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The Health and Social Care Network (HSCN) is a standards-based
network Network, networking and networked may refer to: Science and technology * Network theory, the study of graphs as a representation of relations between discrete objects * Network science, an academic field that studies complex networks Mathematics ...
that replaced the N3 network in the
National Health Service The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
(NHS) in
England England is a country that is part of the United Kingdom. It shares land borders with Wales to its west and Scotland to its north. The Irish Sea lies northwest and the Celtic Sea to the southwest. It is separated from continental Europe b ...
. It went live in April 2017. Transition to the new network was completed by November 2020.


History


NHSnet

NHSnet was a private
wide area network A wide area network (WAN) is a telecommunications network that extends over a large geographic area. Wide area networks are often established with leased telecommunication circuits. Businesses, as well as schools and government entities, us ...
service used by the NHS England. It started operation in around 1995 NHSnet was managed jointly by BT and Cable & Wireless and was developed under the aegis of the
NHS Information Authority The NHS Information Authority (NHSIA) was part of the United Kingdom, UK National Health Service (NHS). It was established as a NHS special health authority by an Act of Parliament in April 1999. With headquarters in Birmingham, UK, its aim was ...
. However the standards of service varied widely throughout the NHS due to different local practices and levels of equipment. NHSnet was succeeded by N3 in 2006. It is sometimes referred to (by a sort of retrospective nomination) as "N2". Connections to NHSnet were strictly controlled by the
NHS Information Authority The NHS Information Authority (NHSIA) was part of the United Kingdom, UK National Health Service (NHS). It was established as a NHS special health authority by an Act of Parliament in April 1999. With headquarters in Birmingham, UK, its aim was ...
, which specified the security required and data protocols allowed under its 'Code of Connect' agreements. Similarly, it controlled access to or from the Internet, including email, through managed gateways. Organisations wishing to provide information or applications to their NHS partners over NHSnet had a choice of applying for their own Code of Connection, which required a considerable investment in time (typically 6 months), effort and infrastructure; or partnering with one of the restricted number of organisations (BT, Cable and Wireless and Ioko) able to use their own Code of Connect for these purposes. NHSnet admin passwords were exposed, during the attack of Lulzsec in June 2011.


N3

N3 is a national
broadband network The ideal telecommunication network has the following characteristics: broadband, ''multi-media'', ''multi-point'', ''multi-rate'' and economical implementation for a diversity of services (multi-services). The Broadband Integrated Services Digital ...
for the
English National Health Service The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the ...
(NHS), connecting all NHS locations and 1.3 million employees across England. it is being phased out. In 2004, BT was awarded the contract to deliver and manage the IT project on behalf of the NHS. N3 was preceded by
NHSnet The Health and Social Care Network (HSCN) is a standards-based network that replaced the N3 network in the National Health Service (NHS) in England. It went live in April 2017. Transition to the new network was completed by November 2020. Histor ...
, becoming N3 in 2006. N3 provides the foundations to deliver other components of the
NHS National Programme for IT The NHS Connecting for Health (CFH) agency was part of the UK Department of Health and was formed on 1 April 2005, having replaced the former NHS Information Authority. It was part of the Department of Health Informatics Directorate, with the role ...
(NPfIT) such as Choose and Book, the
NHS Care Records Service The NHS Care Records Service is a service provided by NHS Connecting for Health for the National Health Service in England England is a country that is part of the United Kingdom. It shares land borders with Wales to its west and Scotland ...
, Electronic Prescriptions and the
NHS Picture Archiving and Communications System The NHS Connecting for Health (CFH) agency was part of the UK Department of Health and was formed on 1 April 2005, having replaced the former NHS Information Authority. It was part of the Department of Health Informatics Directorate, with the role ...
.


Technical details

N3 runs over a high-speed IP-based virtual private network. It links acute hospitals and GP surgeries in England through 58 points of presence (
POPs Pops may refer to: Name or nickname * Pops, an informal term of address for a father or elder * Pops (nickname), a list of people * Pops (Muppet), a Muppets character * Pops (Johnny Bravo), a character from the Cartoon Network animated television ...
), and also has a further five POPs in Scotland. N3 is fully resilient at backbone and POP level, enabling 100% core network service availability. The standardised national infrastructure will enable the rollout of 21st Century healthcare IT applications and the next generation of IP-based converged communications solutions. Compliance with
ISO 20000 ISO/IEC 20000 is the international standard for IT service management. It was developed in 2005 by ISO/IEC JTC1/SC7 and revised in 2011 and 2018. It was originally based on the earlier BS 15000 that was developed by BSI Group. ISO/IEC 20000, lik ...
. A range of N3 hosting providers can provide Information Governance Statement of Compliance (IG SoC) accredited, secure, third party application hosting services. Providers can also act in an advisory capacity to organisations wishing to offer bespoke applications to the NHS.


Progress

In March 2007, N3’s Voice Services were launched. These services offer free on-net calls, and potential to reduce fixed-to-mobile costs. As the N3 Service Provider (N3SP), BT works with
NHS Connecting for Health The NHS Connecting for Health (CFH) agency was part of the UK Department of Health and was formed on 1 April 2005, having replaced the former NHS Information Authority. It was part of the Department of Health Informatics Directorate, with the role ...
(NHS CFH) to support the delivery of the NPfIT, and develop products and services to capitalise on N3’s state-of-the-art capabilities. The N3 network enables the user to access NHS Wide Web (nww) prefixed sites, as well as www.


Transition

HSCN, delivered by multiple suppliers adhering to an agreed set of standards, is intended to progressively replace the N3 national healthcare network. The N3 data and voice networking contracts expired in March 2017. NHS Digital looked to replace a long-term single supplier contract with a marketplace of network options. The project for a new network was initially known as the Public Services Network for Health. In January 2017, the managed services provider Redcentric was appointed for a three-year period as the
peering In computer networking, peering is a voluntary interconnection of administratively separate Internet networks for the purpose of exchanging traffic between the "down-stream" users of each network. Peering is settlement-free, also known as "bill-and ...
exchange provider. NHS Digital have also contracted with BT for the provision of transition network arrangements for the two to three years from April 2017. In November 2020 NHS Digital announced the completion of the HSCN migration and legacy network termination, with liabilities for the legacy N3 network terminated at the end of October 2020.


References


External links

*
N3 websiteN3 Scotland
{{BT Group Information technology organisations based in the United Kingdom National Health Service (England) Wide area networks