLA’s Managed IT Infrastructure with limited automation Uncoordinated, manual infrastructure More Efficient Cost Center Business Enabler Strategic Asset Cost Center * Based on the Gartner IT Maturity Model

6. Capabilities?

7. Infrastructure OptimisationThe journey to enhance IT’s impact to the business Application Platform Business Productivity Infrastructure

8. Plan/ Optimise Change Plan/ Optimise Plan /Optimise Change Change Operate Support Operate Support Operate Support Plan/ Optimise Change Operate Support What are the customer benefits? Annual IT labour Cost £290 per PC* Annual IT labour Cost £115 per PC* Annual IT labour Cost £660 per PC* • Improve IT efficiency • Increase agility • Shift investment mix * Source: IDC, 2006 Exchange rate calculated at £1 = $2

9. IO Improves IT EfficiencyAccomplish More with the Same Resources Basic Standardized Rationalized 700 PCs managed per IT FTE 600 500 400 60% 300 20% 200 20% 100 0 Average PC’s per/IT FTE 76 £660 172 £290 442 £115 IT Labour/PC Source: IDC data analyzed by Microsoft 2006 Organisation

10. What is the IO Process? 1. Complete the questionnaire Microsoft or Partner to analyse results and plot results on the model 4. Identify potential next steps against the Business and IT priorities 3. Custom Report & Guidance

11. What is the NIMM?

12. IO and NIMM 3 4 5 1 2 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 NIMM to IO Map

13. 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) What is the NIMM?

14. Content management, enterprise search, portal Messaging Office SharePoint Server Standard CAL Exchange Server Standard CAL System Server Config Manager CML Windows Server CAL System monitoring and management Identity, security, networking, workloads Instant messaging and presence Office Communications Server Std CAL Web, video, audio conferencing Information protection and policy enforcement Office Communications Server Ent CAL Office SharePoint Server Enterprise CAL Exchange Server Enterprise CAL eForms, spreadsheet publishing, data connectivity Unified messaging and email compliance System Center Ops Manager Client OML ForeFront Security Suite Client & server security Desktop monitoring Windows Rights Management Services CAL Enterprise Agreement Access to Enterprise CAL is through Maturity Model Profiling IO or NIMM Contract also extends Office to Groove and One Note.

15. Business Intelligence: BPIO Business Intelligence Communications & Collaboration Enterprise Content Management

16. Business Intelligence: APIO User Experience Data Management SOA and Business Process Development Business Intelligence

17. Business Intelligence Example MOSS End-user Tools Healthcare Systems SQL Server Excel Performance Point Server Analytic Views Scorecards Plans Reports Dashboards Excel Services SQL Server Reporting Services SQL Server Analysis Services SQL Server DBMS SQL Server Integration Services Standard CAL / IO Standardised Enterprise CAL / IO Rationalised Additional CAL / IO Dynamic

18. Core Infrastructure: Components Identity & Access Management Desktop, Server & Device Management Security & Networking Data Protection & Recovery IT Process & Policy

19. Desktop, Device and Server Management Primary Desktop OS/Office Suite is patchable and supported Consistent plan to manage OS Policy for DT Mgmt Automated SW distribution (push/pull) Automated asset mgmt & tracking Layered image strategy Application compatibility testing solution SLA Monitoring of mission critical servers Model Enabled Service level monitoring of desktops, applications & servers Model Enabled Desired Configuration Management Capacity Analysis Solution Virtual Workload Mgmt/Provisioning Application Push to Mobile Devices Access to LOB on Mobile Devices Asset Management device measurement for Mobile Standardised Basic Rationalised Dynamic Automated patching NOT present Standard images NOT present Inconsistent Plan to manage multiple OS Monitoring NOT present Mobile Device Provisioning NOT present Automated patch management Defined images Desktop image strategy Consistent plan to manage OS Monitoring present Mobile Device provisioning Security Policy provisioning (PIN) for Mobile Devices Remote wipe & policy enforcement for Mobile Devices

20. What is BDD? The Solution Accelerator for Business Desktop Deployment A free set of tools and guidance covering the deployment of Windows OS and Applications

21. The BDD “Wheel”

22. NHS Tools and Guidance NHS Specific Version of BDD • Guidance Documents Including: • NHS Desktop Automated Build • Automated Build Application Integration • NHS Desktop Deployment • Customised Build Utility • Pre-populated with O/S and Office • NHS Apps

23. Partner IO Resources www.microsoftio.com IO Partner Readiness

24. © 2008 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

25. Gartner Maturity Model

27. Microsoft Operations Framework (MOF) • MOF provides operational guidance that enables organisations to achieve mission-critical system reliability, availability, supportability, and manageability of Microsoft products and technologies. • MOF Guidance • Assess your current IT service management maturity, • Prioritise your processes of greatest concern • Apply proven principles and best practices

28. Microsoft Solutions Framework (MSF) • MSF is a deliberate and disciplined approach to developing technology projects. • Based on a defined set of principles, models, disciplines, concepts, guidelines, and proven practices from Microsoft. • Process Tools • Process Guidance

29. Business agility Service-level delivery Flexibility, reduce costs Economies of scale Reduce complexity React Objective Months to weeks Weeks to days Weeks to minutes Minutes to seconds Ability to Change Weeks Minutes Variable business costs Fixed shared costs Reduced, fixed costs Variable usage costs Pricing Scheme None, ad hoc Fixed costs Class-of-service SLAs Class-of-service SLAs End-to-end SLAs Business SLAs Business Interface No SLAs Flexible SLAs Policy-based sharing Service-based pools Resource Utilization Unknown Known Rationalized Shared pools Pooled ownership Service-oriented Business-oriented None Central control Consolidated Organization Chaotic – Reactive Ad hoc Reactive -Proactive Life cycle management Proactive Mature problem mgmt Proactive Prediction, dynamic capacity Service End-to-end service management Value Policy management IT Management Processes 1 2 3 4 5 Gartner and NIMM Policy/Value-Based Service-Based Virtualized Dynamic optimization to meet SLAs Services managed holistically Rationalized Infrastructure resources pooled Standardized Consolidate to fewer Basic Standard resources, configurations Uncoordinated infrastructure