Hospitals have been one of the main users of Wi-Fi networks, so far. Driven by a mobile workforce and an environment where cellular devices are usually forbidden, they have accepted centralised Wi-Fi switches before many other markets. Now a London hospital trust has installed a wireless network which claims to do away with the need for those centralised switches.

Barts and The London NHS Trust has installed Wi-Fi access points from Aterohive that manage themselves in a co-operative network, without a central switch, in the Royal London Hospital.

“We have a high density of access points, so we can voice services and location,” said head of ICT client services Doug Howe. The Trust has installed 77 access points in the London's accident and emergency department and in two newly-refurbished wards handling traum and neurology.

Building Wi-Fi in

The Trust had very little Wi-Fi despite the technology's popularity in the health sector. “We had some Wi-Fi in operating theatres, to allow computers on wheels,” said Howe. But with a major refurbishment underway, the Trust decided to use 21st century networking, he said, and invited tenders to unwire a chunk of The Royal London Hospital.

The trust is involved in two big building projects. Barts has a new site opening in 2010, and the Royal London has a rebuilding going on to finish in 2016. The Wi-Fi wards are a trial run for potential deployment at these sites, said Howe: “These are long wards with small rooms, very like those in the new buildings.”

The £300,000 pilot represents about a twentieth of the whole Trust, he said, and is initially specified to last three months, though this already looks like being extended.

Aerohive's approach contrasts with conventional Wi-Fi wisdom, which says the best way to manage a wireless LAN is a centralised controller. Access points installed throughout the area communicate with each other and create a co-operative wireless network.

Why not use a switch?

The trust chose it in competition with centralised solutions offered by BT, using Cisco's switch, and Enterasys, its wired network provider, which uses Trapeze's wireless switches. “The decision was based on performance and administration,” says Howe. “With no controller, there is less work involved in running the Aerohive network.” Aerohive also has relationships with Vocera, Aeroscout and Philips for the applications which Barts is using, he adds.

Surprisingly, the Aerohive network was pitched by Hewlett-Packard, which has its own centralised Wi-Fi switch, based on technology from Motorola's Symbol subsidiary. Howe doesn't think we should read anything too much into this: it's HP's professional services division in fact, which has a free hand on technology to use.

The network will be used for three classic health service applications: Vocera active badges, which provide location services and voice telephony for staff;active RFID tagging for important clinical equipment using active Wi-Fi tags from Aeroscout; and Mobile Clinical Assistant (MCA), a special-purpose Wi-Fi connected PDA from Philips to support medical staff.

The system has 77 access points, supporting around 75 Vocera badge users in the three locations. This is quite a dense deployment of access points, which is necessary for voice applications and for location services, explains Howe.

Howe is sure that wireless will roll out further in the hospitals he serves. Radiology and pathology, which have mobile experts that require file transfers and share complex documents may may be next, but he's also had a request for it in maternity. The application there would be passive tagging of children. RFID bracelet could activate sensors at all ward doors, to make it easy to locate any children on the ward, he says.
The process of bringing new buildings into use may also catalyse wireless. Some wards may have to shift into temporary locations, and wireless would allow them to set up and tear down networks which can be re-installed easily at their final destination.

Not all that revolutionary?

Despite the lack of controllers, Aerohive's Wi-Fi network is conventional in many ways. The access points are powered over Ethernet and installed in the ceiling, in the same way as access points used by centralised systems.

Howe did not adopt fast Wi-Fi, based on the draft 802.11n standard,for the present. The applications involved don't need it yet, and he wants to wait to be sure that the standard is complete and will not change further.

Overall, he's happy with the network – though it's not live for a fortnight, and confident that it, or something very similar, will eventually be used more widely in the trust.