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1Copyright © 2018 NHS Digital. All rights reserved.
WELCOME TO THE WEBINAR – NHSMAIL SERVICE BRIEFING
• The webinar will begin at 1.30pm.
• Please synchronise your web and phone presence by inputting your
Attendee ID into the phone.
• Participant lines will be muted during the presentation.
• You can use the chat messaging feature on the right of the screen to
ask questions. Please only use this for questions, not general
comments.
• Q&A at the end of each section
• The webinar will be recorded and available on the NHSmail support
pages
NHSmail Enabling collaboration across
health and social care
NHSmail is provided by NHS Digital in partnership with Accenture
Service Briefing
4th October 2018
3Copyright © 2018 NHS Digital. All rights reserved.
OBJECTIVES AND AGENDA
Introduction
Robert Mirsadeghi / NHS Digital
NHSmail as the default secure email service for health and care
Chris Hawes / Accenture
Skype for Business as an enabler of new collaborative working models across health and careNick Hodgson / Accenture
NHSmail Office 365 Hybrid roadmap and future enhancementsChris Hawes / Accenture
NHSmail regional support managers Robert Mirsadeghi / NHS Digital
NHSmail Overview
5Copyright © 2018 NHS Digital. All rights reserved.
Introduction to NHSmail
>1.3MAccounts on the
Platform
Clinically Approved Nationally approved for clinical use
100%Service availability over
last 18 months
>600MAverage number of
emails per month
>7,500Individual organisations
• National secure collaboration service
across England and Scotland
• Centrally-funded secure e-mail,
instant messaging and presence and
local admin tools
• Range of additional services to build
local digital maturity
• Continued service enhancements to
provide wider range of collaboration
services to local organisations
• Available to all organisations involved
in the delivery of health and social
care
6Copyright © 2018 NHS Digital. All rights reserved.
NHSmail in numbersThe most widely used application inside the NHS based on number of users, screen time and N3 bandwidth
ADMINISTRATION (PER MONTH)
25KService Desk Interactions
13KNHS Organisations
2.05MAzure AD Objects – Largest Globally
64KJoiners, Movers and Leavers
700KAutomated Self-Service Requests
16KLocal Administrators
Connected Mobile Devices
622KMOBILE
1.435M
MAILBOXES
Mailboxes on the Platform
USERS
1.279MUsers on the Platform
COMPUTE
21PB
5.5KCPU Cores
Memory
Storage
66TB
MIGRATIONS
120K
New Organisations
Committed – 354K Users
Users Migrated in 1 Day – Fastest Globally
124
SECURITY
1BMalicious Emails Blocked / Month
7Copyright © 2018 NHS Digital. All rights reserved.
NHSmail service offering
APIs
Training & Guidance
NHS Directory
Mobile Device
Management (Basic)
Administration
Self-service Portal
Data Retention
Top-ups
6GB, 10GB, 25GB
Mailbox
Secure Email
Gateway
Insecure Email
Gateway
4GB Mailbox
Dial-in Conferencing
Audio & Video
Calls / Conferencing
Presence
Management
Instant Messaging
Exchange Skype for Business
Ad
ditio
nal S
up
po
rt Se
rvic
es
KEY FEATURES
COMPONENTS
CORE SERVICE TOP-UP SERVICE
Offic
e 3
65
HYBRID
8Copyright © 2018 NHS Digital. All rights reserved.
Key Benefits of NHSmail
Nationally funded core service
Service management and support
provided
Minimises duplication across NHS
organisations
Releases time and funds to invest
elsewhere in local organisations
Centrally-funded
One strategy for national collaboration
Aligns local IT with national digital strategy
Promotes a common message for IT
services
Promotes a focused
national vision
Improved flow of information across the NHS
via enabling a central directory
Collaboration features now connect the NHS
across regions more easily, for example
Skype for Business
National collaboration
Single points of security
React to incidents centrally (reducing
fragmented nature of responses)
Report status of platform vulnerability
within minutes
Security
National standards enforced combined with local administration flexibility
Best practice enforced
National service desk and portal maintaining consistent quality and
experience for all organisations and users
Standardised national operations
Governance and control
Questions & Answers
NHSmail Skype for Business
11Copyright © 2018 NHS Digital. All rights reserved.
Skype for Business Service
Audio & Video Conferencing
Audio and Video Conferencing (A&VC)
features enable users to:
• Control access permissions and settings for
Skype for Business Meetings
• Upload PowerPoint files to share on screen
• Share a Desktop or Window
• Manage a Question and Answer session
• Create and collect responses to Polls
• Collaboratively Whiteboard ideas and tasks
Dial-in Conferencing
The Dial-in Conferencing (A&VC) features
enable users to:
• Issue a Skype for Business Meeting
invite with dial-in telephone numbers and
a meeting ID
• Join Skype for Business Meetings via a
dial-in telephone number
TOP-UP SERVICE TOP-UP SERVICE
Instant Messaging & Presence
The Instant Messaging and Presence (IM&P)
features enable users to:
• Send Instant Messages to any user with
access to NHSmail Skype for Business
• Set and view Presence based on
availability to send/receive Instant
Messages
• Automatically detect Presence based on
Outlook Calendar
• Manage Contacts and Contact Groups
• Set and view Location information
*All NHSmail accounts are enabled for
Instant Messaging and Presence
CORE SERVICE
Core
Top-up
The NHSmail Skype for Business Service offers core and top-up features.
12Copyright © 2018 NHS Digital. All rights reserved.
File transfer and recording
• File transfer is available in peer to
peer or meetings.
• P2P – simply drag and drop into
conversation – both users must be
enabled for file transfer
• Meetings – add as an attachment to
the meeting chat window
• Some file types are restricted for
security reasons.
File transfer Recording meetings How to request these services
• Meetings and P2P calls can be
recorded.
• It is good practice to inform
participants that the call / meeting is
being recorded.
• Recordings include audio, video and
presented content.
• On completion recordings can be
saved to chosen location – check
that you are in-line with local policies
• Services must be requested for
specific users by email request to
• For “how-to” guides, guidance and
FAQs please see guidance at
• Recording Guide
• File Transfer Guide
The file transfer and meeting recording features are now available
13Copyright © 2018 NHS Digital. All rights reserved.
FEDERATIONFederation with external Skype for Business services is available
Federation enables users to
communicate with individuals from
other trusted external organisations
using the Skype for Business service.
This allows users to:
• Send Instant Messages
• View Presence
• Complete peer-to-peer audio/video
calls
What is Federation? Federation Approach Summary How do I request Federation?
• NHSmail has a managed federation
approach whereby specific domains
are whitelisted
• Organisations requesting federation
will need to complete a Federation
Partnership Agreement setting out
the expectations for maintenance
and IG/Clinical Safety, collecting
information on your SfB environment
and points of contact for change
communications
• Organisations requiring federations
are expected to meet the IG Toolkit
Level 2 standards and the Data
Security and Protection Toolkit
• Organisations seeking to federate
with NHSmail SfB should contact
[email protected] to raise a
request
• NHS Digital will review all requests
and approved organisations will be
contacted to sign a Federation
Partnership Agreement
14Copyright © 2018 NHS Digital. All rights reserved.
Use Cases
How can the NHS get the most out of Skype for Business?
REMOTEWORKING
Allow clinicians to stay in
touch, share information,
and make clinical
decisions quicker by
enabling teams to work
from wherever they are
through the free
mobile application
OPTIMISETEACHING
Enable real-time face toface coaching between senior and junior staff to
increase knowledge bases and increase efficacy by reducing
travel costs
INSTANT ACCESSTO EXPERTISE
Enhance clinician productivity and patient safety by using Skype
for Business as a tool to contact healthcare experts in real-time
ENHANCED DISCHARGE
COORDINATION
Improve efficiency of discharge planning and
process with quicker coordination between
nurses, physicians anddischarge coordinators
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Improve speed and access to expert advice
with ability to see presence and send instant
messages
Benefits of Implementation
Save money by reducing the requirement for
teams to travel to meetings, eliminating
unnecessary travel time and costs
More collaborative ways of working will increase
employee productivity and enhance cross-
organisational communications
Improve clinical decision making by enriching
conversations with visibility of patient details,
scans and clinical applications via screen
sharing
Increase the amount of face time teams have
through the introduction of video conferencing
Decrease costs for office space for non-
clinical staff through increased home/remote
working
16Copyright © 2018 NHS Digital. All rights reserved.
NHSmail Skype for Business stories
DR CHRIS MILLSGPRAWDON
DR TIM YATESNEUROLOGY REGROYAL FREE
TIM CATEACT. DIR. OPERATIONSTEES, ESK AND WEAR
“NHSmail Skype for Business was used to
pilot Virtual MDTs between Community
Nurses, GPs, Social Workers and
Geriatricians in Leeds. The new way of
working allows clinicians to join from their
work bases or whilst on the move. This was
particularly important for me as a GP as I
would otherwise not be able to leave clinic
and attend. There’s a great opportunity to
embed this way of working in the future to
enable better co-ordination of care between
services and reduce the costs of travel to
MDTs”
“Instead of handling written requests, we
made a neurologist available via NHSmail
Skype for Business. Acute colleagues could
video call the neurologist during the day. That
meant that they get a really quick turnaround
and they were able not just to talk about the
patient but share the images of the brain and
test results on the screen. You get a complete
picture straight away and get quicker, better
decisions.”
“I love Skype for Business. Our NHS Trust
covers a large geographical area and
meetings can involve people from across our
different locality areas. Skype for Business
has saved me at least 10 hours and over 500
miles of travel in the month of May. I can now
use the travel time I have saved to focus on
delivering the best possible outcomes for our
service users. Naturally, it takes people time
to adapt to the new way of working, but it’s
made a huge difference for my team and me.”
17Copyright © 2018 NHS Digital. All rights reserved.
Pricing
Pricing is:
• Calculated on a per user per month costing model
• Organisations are only charged for the number of
accounts that are enabled at a given time. Dial-in
conferencing charges are consumption based
• There are additional costs associated with
onboarding services. These services are outlined in
the coming slides
• To start the procurement process, please contact the
[email protected] mailbox.
Offering Component Price
Peer-to-Peer Audio/Video Calling & Web Conferencing
£1.03 per user per month
Dial-in Conferencing (PSTN Conferencing)
£0.016 per connection per minute
Skype for Business Server Access Licensing
£0.55 per user per month
Costs for the NHSmail Skype for Business A&VC service are detailed in the Top-Up
Service Catalogue
TSA Catalogue available on request from [email protected]
The above prices are for top-up services only. The core services are offered free to all organisations using NHSmail. Orders can be placed for a 12
month period
SAL licence is currently funded by NHS-Digital
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18Copyright © 2018 NHS Digital. All rights reserved.
Available Resources
Training Guides Instant
Messaging and Presence
Training Guides
Audio and Video
Conferencing
Microsoft Collateral
Available here
1. Training
2. Policy and guidance
3. Communications
4. Get in touch
Engage communication teams early to ensure they
have good awareness of project timelines and go live
dates. Increase adoption by including regular updates
about the service in business as usual
communications.
Policy and Guidance materials are available on the
NHSmail Portal help pages . These include:
• Service Description Guide
• Service Onboarding Documentation
• Service Configuration Guide
If you have any questions about the NHSmail Skype
for Business Audio and Video conferencing offering,
please contact [email protected]
where we have a team ready to answer any questions
you may have.
Questions & Answers
NHSmail Office 365 Hybrid
21Copyright © 2018 NHS Digital. All rights reserved.
Responding to healthcare collaboration needs
NHSmail O365 Hybrid provides:
Alignment with
National Standards
Reduced
Implementation
Costs
Reduced
On-boarding
Timescales
Effective licence
Management
Portability of
Identity
User Helpdesk
24x7
NHSmail provides a scalable,
robust and reliable service. The
NHSmail Office 365 Hybrid will
build on this foundation to enable
access to a broader range of
collaboration services to enable
customer organisations to
enhance their collaboration
maturity.
22Copyright © 2018 NHS Digital. All rights reserved.
NHSmail User
Accesses NHSmail
Portal
NEW SERVICES
ENABLE O365 SERVICES
PORTAL SWITCH ON
FOR O365 SERVICES
DESKTOP PRODUCTS AVAILABLE
HOSTED ON-PREM
EMAIL & SKYPE
BRING YOUR OWN LICENCE…
SUBMIT LICENCES
NHSmail O365 Hybrid service overview
Organisations can procure and
allocate their own O365 licences to
the NHSmail O365 Hybrid Service.
Licences will be allocated and ready
to assign to users within the NHSmail
Portal within days of raising the on-
boarding request with Accenture.
23Copyright © 2018 NHS Digital. All rights reserved.
Office 365 product stack
StaffHub
S
24Copyright © 2018 NHS Digital. All rights reserved.
On-boarding approach
Local organisation procures Office 365 licences
directly from Microsoft or through a Microsoft
Licence Reseller
The organisation is now fully on-boarded onto the
NHSmail Office 365 Hybrid Service. Local
Administrators will be able to administer O365
services via NHSmail Portal, including assigning
licences, enabling applications, and creating
SharePoint sites.
The Local Administrator raises an onboarding
request with the NHSmail Helpdesk. The
Helpdesk enables the Office 365 licences in the
NHSmail O365 Hybrid Tenant.
All users must already have an active NHSmail
account to use the NHSmail Office 365 Hybrid
Service.
Local Administrators should carry out network
planning and performance assessments to
ensure there is sufficient bandwidth to support
the NHSmail Office 365 Hybrid Service.
The Service is compliant with the Data
Protection Act 2018. Local organisations must
complete their own Data Protection Act 2018
compliance statements to use the Service.
The Service is approved for clinical use. It
remains the responsibility of the joining
organisation to ensure that all clinical safety
assurances are met prior to joining the Service.
PR
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JO
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START
FINISH
25Copyright © 2018 NHS Digital. All rights reserved.
NHSmail Office 365 Hybrid short term roadmap
Delivery of Microsoft Flow,
PowerApps, Project Online,
PowerBI Premium and
Teams Connectors and
Bots in a hybrid scenario
Application enablement
Enablement of guest
access management to
Office 365 services via the
NHSmail Portal
Azure guest access
Provision of additional
reporting capabilities for Data
Loss Prevention, label
classification, multi-factor
authentication and quota
management
Reporting features
Questions & Answers
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Implementation and Business Change
NHSmail regional support managers
Region Contact Email address
North Amanda Parkin [email protected]
London Simon Berest [email protected]
Midlands James Kane [email protected]
South Janet Bate [email protected]
Final Questions & Answers
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www.digital.nhs.uk
@nhsdigital
0300 303 5678
