In an advancing digital landscape, conversations about data, digital, and technology in health and care organisations must be accompanied by robust and relevant considerations for cyber security risks. As we develop services with increasing use of digital systems, the importance of cyber security must be comprehensively addressed at all levels. The King’s Speech highlighted the new Cyber and Resilience Bill which will support the core aims improving awareness but additional powers to ensure more digital services are covered by regulation and mandated incident reporting to strengthen knowledge on responses.  

The Evolving Landscape of Cyber Security in Health and Care 

Traditionally, cyber security in health and care has been viewed primarily as a matter of compliance, with organisations striving to adhere to regulatory standards to meet minimum requirements. However, a shift is occurring within the NHS and the broader care sector. There's a growing recognition that a more comprehensive and collaborative approach is essential to ensure that all staff and systems are cyber-aware and secure. This evolution is driven by the increasing frequency and sophistication of cyber threats targeting sensitive and valuable information.  

The Rising Tide of Cyber Security Threats

So, why and how are cyber security threats increasing in health and care? Several factors contribute to the mounting challenge:  

Valuable Data:

Health data is incredibly valuable on the black market. Personal health information (PHI) can be used for identity theft, insurance fraud, and other malicious activities, making it a prime target for
cybercriminals. The NHS is renowned for rich data and is viewed globally as a health system of note. 
 


Sophisticated Attacks
:

Cyber attacks have become more sophisticated and harder to detect. Known techniques like ransomware, phishing, and advanced persistent threats (APTs) are increasingly used to infiltrate health and care systems, but there is further advanced techniques already utilising AI and new classes of technology to develop new attacks.  

Insider Threats:

Not all threats come from external actors. Insider threats, often the result of accidental breaches by employees, pose a significant risk to cyber security. In the fast-paced and pressured environment of delivering health and care services, focusing on the patient often takes precedence over security hygiene.  

Tackling Infrastructure 

Addressing cyber security in health and care requires a multifaceted approach, starting with infrastructure. Robust and resilient IT infrastructure is the backbone of any effective cyber security strategy.  

One of the chronic challenges facing NHS and care organisations is the lack of funding and investment in infrastructure over a long period of time. The vastly complex nature of systems required to deliver a full suite of services is often the result of a combination of legacy infrastructure and newer solutions. Whilst each serves a purpose in the delivery of health and care, the lack of interoperability and the workarounds used to simplify access can often be the root of vulnerability.  

What are the basics of cyber security in healthcare? 

1. Network Security:

One of the integral basics of a strong and reliable digital services. Implementing strong network security measures, such as firewalls, intrusion detection systems, and regular network monitoring, is crucial. Segmentation of networks can also help contain potential breaches and limit the spread of malware. 

2. Data Encryption:

Encrypting data both at rest and in transit ensures that even if data is intercepted or accessed without authorisation, it remains unreadable and useless to attackers. 

3. Regular Updates and Patch Management:

Keeping software and systems up to date with the latest patches and updates is essential. Cybercriminals often exploit known vulnerabilities, so timely updates are critical to closing these security gaps. The NHS Joint Cyber Security Unit publishes regular updates on known vulnerabilities requiring immediate action.  

4. Disaster Recovery and Backup Plans:

Having comprehensive disaster recovery and backup plans ensures that in the event of a cyber attack, organisations can quickly restore critical systems and data, minimising downtime and disruption. This requires time and energy spent on mapping comprehensive plans and regular drills to ensure the protocols work in the event of a real attack.  

UCD, Training and Engagement  

People are often the critical factor in the success of cyber preparedness. Human factors play a significant role, and training and engagement are key to fostering a cyber-aware culture within health and care organisations. 

1. Trust in Design:

Poor or overly complex infrastructure that makes it difficult to access the right information at the right time is common feedback from frontline staff. Building access protocols and systems infrastructure that is simple and efficient means less reason for staff to try and use workarounds which may cause vulnerabilities or result in security protocols not being followed. Putting additional security measures on top of poor existing infrastructure is not a viable solution to long-term security. 

2. Awareness Maintained Through Regular Training Programs:

Continuous training for all staff members on cyber security best practices, recognising phishing attempts, and responding to potential threats is essential. Training should be tailored to different roles within the organisation to address specific risks and responsibilities.  

3. Leadership Involvement:

Cyber security must be championed at all levels of the organisation, especially by leadership. Leaders should demonstrate a commitment to cyber security, allocate necessary resources, and foster a culture where security is everyone's responsibility.  

Championing cyber security awareness in health and care is not just about compliance; it's about creating a secure environment where patient data is protected, and services can be delivered without disruption. By addressing infrastructure vulnerabilities and prioritising training and engagement, health and care organisations can build a resilient defence against the growing tide of cyber threats. As the digital landscape continues to evolve, so too must our approach to cyber security, ensuring that we stay ahead of the threats and safeguard the integrity of our critical health and care systems. 

Enhance Your Cyber Security Knowledge at HETT Show 2024 

Ensure you're prepared for the evolving landscape of cyber security in healthcare. Register now for HETT Show 2024 (24-25th September, ExCeL London) to learn from industry experts, discuss the latest threats, and explore comprehensive strategies to protect sensitive health data. Don't miss this opportunity to enhance your cyber security knowledge and strengthen your organisation's resilience. Secure your place today. 

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