John Gandy Commerce Commission Ernie Newman Chair, NHITB Consumer Panel (Thursday, 11.30, Panel)

1. Ultra Fast Broadband and Health
HINZ conference
Thursday 24 November 2011

2. INTRODUCTION 2
Ultra Fast Broadband Initiative
Rural Broadband Initiative
Demand side study
e-Health in a broadband world

3. THE UFB INITIATIVE 3
UFB Objective
• To accelerate rollout of ultrafast
broadband (100Mbps/50Mbps) to 75%
of New Zealanders over 10 years.

4. PRINCIPLES OF THE UFB INITIATIVE 4
Make a significant contribution to economic growth
Neither discourage nor substitute private sector investment
Avoid entrenching the position, or ‘lining the pockets’, of existing broadband network
providers
Avoid excessive infrastructure duplication
Focus on building new infrastructure and not unduly preserving the ‘legacy assets’ of
the past
Ensure affordable broadband services

5. UFB Candidate Areas
Whangarei Candidate % of
Areas UFB
Auckland Waiheke Island
Pukekohe, Waiuku Tauranga Whakatane 2 15.3
Hamilton Rotorua
Tokoroa Gisborne
New Plymouth Taupo 1 1.6
Napier-Hastings
Hawera
Wanganui Palmerston North, Feilding
Levin, Kapiti Masterton 24 69.4
Nelson
Greymouth Blenheim Wellington 6 13.7
Rangiora
Ashburton Christchurch 33 100.0
Timaru
Queenstown
Oamaru
Dunedin UFB partnerships will cover all 33 candidate
Invercargill areas (75% of NZ population) by end 2019

7. UFB TECHNOLOGY 7
P2P for premium
GPON for mass market business and
priority users
Standard Optical
ITU-T G.984 standard Network Termination Dedicated service to a
split 1:24 (allowing (ONT) configuration; 4 single premise
100Mbps downstream Ethernet ports and 2 (supplying speeds up
and 50Mbps upstream) legacy Voice (ATA) to 10Gbps)
ports

8. Products/pricing for home/retail users
(GPON technology)

9. RURAL BROADBAND INITIATIVE (RBI) 9
RBI Objective
• Improve coverage of fast broadband to enable 80%
of rural households and businesses to access
services of 5Mbps or better and the remaining 20%
able to achieve speeds of at least 1 Mbps
• Connect 97% of schools to fibre enabling speeds of
at least 100Mbps with the remaining remote schools
able to achieve speeds of at least 10Mbps

10. RURAL BROADBAND INITIATIVE (RBI) 10
The RBI complements the UFB initiative and targets the remaining
25% of New Zealanders
The RBI is provided by way of a grant of $300M recognising that
providing fast broadband to rural communities is commercially
unattractive to investors yet vital to NZ’s economy

11. 2.Rural Broadband Initiative (RBI)

13. THE COMMISSION’S DEMAND SIDE STUDY 13
s9A of the Telecommunications Act states that
“The Commission may conduct inquiries, reviews and studies into
any matter relating to the telecommunications industry….
Objective
• “To identify ... any factors that may impede the
uptake of high speed broadband delivered over both
fibre and wireless networks.”

14. THE COMMISSION’S DEMAND SIDE STUDY 14
Analyse the drivers broadband uptake access in overseas and in
NZ.
Identify the factors that may affect this e.g. home wiring, network
neutrality, peering, IP interconnection, data caps and content.
Assess if these create barriers to entry or expansion.
Identify sectors like e-health and e-education where high speed
broadband can be a significant enabler.
Monitor market developments.

15. THE COMMISSION’S DEMAND SIDE STUDY 15
Discussion paper:
15 December 2011
Conference:
20 & 21 February 2012
Final report:
April 2012

16. DEMAND SIDE STUDY:
EDUCATION AND HEALTH
“Identify sectors like e-education and e-health where high-speed
broadband can be a significant enabler”

17. METHODOLOGY:
– Interviews with leaders and visionaries in the sector
– Web research
– International validation – including Scottish Telehealth Assn annual
conference and related discussions, UK National Health Service,
and talks with allied bodies in Denmark (Odense University
Hospital; MedCom)

18. AREAS WHERE HEALTH INFORMATICS WILL UTILISE
ULTRA FAST BROADBAND:
– Aged care
– Ambulance services
– Chronic conditions
– Maternity
– Medications management
– On line health and wellness information
– Primary care service delivery
– Radiography
– Remote monitoring
– Remote surgery
– Telehealth

19. WHICH OF THESE WILL REQUIRE SERIOUS BANDWIDTH?
→ Aging population delaying move to rest homes
– Monitoring
– Security
– Comfort and community connectedness
→ Tele-monitoring of patients with chronic or multiple conditions
→ Clinician-patient interaction by telephone, email, or video
→ Shared care records with patient portals – encouraging people to
engage far more in their own health issues:
– on line research
– fitness
– support groups

20. A WORD ABOUT EDUCATION
→ While a major explosion in bandwidth demand in health is arguably
a few years away, explosive latent demand in schools is here now
→ We expect high bandwidth connectivity at work; why should our
school-age children not expect the same at school?
→ “Bring Your Own Device” an early driver
– From resistance, to resigned acceptance, to encouragement, to
insistence
→ Innovative teaching technologies
→ Ubiquitous video
→ Learning across the 24/7 span
→ Home access to school networks

21. Education + Health = Irresistible Proposition for Families

22. CONCLUSION
ICT holds the key to solving many massive
challenges confronting health services globally:
– Aging population
– Aging health workforce
– International competition for clinicians
– Ever-increasing consumer expectations
– Servicing a decentralised society
– Move from silos, to integrated/shared care
– Shift care down from secondary, to primary, to community

23. QUESTIONS?
“The Future With High Speed Broadband –
Opportunities for New Zealand”
Conference 20/21 February
www.comcom.govt.nz