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Identity security: The lifeline to protecting the healthcare industry

Gregg Hardie, Public Sector Director at SailPoint 

Months after a ransomware attack hit parts of the NHS, the effects are still being felt. As the i newspaper reported of the August 2022 attack, “patients’ records are missing, safety has been compromised, and medication doses are at risk of being missed amid ongoing chaos”.  

Strikingly, new research suggests that 93% of healthcare organisations have experienced an identity-related breach within the past two years, leading to operational downtime, compromised accounts, revenue loss, stolen data, and reputational damage. Many of these attacks are rooted in a compromised identity, with user access points often successfully targeted by malicious actors.  

The threat to healthcare from poor identity security is real and constant, and the effects of a breach can be devastating. Alongside the rise in targeted cyberattacks, the NHS is also dealing with widespread staffing and budgetary crises, rising patient numbers and ever-increasing patient expectations. The pressures are immense, but underpinning a ready and resilient NHS is a secure digital infrastructure – this is crucial to helping the sector navigate these challenging times.  

Managing access within a complex system

Frontline healthcare institutions are now founded upon a complex network of technology, applications, and users. Identity security is a multi-faceted aspect of securing that network and ensuring prompt and correct access to the right applications and data at the right time. 

For example, data kept within Electronic Patient Records (EPRs) requires a vast undertaking to securely managing access among a complex system. While a doctor needs access to a patient’s medical record, they don’t need to know their address. On the flip side, administrative staff might need access to a patient’s insurance information or address but not their medical history. It’s critical to ensure the right identities have the right access at the right time.   

Alongside the management of complex access needs, the growth of data regulations places further challenges on identity security, requiring organisations to evidence compliance successfully. However, only 45% of healthcare IT leaders are confident in their ability to comply with GDPR, sinking to just 37% for ISO/IEC 27001. Last year the Tavistock & Portman NHS Foundation Trust was fined over £78k for a breach of GDPR, demonstrating the impact non-compliance can have on already cash-strapped services.  

In addition to data governance and compliance concerns, the sheer amount of data and identities that today’s organisations need to manage and secure has gone beyond human capacity. Right now, IT teams can spend 15 hours a week on average (over a third of their time) managing access and permissions for all the identities in their organisation. No matter how large or talented an IT team, it’s impossible to keep up with manually implementing all the necessary entitlements and permissions.  

At a time when digital transformation efforts are key to managing soaring expectations and workloads across healthcare, time spent on such manual tasks is time taken away from projects that can result in better patient care. At the same time, this is not a task that can be ignored. As such, healthcare organisations are increasingly turning to technologies such as artificial intelligence and robust third-party identity security programmes to deliver an intelligent, autonomous identity foundation that securely supports their services. Automating the process of governing access can significantly ease the burden on organisations worried about investing time and resources by simplifying the process and improving accuracy. 

The growing appetite for identity security

The importance of solid identity security is almost universally recognised. 95% of healthcare IT leaders indicate that identity security is an investment priority. However, almost a quarter (23%) admit that their ability to manage data securely requires a complete overhaul. Nearly three in ten reported that it is their organisation’s first investment priority amid growing cloud adoption and digital transformation. Almost all (97%) say it requires improvement to meet all the needs of users, regulations and threat mitigation. 

Unfortunately, there are still roadblocks to improving identity security, with nine in ten survey respondents saying they have experienced challenges ranging from inflexible solutions to a need for more skilled personnel. Other factors, such as a lack of senior buy-in and high initial investment, highlight that organisational adoption remains a problem for many.  

However, implementing a strong identity security solution has been shown to deliver a number of benefits to organisations. While ease of integration, added control and visibility are important, respondents in our survey indicated financial and reputational benefits associated with implementing an identity solution, including total cost of ownership (38%) and cost and time savings within their IT and security teams (38%).  

While it is heartening that healthcare organisations recognise the importance of strong identity security, many implementations are either in their infancy, stalled or ongoing, leaving organisations vulnerable to attack. And while many are enjoying the benefits that identity security brings, many are being held back from being truly successful with their programmes.   

Hospitals and healthcare organisations may be at different maturity levels on their identity security journey. Still, there is a critical need for modernised identity security, especially the elimination of manual processes which are time-consuming and can result in delays in patient care. Poorly governed access can also have a profound effect on finances. Data breaches can result in compliance fines, reputation damage, legal and operational costs.  

Bolstering AI-driven defence 

Modernised identity security programmes secure digital identities, granting clinician access to the appropriate applications, systems, and data they need on day one. With AI and machine learning at the foundation, healthcare-focused identity security automates the discovery, management, and control of all user access, leaving IT teams free to focus on innovation, collaboration, and productivity. 

To reduce the risk of attacks on the NHS and its healthcare partners, leveraging AI-enabled identity security will be critical, allowing organisations to see, understand and manage who has access to what, and why. By harnessing the latest identification technologies, the NHS can not only mitigate threats but also free precious resources to be used elsewhere, supporting the continued digitalisation of the UK’s most critical and vulnerable public service.  

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Business

Why email marketing remains one of the best forms of digital marketing

Crafting a strong email marketing strategy involves a real balance between creativity and making data-driven decisions, which, is just one of the roles undertaken by marketing and data company Go Live Data on behalf of its many clients.

Guiding some of the biggest corporates in the UK including Amazon Business, AxA and Premierline Business Insurance, Adam Herbert, CEO of Go Live Data, advises on the key components to a successful email campaign and why as one of the most effective marketing tools available, email still plays a crucial role in digital marketing:

Forming a direct means of communication, emails provides a and two-way access between businesses and their customers. And it may sound obvious to say, but unlike social media or other digital channels, every email allows marketers to reach their audience straight into their inbox, and this is where individuals are most likely to engage with the content they’re being shown.

Offering a high return on investment,  emails consistently deliver one of the highest ROI’s compared to other forms of digital marketing such as PPC and advertising. According to studies, the average is around £40 for every £1 spent, which is huge; and due to the low cost of email, its ability to drive conversions and to retain customers.

What’s more, with email segmentation and many personalisation techniques available, marketers can tailor their messages to specific groups of their audience, based on demographics, their behaviours, interests, and purchase history making them not only very targeted, but personalised too. The key is to deliver relevant content to subscribers, which means marketers can increase engagement, conversions, as well as customer satisfaction.

There are specific platforms which allow for automation, giving marketers the ability to set up automated workflows triggered by user actions and also means that marketers can deliver timely and relevant messages at scale, by nurturing leads, as an effective way to guide customers efficiently through the sales funnel.

Emails are also an excellent way to build customer relationships, by nurturing over time. By consistently delivering valuable content, exclusive offers, and personalised recommendations, businesses can strengthen the ‘bond’ with their audiences and increase brand loyalty. Email provides a means of two-way communication, which allows customers to send in their feedback, to ask any questions they may have and to  engage with a brand directly.

They are also a great way to drive traffic to your website, blog and social media, or any other digital channels connected to your business. By including attractive or compelling calls-to-action (CTAs) and relevant content, you can encourage subscribers to take action such as making a purchase, signing up for a webinar, or downloading a resource, which in turn will drive conversions and revenue for your business.

Email platforms offer substantial analytics and reporting functions that enable marketers to track the performance of their campaigns in real-time. Monitoring of key metrics such as open rates, click-through rates, conversion rates, and revenue generated, allows marketers to measure the effectiveness of their campaigns and of course make data-driven decisions to optimise and plan future activities.

Overall, emails are an integral component of a digital marketing and by leveraging email effectively, businesses can engage their audience, nurture leads, drive sales, and ultimately grow their businesses.

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Business

Conflicting with compliance: How the finance sector is struggling to implement GenAI

By James Sherlow, Systems Engineering Director, EMEA, for Cequence Security

GenerativeAI has multiple applications in the finance sector from product development to customer relations to marketing and sales. In fact, McKinsey estimates that GenAI has the potential to improve operating profits in the finance sector by between 9-15% and in the banking sector, productivity gains could be between 3-5% of annual revenues. It suggests AI tools could be used to boost customer liaison with AI integrated through APIs to give real-time recommendations either autonomously or via CSRs, to inform decision making and expedite day-to-day tasks for employees, and to decrease risk by monitoring for fraud or elevated instances of risk.

However, McKinsey also warns of inhibitors to adoption in the sector. These include the level of regulation applicable to different processes, which is fairly low with respect to customer relations but high for credit risk scoring, for example, and the data used, some of is in the public domain but some of which comprises personally identifiable information (PII) which is highly sensitive. If these issues can be overcome, the analyst estimates GenAI could more than double the application of expertise to decision making, planning and creative tasks from 25% without to 56%.

Hamstrung by regulations

Clearly the business use cases are there but unlike other sectors, finance is currently being hamstrung by regulations that have yet to catch up with the AI revolution. Unlike in the EU which approved the AI Act in March, the UK has no plans to regulate the technology. Instead, it intends to promote guidelines. The UK Financial Authorities comprising the Bank of England, PRA, and FCA have been canvassing the market on what these should look like since October 2022, publishing the results (FS2/23 – AI and Machine Learning) a year later which showed a strong demand for harmonisation with the likes of the AI Act as well as NIST’s AI Risk Management Framework.

Right now, this means financial providers find themselves in regulatory limbo. If we look at cyber security, for instance, firms are being presented with GenAI-enabled solutions that can assist them with incident detection and response but they’re not able to utilise that functionality because it contravenes compliance requirements. Decision-making processes are a key example as these must be made by a human, tracked and audited and, while the decision-making capabilities of GenAI may be on a par, accountability in remains a grey area. Consequently, many firms are erring on the side of caution and are choosing to deactivate AI functionality within their security solutions.

In fact, a recent EY report found one in five financial services leaders did not think their organisation was well-positioned to take advantage of the potential benefits. Much will depend on how easily the technology can be integrated into existing frameworks, although the GenAI and the Banking on AI: Financial Services Harnesses Generative AI for Security and Service report cautions this may take three to five years. That’s a long time in the world of GenAI, which has already come a long way since it burst on to the market 18 months ago.

Malicious AI

The danger is that while the sector drags its heels, threat actors will show no such qualms and will be quick to capitalise on the technology to launch attacks. FS2/23 makes the point that GenAI could see an increase in money laundering and fraud through the use of deep fakes, for instance, and sophisticated phishing campaigns. We’re still in the learning phase but as the months tick by the expectation is that we can expect to see high-volume self-learning attacks by the end of the year. These will be on an unprecedented scale because GenAI will lower the technological barrier to entry, enabling new threat actors to enter the fray.

Simply blocking attacks will no longer be a sufficient form of defence because GenAI will quickly regroup or pivot the attack automatically without the need to employ additional resource. If we look at how APIs, which are intrinsic to customer services and open banking for instance, are currently protected, the emphasis has been on detection and blocking but going forward we can expect deceptive response to play a far greater role. This frustrates and exhausts the resources of the attacker, making the attacks cost-prohibitive to sustain.

So how should the sector look to embrace AI given the current state of regulatory flux? As with any digital transformation project, there needs to be oversight of how AI will be used within the business, with a working group tasked to develop an AI framework. In addition to NIST, there are a number of security standards that can help here such as ISO 22989, ISO 23053, ISO 23984 and ISO 42001 and the oversight framework set out in DORA (Digital Operational Resilience Act) for third party providers. The framework should encompass the tools the firm has with AI functionality, their possible application in terms of use cases, and the risks associated with these, as well as how it will mitigate any areas of high risk.

Taking a proactive approach makes far more sense than suspending the use of AI which effectively places firms at the mercy of adversaries who will be quick to take advantage of the technology. These are tumultuous times and we can certainly expect AI to rewrite the rulebook when it comes to attack and defence. But firms must get to grips with how they can integrate the technology rather than electing to switch it off and continue as usual.

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Business

Recognising the value of protecting intellectual property early builds strong foundation for innovators

Innovation Manager at InnoScot Health, Fiona Schaefer analyses an essential facet of developing ideas into innovations

Helping the NHS to innovate remains a key priority during this period of recovery and reform. Even within the current cash-strapped climate, there is the opportunity to maximise the first-hand experience of the healthcare workforce and its knowledge of where new ideas are needed most.

Entrepreneurial-minded, creative staff from any discipline or activity are often best placed to recognise areas for improvement – the reason why a significant number of solutions come from, and are best developed with, health and social care staff.

NHS Scotland is a powerful driver of innovation, but to truly harness the opportunities which new ideas offer for development and commercialisation, the knowledge and intellectual property (IP) underpinning them needs to be protected. That vital know-how and other intangible assets – holding appropriate contracts for example – are key from an early stage.

Medical devices can take years to develop and gain regulatory approval, so from the outset of an idea’s development – and before revenue is generated – filing for IP protection and having confidentiality agreements in place are ways to start creating valuable assets. This is especially important when applying for patent protection because that option is only available when ideas have not been discussed or presented to external parties prior to application.

Without taking that critical initial step to protect IP, anyone – without your permission – could copy the idea, so anything of worth should be protected as soon as possible, making for a clear competitive advantage and ownership in the same sense as possessing physical property.

The common theme is that to be successful – and ultimately support the commercialisation of ideas that will improve patient care and outcomes – the idea must be novel, better, quicker, or more efficient than existing options. Furthermore, to turn it into a sound proposition worth investing in, it must also be technically and financially feasible. It isn’t enough to just be new and novel – the best innovations offer tangible benefits to patient outcomes and staff working practices.

Of course, even more so in the current climate of financial constraints, the key question of ‘Who will pay for your new product or service?’ needs to be considered up front as well.

Whilst development of a strong IP portfolio requires investment and dedicated expertise, when done well and at the appropriate time, then it is resource well spent, offering a level of security whilst developing an asset which can be built upon and traded. There are various ways commercialisation can progress and whilst not all efforts will be successful, intellectual property is an asset which can be licensed or sold to others offering a range of opportunities to secure a good return.

In my experience, however, many organisations including the NHS are still missing the opportunity to recognise and protect their knowledge assets and intellectual property early in the innovation pathway. This is partly due to lack of understanding – sometimes one aspect is carefully protected, whilst another is entirely neglected. In other cases, the desire to accelerate to the next stage of product development means such important foundational steps are not given the attention required for long-term success.

Good IP management goes beyond formally protecting the knowledge assets associated with a project, e.g. by patenting or design registration, however. When considered with other intangible assets such as access to datasets, clinical trial results, standard operating procedures, quality management systems, and regulatory approvals, it is the combination which will be key to success.

Early securing of IP protection or recognition of IP rights in a collaboration agreement, demonstrates foresight and business acumen. Later on, it can significantly boost negotiating power with a licensing partner or build investor confidence.

Conversely, omissions in IP protection or suitable contracts can be damaging, potentially derailing years of product development and exposing organisations to legal challenges and other risks. Failing to protect a promising idea can also mean commercial opportunities are missed, thus leading to your IP being undervalued.

Ideas are evaluated by formal NHS Scotland partner InnoScot Health in the same way whether they are big or small, a product, service, or new, innovative approach to a care pathway.

We encourage and enable all 160,000 NHS Scotland staff, regardless of role or location, to come forward with their ideas, giving them the advice and support they need to maximise their potential benefits.

Protecting the IP rights of the health service is one of the cornerstones of InnoScot Health’s service offering. In fact, to date we have protected over 255 NHS Scotland innovations. Recently these have included design registration and trademarks for the SARUS® hood and trademarks for SCRAM®, building and protecting a recognised range of bags with innovative, intuitive layouts. Spin outs such as Aurum Biosciences meanwhile have patents underpinning their novel therapeutics and diagnostics.

We assist in managing this IP to ensure a return on investment for the health service. Any revenue generated from commercialising ideas and innovations from healthcare professionals is shared with the innovators and the health board through our agreements with them and the revenue sharing scheme detailed in health board IP and innovation policies.

Fundamentally, we believe that it is vital to harness the value of expertise and creativity of staff with a well-considered approach to protecting IP and knowledge input to projects from the start.

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