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NHS England Data Sharing Audit: Nuffield Department of Population Health at University of Oxford

This report records the key findings of a remote data sharing audit of Nuffield Department of Population Health (NDPH) at University of Oxford (UoO) between 11 and 14 May 2026.

Audit summary

Purpose

This report records the key findings of a remote data sharing audit of Nuffield Department of Population Health (NDPH) at University of Oxford (UoO) between 11 and 14 May 2026. It provides an evaluation of how UoO and its Processor conform to the requirements of:

  • the data sharing framework contract (DSFC) CON-319043-Y2R5H v2.03
  • the data sharing agreement (DSA) DARS-NIC-656885-M7T5X-v4.2
  • the organisations’ own policies, processes and procedures

This DSA covers the provision of the following datasets: 

Dataset Classification of data Dataset period

National Disease Registration Service  (NDRS) Cancer Pathway

Pseudo/Anonymised, Non- sensitive

November 2024, One-off

NDRS Cancer Registrations

Pseudo/Anonymised, Sensitive

July 2024, One-off

NDRS Linked Cancer Waiting

Times (Treatments only)

Pseudo/Anonymised, Sensitive

July 2024, One-off

NDRS Linked DIDs

Pseudo/Anonymised, Sensitive

July 2024, One-off

NDRS Linked HES AE

Pseudo/Anonymised, Sensitive

1 April 2007 to 31 March 2020 Historic Held, One-off

NDRS Linked HES APC

Pseudo/Anonymised, Sensitive

Historic Held, Latest Available, One-off

NDRS Linked HES Outpatient

Pseudo/Anonymised, Sensitive

Historic Held, Latest Available

NDRS National Cancer Patient Experience Survey (CPES)

Pseudo/Anonymised, Sensitive

Historic Held, One-off

 

NDRS National Radiotherapy

Dataset (RTDS)

Pseudo/Anonymised, Sensitive

Historic Held, Latest Available, One-off

NDRS Rapid Cancer Registrations

Pseudo/Anonymised, Sensitive

Historic Held, Latest Available, One-off

NDRS Somatic Molecular Dataset

Pseudo/Anonymised, Sensitive

Historic Held, Latest Available, One-off

NDRS Systemic Anti-Cancer

Therapy Dataset (SACT)

Pseudo/Anonymised, Sensitive

Historic Held, Latest Available, One-off

NDRS Cancer Pathway

Pseudo/Anonymised, Non Sensitive

Latest Available, One-off

NDRS Cancer Registrations

Pseudo/Anonymised, Sensitive

Latest Available, One-off

NDRS Linked Cancer Waiting

Times (Treatments only)

Pseudo/Anonymised, Sensitive

Latest Available, One-off

NDRS Linked DIDs

Pseudo/Anonymised, Sensitive

Latest Available, One-off

NDRS Linked HES AE

Pseudo/Anonymised, Sensitive

1 April 2007 to

31 March 2020, One-off

NDRS Linked HES APC

Pseudo/Anonymised, Sensitive

Latest Available, One-off

NDRS Linked HES Outpatient

Pseudo/Anonymised, Sensitive

Latest Available, One-off

NDRS National Radiotherapy

Dataset (RTDS)

Pseudo/Anonymised, Sensitive

Latest Available, One-off

NDRS Rapid Cancer Registrations

Pseudo/Anonymised, Sensitive

Latest Available, One-off

NDRS Somatic Molecular Dataset

Pseudo/Anonymised, Sensitive

Latest Available, One-off

NDRS Systemic Anti-Cancer

Therapy Dataset (SACT)

Pseudo/Anonymised, Sensitive

Latest Available, One-off

The Controller is UoO and the Processor is ARROW Business Communication Ltd (ARO).

The DSA allows the Controller to share data with other organisations under a sub-license agreement.

The Applied Health Research Unit (AHRU) within NDPH at UoO requires access to NHS England data for the purpose of the following research programme: ‘Establishing a UK Colorectal Cancer Intelligence Hub. The COloRECTal Cancer Data Repository (CORECT-R)’. The UK Colorectal Cancer Intelligence Hub is a research programme whose aim is to generate high quality bowel cancer information that will improve care and outcomes for patients. It does this through compiling and using datasets relevant to the disease in the CORECT-R.

The interviews during the audit were conducted through video conferencing.

This is an exception report based on the criteria expressed in the Data Sharing Audit Guide version 5.

Audit type and scope

Audit type 

Focused

Scope areas 

Information Transfer

Data Use and Benefits

Operational Management and Control

Restrictions 

Access control - limited visibility of physical controls 

 

Overall risk statement

Based on evidence presented during the audit and the type of data being shared the following risk has been assigned from the options of Critical - High - Medium - Low.

Current risk statement: Medium

In deriving this risk, the Audit Team takes into account compliance, duty of care, confidentiality and integrity, as appropriate.


Data recipient’s acceptance statement

AHRU and NDPH at UoO has reviewed this report and confirmed that it is accurate.

Data recipient’s action plan

AHRU and NDPH at UoO will establish a corrective action plan to address each finding. The Audit Team will validate this plan and the resultant actions at a post audit review with NDPH to confirm the findings have been satisfactorily addressed. The post audit review will also consider the outstanding evidence at which point the Audit Team may raise further findings.


Findings

The following tables identify the 5 agreement nonconformities, 3 observations, and 1 point for follow-up raised as part of the audit.

Ref Finding Link to area Clause Designation

1

Data had been processed outside the stated territory of use (UK) and NHS England was not notified. The Audit Team received evidence to confirm this had been remediated during the audit fieldwork.

Access Control

DSA Annex A, Schedule 1, Section 2c.

Agreement nonconformity

2

AHRU do not perform and publish a programme of audits in relation to sub-licensees, as required by the Data Sharing Agreement (DSA).

Operational Management

DSA, Annex A, Schedule 1 Section 10, clause i

Agreement nonconformity

3

AHRU do not publish a release register including the details of the sub-licensees. This must contain at a minimum the same level of detail as per the NHS England data uses register, as required by the DSA.

Operational Management

DSA, Annex A, Schedule 1 Section 10, clause k

Agreement nonconformity

4

The Information Governance (IG) training requirements for sub-licensees was not in line with the DSA and also not in line with UoO internal IG policy requirements.

Operational Management

DSFC Schedule 2, Section A, Part 1.2.2

Agreement nonconformity

5

AHRU had not completed a Record of Processing Activities (RoPA) for the data supplied under the DSA. Instead, information specific to the DSA datasets was spread across separate documents.

Operational Management

DSFC, Schedule 2, Section A, clause 1.3

Agreement nonconformity

6

The AHRU Hub Access Committee (HAC) Terms of Reference (ToR) had not been reviewed since 2022 and contained outdated information.

Operational Management

DSA, Annex A, Schedule 1 Section 5a

Observation

7

The detail included within the AHRU HAC minutes relating to the approval of each sub-licensee was limited.

Use and Benefits

DSA, Annex A, Schedule 1 Section 10, clause f

Observation

8

At the post audit review, the Audit Team will assess AHRU’s implementation of measures aimed at reducing the number of data touchpoints.

Information Transfer

 

Follow-up

NDPH

Ref Finding Link to area Clause Designation
9 NDPH do not maintain a scheduled review cycle of its internal policies. Instead, policies are reviewed as and when required. However, several outdated policies were identified during the audit. Operational Management

DSFC Schedule 2, Section A, part 3.1

Observation

Use of Data

AHRU and NDPH at UoO confirmed that the datasets were only being processed and used for the purposes defined in the DSA and were only being linked with those datasets explicitly allowed in the DSA.

Data Location

AHRU and NDPH at UoO confirmed that processing and storage locations, including disaster recovery and backups, of the datasets were limited to the location shown in the following table. These locations conform with the territory of use defined in section 2c of the DSA.

Organisation Territory of Use

UoO

UK

ARO

UK

Backup Retention

The duration for which data may be retained on backup media is:

Organisation Media Type Period

ARO

Disk

7 days

 


Disclaimer

The audit was based upon a sample of the data recipient’s activities, as observed by the Audit Team. The findings detailed in this audit report may not include all possible nonconformities which may exist. In addition, as the audit interviews were conducted through a video conference platform, certain controls that would normally be assessed whilst onsite could not be witnessed.

NHS England has prepared this audit report for its own purposes. As a result, NHS England does not assume any liability to any person or organisation for any loss or damage suffered or costs incurred by it arising out of, or in connection with, this report, however such loss or damage is caused. NHS England does not assume liability for any loss occasioned to any person or organisation acting or refraining from acting as a result of any information contained in this report.

Last edited: 24 July 2026 4:00 pm