cloudSwXtch is our software-defined virtual switch that adds multicast, fanout, and advanced networking to Azure.
Support clinicians, researchers, and back-office teams with secure, performant access from anywhere.
From $10/user/month

Why enable SystmOne with cloudSwXtch?
TPP Approved
The Phoenix Partnership (TPP) has approved the cloudSwXtch architecture. TPP designed, built, and continues to maintain SystmOne, one of the UK’s most widely used electronic patient record systems.
Employed At Scale
Scales from single users to very large user populations.
Reference customers have deployed SystmOne on AVD for large clinical teams with production SLAs.
AVD Ready
Works with existing Azure Virtual Desktop (AVD) images & tooling.
Connect from approved locations or securely over the internet - one place for clinical apps and office productivity.
Multicast in Azure
Adds standards-based IP multicast and IGMP so SystmOne can run in AVD like it does in a physical datacenter.
No-Code Changes
No changes to SystmOne or your code.
Security & Compliance
Aligns with NHS HSCN remote access patterns and enterprise controls. Keep traffic private with ExpressRoute + network segmentation.

CASE STUDY
cloudSwXtch enables Secure, Cloud-Based SystmOne Access on Azure Virtual Desktop for NHS Care Teams
SystmOne is widely used across the NHS and constituents for primary and community care. Many organisations access clinical systems over HSCN using Citrix from approved locations. Teams want cloud-based access so clinicians can use SystmOne alongside Microsoft 365 in the same AVD session.
The blocker: multicast isn’t natively supported in Azure, and NHS-grade security must be maintained.
cloudSwXtch Solution
Using cloudSwXtch, NHS organisations can bridge the gap between legacy multicast-dependent applications and Azure’s unicast-only networking, enabling secure, high-performance SystmOne access in the cloud.
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Protocol Fanout / Multicast: Receive NHS unicast UDP across ExpressRoute -or- public internet and converts to multicast for SystmOne consumers.
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No code changes: Enable 3rd party health records software to run unmodified.
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AVD friendly: Optimized for Azure Virtual Desktop.
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Enterprise security: Works with Role-Based Access Control (RBAC), network segmentation, and private connectivity.
