1. How much money has the Trust spent on EPR (Electronic Patient Record software) over the last 12 months?
The Trust is unable to provide the information requested as this information is commercial in confidence. This information is exempt under section 43 (commercial interests) of the Freedom of Information Act (FOIA), as the information would be likely to prejudice the commercial interests of those involved.
Section 43 (2) is a qualified exemption which means the Trust must undertake a public interest test. The Trust has considered the public interest in disclosing this information and while it is in the public interest to disclose information that informs the public of how we spend our money, especially where this relates to the provision of public services, we have determined that the prejudice arising from disclosure outweighs the benefit to the public in this instance.
2. More broadly, how much money has the Trust spent on any type of software in the last 12 months (e.g. EPR, PAS, TIE, etc - please factor in all types of software)?
Unfortunately, the information requested is unable to be provided. The Trust does not have this information readily available and to obtain all of the required information would require a manual search which would take in excess of 18 hours as specified under Section 12 of the Freedom of Information Act.
3. Does the Trust have a TIE (Trust Integration Engine), or a centralised integration platform of any kind? If so, who is the vendor and name of the platform (e.g. Intersystems Ensemble, Orion Health Rhapsody, etc)?
Yes, the Trust has an Integration engine. Details are not provided under cyber exemption.
We believe that disclosing details would undermine the cyber security of our infrastructure. It would reveal information about our cyber security operations and architecture which would be useful to potential cyber-attackers. We have therefore withheld this information in accordance with sections 31(1)(a) and (b) as well as section 24(1) FOIA. These are qualified exemptions and require a public interest test to be performed, as follows.
The NHS is aware of the increasing threat of cyber-crime to organisations, especially including high-profile organisations such as the NHS. With this in mind, we consider that disclosure of core architecture would prejudice the prevention and detection of crime (including cyber-crime) and also the apprehension and prosecution of offenders. Therefore, this information is exempt by virtue of section 31(1)(a) and (b) FOIA. This is a qualified exemption and the public interest test applies.
We accept there is a legitimate public interest in the effectiveness of measures being employed to keep the NHS safe and secure. This is especially important given that this infrastructure is maintained using public fund. However, this is outweighed by the risks of criminal activity being undertaken if the information was disclosed. The release of this material could provide valuable information to those wishing to launch a cyber-attack against the Trust or the wider NHS. Knowledge of the core architecture would allow potential cyber-attackers to build up a picture of our capability and capacity in this area. It could provide those groups or individuals with an indication of where to focus their efforts when targeting our systems. Groups planning attacks are known to conduct extensive research and will take advantage of the ‘mosaic effect’ by combining information from different sources. If this information were to be combined with other information already in the public domain or obtained from elsewhere, the disclosure of it could assist in mounting an effort to breach or bypass cyber security measures, with serious consequences for both staff and patients.
In these circumstances it is our view that the public interest in maintaining the exemption outweighs the public interest in disclosing the information.
Section 24(1) – National security
In addition to the increased threats and incidents of cyber-crime, national security is also increasingly under threat from those organisations and individuals who seek to use technology to disrupt the workings of public bodies. To limit these risks, we are also withholding the information for the purpose of safeguarding national security. This information is therefore also exempt by virtue of section 24(1) FOIA. This is a qualified exemption and the public interest test applies.
Again, we accept there is a legitimate public interest in the effectiveness of measures being employed to keep the NHS safe and secure. This is especially important given that this infrastructure is maintained using public funds.
However, we consider that it is not in the wider public interest to disclose this information because, as well as the risk posed to the security of the NHS, there is also a risk of national security being compromised. Knowledge of the core architecture would allow potential cyber-attackers to build up a picture of our capability and capacity in this area. It could provide those groups or individuals with an indication of where to focus their efforts when targeting our systems. Groups planning attacks are known to conduct extensive research and will take advantage of the ‘mosaic effect’ by combining information from different sources. If this information were to be combined with other information already in the public domain or obtained from elsewhere, the disclosure of it could assist in mounting an effort to breach or bypass cyber security measures, with serious consequences. As the NHS is an essential part of the UK’s public health and emergency response and these security measures also protect the proper functioning of Category One Emergency provision, the disclosure of this information may also compromise national security.
In these circumstances it is our view that the public interest in maintaining the exemption outweighs the public interest in disclosing the information.
4. How many people are in the Trust’s digital integration team (employees responsible for integrating software, e.g. EPR, with other software)?
The Trust has a contract for a managed service for integration.
5. More broadly, how many people does the Trust employ who have some kind of a Digital, Data or Technology (DDaT) role?
Approximately 166.
