Thursday, 8 August 2013

Information security and the NHS


Its 2 years since I last worked for the NHS. However, the same problems regarding information security seem to be happening again and again. Not in my own backyard at the hospital where I used to work, but all over the country. Although technological advances have meant that we now have more sophisticated ways of communicating with the rest of the world and with each other, simple information security seems to elude us. It’s bad enough if you lose your own information, that it might be floating in cyber space waiting to bite you on the arse when you’re least expecting it, but what happens if it’s detailed medical information about you, or a member of your family?

Having a quick trawl through the Information Commissioner’s (ICO) website news releases is enough to give you sleepless nights. As recently as July of this year the ICO fined NHS Surrey the sum of £200,000 after 3,000 patient records were found on a second hand computer, which unbelievable as it might seem, had been bought on an online auction site. The information had been left on and sold by a data destruction company employed by the Trust in 2010 to destroy the information that was on there. The service was carried out by the company for free with an agreement that once wiped, the company could sell on any salvaged materials. It was brought to light when a member of the public bought a computer online and found the details of thousands of patients on his hard drive. As well as sensitive personal data and HR records, information pertaining to children as well as adults was discovered. Since then NHS Surrey has reclaimed some of the computers that were sold, however, many more are still out there with no way of knowing which ones may still be holding personal sensitive information.


Back in February of this year the Nursing and Midwifery Council were issued with a £150,000 penalty for breaching the Data Protection Act. Three DVDs regarding a nurse’s misconduct hearing and containing the personal information of two vulnerable children were lost, when the ICO investigated it turned out the DVDs had not been encrypted, which means anyone could access it. David Smith, Deputy Commissioner and Director of Data Protection said:

“It would be nice to think that data breaches of this type are rare, but we’re seeing incidents of personal data being mishandled again and again.”


He went on to say:

 
“….they forget that personal data comes in many forms, including audio and video images, all of which must be adequately protected.”


The council had been bringing evidence to a hearing venue regarding a “fitness to practise” case; however, the discs were not with the other evidence provided and have not been discovered since.


David Smith continued:


“The Nursing and Midwifery Council’s underlying failure to ensure these discs were encrypted placed sensitive personal information at unnecessary risk.”


If even large scale organisations such as the NHS are failing then what hope is there for the rest of us? Do you run a business or company that holds personal information, not just on a laptop, but on video, DVD, with images and are they adequately protected?

 
The eight principles of the Data Protection Act are clear:-


•Fairly and lawfully processed

If you have sensitive information in your possession then only do what the law says you can do with it

•Processed for limited purposes

There are limits as to what you can do with sensitive information in your possession, use it only for the purposes for which it was intended, nothing more.

•Adequate, relevant and not excessive

Don’t collect reams and reams of personal sensitive information in case it might come in handy for a rainy day, you create situations where the information can be lost or stolen.

•Accurate and up to date

It must be up to date, no missing or incorrect information about any personal information you may have on someone. If you’re informed of any changes then modify your records as soon as possible.

•Not kept for longer than is necessary

Your company or organisation should have a retention or disposal schedule or policy on exactly how long you are going to store records before destroying them CONFIDENTIALLY.

•Processed in line with your rights

People have rights under the Data Protection Act 1998; they can see the information when they want to, (unless there are exemptions), if they want to inform you of changes, or want to inform you of incorrectly held information, you must rectify it unless there is good reason not to.

•Secure 

If you hold information that is both sensitive and personal then it is up to you to keep it secure. YOU are responsible should anything happen if the information is stolen or carelessly lost. You should make sure that there are appropriate steps taken to protect information held online or on paper. Try to work towards a clear desk policy for your staff and always make sure that staff keep their passwords hidden and that they never write them down. Make sure that DVDs, memory sticks or any movable media is encrypted and password protected.

•Not transferred to other countries without adequate protection

NEVER transfer sensitive personal information outside of the EEA unless the ICO says they have adequate protection. The ICO has a comprehensive list of countries within the European Economic Area that have adequate data protection and countries outside the European Economic Area that do.
There is further guidance on that here:


Next time: What happens if you disagree with a doctor's opinion, and you're unhappy with what he's written in your medical notes, can you ask to have it removed?

Gillian Jones is a freelance writer and copywriter with 10 years experience in the NHS. Further information is available at www.taith.net/