Securing a historic medical institution
For more than 250 years, Royal College of Surgeons in Ireland (RCSI) has stood at the center of medical education, research, and healthcare governance. Headquartered in Dublin’s city center, the institution operates 5 additional sites across Ireland—many within hospital environments—and supports academic operations in the Middle East and Asia.
Each day, RCSI supports approximately 12,000 connected devices across their global footprint, serving more than 5,000 students and nearly 2,000 staff. More than 65 public-facing websites underpin teaching, research, and institutional operations, all of which must remain continuously available and secure.
A small security team is responsible for protecting this environment for both on-premises infrastructure and cloud services hosted primary in Microsoft Azure. At the core of the network are Cisco Secure Firewall 4215 appliances acting as Layer 2 and Layer 3 gateways, terminating all VLANs and VPN connections while handling traffic volumes that can now reach up to 400 Gbps across the campus network.
As RCSI expanded their use of public cloud services, expectations around resilience—the ability to withstand outages, cyberattacks, and system failures without disrupting operations—along with speed and operational clarity increased. Leadership required confidence that critical systems could be upgraded and protected without interruption. The security team needed deeper visibility, simpler workflows, and a way to scale security without increasing headcount.
Balancing the demands of a centuries-old institution with the realities of modern, cloud-first delivery required more than incremental change. RCSI needed a security architecture designed to simplify operations, reduce risk, and provide consistent control across on-premises and cloud environments—without sacrificing reliability.