Policy on Data Protection
Effective from 01/01/19
3. Who is does the policy apply to?
This policy applies to everyone with access to any University information. This includes, but is not limited to, regular and contingent colleagues, students, contractors, and anyone authorised to process, store, access or otherwise handle University information on behalf of the University.
4. Roles and responsibilities
University Registrar: is the University’s Senior Information Risk Owner and the University Executive Board member accountable for data protection matters.
Dean of Translational and Clinical Research Institute: is the University’s Toolkit Information Risk Officer, responsible for the implementation of the NHS Data Security Protection Toolkit (DSPT).
Head of Information Governance and Data Protection Officer (DPO): Fulfil the duties of Data Protection Officer and the University’s information governance subject matter expert responsible for advising the University on information governance matters. Perform the role of the University’s Caldicott Guardian.
Chief Information Security Officer (CISO): is the University’s cyber security subject matter expert responsible for advising the University on cyber security matters.
Information Security Committee: a sub-committee of University Executive Board accountable for the University’s Information Security arrangements, oversight of the implementation of the Information Security, Data Protection, Records Management and Freedom of Information policies and the approval of changes to such policies.
Information Security Operations Group: a sub-committee of Information Security Committee responsible for the implementation of the Information Security, Data Protection, Records Management and Freedom of Information policies and the approval of procedure under such policies.
Information Governance for Health Research Group (IGHR): to support and drive the broader information governance agenda for health research and responsibility for the monitoring the Data Security and Protection Toolkit (DSPT).
Audit, Risk and Assurance Committee: is responsible for reviewing the adequacy and effectiveness of University information security arrangements and reporting its opinion to Council.
Internal Audit: is responsible for providing independent assurance to management and Audit, Risk and Assurance Committee on the adequacy and effectiveness of University information security arrangements.
Cyber Security Team and Information Governance Team: are responsible for recommending information security procedures, producing guidance, monitoring operational compliance, and providing advice on implementation of the Information Security, Data Protection, Records Management and Freedom of Information policies, and associated procedures and guidance.
Information and Technology Asset Owners: are responsible for managing risks associated with their information and technology assets in line with this Policy, its associated procedures and guidance, and the Data Protection Policy.
5. Policy
Lawfulness, Fairness, and Transparency: Personal data shall be processed lawfully, fairly, and transparently in accordance with applicable data protection laws and regulations.
Purpose Limitation: Personal data shall be collected for specified, explicit, and legitimate purposes and not further processed in a manner that is incompatible with those purposes.
Data Minimisation: Personal data shall be adequate, relevant, and limited to what is necessary in relation to the purposes for which it is processed.
Accuracy: Personal data shall be accurate and, where necessary, kept up to date. Appropriate measures shall be taken to ensure the accuracy of personal data.
Storage Limitation: Personal data shall be kept in a form that permits identification of data subjects for no longer than is necessary for the purposes for which the personal data is processed.
Integrity and Confidentiality: Personal data shall be processed in a manner that ensures appropriate security, including protection against unauthorized or unlawful processing and against accidental loss, destruction, or damage.
Accountability: The University will maintain appropriate records to allow us to demonstrate our compliance with these principles.
Security: The University will have appropriate security measures in place to protect personal data, taking account of the nature of the data and the harm that might be caused if it was lost These security measures will be regularly tested, assessed, and evaluated to ensure they maintain an appropriate level of security for personal
data.
Data breaches: In the event of a data breach or security incident involving personal data, the University shall promptly assess the impact of the breach, take appropriate measures to mitigate any risks, and notify affected data subjects and regulatory authorities as required by law.
Rights: Data subjects will be able to exercise fully their rights to access, rectification, erasure, restriction, portability and objection, and their rights with regard to automated decision making and profiling.
Marketing: Electronic, telephone and other marketing will be carried out in accordance with the law. Guidance is available for staff to enable them to meet these requirements.
Data Protection by Design and Default: Risk assessments will be carried out on any new systems and processes and appropriate technical and organisational measures will be implemented to ensure that data protection principles are incorporated as appropriate.
International Transfers: Transfers of personal data outside of the UK and European Economic Area will be subject to appropriate safeguards in accordance with the law.
6. Related regulations, statutes and policies
- UK General Data Protection Regulations (UK GDPR)
- Data Protection Act 2018
- Privacy and Electronic Communications (EU Directive) Regulations 2003 (PECR)
- EU General Data Protection Regulations (GDPR)
- Personal Data Protection Act (PDPA) (Singapore)
- Personal Data Protection Act (PDPA) (Malaysia)
- Information Security Policy
- Records Management Policy
- Freedom of Information Policy
- Risk Management Policy
7. Procedure to implement the policy
1) Information Security Committee shall be responsible for approval of changes to the Information Security, Data Protection, Records Management and Freedom of Information policies and the Cyber Security Accountability
Framework.
2) Information Security Operations Group shall be responsible for approving procedures under the Information Security, Data Protection, Records Management and Freedom of Information policies.
3) In the event of a matter of urgency, the DPO shall have delegated authority to approve procedure under the Data Protection, Records Management and Freedom of Information policies in consultation with at least one of: Chair of Information Security Committee, Registrar or Executive Director of Finance. Such a procedure shall be reported to the next meeting of the Information Security Operations Group.
4) All colleagues must undergo University data protection training biennially. Staff engaged in projects associated with the NHS Data Security Protection Toolkit must undergo annual training. Specific training requisites are documented and updated in the Training Needs Analysis document.
8. Monitoring and reporting on compliance
| What will be monitored? | Frequency | Method | Who by | Reported to |
|---|---|---|---|---|
| Overall compliance will be monitored in line with the GDPR’s Accountability requirement. |
Routinely | Accountability tracking system | Information Security Operations Group |
Information Security Committee Audit, Risk and Assurance Committee Business Continuity and Risk Group |
| Reports of any breach of this policy | As required | An investigation that might be carried out as a result of an information security incident data breach. | Head of Information Governance/DPO |
Information Information |
9. Failure to comply
1) Colleagues and students may be subject to disciplinary action.
2) Third parties may be subject to breach of contract proceedings
Failure to comply with this policy could lead to significant fines levied by the Information Commissioner’s Office. Individuals may be subject to disciplinary action.
Document control information |
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| Does this replace another policy? Yes – Data Protection Policy 2018. This takes the policy previously approved by Council in February 2018 and places it in the new policy template. Minor administrative changes made in June 2020. | ||
Approval |
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Document control information |
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| Does this replace another policy? Yes – Data Protection Policy 2018. | ||
Approval |
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| Approved by: Information Security Committee | Date: XX/03/2024 | |
| Effective from: YY/03/2024 | ||
| Review due: 3 years after effective date | ||
Responsibilities |
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| Executive sponsor: Registrar | ||
| Policy owner: Information Security Committee | ||
| Policy author: Head of Information Governance and Data Protection Officer | ||
| Person(s) responsible for compliance: Registrar | ||
Consultation |
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| Version | Body consulted | Date |
| 2_2 (2024) | Information Security Operations Group |
14/03/2024 |
Equality, Diversity and Inclusion Analysis:Does the policy have the potential to impact on people in a different way because of their protected characteristics? Yes/ No/ Unsure If yes or unsure please consult the Diversity Team in HR for guidance |
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| Initial assessment by: | Date: | |
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Key changes made as a result of Equality Impact Assessment
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Document location |
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| (eg www.ncl.ac.uk/ XXXXX etc) | ||