Supporting the NHS to Improve Cyber Security. Presented by Chris Flynn Security Operations Lead NHS Digital s Data Security Centre

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1 Supporting the NHS to Improve Cyber Security Presented by Chris Flynn Security Operations Lead NHS Digital s Data Security Centre

2 JA 2

3 Start with why And why it matters? 3

4 Balancing data security & patient care Trust Safe care Timely care 5

5 Balancing data security & patient care Confidentiality Integrity Availability Trust Safe care Timely care 6

6 The threat is real and in the public domain 10 th October 2016, An inews article regarding data security in health and care alleged: That a minimum of nearly 30 NHS trusts in England have been the victim of ransomware attacks in the last year 31 st October 2016, BBC News reported North Lincs & Goole: Virus infected systems and services Operations. Outpatients & diagnostics cancelled for three days. 13 th January 2017, St Bart's suffers a malware attack: Enacts contingency plans to ensure continuity Disruption to I.T. systems 7

7 The Threat is Real (& Health is no different) Hospital X: Infiltration onto local network; infiltrating 60+ internal servers (some clinical), used as a mail relay and over 2m SPAM s sent from hospital servers. Bedroom Hacker exploiting a Technology XP and Windows Server 2003 vulnerability. Govt Body Y: Insider, an employee was socially engineered by a journalist to release pseudonymised information on hospital statistics that due to their format could have been re-id d. Insider Threat, Social Engineering of Our People Hospital Z: Malware attack, affecting 100 XP machines and multiple servers. Due to issues caused by data integrity fears, path results disrupted and discharge affected (bed blocking). Criminality, failure in Process of the organisation to keep up their patching regime 8

8 Potentially malicious activity The NHS is no different to any other sector: Security threats commensurate to those found in wider industry are blocked at the gateway of the National NHS Network (N3) every month That equates to malicious traffic equating to 0.3% of all data sent across the NHS Network Over 250k downloaded files were quarantined suspected as being malicious 10% of these were blocked c.60% of incoming mails to NHS Mail2 were blocked as Spam This is just what we can see! 9

9 How can NHS Digital help? 10

10 NHS Digital Data Security Centre NHS Digital s Data Security Centre is at the forefront of information and data security. It enables the secure and safe use of information within health and care building public trust through the services, guidance and advice it offers. It is the centre for threat intelligence while also coordinating a sectorwide incident management capability. Capabilities: Cyber Security Programme delivering services to health and care Specialist Security Service Internal specialists and resourcing Security Cell internal security monitoring and incident management, external threat and incident management through CareCERT 11

11 NHS Digital s Role in Data Security NHS Digital s Data Security Centre, the services it implements to health and care, and the support and guidance it offers to the system should be: non-regulatory; NHS Digital is not a regulator but an enabler to the 2million+ employees in the system to provide better data security a Leader in data security; the place the wider health and care system comes for advice guidance and support the gateway to the National Cyber Security Centre; distilling best practice and working with NCSC on improving UK response to cyber threat the trusted centre for threat intelligence for the system and sector wide incident management 12

12 What we do 13

13 CareCERT core services 14

14 Data Security Standards All staff ensure that personal confidential data is handled, stored and transmitted securely, whether in electronic or paper form. Personal confidential data is only shared for lawful and appropriate purposes All staff understand their responsibilities under the National Data Guardian s Data Security Standards including their obligation to handle information responsibly and their personal accountability for deliberate or avoidable breaches. All staff complete appropriate annual data security training and pass a mandatory test, provided through the revised Information Governance Toolkit. Personal confidential data is only accessible to staff who need it for their current role and access is removed as soon as it is no longer required. All access to personal confidential data on IT systems can be attributed to individuals. Processes are reviewed at least annually to identify and improve processes which have caused breaches or near misses, or which force staff to use workarounds which compromise data security. A continuity plan is in place to respond to threats to data security, including significant data breaches or near misses, and it is tested once a year as a minimum, with a report to senior management. Cyber-attacks against services are identified and resisted and CareCERT security advice is responded to. Action is taken immediately following a data breach or a near miss, with a report made to senior management within 12 hours of detection. No unsupported operating systems, software or internet browsers are used within the IT estate. A strategy is in place for protecting IT systems from cyber threats which is based on a proven cyber security framework such as Cyber Essentials. This is reviewed at least annually. 15

15 Defence in Depth Proactive Refreshed Assurance regime E-learning Changing Culture Contractual Levers & Incentives On site assessments Threat Intelligence Capital Investment Removing Vulnerabilities Network Monitoring Blocking & detecting Threats Reactive Remote Support Reducing Impact Knowledge repository Continually Learning & Improving 16

16 CareCERT, React, Assure Enquiries:

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