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PRIVACY IMPACT ASSESSMENT
(PIA)
TEMPLATE
Reference No:
IG40
Version:
1.2
Purpose of Document:
Sets out the process for completing Privacy Impact
Assessments to identify any impact on privacy where
a new service or system is introduced
Ratified by:
Information Governance, Management and
Technology Committee
Date ratified:
27
th
September 2013
Review Date
September 2014
Name of originator/author:
Information Governance Lead Greater East
Midlands Commissioning Support Unit (GEM CSU)
Contact details of originator/author
Head of Information Governance Nottinghamshire
Target audience:
All CCG Staff
Distributed via:
Intranet or local CCG dissemination procedures
Privacy Impact Assessment Template
source: nottingham.ac.uk
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