ICO Reprimand for NHS Patient Data Breach

In a concerning revelation of data security lapses, NHS Fife has been formally reprimanded by the Information Commissioner’s Office (ICO) following an incident where an unauthorised individual accessed sensitive patient information. The breach occurred in a hospital ward and highlights key learnings for all organisations regarding security protocols for personal data.

Incident Overview

The case came to light after the ICO, discovered that the personal information of 14 patients was compromised. The incident, which took place in February 2023, involved an individual who was able to access secure documents and participate in administering care to a patient, highlighting a lack of identity verification checks at the hospital.

ICO Investigation Findings

The ICO’s investigation unveiled several deficiencies in NHS Fife’s approach to data protection. Notably, staff training on safeguarding personal information was found to be inadequate. The ICO found training rates across the hospital were at only 42% although on the ward it was at 82%. This low rate was attributed to the Covid-19 Pandemic and a three-year training cycle. Additionally, the ICO pointed out that the hospital’s CCTV system had been mistakenly turned off by a staff member before the incident as part of wider energy-saving measures being implemented across the hospital. Although this would not have prevented the incident, it further complicated the recovery of the missing documents as the individual was not able to be identified.

Natasha Longson, ICO Head of Investigations, stressed the importance of stringent data security in healthcare. “Patient data is highly sensitive and needs the highest level of security. Trust in data security is pivotal when accessing healthcare services,” she remarked. 

Echoes of NHS Lanarkshire Incident

This is not the first instance of such a breach within the NHS system. Months earlier, NHS Lanarkshire faced a similar reprimand for unauthorised staff use of WhatsApp to share patient data over the course of two years, leading to data access by a non-staff member.

In the Lanarkshire incident, between April 2020 and April 2022, 26 staff at NHS Lanarkshire had access to a WhatsApp group where patient data was entered on more than 500 occasions, including names, phone numbers and addresses. Images, videos and screenshots, which included clinical information, were also shared. While it was made available for communicating basic information only at the start of the pandemic, WhatsApp was not approved by NHS Lanarkshire for processing patient data and was adopted by these staff without the organisation’s knowledge. A non-staff member was also added to the WhatsApp group in error, resulting in the inappropriate disclosure of personal information to an unauthorised individual. Additionally, it is worth bearing in mind, public sector organisations face the added risk of WhatsApp communications being disclosed to court proceedings after the High Court ruling in July of this year. The product of that ruling is currently being played out for us now

Corrective Measures and Recommendations

In response to this incident, NHS Fife has introduced new procedures, including stringent sign-in and out systems for documents containing patient data and updated ID verification processes. The ICO has also recommended that NHS Fife enhance its data protection strategies by conducting more frequent training for staff and providing clear written security guidelines as well as updating policies and procedures whilst clearly highlighting archived policies. The ICO also requested to be updated on these measures in a six-month follow up. 

Organisations can use these findings to ensure that all the recommendations mentioned above are being implemented within their organisations. The ICO added:

“Every healthcare organisation should look at this case as a lesson learned and consider their own policies when it comes to security checks and authorised access. We are pleased to see that NHS Fife has introduced new measures to prevent similar incidents from occurring in the future.”

Learn more about data breaches with our UK GDPR Practitioner Certificate. Dive into the issues discussed in this blog and secure your spot before spaces run out.

Cyber Security Breaches Survey 2022: What DPOs need to know

Cyber security breaches are on the rise. Virtually every day there is a news story about a high profile organisation being hacked and personal data being lost or stolen. Last week the BBC reported that thousands, if not millions, of people could have lost money in the second largest crypto hack in history. Ronin Network, a key platform powering the popular mobile game Axie Infinity, has had $615m (£467m) stolen. More recently UK retailer, The Works has been forced to shut shops temporarily and suspend new stock deliveries after a cyber-attack.

And it’s not just the private sector. In January we learnt that Gloucester City Council’s website was hacked affecting online revenue and benefits, planning and customer services. The work of Russian hackers(allegedly) could take up to six months to resolve and affected servers and systems may need to be rebuilt.

Data Protection Officers need to be aware of the latest incidents and advice when it comes to cyber security breaches. The recently published DCMS Cyber Security Breaches Survey is important reading for all DPOs. It explores the policies, processes, and approaches to cyber security for businesses, charities, and educational institutions. It also considers the different forms of cyber-attack these organisations face, as well as how they are impacted and their response.

Cyber Attacks

The survey results show that in the last 12 months, 39% of UK businesses identified a cyber-attack. Of these, the most common threat vector was phishing attempts (83%). Of the 39%, around one in five (21%) identified a more sophisticated attack type such as a denial of service, malware, or ransomware attack. Despite its low prevalence, organisations cited ransomware as a major threat, with 56% of businesses having a policy not to pay ransoms. Note recently the GDPR fine issued to a firm of solicitors who suffered such an attack. Interestingly they too chose not to pay the hackers. 

Frequency and Impact

Within the group of organisations reporting cyber-attacks, 31% of businesses and 26% of charities estimate they were attacked at least once a week. One in five businesses (20%) and charities (19%) say they experienced a negative outcome as a direct consequence of a cyber-attack, while one third of businesses (35%) and almost four in ten charities (38%) experienced at least one negative impact. It is interesting that the survey focussed on charities too. July 2021 saw the first GDPR fine to a charity. The transgender charity Mermaids was fined £25,000 after the ICO found that it had failed to implement an appropriate level of security to its internal email systems, which resulted in documents or emails containing personal data being searchable and viewable online by third parties through internet search engine results.

Cost of Attacks

The survey found the average estimated cost of all cyber attacks in the last 12 months was £4,200. Considering only medium and large businesses; the figure rises to £19,400. Of course such incidents also mean a loss of reputation and customer trust. In October 2020, the ICO fined British Airways £20million for a cyber security breach which saw the personal and financial details of more than 400,000 customers being accessed by hackers. British Airways also had to settle legal claims for compensation from affected customers. 

Cyber Hygiene

The government guidance ‘10 Steps to Cyber Security’ breaks down the task of protecting an organisation into 10 key components. The survey finds 49% of businesses and 40% of charities have acted in at least five of these 10 areas. In particular, access management surveyed most favourably, while supply chain security was the least favourable.

Board Engagement

Around four in five (82%) of boards or senior management within UK businesses rate cyber security as a ‘very high’ or ‘fairly high’ priority, an increase on 77% in 2021. 72% in charities rate cyber security as a ‘very high’ or ‘fairly high’ priority. Additionally, 50% of businesses and 42% of charities say they update the board on cyber security matters at least quarterly. Our new webinar “GDPR and the Charity Sector Webinar” is ideal for raising awareness amongst charity trustees.

Size Differential

Larger organisations are correlated throughout the survey with enhanced cyber security, likely as a consequence of increased funding and expertise. For large businesses’ cyber security; 80% update the board at least quarterly, 63% conducted a risk assessment, and 61% carried out staff training; compared with 50%, 33% and 17% respectively for all businesses. Our GDPR Essentials e learning course contains a specific module on keeping data safe which warns of the most common cyber hacking/phishing tactics.  

Risk Management

Just over half of businesses surveyed (54%) have acted in the past 12 months to identify cyber security risks, including a range of actions, where security monitoring tools (35%) were the most common. Qualitative interviews however found that limited board understanding meant the risk was often passed on to; outsourced cyber providers, insurance companies, or an internal cyber colleague.

Outsourcing and Supply Chain

Small, medium, and large businesses outsource their IT and cyber security to an external supplier 58%, 55%, and 60% of the time respectively, with organisations citing access to greater expertise, resources, and standard for cyber security. Consequently, only 13% of businesses assessed the risks posed by their immediate suppliers, with organisations saying that cyber security was not an important factor in the procurement process.

Incident Management

Incident management policy is limited with only 19% of businesses having a formal incident response plan, while 39% have assigned roles should an incident occur. In contrast, businesses show a clear reactive approach when breaches occur, with 84% of businesses saying they would inform the board, while 73% would make an assessment of the attack.

External engagement

Outside of working with external cyber security providers, organisations most keenly engage with insurers, where 43% of businesses have an insurance policy that cover cyber risks. On the other hand, only 6% of businesses have the Cyber Essentials certification and 1% have Cyber Essentials plus, which is largely due to relatively low awareness. The importance of this was highlighted in the recent GDPR fine issued to Tuckers solicitors.

The DCMS Cyber Security Breaches Survey is important reading for all Data Protection Officers and IT staff. Aligning with the National Cyber Strategy, it is used to inform government policy on cyber security. It should also be used to stay abreast of cyber security developments and formulate your own organisation’s cyber security strategy.  

Our Managing Personal Data Breaches workshop will examine the law and best practice in this area, drawing on real-life case studies, to identify how organisations can position themselves to deal appropriately with data security incidents and data breaches, in order to minimise the impact on customers and service users and mitigate reputational damage.

Law Firm Fined For GDPR Breach: What Went Wrong? 

On 10th March the Information Commissioner’s Office (ICO) announced that it had fined Tuckers Solicitors LLP £98,000 for a breach of GDPR.

The fine follows a ransomware attack on the firm’s IT systems in August 2020. The attacker had encrypted 972,191 files, of which 24,712 related to court bundles.  60 of those were exfiltrated by the attacker and released on the dark web.  Some of the files included Special Category Data. Clearly this was a personal data breach, not just for the fact that data was released on the dark web, but because of the unavailability of personal data (though encryption by the attacker) which is also cover by the definition in Article 4 GDPR. Tuckers reported the breach to the ICO as well as affected individuals through various means including social media

The ICO found that between 25th May 2018 (the date the GDPR came into force) and 25th August 2020 (the date on which the Tuckers reported the personal data breach), Tuckers had contravened Article 5(1)(f) of the GDPR (the sixth Data Protection Principle, Security) as it failed to process personal data in a manner that ensured appropriate security of the personal data, including protection against unauthorised or unlawful processing and against accidental loss, destruction or damage, using appropriate technical or organisational measures. The ICO found its starting point for calculating the breach to be 3.25 per cent of Tuckers’ turnover for 30 June 2020. It could have been worse; the maximum for a breach of the Data Protection Principles is 4% of gross annual turnover.

In reaching its conclusions, the Commissioner gave consideration to Article 32 GDPR, which requires a Data Controller, when implementing appropriate security measures, to consider:

 “…the state of the art, the costs of implementation and the nature, scope, context and purposes of processing as well as the risk of varying likelihood and severity for the rights and freedoms of natural persons”.

What does “state of the art” mean? In this case the ICO considered, in the context of “state of the art”, relevant industry standards of good practice including the ISO27000 series, the National Institutes of Standards and Technology (“NIST”), the various guidance from the ICO itself, the National Cyber Security Centre (“NCSC”), the Solicitors Regulatory
Authority, Lexcel and NCSC Cyber Essentials.

The ICO concluded that there are a number of areas in which Tuckers had failed to comply with, and to demonstrate that it complied, with the Security Principle. Their technical and organisational measures were, over the relevant period, inadequate in the following respects:

Lack of Multi-Factor Authentication (“MFA”)

MFA is an authentication method that requires the user to provide two or more verification factors to gain access to an online resource. Rather than just asking for a username and password, MFA requires one or more additional verification factors, which decreases the likelihood of a successful cyber-attack e.g. a code from a fob or text message. Tuckers had not used MFA on its remote access solution despite its own GDPR policy requiring it to be used where available. 

Patch Management 

Tuckers told the ICO that part of the reason for the attack was the late application of a software patch to fix a vulnerability. In January 2020 this patch was rated as “critical” by the NCSC and others. However Tuckers only installed it 4 months later. 

Failure to Encrypt Personal data

The personal data stored on the archive server, that was subject to this attack, had not been encrypted. The ICO accepted that encryption may not have prevented the ransomware attack. However, it would have mitigated some of the risks the attack posed to the affected data subjects especially given the sensitive nature of the data.

Action Points 

Ransomware is on the rise. Organisations need to strengthen their defences and have plans in place; not just to prevent a cyber-attack but what to do when it does takes place:

  1. Conduct a cyber security risk assessment and consider an external accreditation through Cyber Essentials. The ICO noted that in October 2019, Tuckers was assessed against the Cyber Essentials criteria and found to have failed to meet crucial aspects. The fact that some 10 months later it had still not resolved this issue was, in the Commissioner’s view, sufficient to constitute a negligent approach to data security obligations.
  2. Making sure everyone in your organisation knows the risks of malware/ransomware and follows good security practice. Our GDPR Essentials e learning solution contains a module on keeping data safe.
  3. Have plans in place for a cyber security breach. See our Managing Personal Data Breaches workshop

More useful advice in the ICO’s guidance note on ransomeware and DP compliance.

This and other GDPR developments will be discussed in detail on our forthcoming GDPR Update workshop. We also have a few places left on our Advanced Certificate in GDPR Practice course starting in April.

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GDPR Fine for Charity E Mail Blunder

A Scottish charity has been issued with a £10,000 monetary penalty notice following the inadvertent disclosure of personal data by email. 

On 18th October, HIV Scotland was found to have breached the security provisions of the UK GDPR, namely Articles 5(1)(f) and 32, when it sent an email to 105 people which included patient advocates representing people living with HIV. All the email addresses were visible to all recipients, and 65 of the addresses identified people by name. From the personal data disclosed, an assumption could be made about individuals’ HIV status or risk. 

The Information Commissioner’s Office (ICO) is urging organisations to revisit their bulk email practices after its investigation found shortcomings in HIV Scotland’s email procedures. These included inadequate staff training, incorrect methods of sending bulk emails by blind carbon copy (bcc) and an inadequate data protection policy. It also found that despite HIV Scotland’s own recognition of the risks in its email distribution and the procurement of a system which enables bulk messages to be sent more securely, it was continuing to use the less secure bcc method seven months after the incident.

On the point of training, HIV Scotland confirmed to the ICO that employees are expected to complete the “EU GDPR Awareness for All” on an annual basis.  The ICO recommended that staff should receive induction training “prior to accessing personal data and within one month of their start date.” Act Now’s e learning course, GDPR Essentials, is designed to teach employees about the key provisions of GDPR and how to keep personal data safe. The course is interactive with a quiz at the end and can be completed in just over 30 minutes. Click here to watch a preview. 

HIV Scotland was also criticised for not having a specific policy on the secure handling of personal data within the organisation. It relied on its privacy policy which was a public facing statement covering points such as cookie use, and data subject access rights; this provided no guidance to staff on the handling of personal and what they must do to ensure that it is kept secure. The Commissioner expects an organisation handling personal data, to maintain policies regarding, amongst other things, confidentiality (see our GDPR policy pack).

This is an interesting case and one which will not give reassurance to the Labour Relations Agency in Northern Ireland which had to apologise last week for sharing the email addresses and, in some cases ,the names of more than 200 service users. The agency deals confidentially with sensitive labour disputes between employees and employers. It said it had issued an apology to recipients and was currently taking advice from the ICO.

Interestingly the ICO also referenced in its ruling, the fact that HIV Scotland made a point of commenting on a similar error by another organisation 8 months prior. In June 2019, NHS Highland disclosed the email addresses of 37 people who were HIV positive. It is understood the patients in the Highlands were able to see their own and other people’s addresses in an email from NHS Highland inviting them to a support group run by a sexual health clinic. At the time HIV Scotland described the breach as “unacceptable”. 

The HIV Scotland fine is the second one the ICO has issued to a charity in the space of 4 months. On 8th July 2021, the transgender charity Mermaids was fined £25,000 for failing to keep the personal data of its users secure. The ICO found that Mermaids failed to implement an appropriate level of security to its internal email systems, which resulted in documents or emails containing personal data being searchable and viewable online by third parties through internet search engine results.

Charities need to consider these ICO fines very carefully and ensure that they have polices, procedures and training in place to avoid enforcement action by the ICO. 

This and other GDPR developments will be discussed in detail on our forthcoming GDPR Update workshop. We have a few places left on our Advanced Certificate in GDPR Practice course starting in January.

Labour Relations Agency Data Breach: Ibrahim Hasan’s BBC Interview

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The Labour Relations Agency in Northern Ireland has apologised for sharing the email addresses and, in some cases the names, of more than 200 service users.

https://www.bbc.co.uk/news/uk-northern-ireland-58988092

Here is Ibrahim Hasan’s interview with BBC Radio Ulster:

More media interviews by Ibrahim here.

First ICO GDPR Fine Reduced on Appeal

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The first GDPR fine issued by the Information Commissioner’s Office (ICO) has been reduced by two thirds on appeal.

In December 2019, Doorstep Dispensaree Ltd, a company which supplies medicines to customers and care homes, was the subject of a Monetary Penalty Notice of £275,000 for failing to ensure the security of Special Category Data. Following an investigation, the ICO ruled that the company had left approximately 500,000 documents in unlocked containers at the back of its premises in Edgware. The ICO launched its investigation after it was alerted by the Medicines and Healthcare Products Regulatory Agency, which was carrying out its own separate enquiry into the company.

The unsecured documents included names, addresses, dates of birth, NHS numbers, medical information and prescriptions belonging to an unknown number of people.
The ICO held that this gave rise to infringements of GDPR’s security and data retention obligations. It also issued an Enforcement Notice after finding, amongst other things, that the company’s privacy notices and internal policies were not up to scratch.

On appeal, the First Tier Tribunal (Information Rights) ruled that the original fine of £275,000 should be reduced to £92,000. It concluded that 73,719 documents had been seized by the MHRA, and not approximately 500,000 as the ICO had estimated. She also held that 12,491 of those documents contained personal data and 53,871 contained Special Category Data.

A key learning point from this appeal is that data controllers cannot be absolved of responsibility for personal data simply because data processors breach contractual terms around security. The company argued that, by virtue of Article 28(1) of GDPR, its data destruction company (JPL) had become the data controller of the offending data because it was processing the data otherwise than in accordance with their instructions. In support of this argument it relied on its contractual arrangement with JPL, under which JPL was only authorised to destroy personal data in relation to DDL- sourced excess medication and equipment and must do so securely and in good time. 

The judge said:

“The issue of whether a processor arrogated the role of controller in this context must be considered by reference to the Article 5(2) accountability principle. This provides the controller with retained responsibility for ensuring compliance with the Article 5(1) data processing principles, including through the provision of comprehensive data processing policies. Although it is possible that a tipping point may be reached whereby the processor’s departure from the agreed policies becomes an arrogation of the controller’s role, I am satisfied that this does not apply to the facts of this case.” 

This case shows the importance of data controllers keeping a close eye on data processors especially where they have access to or are required to destroy or store sensitive data. Merely relying on the data processor contract is not enough to avoid ICO enforcement. 

Our  GDPR Practitioner Certificate is our most popular certificate course available both online and classroom. We have added more dates.

The BA and Marriot Data Breaches: The ICO takes its gloves off!

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This week we saw the Information Commissioner’s Office (ICO) finally signal its intention to use its powers to issue to issue Monetary Penalty Notices (fines) under the General Data Protection Regulation (GDPR).  Two Notices of Intent have been issued.  Both relate to cyber security incidents but are for different reasons and amounts.

Under the GDPR, supplemented by the Data Protection Act 2018 (DPA18), the ICO has a number of statutory duties and powers with regards to regulating Controllers’ and Processors’ obligations. Article 58 gives the ICO its powers. Article 83(2) sets out the criteria that have to be taken into account by the ICO when issuing fines. These include the nature, gravity and duration of the breach, the number of data subjects affected, level of damage and action taken to mitigate the damage. All this is outlined in the ICO’s Enforcement Policy.

British Airways Notice of Intent – £183 Million

According to the statement from the ICO:

“The proposed fine relates to a cyber incident notified to the ICO by British Airways in September 2018. This incident in part involved user traffic to the British Airways website being diverted to a fraudulent site. Through this false site, customer details were harvested by the attackers. Personal data of approximately 500,000 customers were compromised in this incident, which is believed to have begun in June 2018.

The ICO’s investigation has found that a variety of information was compromised by poor security arrangements at the company, including log in, payment card, and travel booking details as well name and address information.”

According to various sources at the time, for a period of two weeks BA’s systems were compromised. Hackers took the personal and financial details of customers who made, or changed, flight bookings on www.BA.com or its app during that time. Names, email addresses and credit card information were stolen – including card numbers, expiration dates and the three-digit CVC code required to authorise payments.

According to an article from wired.co.uk, the BA vulnerability was a well-known one and could have been prevented with a simple fix. While we don’t know the exact details yet, perhaps that is why the ICO wants to fine BA a whopping £183 Million!

What this also appears to show is that because the BA breach resulted in customers of BA being stuck in various holiday locations unable to get home the effect on “the rights and freedoms of individuals” was certainly far more concrete (and some could say worse) than what we currently know about the Marriott data breach (see below). Perhaps this is why the fine amount is so high.

As soon as the notice of intent was filed BA announced they were going to appeal, either because they see themselves as the victim here (as stated in various press statements about the incident) or they believe that the ICO has acted disproportionately. We shall see…

Marriott Hotels Notice of Intent – £99 Million

According to the statement from the ICO:

“The proposed fine relates to a cyber incident which was notified to the ICO by Marriott in November 2018. A variety of personal data contained in approximately 339 million guest records globally were exposed by the incident, of which around 30 million related to residents of 31 countries in the European Economic Area (EEA). Seven million related to UK residents.

It is believed the vulnerability began when the systems of the Starwood hotels group were compromised in 2014. Marriott subsequently acquired Starwood in 2016, but the exposure of customer information was not discovered until 2018. The ICO’s investigation found that Marriott failed to undertake sufficient due diligence when it bought Starwood and should also have done more to secure its systems.”

According to various sources (see the BBC article at the time) this specific cyber security breach related to one of the booking databases belonging to Starwood hotels. A vulnerability in the database was exploited in 2014 and has been exploited ever since then until an internal security tool detected suspicious activity in 2018. The database in question contained records of up to 500 million customers of which 339 million were compromised including names, addresses and encrypted payment card information.

In  2016 Starwood (and all its assets and liabilities) were bought by Marriott. Part of the ICO statement accuses Marriott of not completing effective due diligence on Starwood and that appears to be the main reason for the intention to fine. One would conclude therefore that when purchasing a company a full security assessment and penetration test on the IT network and systems should be completed.  Marriott have also announced their intention to appeal the notice of intent. Not surprising when it is £99 Million!

What does this mean?

As with the Metropolitan Police announcement a few weeks ago, I’m sure these announcements will go down in Data Protection history but until the action is confirmed and the money exchanges accounts, what it exactly means for the regulatory landscape is yet to be seen. These are just intentions to fine, not the actual fine itself. The press (and some people that still don’t understand Data Protection when they claim to) got all excited about it at the time (and were corrected by many on social media). I think someone used the phrase (which I now cannot find so I can’t credit you – sorry!) “it’s basically like me saying I have an intention to buy my lunch”. But your lunch currently isn’t bought, and you are, indeed, still hungry!

What it means in terms of what you can practically do in your day jobs however is quite clear. GDPR emphasises the need to have ‘effective organisational and technical measures’. So, if you are going to buy a business (or just build a new system) ensure you have done your due diligence and testing on it to help mitigate any potential risks. You can’t catch everything (especially in a cyber security context) but at the very least you must be seen to be trying. Doing nothing, or ‘ignorance is bliss’, will ultimately land you in trouble.

Secure systems, privacy by design, effective cyber security and a half decent data culture will help you on your path and is a fair size more beneficial than the world of ignorance.

Scott Sammons is a trainer with Act Now. More on these and other developments will be in our GDPR Update webinar and full day workshop presented by Ibrahim Hasan. Looking for a GDPR qualification, our practitioner certificate is the best option.

Photo: Thanks to Sam Truong Dan for making this photo available freely on @unsplash 🎁 https://unsplash.com/photos/-rF4kuvgHhU 

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