Cyber Essentials for NHS suppliers and the DSPT
How Cyber Essentials fits with the NHS Data Security and Protection Toolkit (DSPT), which NHS bodies must ask for it under PPN 014, and what suppliers handling patient data need to hold.
NHS bodies are within PPN 014, so higher-risk contracts in procurements commenced from 24 February 2025 require Cyber Essentials, Cyber Essentials Plus or equivalent controls. Suppliers with access to NHS patient data also complete the annual Data Security and Protection Toolkit (DSPT), where a current Cyber Essentials Plus certificate exempts 26 IT supplier evidence items in the 2026-27 version.
- Who requires it
- PPN 014 for relevant NHS procurements from 24 February 2025
- Scheme fee
- £320 to £600 plus VAT by staff headcount (IASME, checked 2026-11-04)
- With Precursor
- Cyber Essentials from £1,500 + VAT, IASME fee included; Cyber Essentials Plus from £3,000, Cyber Essentials included
- Reviewed against
- Requirements v3.3 / CE Plus spec v3.2
Do NHS suppliers need Cyber Essentials?
Yes, for relevant procurements. NHS bodies fall under PPN 014, so higher-risk contracts in procurements commenced from 24 February 2025 require Cyber Essentials, Cyber Essentials Plus or equivalent controls from suppliers.
PPN 014 names NHS bodies alongside central government departments, their executive agencies and non-departmental public bodies. Where a contract involves citizens' personal information, staff personal information, ICT systems holding OFFICIAL data or the day-to-day business of government, the buyer must require the technical controls, and evidence of a certificate or equivalent is required before award. Where certification is required, the supplier must renew it annually for the contract's duration.
Question A1.10 on the self-assessment asks why you are applying, and A1.10.2 asks for the government contracting organisation and contract number. An NHS trust is a government contracting organisation for this purpose.
What is the DSPT and how does it relate?
The Data Security and Protection Toolkit is NHS England's annual online self-assessment against the National Data Guardian's 10 data security standards. Completing it is a contractual requirement under the NHS Standard Contract, and it remains Department of Health and Social Care policy that every organisation processing NHS patient information provides assurance through it. The 2026-27 requirements (version 9) were published on 2 October 2026 and the submission deadline is 30 June 2027. NHS trusts, ICBs, arm's length bodies, CSUs, operators of essential services and genomics organisations complete a version aligned to the NCSC Cyber Assessment Framework (CAF version 4.0); IT suppliers, other organisations and GP practices complete assertions and evidence items.
The link to Cyber Essentials runs through Cyber Essentials Plus, not the basic certificate. In the 2026-27 version 9 requirements for IT suppliers (Category 2), 26 of the 102 mandatory evidence items are marked exempt for organisations holding Cyber Essentials Plus, covering anti-malware, patching critical and high-risk vulnerabilities within 14 days, boundary and personal firewalls, password controls, removal of unnecessary accounts, device builds and remote access. For care providers, GP practices and other category 3 and 4 organisations, three mandatory items are exempt: 4.2.4 (removing or amending people's access), 6.2.1 (antivirus on every device) and 9.1.1 (networking component default passwords changed). The certificate must cover all of your health and care data processing to be recorded in the Organisation Profile.
For organisations other than NHS trusts, ICBs, ALBs, CSUs, genomics organisations and operators of essential services, a 'Standards Met' assessment plus a current Cyber Essentials Plus certificate displays as 'Standards Exceeded'. The DSPT also asks organisations to check their IT suppliers' certification at evidence item 10.2.1, and its guidance names Cyber Essentials, ideally Plus, as suitable.
Checked against the DSPT help pages and the 2026-27 version 9 requirements spreadsheet on dsptoolkit.nhs.uk on 3 November 2026.
Which NHS suppliers need what?
A supplier that never touches NHS data or systems, for example a catering contractor, may fall outside PPN 014 and outside the DSPT. A supplier that hosts a clinical application, provides IT support to a trust or processes patient records is inside both: Cyber Essentials (often Plus) for the contract and the DSPT for the data.
Clinical software suppliers often run customer-facing services on infrastructure that Cyber Essentials treats as in scope, including IaaS instances that must be included in the external vulnerability scan for Cyber Essentials Plus. Support teams sometimes use shared accounts to access trust systems, which fails the unique credentials requirement. Both are fixable, but they need to be found before the audit day.
Do NHS suppliers need Cyber Essentials or Cyber Essentials Plus?
Cyber Essentials is the baseline. The buyer specifies Plus where it judges the risk higher, as PPN 014 Annex B advises. For an IT supplier, Plus also exempts 26 mandatory DSPT evidence items and turns 'Standards Met' into 'Standards Exceeded'. Plus adds an independent audit of a sample of devices and cloud services on the same scope as your Cyber Essentials certificate. IASME requires it within three months of that certification, and it takes two to five weeks rather than one to two.
Which DSPT items does Cyber Essentials Plus exempt for an IT supplier?
The 26 exempt items in the 2026-27 category 2 requirements, grouped by what they cover:
| Area | Evidence items exempted |
|---|---|
| Accounts and passwords | 4.2.3 (logs retained and reviewed), 4.2.4 (unnecessary accounts removed), 4.5.1 and 4.5.2 (password policy and technical controls) |
| Anti-malware | 6.2.1, 6.2.3, 6.2.4 and 6.2.5 (installed, kept up to date, scans on access, malicious websites blocked) |
| Backups | 7.3.5 (backups tested) |
| Software and patching | 8.1.1 (software tracked), 8.3.3 and 8.3.4 (patching approach, critical and high-risk fixes) |
| Network and testing | 9.1.1 (networking component default passwords changed), 9.2.1 and 9.2.3 (penetration testing scope and review) |
| Devices and remote access | 9.5.5 to 9.5.9 (approved base image, central management, AutoRun off, remote access authenticated, a plan for devices that cannot connect to the internet) |
| Firewalls | 9.6.1 to 9.6.6 (boundary firewalls, admin interface, unauthenticated inbound blocked, inbound rules documented, rulesets reviewed, personal firewalls) |
The other 76 mandatory items, including data protection, staff training, incident management and supplier due diligence, still need their own evidence.
How do you keep both cycles aligned?
The DSPT deadline is 30 June each year and Cyber Essentials lasts 12 months. Suppliers that align the two, renewing Cyber Essentials Plus a month or two before the DSPT deadline, reuse the same evidence pack for both and have a current certificate to record when they publish. The certificate must be current when you record it in the Organisation Profile. The second year is quicker than the first because the evidence already exists.
| At a glance | Detail |
|---|---|
| PPN 014 | NHS bodies must require Cyber Essentials, Plus or equivalent on higher-risk contracts from 24 February 2025 |
| DSPT | Annual self-assessment for any organisation with access to NHS patient data; 2026-27 deadline 30 June 2027 |
| DSPT and Plus | Plus exempts 26 IT supplier evidence items (3 for other organisations) and gives 'Standards Exceeded' |
| Level | Cyber Essentials baseline; Plus where the buyer specifies it |
| Evidence reuse | Inventory, patching, MFA and access review evidence serve both |
A health-tech supplier passes the DSPT and assumes Cyber Essentials is a formality. The self-assessment fails on A7.17AUTO-FAIL because a support portal used by trust staff has MFA available but optional. The DSPT submission had described MFA as "in place". The difference between available and enforced is what Cyber Essentials marks.
How much does Cyber Essentials cost an NHS supplier?
The IASME scheme fee is £320 to £600 ex VAT by headcount. With Precursor, Cyber Essentials is from £1,500 with the fee included and Cyber Essentials Plus from £3,000. The DSPT itself has no fee, but the evidence work is shared, so certifying first usually shortens the DSPT submission.
Next steps
Other mandates and sectors
Cyber Essentials for healthcare and care providers
Cyber Essentials by sector
Cyber Essentials for charities
Cyber Essentials and cyber insurance
Is Cyber Essentials worth it?
Cyber Essentials for MOD and defence suppliers
Cyber Essentials for MSPs and IT providers
Cyber Essentials for schools, trusts and education
Cyber Essentials for UK government contracts (PPN 014)
Frequently asked questions
For contracts let by NHS bodies in procurements commenced on or after 24 February 2025 that have one of the higher-risk characteristics in PPN 014, yes: the buyer must require Cyber Essentials, Plus or equivalent controls, with evidence before award. The DSPT also asks organisations to check that their IT suppliers hold appropriate certification (evidence item 10.2.1).
No. The DSPT is an annual self-assessment that every organisation with access to NHS patient data completes, and Cyber Essentials is a separate certificate of five technical controls. In the 2026-27 (version 9) DSPT, a current Cyber Essentials Plus certificate recorded in your Organisation Profile exempts 26 of the 102 mandatory evidence items for IT suppliers. Basic Cyber Essentials carries no exemption.
GP practices complete the DSPT as Category 4 organisations, and no 2026-27 DSPT evidence item requires a practice to hold its own Cyber Essentials certificate. A practice with Cyber Essentials Plus can record it in the toolkit, which exempts three of its mandatory evidence items. Any separate requirement would come from the practice's own contracts.
The tender will say. PPN 014 lets the buyer specify either level and says Plus should be used where the risk is higher. For organisations outside the large NHS bodies, Plus also lifts a DSPT 'Standards Met' result to 'Standards Exceeded', which the toolkit guidance tells customers to look for when checking suppliers.
Largely yes. The device inventory, software support list, patching evidence, MFA configuration and access reviews gathered for Cyber Essentials cover the same ground as DSPT evidence items on anti-malware, patching within 14 days, firewalls and passwords. Keep the evidence pack current and reuse it for both annual cycles.
Get certified at a fixed price
Precursor is an IASME Certification Body: Cyber Essentials from £1,500 and Cyber Essentials Plus from £3,000, with the IASME fee included, a free re-test if gaps are found and a written fixed price after a 20-minute scoping call.
- IASME Certification Body
- CREST accredited
- UK offices in Leeds, Newcastle, London and Edinburgh
- dsptoolkit.nhs.ukNHS England, Data Security and Protection Toolkit: 2026-27 (version 9) requirementsRead on dsptoolkit.nhs.uk (opens in a new tab)
- GOV.UKGOV.UK, Procurement Policy Note 014: Cyber Essentials schemeRead on gov.uk (opens in a new tab)
- NCSCNCSC, Cyber Essentials: Requirements for IT Infrastructure v3.3 · April 2026Read on ncsc.gov.uk (opens in a new tab)
- IASMEIASME, Cyber Essentials frequently asked questionsRead on iasme.co.uk (opens in a new tab)