DSPT for Care Homes: A Plain-English Guide to the Data Security and Protection Toolkit

The short answer: The DSPT (Data Security and Protection Toolkit) is NHS England’s online self-assessment of how well an organisation protects personal data. Care providers complete a version with 45 mandatory questions to reach Standards Met, and must republish it every year by 30 June; the current 2026-27 toolkit is due by 30 June 2027. It is a contractual requirement if you deliver NHS-funded care, it is needed to use NHS systems such as NHS.net Connect and GP Connect, and it is expected of every CQC-registered care provider.

Last updated: 30 September 2026. Checked against the DSPT website, NHS England guidance and the Better Security, Better Care programme on that date.

In this guide

What is the DSPT?

The Data Security and Protection Toolkit is, in NHS England’s words, “an online self-assessment tool that enables organisations to measure and publish their performance against the National Data Guardian’s ten data security standards”. You answer questions about how your organisation handles personal information and protects its IT, upload or describe your evidence, and publish the result. Published statuses can be looked up on the DSPT website, so commissioners and NHS partners can check yours.

Health organisations such as NHS trusts now complete a longer version aligned to the NCSC’s Cyber Assessment Framework. Adult social care is not part of that change: NHS England says the change affects a specific group of large health and care organisations, and social care providers, GPs, dentists and pharmacies still complete the assertion and evidence version of the toolkit.

Do care homes have to complete the DSPT?

It depends on how you work with the NHS, but in practice almost every care provider should complete it. The position is:

Your situationWhat applies
You deliver care under the NHS Standard Contract, for example continuing healthcareA contractual requirement to complete and publish the DSPT every year
You want NHS.net Connect (formerly NHSmail)You need at least Approaching Standards
You want GP Connect, a shared care record or proxy access to GP recordsYou need Standards Met
You want to be counted as fully digitised under the government’s Digitising Social Care programmeYou need Standards Met plus an assured digital social care record
You hold local authority contractsSome councils require it in their contracts, so check yours
None of the aboveStrongly recommended, and increasingly expected by CQC
Sources: NHS Standard Contract 2026/27, the DSPT access to shared systems guidance, GOV.UK and Better Security, Better Care.

The NHS Standard Contract is explicit: “The Provider must complete and publish an annual information governance assessment in accordance with, and comply with the mandatory requirements of, the NHS Data Security and Protection Toolkit” (General Condition 21.2, 2026/27). Official sources differ on whether every other care provider is obliged to complete it: the Digitising Social Care programme says all CQC-regulated adult social care providers must, while Better Security, Better Care describes it as strongly recommended. Either way, the safe assumption is that it is expected.

CQC links it directly to leadership. Its Well-led quality statement on governance lists “Cyber security and data security and protection toolkit (DSPT)” as a topic inspectors look at (CQC assessment framework). CQC is piloting new sector-specific assessment frameworks in 2026, so the exact wording may change.

When is the DSPT deadline?

The deadline is 30 June every year. A new version of the toolkit is released each year, usually in September: the 2026-27 version (version 9) was released in September 2026, and NHS England confirms that the deadline is 30 June 2027.

Publishing once is not enough. Your assessment must be reviewed, updated and republished at least once a year, otherwise it goes out of date and no longer counts, as Digital Care Hub explains. Many providers leave it until June; starting in the autumn gives time to fix the IT gaps properly rather than writing an action plan for them.

What are the DSPT status levels?

When you publish, the toolkit gives you one of these statuses, set out in the DSPT help pages:

StatusWhat it takesNotes for care providers
Approaching StandardsThe 26 questions mandatory at this level, plus an uploaded action planAvailable to social care as a one-off, for your first publication only; you cannot republish at this level
Standards MetAll 45 mandatory questions answeredThe level to aim for, and the one needed for GP Connect and shared care records
Standards ExceededStandards Met plus a current Cyber Essentials Plus certificate recorded in your profileShows the strongest assurance to commissioners
Question counts for 2026-27 from Digital Care Hub; status definitions from the DSPT help pages.

What do the 45 mandatory questions cover?

Digital Care Hub groups the care provider questions into four areas. These are the main things you will need to show for 2026-27, with the question numbers used in the toolkit. Always check the exact wording in the toolkit itself, because it changes each year.

Staffing and roles

  • Security owned and directed by senior leaders, with regular discussion at that level (1.1.5).
  • Data security requirements in every employment contract and volunteer agreement (2.2.1).
  • Data security and cyber security covered at induction (2.1.1).
  • At least 95% of staff, directors, trustees and volunteers trained in data security and protection in the last twelve months (3.2.1).

Policies and procedures

  • Your ICO registration number (1.1.1).
  • An up-to-date information asset register and record of processing activities (1.1.2).
  • A privacy notice, data protection policies and a records retention and destruction process.
  • A list of your suppliers, and assurance that your IT suppliers take cyber security seriously (10.1.2 and 10.2.1).

Data security

  • A system for reporting data breaches (6.1.1). Incidents are reported through the toolkit, and a notifiable breach must reach the ICO without undue delay, normally within 72 hours.
  • A business continuity plan that covers data and cyber security (7.1.2), which has been tested (7.2.1).
  • Emergency contact details kept somewhere you can reach them if your systems are down (7.3.2).

IT systems and devices

This is often the section where care providers need help, because it depends on how your IT is set up. It is covered in detail below.

Which DSPT questions are about IT, and who does the work?

Many of the mandatory questions are about devices, accounts, backups and software. Someone in your organisation completes the toolkit, but the evidence for these usually has to come from whoever runs your IT:

QuestionWhat it asksWhat your IT provider should give you
4.2.4Access removed or changed when staff leave or change roleA leavers process and a record that accounts are disabled promptly
4.5.3Multi-factor authentication on all remotely accessible accountsMFA enforced on Microsoft 365, email and remote access, with a report to prove it
4.3.1Administrators sign an accountability agreementSeparate admin accounts, and a signed agreement for anyone who has one
6.2.1Up-to-date antivirus on all devicesManaged endpoint protection with a device report
7.1.1A register of your digital assetsAn up-to-date list of every laptop, PC, tablet, phone and system
7.3.1 and 7.3.4Secure backups of important data, and tested restoresIndependent backups, including Microsoft 365, and a record of a test restore
8.1.4All IT systems and software still supported by the manufacturer, or the risks understood and managedEvidence that nothing is out of support, such as old Windows versions
8.3.5Updates installed promptlyPatching reports showing security updates are applied
9.1.1Default router and network passwords changedConfirmation for every router, firewall and Wi-Fi access point
9.5.2Laptops, tablets and removable devices encryptedBitLocker or equivalent enforced, with a report
Question numbers and summaries from Digital Care Hub’s 2026-27 guidance.

Question 8.1.4 is worth checking now. Windows 10 stopped receiving free security updates in October 2025, so any care office PC still running it needs upgrading or paid extended updates. See our Windows 10 end of life guide.

Email matters too. Emails exchanged with health and social care organisations must meet the secure email standard (DCB1596). NHS.net Connect meets it, and NHS England names Microsoft 365 and Google Workspace as able to meet it when they are configured correctly.

How does Cyber Essentials fit with the DSPT?

Cyber Essentials is not mandatory for the DSPT, but it helps. According to the DSPT FAQs, organisations that hold Cyber Essentials Plus are exempt from some toolkit questions, and the DSPT status rules give Standards Exceeded to organisations with Standards Met and a current Cyber Essentials Plus certificate. The exemptions apply to Cyber Essentials Plus only, as Digital Care Hub explains.

The two overlap heavily: multi-factor authentication, supported software, patching, antivirus and account control appear in both. If you are working towards one, the same IT work counts towards the other. Our Cyber Essentials requirements guide explains the 2026 rules.

Where can care providers get free DSPT help?

The government funds free support through Better Security, Better Care. DHSC has confirmed £21 million to March 2029 to continue it, delivered by Digital Care Hub and the National Care Association. It offers a helpline on 0808 196 4848, templates, e-learning and local support organisations. In our area, the local partner for East and West Sussex and Brighton and Hove is West Sussex Partners in Care.

Take-up is high and rising. By 30 June 2026, almost 76.5% of CQC-registered adult social care services in England had an up-to-date DSPT: 22,429 services, including 12,887 care homes. A DHSC-commissioned survey found that a third of care providers had experienced a cyber incident or unsuccessful attack in the previous three years, and phishing was involved in three quarters of those.

ATS Connection looks after IT, Microsoft 365 and cyber security for care providers across Sussex. For the DSPT, we handle the IT side: multi-factor authentication, patching, encryption, backups and device records, and we give your DSPT lead the evidence they need for those questions. See our IT support for care homes and IT support for healthcare, or book a free IT review to find out where you stand.

Frequently asked questions

What is the DSPT?

The Data Security and Protection Toolkit is NHS England’s online self-assessment against the National Data Guardian’s ten data security standards. Organisations answer questions about how they protect personal data and IT, provide evidence and publish the result each year.

Is the DSPT mandatory for care homes?

It is a contractual requirement for providers delivering care under the NHS Standard Contract, and it is needed to use NHS systems such as NHS.net Connect and GP Connect. For other CQC-registered providers, the government’s Digitising Social Care programme says it is required, while Better Security, Better Care describes it as strongly recommended. Either way, CQC expects to see it.

When is the DSPT deadline?

30 June every year. The deadline for the 2026-27 toolkit is 30 June 2027. Your assessment must be republished at least annually or it goes out of date.

How many mandatory questions are there for care providers?

For 2026-27, care providers answer 45 mandatory questions to reach Standards Met, and 26 of them are mandatory for Approaching Standards.

What is the difference between Approaching Standards and Standards Met?

Approaching Standards is a one-off status for a care provider’s first publication, needing 26 questions and an action plan. Standards Met needs all 45 mandatory questions, and is required for GP Connect and shared care records.

Does Cyber Essentials count towards the DSPT?

Cyber Essentials Plus exempts you from some DSPT questions, and combined with Standards Met it gives Standards Exceeded. The exemptions are for Cyber Essentials Plus only, but the IT controls in basic Cyber Essentials help with both.

Who can help with the DSPT for free?

Better Security, Better Care offers free help to adult social care providers, including a helpline on 0808 196 4848, templates and local support partners. In Sussex, the local partner is West Sussex Partners in Care.

Sources

What Happens When Your Case Management System Goes Down

Every fee earner in the building tries to open a matter file at nine o’clock and nothing loads.

That is the moment most firms discover what their continuity plan is actually worth. Not the document in the compliance folder. The real one, which is whatever happens in the next thirty minutes.

This is a practical guide to what goes wrong, what to do in the first hour, and what needs to be true in advance for a bad morning to stay a bad morning rather than becoming a bad quarter.

Why case management outages hurt more than ordinary IT problems

When email goes down, people are inconvenienced. When case management goes down, the firm stops.

Your practice management system is not one application. It is the diary, the matter files, the time recording, the client ledger, the precedents, the workflow, and increasingly the phone integration and the document store as well. Lose it and you lose the ability to answer a straightforward question from a client about their own matter.

Three things make it worse for a law firm than for most businesses.

Deadlines do not move. A court deadline, a limitation date or a completion date is not sympathetic to an outage. Everything else can wait a day. These cannot.

Money is in flight. Conveyancing and probate teams may be mid-transaction with funds committed. An outage during a completion window is not an IT problem, it is a client problem with a financial consequence attached.

You still have to know what happened. If the outage involves data, the clock on your reporting duties starts when you find out, not when you finish fixing it. A reportable personal data breach must reach the ICO within 72 hours, and a serious breach of the SRA’s Standards and Regulations must be reported under Rule 3.9 of the Code of Conduct. Both of those are far harder to judge when nobody can see the system. We cover the wider picture in our guide to SRA IT requirements for solicitors.

What actually takes these systems down

In our experience the cause is rarely exotic.

The hosting provider has an outage. If your system is vendor-hosted, you are dependent on their infrastructure and their communication. You cannot fix it. What you can control is how quickly you know, and what you do while you wait.

The server or its host has failed. For on-premise systems, this is hardware, storage, or the virtual host underneath. Recovery time depends almost entirely on whether someone has tested restoring it.

The database has become corrupted. Often after an interrupted update or a storage fault. This is the one that catches firms out, because backups may have been faithfully copying a corrupted database for some time.

Connectivity has gone. The system is fine. You cannot reach it. A single broadband line with no failover turns a supplier’s roadworks into your outage.

Ransomware. Less common than the headlines suggest, far more serious when it happens. This is not a restore, it is an incident, and it brings reporting duties with it.

An update went wrong. Applied without a rollback plan, usually at the least convenient moment.

Knowing which of these you are in changes what you do next, which is why the first job is never “fix it”.

The first hour

The order matters. Most firms get this wrong by starting at step four.

  1. Establish scope, not cause. Is it one user, one office, or everyone? Can anyone reach the system from outside the building? Is it just case management, or is email affected too? Five minutes here saves an hour of chasing the wrong problem.
  2. Decide who is running this. One person, named in advance, who makes the calls and owns communication. Not a committee, and not whoever happens to be least busy.
  3. Tell people something. Fee earners will otherwise spend the morning individually rebooting laptops and ringing the same helpdesk. A single message saying what is known, what is not, and when the next update is coming buys you an enormous amount of calm.
  4. Now fix it. Or escalate it to whoever can, with the scope information from step one.
  5. Start the log. What time it started, what was seen, what was done. If this later turns into a reportable incident, this log is the difference between a defensible account and a guess.
  6. Protect the deadlines. Someone should be working out what is due today and this week, independently of the system, while the technical work happens. This is the step most often forgotten and the one clients notice.

Worked example: a Monday morning that stayed manageable

The following is an illustrative scenario rather than a specific client. It is built from the pattern these incidents commonly follow, and the timings reflect what is achievable when the preparation described below is genuinely in place.

08:52. A conveyancing assistant cannot open a matter. She assumes it is her laptop and restarts it.

09:05. Four more people report the same thing. The practice manager, who is the named incident owner, checks whether the system is reachable from her phone on mobile data. It is not. That rules out the office network and points at the system or the host.

09:10. She sends one message to all staff: case management is unavailable, the cause is being investigated, next update at 09:40, do not restart machines. She contacts the IT provider with what she already knows, which means the engineer starts from a position rather than from scratch.

09:15. The IT provider confirms the vendor’s hosted platform is down and it is affecting multiple firms. Nothing can be fixed locally. Focus shifts entirely to working around it.

09:20. The continuity plan is opened. Three things happen at once. The head of conveyancing pulls today’s completions from the exported diary held outside the system. Time recording moves to paper, with a note that it must be entered retrospectively. The reception team is briefed on what to tell clients, in one agreed sentence rather than seven improvised ones.

09:40. Second update to staff, on time. Still down, still no cause, next update at 10:30. Being on time matters more than having news.

11:15. Service is restored by the vendor. The IT provider verifies that the data is intact and that the last transactions before the outage are present, rather than assuming.

11:30. Staff are told they are back, and told specifically what to check and what to re-enter.

Afternoon. The practice manager writes up the log while it is fresh. Because no client data was lost or exposed, no ICO notification is required, but the assessment is documented so the reasoning is recoverable if anyone asks later.

The following week. The firm asks the vendor for a written incident report and reviews two things: whether the diary export should run more frequently than weekly, and whether the reception script was actually good enough.

Two and a half hours down. No missed deadline. No client who felt uninformed.

Now consider the same outage at a firm with no named owner, no exported diary, no agreed message and no log. Same two and a half hours of downtime, an entirely different day.

What has to be true in advance

None of the above is possible to invent on the morning. Six things need to exist beforehand, and they belong in a written plan. If you do not have one yet, our free business continuity plan template walks you through most of them in a few minutes.

A named incident owner, and a deputy. Someone has to decide. If it is not agreed in advance it defaults to whoever is loudest, which is rarely the right person.

A way to reach today’s deadlines without the system. A regular export of the diary and key dates, stored somewhere that does not depend on the system being up. This is unglamorous and it is the single highest value item on this list.

Backups you have actually restored. Not backups that report success. A backup is a theory until someone has restored it. Test restores should happen on a schedule and the results should be written down.

A known recovery time, and a known recovery point. How long it takes to get back, and how much work you lose. Most firms have never asked and are surprised by both answers. If your system is vendor-hosted, these are the vendor’s numbers and you should have them in writing.

A second route to the internet. Failover connectivity is inexpensive relative to a day of lost trading, and it removes an entire category of outage.

An agreed message. One paragraph for staff, one for clients. Written when nobody is panicking.

The question to ask your provider

Whether your system is hosted by the vendor or running on your own server, one question separates a real answer from a comfortable one.

“If our case management system was unavailable at nine tomorrow morning, walk me through exactly what happens, who does what, and when we would expect to be working again.”

If the answer is confident, specific, and includes who calls whom, you are in reasonable shape. If it is a reassurance about the quality of the backups, you have found a gap.

The follow-up is just as useful: “When did we last test that?”

Where ATS fits

ATS supports law firms using both vendor-hosted and on-premise case management systems, including environments built around platforms such as LEAP, Clio and Actionstep. In practice, most of what determines how a bad morning goes is not the case management system itself but the environment around it, and that is where our role usually sits: Microsoft 365, user access, networking and connectivity, security, backups and day-to-day support.

The work that matters here is the boring work. Knowing your recovery time before you need it, testing restores rather than trusting reports, keeping deadlines reachable when the system is not, and having the plan agreed before the morning it is needed.

If you are not confident what would happen at nine tomorrow morning, our free IT and cyber benchmark is a straightforward place to find out. You can also read more about IT support for solicitors and backup and disaster recovery.

Frequently asked questions

What should a law firm do first when the case management system goes down?

Establish scope before cause. Find out whether it affects one user, one office or everyone, and whether the system is reachable from outside the building. Then confirm who is running the incident, send one clear message to staff, and only then begin fixing or escalating. Separately, someone should identify the deadlines falling due today while the technical work happens.

How long should it take to recover a case management system?

It depends entirely on the setup and on whether recovery has been tested. The important thing is that the firm knows its recovery time and recovery point in advance rather than discovering them during an incident. If the system is hosted by the software vendor, those figures should be obtained from the vendor in writing.

Do we have to report a case management outage to the SRA?

Not automatically. An outage alone is not necessarily reportable. A serious breach of the SRA’s Standards and Regulations must be reported under Rule 3.9 of the Code of Conduct, and separately a reportable personal data breach must reach the ICO within 72 hours of the firm becoming aware. Those are two different duties with two different thresholds, which is why keeping a log from the first minute matters.

Is a cloud-hosted case management system safer than an on-premise one?

Neither is inherently safer. Vendor hosting removes hardware failure and usually improves resilience, but it also removes your ability to fix the problem and makes you dependent on the vendor’s communication. On-premise gives you control and makes recovery your responsibility. Both need a tested plan.

How often should backups be tested?

Regularly, and to a schedule with the results recorded. A backup that has never been restored is an assumption. Database corruption in particular can be copied into backups for a long time before anyone notices, which is why a test restore matters more than a successful backup report.

What is the most common cause of legal software downtime?

Rarely anything exotic. Hosting provider outages, server or storage failure, database corruption after an interrupted update, loss of connectivity where there is no failover, and updates applied without a rollback plan. Ransomware is less common than the coverage suggests but far more serious, and brings reporting duties with it.