Standard operating procedure

Technology Failure & Business Continuity Procedure

How [Organisation Name] keeps patients safe and the service running when the consultation platform, internet connection, telephony, clinical record system or other critical technology fails before or during a remote consultation, and how it plans for, responds to and recovers from a prolonged outage

For Telehealth & Online ClinicRef BS-TEL-SOP-007See a sample (PDF) →
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  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This standard operating procedure is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Definitions and abbreviations
  • 4. Responsibilities
  • 5. Critical systems, dependencies and maximum tolerable downtime
  • 6. Procedure
  • 7. Records
  • 8. Related documents
  • 9. Review and version control
  • 10. Disclaimer

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 17 (Good governance) and Regulation 12 (Safe care and treatment)
  • UK General Data Protection Regulation and Data Protection Act 2018 - including the requirement for appropriate technical and organisational measures to ensure the ongoing availability and resilience of processing systems and to restore access to personal data in a timely manner after an incident
  • Care Quality Commission (CQC) single assessment framework
  • Data Security and Protection Toolkit (where the service is required or chooses to complete it)

Who it applies to

All clinicians delivering remote consultations (doctors, nurses, pharmacists and other registered professionals), triage and reception staff, the information technology (IT) and information governance leads, the business continuity or incident lead, and the registered manager or [Insert Job Title] at [Organisation Name], together with any third-party suppliers who host or support the service's critical systems

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Business continuity plan (BCP)
The documented arrangements for keeping a service running, or safely pausing it, during a disruption and for getting back to normal afterwards.
Captured number
The patient's contact telephone number, taken at booking and confirmed at the start of a consultation, so the clinician can ring them back if the technology fails.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Cold chain
Keeping vaccines and certain medicines within a safe temperature range from delivery to use.
Contemporaneous notes
Notes written at the time of, or immediately after, an event so the record is accurate and reliable.
Critical system
Any technology the service cannot safely deliver, record or support care without, such as the consultation platform, clinical record system, telephony or internet connection.
Cyber attack
A deliberate attempt to damage, disrupt or gain unauthorised access to computer systems or data.
Data Protection Act 2018
The UK law that sits alongside the UK General Data Protection Regulation and governs how personal information must be handled.
Data Security and Protection Toolkit
An online self-assessment tool that lets health and care organisations show they handle personal information safely and meet data-security standards.
Dependency
A service or component that a critical system needs in order to work, such as internet connectivity, electrical power or a cloud-hosting provider.
Duty of candour
The legal duty to be open and honest with a person and their family when something goes wrong with their care.
E-prescribing
Issuing and sending prescriptions electronically rather than on paper.
General practitioner (GP)
A doctor who provides general medical care in the community and is usually a patient's first point of contact.
Holding message
A pre-agreed message (for example on the website, telephone or by text) that tells patients what is happening and what to do during a disruption.
Hosting provider
The company whose servers and data centres run the service's online systems and store its data.
Incident log
A running record of what happened during an incident, including times, systems affected, suspected cause and the actions taken.
Information Commissioner's Office (ICO)
The UK regulator responsible for upholding data-protection and information rights.
Information governance
The framework for handling people's personal and health information legally, securely and appropriately.
Maximum tolerable downtime (MTD)
The longest a critical system can be unavailable before the impact on patients or the organisation becomes unacceptable.
Modality
The means by which a consultation is carried out, for example video, telephone or secure messaging.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Notifiable personal data breach
A security incident affecting personal data that the law requires be reported to the Information Commissioner's Office, usually within a short, fixed time.
Outage
A period during which a critical system, or the whole service, is unavailable or working poorly.
Personal data breach
A security failure that leads to personal information being lost, destroyed, altered, disclosed or accessed without authorisation.
Recovery point objective (RPO)
The most data, measured as a length of time, the service can afford to lose - in effect, how recent the last usable backup must be.
Recovery time objective (RTO)
The target time within which a critical system should be restored, or an alternative put in place, after a failure.
Regulated activity
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Registered manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Safety-netting
Clear advice to a patient on what to look out for and how to get urgent help if their condition changes or worsens.
Service-level agreement (SLA)
The agreed standard of service from a supplier, including target times to respond to and fix faults and outages.
Single assessment framework
The structure the regulator uses to judge a service, built around quality statements and five key questions (safe, effective, caring, responsive, well-led).
Standard Operating Procedure (SOP)
A written, step-by-step instruction setting out how a particular task or process must be carried out consistently.
Telephony
The telephone system the service uses to make and receive calls, which may run over the internet.
Triage
Sorting patients by how urgent their clinical need is, so the most urgent are dealt with first.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.
Voice-over-internet (VoIP)
Technology that carries telephone calls over an internet connection instead of a traditional phone line.

How it works

  1. Buy securely with Stripe - instant, no VAT, no account needed.
  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

Related documents

PolicyTelehealth Consent Policy£54.99
PolicyCybersecurity Policy£54.99
PolicyRemote Assessment Policy£54.99
PolicyData Protection Policy£54.99

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