London’s global university SLMS Information Governance Steering Group Terms of Reference 1. Document information Document name Author Issue date Approved by Next review SLMS-IG01 SLMS Information Governance Steering Group Terms of Reference Trevor Peacock 02/08/2013 Chair of SLMS IGSG Three years 2. Document history Version 0.1 0.2 0.3 0.4 1.0 1.1 2.0 2.1 2.2 3.0 3.1 Date 04/12/2012 14/12/2012 28/02/2013 26/6/2013 02/08/2013 15/04/2014 06/05/2014 27/11/2014 05/12/2014 11/12/2014 24/02/2015 SLMS IG Steering Group ToR V2.2 Summary of change First draft for discussion Incorporated comments from John Duncan Incorporating feedback from Bridget Kenyon and general update Revised membership following meeting with Prof Hart Approved by Chair of SLMS IGSG Added elements to support ISMS & changed font T. Peacock Approved by Chair of SLMS IGSG Audit actions incorporated Incorporated feedback from Bridget Kenyon and Kim Kingan Approved by Chair of SLMS IGSG Membership list updated Page 1 of 4 1.0 Objective 1.1 The SLMS Information Governance Steering Group is a standing committee accountable to the SLMS Senior Executive Group (SEG). Its objective is to support and drive the broader information governance agenda, ensure effective management of information risk and provide the SEG with the assurance that best practice mechanisms for information governance are in place within the SLMS. 2.0 Composition 2.1 Membership The members of this group shall be appointed and reviewed annually by the SEG. The members comprise the Senior Information Risk Owner (SIRO), UCL Data Protection Officer, UCL Head of Information Security, IT for SLMS Information Governance Lead, representative senior researchers and representatives from other appropriate business areas. The draft membership list can be found in appendix 1. 2.2 3.0 The chair The Information Governance Lead and SIRO will chair the group. Meetings 3.1 Frequency This group will meet at least once per term to fulfil its remit and to provide reports to the SEG as a regular SEG agenda item. Reports are taken to the SEG by the chair. 3.2 Agenda and papers The agenda comprises reports or briefings from each of the IG areas, updates on progress with work programmes, and policy, process and procedure reviews. Standing agenda items include: • Status of actions from previous management reviews • Review of risk assessment and risk treatment plan • Non-conformities and corrective actions • Monitoring and evaluation of progress • Review of audit results • Fulfilment of information security objectives • AoB 3.3 Actions/decisions Decisions will be reached by consensus or a majority vote if agreement cannot be reached. In the event of a tie the chair will have the casting vote. Actions/decisions will be noted from the meeting and circulated to members for approval/action before the next IG Steering Group. Information governance related policies and procedures will be approved by the Steering Group. 3.4 Other In order to fulfil its remit, the IG Steering Group may obtain any professional advice it requires and invite, if necessary, external experts and relevant staff representatives to attend meetings. A meeting will be deemed to be quorate when at least three members identified in Appendix 1, or their nominated deputies are present. SLMS IG Steering Group ToR V3.0 Page 2 of 4 4.0 Remit Key responsibilities of the Information Governance Steering Group: 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 4.10 4.11 4.12 4.13 4.14 To ensure that an appropriate comprehensive Information Governance Framework and systems are in place throughout the organisation in line with national standards, gained through feedback from interested parties. To provide assurances to SEG of the management and accountability arrangements for information governance within SLMS. To develop an IG Policy and associated IG implementation strategy and/or maintain the currency of the policy. To prepare for the annual Information Security Management System (ISMS) audit To prepare the annual information governance assessment for sign-off by the SEG. To develop and monitor the information governance work programme. To ensure that the SLMS-approved approach to information handling is communicated to all SLMS staff and made available to the public. To coordinate the activities of staff with data protection, confidentiality, security, information quality, records management and freedom of information responsibilities. To offer support, advice and guidance to the SLMS information technology and communication services and data protection programme. To monitor SLMS information handling activities to ensure compliance with law, policy and guidance. To ensure that new SLMS processes introduced which include confidentiality and data protection requirements comply with information governance and related policies. To ensure that training made available is taken up by staff as necessary to support their role. To ensure effective management and continual improvement of SLMS information risk. To provide a focal point for the resolution and/or discussion of SLMS information governance issues and information risks. 5.0 Management and accountability The SEG membership includes the SIRO and chair of the IG steering group. These representatives will report back to the SEG on any of the IG Steering Group’s progress and agenda items which may need SEG level approval. The Vice Provost (Health) has overall accountability for ensuring that SLMS operates in accordance with the law with the support of his/her subordinates. 6.0 Authority The Steering Group is authorised by the SEG to investigate any activity within its Terms of Reference. It is authorised to seek any information it requires from any employee and all employees are directed to co-operate with any request made by the group. The group is also authorised to assess opportunities for continual improvement and implement any activity which is in line with the Terms of Reference, as part of the IG work programme, which shall be agreed by the SEG. 7.0 Performance of the Steering Group The Steering Group shall review its own performance, effectiveness and Terms of Reference on an annual basis through the metrics detailed in SLMS-IG03 Information Governance Policy. The Steering Group shall receive quarterly reports on the IG Framework performance and progress. SLMS IG Steering Group ToR V3.0 Page 3 of 4 Appendix 1 – IG Steering Group Membership Name Title Management / co-ordination / expertise Graham Hart Dean, Faculty of Population Health Sciences (SIRO) Trevor Peacock Information Governance Lead – IT for SLMS, UCL (Secretary) Anthony Peacock Service Owner – IT for SLMS Information Governance services Bridget Kenyon Head of Information Security – ISD, UCL Alex Daybank Data Protection Officer - UCL Michael Abtar UCLH Information Governance Lead Diran Solanke Head of UCL Research Contracts Lindsay Shure Head of Information Services, MRC Clinical Trials Unit, UCL TBC Joint Biomedical Research Unit TBC Tech/delivery representative from Jill Dando Institute Academic representation Professor John Duncan Faculty of Brain Sciences, copied in on minutes, does not attend Dr Richard Gilson Faculty of Population Health Sciences - Identifiable Data Handling User Group Chair Kim Kingan Information Governance Lead, UCL Partners Harry Hemingway Farr Institute academic representative Nick Luscombe Faculty of Life Sciences academic representative TBC Faculty of Medical Sciences (poss Cancer Institute) TBC Academic rep – SHS SLMS IG Steering Group ToR V3.0 Page 4 of 4