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GSTT and RBHFT NHSmail Migration

This case study demonstrates how Veracity Consulting partnered with Guy’s and St Thomas’ NHS Foundation Trust (GSTT) and Royal Brompton and Harefield NHS Foundation Trust (RBHFT) to deliver a complex digital transformation. The project successfully migrated over 33,000 users and 200TB of data to a single, unified NHSmail platform. 

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Problem Statement: A Divided Digital Identity

The Trust required a unified email solution to ensure regulatory compliance, support collaboration, and reduce infrastructure costs. Veracity Consulting was appointed as a Managed Service Partner to define a clear resolution pathway. We engaged with stakeholders, drafted detailed requirements, and supported the tender process, which identified Accenture as the technical delivery partner. Veracity focused on the people and project management, working with internal GSTT teams as a single, collaborative unit.

Problem Statement: A Divided Digital Identity

Following the merger of GSTT and RBHFT in 2021, the newly formed Trust faced a critical challenge: its 35,000 staff were operating across two separate, legacy email systems. This division created significant operational and strategic issues: 

  • Regulatory & Cybersecurity Risk: The on-premise platforms were not fully compliant with the DCB1596 standard, posing a high-priority cybersecurity risk.
  • Limited Collaboration: Staff could not easily find contact details for colleagues across the merged organisation, hindering communication and teamwork.
  • Operational Inefficiency: Maintaining two email systems incurred substantial costs and diverted technical resources from other strategic objectives. 

Proposed Solution and Approach

After a rigorous options appraisal, the recommended solution was to migrate all staff to the central NHSmail platform, using a single @nhs.net naming convention and implementing Microsoft Office 365. This approach offered the best balance of flexibility, cost-effectiveness, and alignment with national standards, providing access to centrally funded components like Teams, SharePoint, and OneDrive. 

To ensure success, we developed a robust, evidence-based Five Case Model business case, securing strategic and financial buy-in. This detailed the project's strategic alignment, economic benefits, commercial viability, financial affordability, and management approach, giving decision-makers confidence in our delivery plan. 

Our focus on the "human element" was central. We adopted a phased, people-centric implementation, developing a comprehensive stakeholder engagement and communications plan to address change fatigue and ensure a smooth transition. This included providing 12 additional service desk staff and 22 floorwalkers to support users. The project was managed by a dedicated Veracity project manager using Prince2 best-practice methodology. 

A key strength was our blended resourcing model, combining Veracity’s external expertise with the Trust’s internal teams. This allowed the Trust to increase capacity at peak demand while embedding knowledge into business-as-usual functions. 

Outcomes & Benefits

The project successfully delivered a unified email platform, enabling staff to work more securely, collaboratively, and efficiently. 

Key Migration Statistics: 

  • 33,413 Users migrated 
  • 200 TB of email data migrated 
  • 25 TB of Office data migrated


Key Benefits: 

  • Secure & Compliant Platform: Full DCB1596 accreditation was achieved, closing a major cybersecurity risk and enabling secure data sharing. Multi-Factor Authentication (MFA) was also implemented. 
  • Substantial Financial Savings: The project is on track to deliver approximately £921k per annum in savings through reduced license costs and the retirement of a third-party security solution. 
  • Enhanced Collaboration: A single email suffix and access to the unified NHS global directory have enabled seamless communication across the organisation and the wider NHS. 
  • Improved Cybersecurity Resilience: Responsibility for email security was transferred to the NHSmail platform, ensuring security measures remain up-to-date. 
  • Sustainability Gains: Decommissioning on-site servers has reduced power consumption, contributing to the Trust's "Carbon Zero" goal.

Conclusion

Conclusion 

The NHSmail Migration Project stands as one of the most complex digital transformations undertaken by the Trust. The migration was achieved with minimal disruption to frontline services, a testament to our robust planning and people-centric approach. 

The project demonstrates how Veracity's collaborative methodology, expert project management, and focus on stakeholder engagement enable the delivery of technical and business change at scale. We have provided the Trust with a stable foundation for its future digital transformation, delivering significant operational and financial returns on its investment.