A full-stack deployment for a leading South-east London healthcare provider delivers the digital foundation for exceptional patient care
About Bromley Healthcare
Bromley Healthcare is a community healthcare provider in South-east London, offering communities across Bromley, Bexley, Greenwich, and Lewisham with a range of world-class services, clinics, and health programmes, while empowering clinicians to deliver the very highest standard of care.
The Challenge
To optimise the availability of its services, enabling clinicians to engage with their patients through an evolving range of channels, Bromley Healthcare has continued to invest in its own network, spanning all its sites across South-east London. However, with its existing infrastructure beginning to show its age and a significant proportion of reported IT issues directly related to network performance, it became clear a new digital foundation was required.
The decision was therefore made to seek out a new strategic partner who would be able to support a full-scale modernisation project, redesigning the entire network from the ground up. Key priorities including the deployment of pervasive wireless connectivity at all sites, for both corporate and guest devices, and optimal resilience, with minimal points of failure.
Far more than just deploying the required connections, this new partnership would involve working closely with Bromley Healthcare's own network team to take full advantage of the latest advances in networking technology, both now and in the long term - to ensure these solutions could be intelligently deployed to support the highest standards of patient care. This would include providing hands-on support to staff and clinicians, ensuring they would be able to make full use of the new infrastructure's capabilities.
Having already engaged with their teams for a number of tactical services over the years, Bromley Healthcare invited Exponential-e to take part in a highly competitive tender process, where candidates were asked to showcase how they would approach solving Bromley Healthcare's unique goals for its network. Keeping an open mind about the proposed solutions, Bromley Healthcare eventually selected Exponential-e as their new strategic partner, based on the overall strength of their offering and willingness to deliver a truly bespoke, full integrated solution.
The Solution
Working closely with Bromley Healthcare's own IT team, Exponential-e designed and deployed a full-stack Cisco Meraki ecosystem, incorporating SD-WAN, LAN, and Meraki wireless, combined with scalable firewalls, HSCN connectivity, and hosting in world-class data centres - all managed through a single pane of glass.
A key development for Bromley Healthcare's own networking team has been the implementation of application-level monitoring, allowing for full control and visibility of the entire network. This has enabled faster, more effective troubleshooting, ensuring key applications are always available to clinicians, whenever and wherever they are required. At the same time, a dedicated team at Exponential-e continues to maintain the underlying digital foundation, ensuring the network will always deliver the highest standards of performance and guarantee the integrity of critical data.
This blend of centralised control and visibility, expert support, and a fully integrated solution wrap meant that time spent on routine network management was reduced by around 75%, saving an average of 35 internal man hours per week. As a result, Bromley Healthcare's own teams have been able to refocus their attention and prioritise resources to broaden the quality, range, and availability of healthcare services across South-east London.
With the new infrastructure firmly established, Bromley Healthcare are now planning the deployment of a next-gen VPN solution, providing staff and clinicians with additional layers of flexibility in the way they work. Plans are also in place to utilise the system's inherent flexibility to make interpreting services available to clinicians via a range of channels, reducing the need for an interpreter to be physically present when required.
Solution benefits
- A full Meraki technology stack, with centralised control and visibility and the ability to connect to the HSCN
- Resilient, highly secure connectivity for multiple sites across South-east London, enhancing the performance and availability of the platforms clinicians depend on
- A fully managed service, delivering a robust foundation that frees internal teams to focus on clinician and patients' requirements An average of 35 hours per week saved on routine network management, allowing this time to be reinvested in patient care
You have to have a good network; everything else is built on it. So, it was really important to us to develop a real strategic partnership - not just supplying the lines, but providing suggestions, solutions, and best practice to drive something new and open up opportunities to make our clinicians more efficient and effective.
Patrick Montgomery
Chief Technology Officer, Bromley Healthcare
What I liked, and still like - most about working with the team at Exponential-e was that it was a genuinely two-way conversation. At the outset of this project, we were open to anything, and, put simply, their proposal was the best fit for our networking goals.
Patrick Montgomery
Chief Technology Officer, Bromley Healthcare
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Multi-site digital transformation delivers a fully optimised supply chain and enhanced patient care
About Leeds Teaching Hospitals
Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT) - a partnership between six hospital trusts across West Yorkshire and Harrogate that deliver acute services, combining their collective experience, expertise and resources to deliver the very highest standard of patient care across the entire region.
Challenges
With a high daily throughput of patients, staff and products, efficiency, scalability, and operational resilience are of vital importance for the hospital trusts that make up the WYAAT. In 2018, Leeds Teaching Hospitals prepared a business case for collaborative supply chain management, driven by a full transformation of the legacy IT infrastructure.
Building on the success of the Department of Health and Social Care (DHSC) Scan4Safety programme, this change would allow for automated data capture at every point of the patient journey, storing patient records and details of any supplies ordered and utilised in the Cloud, allowing for staff to track their efficacy and ensure only the best equipment is utilised, for the best available price. In this way, paper-based processes would give way to a cutting-edge IT infrastructure that would support real-time communication and collaboration across all sites and streamline the process of ordering medical supplies, with all electronic health records updated in real-time, and expediting the recall and reorder processes. This would not only enhance patient outcomes across the entire network and reduce the time spent on administrative tasks, but also provide WYAAT with full control and visibility of its supply chain, for improved quality and cost control.
Such processes are typically quite time-consuming with traditional paper-based record keeping, but the scalability and flexibility of the Cloud would ensure this critical data could be kept secure, in line with all applicable healthcare regulations, while still providing actionable insights across all six sites – insights that could then be used to drive higher standards of care across the entire UK.
However, to achieve this, high-performance connectivity between all six WYAAT sites and their supply chain provider was vital, which meant the search began for a technology partner who could support a full-scale digital transformation, with Leeds Teaching Hospitals leading the initiative.
Solution
Leeds Teaching Hospitals engaged with Exponential-e to provide support for the entire WYAAT, due to a number of factors, including compliance with GDPR and HSCN requirements, and the ability to ensure a swift deployment, with zero disruption to patient care and administrative operations, thanks to previous experience executing similar deployments across the UK healthcare sector.
At the outset of the project, a dedicated account team at Exponential-e connected with internal IT teams at all six WYAAT trusts, and their US-based supply chain provider, establishing a project plan that would involve all parties concerned in order to ensure an efficient, stress-free deployment. Given the complexity of the desired solution, three-way communication has proven essential to the success of this project and led to a strong rapport developing between teams across each region, with regular communication helping drive the desired outcomes.
All six WYAAT sites were connected to a single server farm, consisting of four servers with full replication, to ensure operational resilience. Throughout this deployment process, Exponential-e conducted intensive testing, to ensure the resulting infrastructure will provide fully consistent, reliable performance across all sites, reviewing the findings with the WYAAT's own teams to identify opportunities for further growth and improvement.
Solution benefits
- Secure, reliable interconnection of all six West Yorkshire Association of Acute Trusts, enhancing remote communication and collaboration.
- High volumes of complex, sensitive data used to drive ongoing cost savings and operational improvements, without compromising security or compliance.
- Full control and visibility of the entire supply chain, with all data updated in real-time.
- Reduced time spent on administrative tasks, allowing hospital staff to prioritise patient care at all times.
- Flexible Cloud hosting delivers consistent performance, effortless scalability, and complete cost control.
- Meets the guidance from DHSC and NHS Digital on the move towards Cloud-hosted solutions, utilising Exponential‐e's expertise to enable the rapid deployment of server capability.
We have quite an unusual setup when it comes to our IT infrastructure, but the Exponential-e team have been superb throughout, ensuring everyone stays in the loop and that our goals are consistently achieved. We're looking forward to continuing working with them.
Stuart MacMillian
Programme Director
West Yorkshire Association of Acute Trusts.
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