Privacy Regulations
1. INTRODUCTION
South Africa has enshrined the right to privacy within the South African Bill of Rights (Constitution of the Republic of South Africa, 1996) and has given effect to that right through the Protection of Personal Information Act (4 of 2013) (“POPIA”). Kaylin Sidwell Physiotherapy (Practice) is committed to protecting the privacy of our customers, employees, and partners, in line with POPIA and related South African legislation, global leading practices, and our commitment to good institutional governance. This regulation:
• articulates the X’s stance on privacy; and
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clarifies POPIA’s principles within the practice’s context and values.
2. IMPLEMENTATION OF THIS REGULATION
This regulation applies to all:
• Members, Customers, staff (both permanent and temporary), members of statutory bodies, and third party suppliers and vendors; and
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processes that include the processing of personal information, including but not limited to business processes and academic (teaching and learning, research) processes.
Process owners, in line with governance goals and leading corporate governance practices[1], must, within 18 months of the implementation of this regulation, both:
• apply the principles discussed in this regulation in the analysis, design, and execution of any process that includes the processing of personal information;
• explain and document how the principles have been applied; and
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for processes where third parties are involved in the processing of personal information, ensure that the third parties are contractually obligated to apply and explain the principles within this regulation.
Laws are not static and the South African judiciary makes allowance for nuance and context. Thus, to support the implementation of this regulation, the Company Secretary’s department must make itself reasonably available to process owners and assist them with the interpretation, application, and implementation of this regulation within their processes.
3. DEFINITIONS
‘Data subject’, as defined in POPIA, means the person to whom personal information relates. Data subjects may include, but are not limited to:
• customers;
• suppliers;
• research participants;
• employees;
• employment candidates;
• visitors; and
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members of the public.
‘Personal information’, as defined in POPIA, means information relating to an identifiable, living individual or identifiable, existing company, including, but not limited to:
• information relating to the race, gender, sex, pregnancy, marital status, national, ethnic or social origin, colour, sexual orientation, age, physical or mental health, well-being, disability, religion, conscience, belief, culture, language and birth of the person;
• information relating to the education or the medical, financial, criminal or employment history of the person;
• any identifying number, symbol, e-mail address, physical address, telephone number, location information, online identifier or other particular assignment to the person;
• the biometric information of the person;
• the personal opinions, views or preferences of the person;
• correspondence sent by the person that is implicitly or explicitly of a private or confidential nature or further correspondence that would reveal the contents of the original correspondence;
• the views or opinions of another individual about the person; and
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the name of the person if it appears with other personal information relating to the person or if the disclosure of the name itself would reveal information about the person.
A ‘Process’ is a collection of practices influenced by the company’s policies and procedures that takes inputs from a number of sources (including other processes), manipulates the inputs and produces outputs (such as products, services, or research findings)[2].
‘Process owner’ is the individual accountable for the performance of a process in realising its objectives, driving process improvement, and approving process changes1. Process owners include, but are not limited to, researchers, the line management of the different departments.
‘Processing’, as defined in POPIA means any operation or activity or any set of operations, whether or not by automatic means, concerning personal information including:
• the collection, receipt, recording, organisation, collation, storage, updating or modification, retrieval, alteration, consultation or use;
• disseminations by means of transmission, distribution, or making available in any other form; or merging, linking, as well as restriction, degradation, erasure, or destruction of information.
4. PURPOSE OF THIS REGULATION
This regulation, through clarifying foundational principles that give effect to the right to privacy, establishes and enables a company’s framework for the processing of personal information that positions respect for data subjects, transparency, accountability, and auditability at its core.
5. AIM OF THIS REGULATION
This regulation:
a) articulates the practice’s stance on privacy;
b) supports efforts to give effect to the constitutional right to privacy within the practice; and
c)supports the management of risks and opportunities surrounding personal information processing.
6. REGULATION PRINCIPLES
POPIA’s definition of processing establishes a phased lifecycle for personal information. When considered alongside international legislation[3], this regulation positions four distinct phases within the lifecycle:
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Planning and design activities that take place before actual processing of personal information.
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Collection and Creation
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Collection, receipt, creation, recording of personal information.
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Utilisation
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Organisation, collation, storage, securing, updating or modification, access, retrieval, alteration, consultation or use, dissemination, merging, linking, restriction, degradation of personal information.
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Disposal
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Erasure or destruction of personal information.
Though process owners must apply all of the principles of protecting personal information throughout the entire lifecycle, this regulation establishes, by phase, when the application of (or the articulation of the application of) a principle is most pertinent.
Phase 1: Preliminary
Principle 1: Privacy by design
Process owners must give effect to the right to privacy by design within their processes before processing starts. Process owners must thus consider privacy and the protection of personal information during the analysis and design of their processes. Specifically, process owners must, during the design of a new process or review and analysis of an existent process:
• conduct a privacy impact assessment to determine the lawfulness of and to identify and evaluate risks associated with the proposed processing of personal information;
• use the outcomes of the assessment to identify and design appropriate and reasonable measures within their processes to mitigate identified risks (which may include halting a process determined as unlawful); and
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document the outcomes of the assessment and how it informed the design of the process.
Principle 2: Secure by design and by default
Process owners must, utilising the outcomes of the privacy impact assessment, identify, design, implement, and document reasonable technical, organisational, and procedural information security and cyber security measures within their processes to ensure the confidentiality, integrity, and availability of personal information.
Phase 2: Collection and Creation
Principle 3: Minimal processing
Process owners must ensure that their processes do not collect more personal information than is necessary or relevant to the process.
Principle 4: Accuracy
Decisions made on inaccurate information may expose the company, process owner, and data subject to unnecessary risk or harm. Process owners must take reasonable measures to ensure the accuracy of any collected personal information. Where reasonably possible, process owners must ensure that their processes collect personal information directly from data subjects.
Principle 5: Notification
Process owners must take reasonably practicable steps to notify data subjects of any personal information processing.
Principle 6: Consent
Any consent to the processing of personal information, according to POPIA, must be “voluntary, specific, and an informed expression of will in terms of which permission is given for the processing of personal information.” If consent is the basis for the processing activity, data subjects must be able to freely withdraw consent.
Consent is not always necessary, practical, or desirable for every potential process. Consent should only be used as a justification to process personal information if no other grounds exist. If the processing of personal information is required to conclude or perform in terms of a contract or to comply with legislation, obtaining consent is never appropriate, because the data subject will not be able to withdraw the consent.
Process owners must thus determine the need for consent during the design of their process (i.e. as part of the privacy impact assessment). If process owners identify a need to capture consent, such consent processes must align with the provisions of POPIA.
Phase 3: Utilisation
Principle 7: For specific purposes
Process owners must ensure that any processing of personal information must align with the original specified and documented purpose for collecting the personal information as specified in the privacy notice or consent procedures (see principles 5 and 6).
Some further processing of personal information may be allowable under law when such processing aligns with the original specified purpose for collecting the personal information. Within the context of the X, such further processing may still be subject to research ethics approval and/or company gatekeeper permission.
Principle 8: Access
Process owners must ensure that their processes give effect to all data subject rights. This includes giving data subjects access to mechanisms that allow them:
1. access to their personal information;
2. to change or correct their personal information; and
3.to have their personal information deleted if the information is inaccurate, irrelevant or if the practice is no longer authorised to have it (see principle 10 for more detail).
Principle 9: Breach notification
POPIA expects the practice to have procedures in place to detect, report, investigate, and contain personal information breaches. The practice already has existent breach procedures in place. Where reasonably possible, process owners must ensure that their processes align with the institutional breach procedures.
Where process owners cannot reasonably align their processes with the company procedures (such as in specific research projects), they must still establish breach procedures aligned with the outcomes of their privacy impact assessment (see principle 1).
Phase 4: Disposal
Principle 10: Defensible disposal
Process owners should not keep personal information for longer than is required. POPIA considers the storage and retention of personal information as processing of personal information (see definitions). Longterm storage may also expose the institution, the process owner, and the data subjects to unnecessary risk. Process owners must ensure the proper disposal of a record or personal information as soon as reasonably practicable after achieving the purpose for which the information was originally collected (see principle 7) through:
• archiving records with vital or historical value as per the practice’s Archiving Policy; or
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destruction, deletion, or de-identification of a record or personal information as per the practice’ Archiving Policy.
7. NON-COMPLIANCE WITH THIS REGULATION
Failure to apply and explain the principles within this regulation to processing of personal information may render the practice or the individuals, involved with processing, non-compliant with South African privacy related legislation. This non-compliance may lead to fines and claims against the practice and/or the individuals involved under South African legislation. Non-compliance may further expose the practice to significant reputational harm and data subjects to unnecessary risk and harm.
The practice may take disciplinary action against staff for non-compliance with this regulation. The practice may take action, as allowed by contractual agreement or relevant legislation, against members of statutory bodies and third party suppliers and vendors for noncompliance with this regulation.
8. CONTROL OVER THIS REGULATION
The practice owner owns these regulations as statutory Information Officer. She is ultimately accountable for all processing of personal information within the practice and thereby responsible for the existence, implementation, monitoring of compliance, and reporting compliance and noncompliance of this regulation.
She is responsible for the formulation, approval, maintenance and revision, and communication and release of these regulations. This includes monitoring and accounting for changes in the applicable legislations.
9. RELATED DOCUMENTATION
• PAIA manual (section 14 and 51 of the Promotion of Access to Information Act 2 of 2000)
ANNEXURE A: MAPPING OF REGULATION PRINCIPLES TO THE POPIA CONDITIONS FOR LAWFUL PROCESSING OF PERSONAL INFORMATION
POPIA establishes eight conditions for the lawful processing of personal information. The table below summarises how, in developing the principles, the X has considered the eight conditions:
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Accountability
Through establishing this regulation, the X has established the accountability and responsibility structures for the processing of personal information within the company.
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Processing Limitation
Privacy by Design; Minimal Processing; Accuracy, Notification, and Consent
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Purpose Specification
Privacy by Design; Minimal Processing; For Specific Purposes; Defensible Disposal
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Further Processing Limitation
Privacy by Design; For Specific Purposes; Defensible Disposal
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Information Quality
Privacy by Design; Accuracy; Access
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Openness
Privacy by Design; Notification
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Security Safeguards
Secure by Design; Breach Notification
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Data Subject Participation
Access
[1] Including the King IV Report on Corporate Governance for South Africa 2016.