Closed Circuit Television Camera - (CCTV) - NHS Swindon Clinical Commissioning Group - Swindon CCG
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Closed Circuit
Television Camera
(CCTV)
Surveillance
Policy
NHS Swindon Clinical Commissioning Group
October 2015December 2018
Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham
Page 1 of 24NHS Swindon Clinical Commissioning Group (CCG)
Policy: CCTV Policy
Policy Ref: IG01
Policy Statement: This Policy sets out the appropriate actions and procedures,
which must be followed to comply with the Data Protection Act
in respect of the use of CCTV (closed circuit television) camera
surveillance in NHS Swindon Clinical Commissioning Group.
Version Number: 1.20 1.4
Version Date: 12/11/201527/11/2018
Review Date: 30/11/201831/12/2020
Author: Yvonne Knight, Corporate & InformationHead of Governance /
Risk Manager (C&IG/RM)
Senior Information Governance Manager, IG Manager, CSU
Responsible Owner: Caroline Gregory, Chief Financial Officer & SIRO
Approving Body: Integrated Governance & Quality Assurance Committee
Governing Body
Document Control
Reviewers & Approvals
This document requires the following reviews and approvals.
Name Position Version Date
Approved Approved
Caroline Gregory Chair, Information Governance Steering Group 0.3 22/09/15
Christine Perry Chair, Integrated Governance & Quality Assurance 0.4 12/11/15
Committee
Dr Peter Crouch Chair, Governing Body 0.5 21/01/16
Caroline Gregory Chair, Information Governance Steering Group 1.2 28/11/18
Maggie Arnold Chair, Integrated Governance Committee 1.4 03/01/19
Dr Sarah Bruen Interim Clinical Chair, Governing Body 1.4
Revision History
Version Revision Details of Changes Author
Date
0.1 04/02/2015 Draft Policy developed CCG C&IG/RM
CSU IGM
0.2 06/07/2015 Policy reviewed and amended. Appendix A added CCG C&IG/RM
0.3 16/09/2015 Operational Procedure and retention period revised CCG C&IG/RM
following testing of system capabilities.
0.4 23/10/2015 Addition of stopping the deletion schedule if a SAR relating CCG C&IG/RM
to CCTV images is received.
0.5 12/11/2015 Minor amendments following consideration at IGC. CCG C&IG/RM
Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham
Page 2 of 241.1 26/11/2018 Reviewed as part of scheduled review. Amended to CSU Senior IG
include changes to Data Protection Legislation Manager
1.2 27/11/2018 Document control revised and updated. Further revisions CCG Head of
and amendments to text. Governance
1.3 13/12/2018 Updated policy sections in line with corporate policy Governance and Risk
template and re-numbering / re-formatting. Manager, CCG
1.4 19/12/2018 Addition of Section 6 – Roles and Responsibilities and CCG Head of
Section 10 – Review. Governance
Acknowledgement of External Sources:
List any policies or procedures from external institutions that have been used to inform the
writing of this policy.
Title/Author Institution
CCTV Policy Tees, Esk and Wear Valleys NHS Foundation Trust
Links or overlaps with other key documents & policies:
Document Title Version and Issue Date Link/Document
Data Protection Act PolicyConfidentiality 2.01.0
and Safe Haven Policy
Distribution:
This document has been distributed to the following people
Name Date of Issue Version
Information Governance Steering Group 12/02/2015 0.1
Information Governance Steering Group 07/07/2015 0.2
Information Governance Steering Group 22/09/2015 0.3
Integrated Governance Committee 12/11/2015 0.4
Staff Partnership Forum 17/12/2015 0.5
Governing Body 21/01/2016 0.5
Information Governance Steering Group 28/11/2018 1.2
Integrated Governance Committee 03/01/2019 1.4
Governing Body 28/02/2019 1.4
Document Version Numbering:
Document versions numbered “0.1, 0.2, 2.4”, are draft status and therefore can be changed
without formal change control. Once a document has been formally approved and issued it is
version numbered “Issue 1.0” and subsequent releases will be consecutively numbered 2.0,
3.0, etc., following formal change control.
Freedom of Information
If requested, this Document may be made available to the public and persons outside the
healthcare community as part of NHS Swindon Clinical Commissioning Group’s commitment
to transparency and compliance with the Freedom of Information Act.
Accessibility
This document is available in other styles, formats, sizes, languages and media in order to
enable anyone who is interested in its content to have the opportunity to read and
understand it.
Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham
Page 3 of 24CONTENTS SECTION
Contents
1. Introduction ....................................................................................................... 5
2. Purpose .............................................................................................................. 5
3. Scope.................................................................................................................. 6
4. Definitions .......................................................................................................... 6
5. Process / Details of Policy or Procedure......................................................... 7
6. Roles and Responsibilites .............................................................................. 12
7. Training ............................................................................................................ 13
8. Equality and Diversity ..................................................................................... 13
9. Monitoring ........................................................................................................ 13
10. Review ........................................................................................................... 13
11. Dissemination ............................................................................................... 13
12. Implementation ............................................................................................. 13
13. References to Other Documents ................................................................. 14
Appendix A – Operational Procedures for the Control and Use of CCTV ......... 15
Appendix B - Signage............................................................................................. 18
Appendix C – Right of Access Request Form ...................................................... 19
Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham
Page 4 of 24CCTV Policy
1. Introduction
1.1 This document sets out the appropriate actions and procedures, which
must be followed to comply with Data Protection Legislation the Data
Protection Act in respect of the use of CCTV (closed circuit television)
camera surveillance in NHS Swindon Clinical Commissioning Group
(CCG).
1.2 The Data Protection Act 1998 came into force on the 1st March 2000 and
contains broader definitions than those of its predecessor (1984) Act and
more readily covers the processing of images of individuals caught by
CCTV cameras. The changes in data protection legislation mean that for
the first time legally enforceable standards will apply to the collection and
processing of images relating to individuals.
1.3 A CCTV image that shows a recognisable person then it is generally
classed as personal data and is covered by the Data Protection ActData
Protection Legislation. Anyone who believes they have been filmed by
CCTV is entitled to ask for a copy of the image(s), subject to the
exemptions on access under the act. They do not have the right of instant
access, and must abide by the appropriate CCG’s data protection
procedures. In some cases a permanent copy of the information
containing the images of the data subject need not be provided if a
viewing of the footage has been agreed instead.
1.4 An important new feature of the legislation is the production of a CCTV
Code of Practice by the Office of the Information Commissioner.The
Information Commissioner has produced a Code of Practice. This Code of
Practice sets out the measures which must be adopted to comply with the
Data Protection Act 1998Data Protection Legislation. This goes on to
gives guidance for the following of good data protection practice. The
Code of Practice has the dual purpose of assisting operators of CCTV
systems to understand their legal obligations while whilst also reassuring
the public about the safeguards that should be in place.
2. Purpose
2.1 The purposes of the CCG's CCTV scheme as notified under the Data
Protection Act Data Protection Legislation include:
• to Ssupport Police in a bid to prevent or detect crime or disorder;
• to Aassist in the identification, apprehension and prosecution of offenders
(including use of images as evidence in criminal proceedings);
• Tto increase personal staff / patient / public safety and reduce fear of
crime;
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Page 5 of 24• to Pprotect the CCG’s premises and assets;
• to Eensure that individual staff members feel safe working alone in the
building outside of core office hours.
3. Scope
32.1 This Policy applies to all staff and contractors employed by the CCG, will
cover all employees of NHS Swindon CCG, persons providing a service
(voluntary or paid) to the CCG, visitors and all other persons whose
image(s) may be captured by the system.
34. Definitions
34.1 Prior to considering compliance with the principles of Data Protection
Legislationthe Data Protection Act, a user of CCTV or similar surveillance
equipment, will need to determine two issues.
34.2 The type of personal data being processed i.e. is there any personal data
which falls within the definition of special categories is there any personal
data which falls within the definition of sensitive personal data as defined
by Section 2 of the Act.as defined by Data Protection legislation.
4.3‘Sensitive personal data’ in relation to this policy is includes images stored
digitally.
3.44.4 Under the Data Protection Act General Data Protections Regulations
(GDPR), - 7 principles the personal data (including CCTV images) is being
processed (including CCTV images) must be processed in a manner that
is consistent with:
- fairly and lawfully processedLawfulness, fairness and transparancycey;
- processed for limited purposes and not in any manner incompatible
with those purposespurpose limitation;
- adequate, relevant and not excessivedata minimisation;
- accurateaccuracy;
- not kept for longer than is necessarystorage limitations;
- processed in accordance with individual’s rights;
- secureintegrity and confidentiality ;
- not transferred to countries without adequate protection.
- accountability
3.54.5 The Information Governance (IG) Lead will ensure that CCTV Systems are
registered with the Information Commissioner under the terms of the Data
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Page 6 of 24Protection Act 1998 of Data Protection Legislation and will comply with the
requirements of the Data Protection Act.
3.64.6 All schemes will operate in accordance with the guidelines set out in the
“CCTV Code of Practice” published by the Office of the Information
Commissioner, a copy of which is available from the CCG’s IG LeadData
Protection Officer (DPO) or direct from the Information Commissioner’s
website.
3.74.7 The CCG must adhere to the following guidelines, to conform to this Code
of Practice Policy:
∂ The CCG’s IT Team will be responsible for overseeing that the
monitoring of all images are is done so in accordance with this policy
and that suitable operation, backup, retention, destruction and
maintenance of all storage media is conducted in accordance with the
written operational procedure (see Appendix A).
∂ Cameras will not be hidden from view and appropriate steps must be
taken to inform the public of the presence of the system and its
ownership at all times.
∂ To ensure privacy, cameras will operate so that they only capture
images relevant to the purpose for which that the particular scheme
has been established and approved.
∂ Images from the cameras are appropriately recorded in accordance
with the CCG’s existing operational procedures (see Appendix A).
∂ There is no sound recording undertaken from any part of the system.
5. Process / Details of Policy or Procedure
5.1System
5.1.1 Types of CCTV System
This policy covers the use of the following types of system:
• Digital on PC
5.21.2 Operation of the System
The scheme will be administered and managed by the CCG’s IT Team.
Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham
Page 7 of 24The data controller will be NHS Swindon Clinical Commissioning Group.
CCTV cameras within the CCG will not be used for covert surveillance.
5.1.33 Siting the Cameras
It is essential that the location of the equipment is carefully considered,
because the way in which images are captured will need to comply with
the Data Protection ActLegislation.
To ensure privacy, cameras will operate so that they only capture images
relevant to the purpose for which the particular CCG’s scheme has been
established and approved.
All cameras are located in prominent positions within public and staff view.
Training programmes are facilitated for relevant CCG staff on the Data
Protection Act Legislation and CCTV Code of practice.
Signage has been placed on all entrance points to CCG premises to
ensure staff and visitors are aware they are entering an area that is
covered by CCTV surveillance equipment. The signage must include
details on the purpose, organisation and contact details, see example in
Appendix B.
5.1.4 Quality of the Images
It is important that the images produced by the equipment are as clear as
possible in order that they are effective for the purpose(s) for which they
are intended. This is why it is essential that the purpose of the scheme is
clearly identified. For example if a system has been installed to prevent
and detect crime, then it is essential that the images are adequate for that
purpose.
Upon installation all equipment is tested to ensure that only the designated
areas are monitored and high quality pictures are available in play back
mode. Cameras should be properly maintained and serviced annually to
ensure that clear images are recorded. A record of such maintenance will
be completed and retained by the CCG’s IT Team.
All faulty equipment within the CCTV system that could affect picture or
recording quality should be repaired or replaced as soon as practically
possible. Failure to do so not only compromises the efficacy of the system,
but also breaches two of the principles c and d of the Data Protection Act
1998 GDPR– that data should be adequate and accurate principles – data
minimisation and accuracy.
If a time/date facility is used on the system regular reviews must take
place to make sure that the system is displaying the correct time and date.
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Page 8 of 245.1.5 Retention and Processing the Images
Images, which are not required for the purpose(s) for which the equipment
is being used, should not be retained for longer than is necessary. The
Retention Period shall be for 30 days. While images are retained, it is
essential that their integrity be maintained, whether it is to ensure their
evidential value or to protect the rights of people whose images may have
been recorded. It is therefore important that access to and security of the
images is controlled in accordance with the requirements of the 1998 Act.
Where the digital images are required for evidential purposes in legal or
CCG disciplinary proceedings they will be properly processed following
consultation with an Executive Director.
The digital images should be copied to disc, placed in a sealed envelope
signed and dated and stored securely until completion of the investigation.
Viewing of images is controlled by the Head of ITAssistant Director of IT or
a member of the IT Team nominated to act on his / her behalf.
Images will not be made available to the media, for commercial gain or
entertainment.
Where a Subject Access Right of Access Request (SAR) relating to
images captured on the CCG’s CCTV system is received, the deletion
schedule should be stopped until the image(s) can be successfully copied
and the SAR Right of Acccess Request is completed.
5.1.6 Access to and disclosure of images to third parties
It is important that access to, and disclosure of, the images recorded by
CCTV and similar surveillance equipment is restricted and carefully
controlled. This will ensure that the rights of individuals are preserved, but
also to ensure that the chain of evidence remains intact should the images
be required for evidential purposes e.g. a Police enquiry or an
investigation being under taken as part of the CCG’s disciplinary
procedure.
Access to the medium on which the images are displayed and recorded is
restricted to authorised CCG staff and any third parties as detailed in the
purpose of the scheme. They will also be made available to the Police /
Crown Prosecution Service / Solicitor / NHS Legal Protection Unit where
requests are made under section 31(1)(a)section 29 of the Data Protection
Act 2018 for the purpose of detecting crime.
Advice on any issues can be sought from the Information Governance
Lead. Data Protection Officer.
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Page 9 of 24Access and disclosure to images is permitted only if it supports the
purpose of the scheme. Under these conditions the video/data record
book completed and held by the CCG’s IT Team and the appropriate
image release form (Appendix C) must be completed.
5.1.7 Access to images by individuals
Section 7 45 of the 1998 2018 Data Protection Act gives any individual the
right to request access to CCTV images.
A person whose image has been recorded and who wishes to access the
tape must make a formal written request to the Information Governance
LeadData Protection Officer. Individuals who request access to images
must be issued with a copy of the Subject Access Right of Access
Request form, Appendix C.
Any person making a request must be able to satisfactorily prove their
identity and provide sufficient information to enable the data to be located;
this will include a suitable photograph of the data subject to assist in the
search process.
5.1.8 Exemptions to Right of Access the Subject Access Requests
In considering a request made under the provisions of Section 7 45 of the
Data Protection Act 19982018, Subject Right of Access provisions,
reference may also be made to Section 31(1)(a)29 of the Act which
includes, but is not limited to the following statement:
Personal data processed for any of the following purposes:
• tThe prevention or detection of crime; and
• tThe apprehension or prosecution of offenders, are exempt from the
subject Right of access Access provisions in any case “to the extent to
which the application of those provisions to the data would be likely to
prejudice any of the matters mentioned in this subsection”.
Each and every application will be assessed on its own merits and general
‘blanket exceptions’ will not be applied.
If it is decided that a Subject Access Right of Access Request is not to be
complied with, the reasons will be fully documented and the data subject
informed stating the reasons.
5.1.9 Requests to prevent processing
An individual has the right to request a prevention of processing where it is
likely to cause substantial and unwarranted damage to that individual.
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Page 10 of 24All requests should be addressed in the first instance to the Information
Governance LeadData Protection Officer who will provide a written
response within 21 days of receiving the request.
5.1.10 Complaints
Complaints received in relation to the CCTV scheme should be addressed
to and will be dealt with by the CCG’s Head of ITAssistant Director of IT.
Complaints received about processing under the Data Protection Act
Legislation will be dealt with by the Information Governance Lead. Where
these cannot be resolved the individual has the right to write to the Office
of the Information Commissioner.
5.1.11 Enforcement
The Data Protection Commissioner has the power to issue Enforcement
Notices where they consider that there has been a breach of one or more
of the Data Protection Legislation Principles.
An Enforcement Notice would set out the remedial action that the
Commissioner requires of the CCG to ensure future compliance with the
requirements of the Act. Additionally any such Notice would be
investigated by the CCG, and may result in disciplinary action or
prosecution of the person(s) concerned.
5.1.12 Documentation
Copies of all documentation and records relating to the CCTV scheme will
be held by the CCG’s Assistant Director Head of IT and will be kept under
restricted confidentiality, for a period of 6 years.
5.1.13 Freedom of Information Requests
The Freedom of Information Act 2000 gives any person the right to
request information which is held by a public authority.
NHS Swindon Clinical Commissioning Group is committed to being open
and transparent with its health community and the wider public.
FOI requests, which Swindon CCG has a duty to respond to within 20
days, should be made in writing either by email to:
freedomofinformation@swindonccg.nhs.uk
or by post to:
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Page 11 of 24Freedom of Information officer
NHS Swindon Clinical Commissioning Group
The Pierre Simonet Building
North Swindon Gateway
North Latham Road
Swindon
Wiltshire
SN25 4DL
Your request will be automatically forwarded to NHS South Central & West
Commissioning Support Unit, an NHS support organisation operating
under the authority of the NHS England, whose staff manage requests on
our behalf.
They will acknowledge and deal with your request for the CCG, and will
only use your personal information for this purpose.
All information provided is held within secure computer systems and
managed in line with the requirements of the Data Protection Act (1998)
6. Roles and Responsibilites
6.1 Data Protection Officer
∂ The Data Protection Officer will ensure that CCTV Systems are
registered with the Information Commissioner under the terms of
Data Protection Legislation.
∂ Provide advice on the access to and disclosure of images to third
parties.
∂ Receive and deal wth any and all requests of access to images by
individuals.
∂ Receive and deal with any and all requests to prevent processing.
6.2 IT Team
∂ The CCG’s IT Team will be responsible for overseeing that the
monitoring of all images is done in accordance with this policy
∂ The scheme will be administered and managed by the CCG’s IT
Team.
∂ Complete and retain a record of the maintenance of the
cameras.
∂ Control the viewing of all digital images.
∂ Deal with any and all complaints received in relation to the CCTV
scheme.
∂ Hold all documentation and records relating to the CCTV
scheme.
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Page 12 of 247. Training
No specific training is currently available to support this policy. Any queries
relating to policy development in general or the application of this policy
specifically, should be directed to the Head of Governance.
8. Equality and Diversity
The CCG has standard processes for assessing and monitoring Equality,
Diversity and Inclusion.
9. Monitoring
Progress reports will be presented to the Integrated Governance and
Quality Assurance Committee and the Information Governance Steering
Group as part of the monitoring of this policy.
10. Review
This Policy will be reviewed after 2 years or sooner if required by
legislation. The review will be conducted by the Policy Authors in
conjunction with the Data Protection Officer and the Assistant Director of
IT.
7. Equality and Diversity
An Equality Impact Assessment (EIA) has yet to be completed for this
policy but no significant issues are expected. The EIA will be published on
the CCG internet when completed via the Communications and
Engagement Team.
11. Dissemination
The CCG’s Governance Lead Team together with the CCG’s
Communication Team will be responsible for the dissemination of the
approved policy to all CCG staff, including its availability via the CCG’s
intranet.
12. Implementation
Senior managers, managers and staff are responsible for implementing
the CCG’s policies. Where the policy includes a training and / or a
competency assessment requirement, staff should discuss this with their
line manager in the first instance.
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Page 13 of 2413. References to Other Documents
Data Protection Policy Information Governance Policy
Safe Haven and Confidentiality Confidentiality and Safe Haven Policy
Subject Access Request Individual Rights Policy
Freedom of Information Act Policy
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Page 14 of 24Appendix A – Operational Procedures for the Control and Use of CCTV
In accordance with the CCG’s CCTV Policy all installations and use of CCTV must be
conducted in accordance with:
∂ The CCG’s current CCTV Policy;
∂ The Data Protection Commissioner’s Code of Practice (CCTV) ;
∂ The following operational procedures.
Standards
Cameras
∂ Cameras must always be operated so that they will only capture the images
relevant to the purpose for which the particular scheme has been established
and approved.
∂ Cameras should be properly maintained in accordance with manufacturer’s
guidance to ensure that clear images are recorded.
∂ Cameras should be protected from vandalism in order to ensure that they
remain in good working order.
∂ If a camera/equipment is damaged or faulty there should be a separate local
procedure for:
- Defining the individual(s) responsible for ensuring the
camera/equipment is fixed.
- Ensuring the camera/equipment is fixed within a specific time period.
- Monitoring and overseeing the quality of the maintenance work.
∂ Cameras located at the fire escape, rear outer door, front door, server room
and reception area of the CCG’s offices will operate 24 hours per day, seven
days per week.
∂ All other Cameras will operate between the hours of 18.30 and 08.00 Monday
to Friday and 24 hours per day at weekends, ending at 08.00 on a Monday.
Operators
∂ All operators of CCTV equipment should be trained in their responsibilities in
accordance with the CCG’s policy and this procedure.
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Page 15 of 24∂ All staff involved in the handling of the CCTV equipment, both directly
employed and contracted, will be made aware of the sensitivity of handling
CCTV images and recordings.
Training
∂ Guidance in the requirements of the law on of Data Protection Legislation will
be given to staff who are required to manage and work the CCTV systems.
∂ Staff will be fully briefed and trained in respect of all functions, both
operational and administrative relating to CCTV control operation.
∂ Training by camera installers will also be provided as appropriate.
Maintenance
∂ A comprehensive maintenance log will be kept by the CCG’s IT Team which
records all adjustments / alterations / non-availability.
∂ To maintain image quality, the media on which images have been recorded
will be replaced at regular intervals.
∂ All media must be kept in a secure place and appropriately protected against
damage from theft, tampering or inappropriate use from either members of
staff or uninvited visitors.
∂ Images, which are not required for the purpose(s) for which the equipment is
being used, will not be retained for longer than is necessary. The retention
period for NHS Swindon CCG is 30 days.
∂ Where a Subject Access Right of Access Request (SAR) relating to images
captured on the CCG’s CCTV system is received, the deletion schedule
should be stopped until the image(s) can be successfully copied and the Right
of Access Request (RAR) SAR completed.
∂ A review must be undertaken at least annually against the stated purpose of
the identified scheme.
Access
∂ All staff should be made aware of the procedures for granting access requests
to recorded images or the viewing capabilities of CCTV schemes (as per the
CCG’s CCTV Policy). All such requests (in the first instance) should be notified
promptly to the CCG’s IG LeadData Protection Officer in writing.
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Page 16 of 24∂ Criteria for the viewing of images by non-security related personnel:
At the discretion of the responsible officer, individuals may be allowed to view
images:
i) If they are investigating an untoward incident;
ii) To identify persons relating to an incident.
Areas which would normally result in permission being refused include:
i) Where the person wishing to view has no connection with the incident or has
no management role relating to an incident;
ii) Where viewing is purely salacious;
iii) Where the performance of a member of staff not relating to crime, fraud or
the investigation of untoward incidents is involved.
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Page 17 of 24Appendix B - Signage
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Page 18 of 24Appendix C – Right of Access Request Form
Subject Access Right of Access Request (SAR) Form
This form enables you to apply for access to information held about you on the
Swindon Clinical Commission Group CCTV system. It also explains your rights to
access this information. NHS Swindon Clinical Commission Group (the CCG) is
obliged to respond within one calendar month40 days upon receipt of a fully
completed application.
Your rights
Subject to certain exemptions, you have the right to be told whether any information
is held about you and a right to a copy of that information. The CCG will only release
that information if we are satisfied as to your identity. The CCG will not give you any
information, which identifies someone else, unless that person agrees. If you think
that information might be held about you which may identify another person you may
want to get that person’s agreement and send that to us with your application.
The rights of Swindon Clinical Commission Group
The CCG may deny access to information where the Data Protection LegislationAct
allows but the main exemptions in relation to information held by The CCG are where
the information is held for:
∂ The prevention or detection of crime
∂ The apprehension or prosecution of offenders
Where giving you the information would be likely to prejudice any of these purposes.
Fee
A fee, up to a maximum of £10 may be charged under the Act. Currently the CCG
does not charge a fee.
Proof of Identity
Section 1 asks you to give information about yourself that will help the CCG to
confirm your identity. TheHE CCG has a duty to ensure that information is held in a
secure manner and TheHE CCG must be satisfied that you are who you say you are.
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Page 19 of 24Section 2 asks you to provide evidence of your identity by producing document(s)
with your application.
Closed Circuit Television (CCTV), Video / Digital Images
Images are retained on digital systems or tapes for 30 days and after this time the
images on them are destroyed. A search will be made from the information you
supply, 15 minutes either side of the times given, the full digital system will not be
searched. Should your image appear on the digital system you will be given an
option to view it. The viewing of the digital system / tape will be arranged by prior
appointment.
When you have completed this form please send it to: -
Information Governance Team
NHS South, Central and West Commissioning Support Unit
Southgate House, Pans Lane, Devizes, SN10 5EQ
Swindon Clinical Commissioning Group
The Pierre Simonet Building
North Swindon Gateway
North Latham Road
Swindon
Wiltshire
SN25 4DL
Email: SCWCSU.SAR@nhs.net enquiries@swindonccg.nhs.uk
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Page 20 of 241. Details of person requesting the information
Full Name
Present
Address
Postcode:
Date of Birth
Telephone
Number
2. Proof of Identity
To establish your identity and address, this application must be accompanied by a
copy of document(s) bearing your full name (first name(s) and surname), date of birth
and address (e.g. a driving licence). Copies of identification documents will be
retained.
As your application is for a CCTV image, then a passport type photograph and
physical description is also required.
Photo
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Page 21 of 243. Written authority
If you are acting on behalf of the Data Subject (i.e. the person to whom the
information is about) a written authority is required. Please complete the details
below. Also please state your relationship to the data subject (e.g. solicitor /client,
parent / child etc.)
Full Name
Present Address
Postcode:
Date of Birth
Telephone
Number
Relationship to
the applicant
Signature
4. To help us find the information
Please provide details of the information you are seeking, together with any other
relevant information (dates, times location etc). This will help to identify the
information you require.
Please tick the ∂ view the digital system / tape [ ]
appropriate box(s) ∂ Copy of the image [ ]
Date and time of CCTV
event
Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham
Page 22 of 24Location
Details of what you seek
Your physical description
(including height, build)
For THE CCG Use Only
5. Receipt of Application
Application checked and legible
Date application received
Identification document(s)
checked
Details of document(s)
Applicant Informed of Receipt
Name of person completing this
section
Department
Date
Signature
Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham
Page 23 of 24Form Last Reviewed October 2015November 2018
Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham
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