1. Introduction to InterSystems Ensemble and the TIE Nigel Haines and Mark Massias – 9 th January 2009

2. InterSystems at a Glance Established 30 years Established 30 years Over 700 people, offices in 19 countries Over 700 people, offices in 19 countries US $226Million revenue, consistent growth and profitability US $226Million revenue, consistent growth and profitability Private, no outside investors, no debt Private, no outside investors, no debt Sell directly to end users as well as with 1400+ partners Sell directly to end users as well as with 1400+ partners Long term supplier to the NHS Long term supplier to the NHS

3. DeepSeeDeepSee TrakCareTrakCare InterSystems Products HealthShareHealthShare CachéCaché Creative technology partner with a passion for excellence and customer success EnsembleEnsemble

4. CSC selects InterSystems for trust integration 10 Sep 2008 Computer Sciences Corporation is to use InterSystems Ensemble for the integration of all new applications it provides to existing trust systems. CSC, the local service provider for the North East and Midlands regions in England ’ s NHS National Programme for IT, has selected Ensemble as the standard trust integration engine (TIE). InterSystems and the NPfIT

5. Centrally-defined, standard solution for existing systems integration.Centrally-defined, standard solution for existing systems integration. Available to all NHS Trusts scheduled to deploy CSC NPfIT solutionsAvailable to all NHS Trusts scheduled to deploy CSC NPfIT solutions Ensemble TIE Licence and annual maintenance is free to TrustsEnsemble TIE Licence and annual maintenance is free to Trusts Enables connectivity between Trust-side applications and the CSC NPfIT solutionsEnables connectivity between Trust-side applications and the CSC NPfIT solutions Library of standard departmental systems interfacesLibrary of standard departmental systems interfaces Trusts can upgrade to a full Ensemble licenceTrusts can upgrade to a full Ensemble licence Ensemble now available from CSC as the standard Trust Integration Engine (TIE) InterSystems and the NPfIT

6. What does a Trust get with TIE and E2? CSC Ensemble TIE

7. What is a TIE? Ensemble Ensemble A set of enhancements to Ensemble A set of enhancements to Ensemble A set of 50 application interfaces (adapters) A set of 50 application interfaces (adapters) Support mechanisms Support mechanisms Custom training courses: Custom training courses: –Developers course –Administration course Available via eLearning Available via eLearning

8. Ensemble TIE Licence Ensemble TIE Licence and annual maintenance is FOC to Trusts Ensemble TIE Licence and annual maintenance is FOC to Trusts It is a unique licence only available through CSC It is a unique licence only available through CSC Ensemble TIE is part of the Core Reference Solution and is specifically licensed to meet this requirement Ensemble TIE is part of the Core Reference Solution and is specifically licensed to meet this requirement Characteristics: Characteristics: –implemented Trust-side –enables connectivity between Trust-side applications and the CSCA data centre –preconfigured components aligned with CSCA, e.g. message sequencing logic –includes shadow server (resilience) –includes development / test licence –includes departmental system adapters approved by the Trust Integration Forum –does not enable intra-Trust integration

9. Ensemble TIE Support Services As part of an implementation of any Core Reference Solution, CSC will: As part of an implementation of any Core Reference Solution, CSC will: –install Ensemble on Trust hardware –perform basic TIE configuration, e.g. connection, certificates –install any relevant interface assets CSC has already developed –test a “first-of-type” interface in partnership with the nominated Trust Additional Service Request (ASR) required if Trust requires TIE services from CSC independent of the Core Reference Solution implementation Additional Service Request (ASR) required if Trust requires TIE services from CSC independent of the Core Reference Solution implementation Trusts are responsible for running their TIE Trusts are responsible for running their TIE Trusts are responsible for 1 st and 2 nd line support Trusts are responsible for 1 st and 2 nd line support 3 rd line support available through the CSC Helpdesk 3 rd line support available through the CSC Helpdesk Trusts are fully responsible for any interfaces they develop or modify Trusts are fully responsible for any interfaces they develop or modify Free access to Ensemble eLearning services Free access to Ensemble eLearning services Recommended 3 days of training at InterSystems training centre in Eton for at least 2 Trust IT staff @ £350 per student day. (Admin: 1 day / Developer : 2 day) Recommended 3 days of training at InterSystems training centre in Eton for at least 2 Trust IT staff @ £350 per student day. (Admin: 1 day / Developer : 2 day)

10. Ensemble E2 Licence Includes all of the functionality within the Ensemble TIE but also enables intra-Trust integration Includes all of the functionality within the Ensemble TIE but also enables intra-Trust integration Ensemble TIE may be upgraded at any time to an Ensemble E2 licence for a fee of £30,000 (licence) and £8,400 p.a. (annual maintenance) Ensemble TIE may be upgraded at any time to an Ensemble E2 licence for a fee of £30,000 (licence) and £8,400 p.a. (annual maintenance) –Purchased directly from InterSystems Maximum annual increase in maintenance fee of CPI +1% Maximum annual increase in maintenance fee of CPI +1% Upgrade comprises: Upgrade comprises: –Ensemble E2 licence with shadow server –Separate development/test licence –Maximum 2 CPU / 8 cores per server –Capacity for up to 75 interfaces

11. Ensemble E2 Support Services Direct access to support from InterSystems WRC (worldwide resource centre) Direct access to support from InterSystems WRC (worldwide resource centre) –available 24 x 7 –direct access to engineers by phone and email –customer sets priority level Assistance from InterSystems UK Sales Engineering team Assistance from InterSystems UK Sales Engineering team Trusts can quickly become self-sufficient Trusts can quickly become self-sufficient Additional Ensemble services are available through InterSystems where Trusts have a particular requirement, e.g. interface development skills Additional Ensemble services are available through InterSystems where Trusts have a particular requirement, e.g. interface development skills Free access to Ensemble eLearning services Free access to Ensemble eLearning services Recommended 11 days of training at InterSystems training centre in Eton for at least 2 Trust IT staff @ £350 per student day. (Admin: 3 days / Developer : 8 days) Recommended 11 days of training at InterSystems training centre in Eton for at least 2 Trust IT staff @ £350 per student day. (Admin: 3 days / Developer : 8 days)

12. Ensemble in UK Healthcare Moorfields Eye HospitalMoorfields Eye Hospital PeterboroughPeterborough PlymouthPlymouth Barts and LondonBarts and London Lothian Region, EdinburghLothian Region, Edinburgh Mid-EssexMid-Essex BoltonBolton Royal MarsdenRoyal Marsden East & North HertsEast & North Herts GatesheadGateshead Sheffield UniversitySheffield University Sheffield Children’sSheffield Children’s St GeorgesSt Georges Kings LynnKings Lynn Co Durham and DarlingtonCo Durham and Darlington RotherhamRotherham Mid YorkshireMid Yorkshire CalderdaleCalderdale BarnsleyBarnsley DoncasterDoncaster Ensemble is already widely used by Hospital Trusts throughout the NHS as a Trust-wide integration engine

13. Jersey Hospital Guernsey Hospital St Vincents, Dublin Thames Cancer Registry Institute for Cancer Research Northgate Information Solutions – National Hearing Screening Programme Northwestern Cancer Registry Northern and Yorkshire Cancer Registry and Information Service … and in many other Healthcare environments Ensemble in UK Healthcare

14. Summary Global supplier of Healthcare software Global supplier of Healthcare software Long term supplier to the NHS Long term supplier to the NHS Ensemble rated as a leader / No. 1 by analysts Ensemble rated as a leader / No. 1 by analysts Widely used by NHS Trusts as a Trust Integration Engine Widely used by NHS Trusts as a Trust Integration Engine Standard solution in the NME Region (60% of NHS) Standard solution in the NME Region (60% of NHS) Experience and success in London and South Experience and success in London and South Engaged throughout the implementation Engaged throughout the implementation World class support World class support

15. “ This agreement between CSC and InterSystems is part of the LSP contract and is great news for our trusts. ” "It fits with our strategy to take advantage of new strategic solutions from CSC, whilst maximising the benefit that we can get from existing software products that are highly valued by the local trusts. ” NHS Yorkshire and the Humber SHA Phil Molyneux, CIO InterSystems and the NPfIT

16. The Trust Integration Engine (TIE) LSP Core Solutions Trust Interface Engine LSP Interface Engine Trust Systems NCRS Spine Data Centre Trust