A Watford GP practice with three partners and 18 staff asked IT Support Watford to review their cyber security and data protection posture after their primary care network flagged concerns following a network audit. The practice had no formal IT support contract and no written IT policies.
The Challenge
The practice had grown its IT environment organically over many years without any structured oversight. Some workstations were enrolled in the NHS infrastructure while others, including machines used for administrative tasks, were personal devices brought in by staff and not formally managed. Password sharing between team members was common, particularly for shared administrative accounts. There was no visibility over which devices were accessing the clinical system or where patient data might be flowing outside the controlled environment.
The primary care network audit had identified the practice as higher risk and given the partners three months to address the findings. The partners also faced a Data Security and Protection Toolkit (DSPT) submission deadline that was six weeks away. The previous DSPT submission had included outstanding high-risk items that had not been resolved.
The practice manager was spending several hours each month on IT-related issues, account lockouts, password resets, and recurring connectivity problems, that should have been handled automatically or prevented entirely.
The Solution
IT Support Watford began with a full device and account audit. We catalogued every machine that had accessed the clinical network in the previous 90 days, including identifying personal devices being used for work purposes. Six unmanaged personal devices were identified as accessing patient-facing systems. The partners were presented with clear options for each: enrol under a mobile device management policy or replace with practice-owned hardware.
Password management and account security were addressed through Microsoft Entra ID, with multi-factor authentication enforced across all accounts that accessed clinical or administrative data. Single sign-on was implemented for compatible applications to reduce password fatigue without weakening security controls.
A written IT and data security policy was drafted in plain English, reviewed by the practice manager, and distributed to all staff with a formal sign-off process. IT Support Watford ran two 30-minute security briefings covering phishing recognition, reporting procedures, and data handling responsibilities. These sessions were scheduled to fit around clinical hours.
Microsoft Defender monitoring was configured to send security alerts directly to IT Support Watford rather than requiring the practice manager to interpret security dashboards. This removed a burden from clinical staff and confirmed that alerts were always reviewed by someone with appropriate technical knowledge.
The Results
All six unmanaged personal devices were resolved within the first two weeks: four enrolled under MDM, two replaced with practice hardware funded from the IT budget. MFA was enforced across all 21 user accounts within 14 days of the project starting.
The practice completed its DSPT submission with no outstanding high-risk items, the first clean submission in three years. The practice manager estimated that routine IT administration tasks had been reduced by approximately four hours per month.
- Six unmanaged personal devices identified and resolved within two weeks
- MFA enforced across all 21 user accounts within 14 days
- DSPT submitted with no outstanding high-risk items for the first time in three years
What the Client Said
"The team understood the NHS context immediately and did not try to apply an off-the-shelf corporate IT solution to a clinical environment. They were practical, methodical, and genuinely helpful throughout the process."
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We work with healthcare practices and professional services organisations across Hertfordshire where GDPR compliance and regulatory requirements sit alongside day-to-day IT needs. Get in touch with IT Support Watford to discuss how we can help.
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