RACF-CC • Domain 5

Data Protection and Backup

Control access to sensitive information, limit unsafe movement and demonstrate that priority data and services can be restored after ransomware, error or disruption.

Purpose

Backup is not the same as recovery

Care charities must protect highly sensitive information while keeping it available to legitimate staff and partners. RACF-CC combines preventative controls—identity, device trust, sharing, encryption and data-loss prevention—with backup scope, resilient copies and tested restoration.

What good looks like

Priority systems are mapped to backup coverage, restore procedures are tested against realistic objectives, resilient copies are protected from production compromise, and sensitive access and sharing are controlled according to risk.

Risk picture

Common paths to loss or exposure

Unmanaged download

A valid user can move sensitive information onto a device outside organisational control.

Untuned data controls

Report-only policies provide visibility but may not stop high-risk sharing or exfiltration.

Unreviewed sharing

Guests and links can remain active after the original need has ended.

Incomplete backup scope

A backup product may omit a critical system, cloud workload or dependency.

Connected backup compromise

Ransomware may target recovery infrastructure and accessible copies.

Untested restoration

Jobs can report success while timing, completeness and operational recovery remain unknown.

Prioritised action

The RACF-CC data resilience control set

PriorityControl directionOutcomeEvidence
FirstMap every priority system and dataset to confirmed backup scope and ownership.Identifies recovery gaps before an incident.Critical-service backup matrix.
FirstTest representative cloud and on-premises restores.Proves recoverability and exposes procedural gaps.Timed restore records and validation.
FirstClose endpoint encryption and recovery-key gaps.Protects data on lost or stolen devices.Encryption and key evidence.
NextDefine realistic recovery time and recovery point objectives with service owners.Aligns technology recovery with care priorities.Approved objectives and test results.
NextRestrict sensitive downloads from unmanaged or non-compliant devices.Maintains control beyond authentication.Access-policy and exception outcomes.
NextPilot high-confidence data-loss and external-sharing controls.Reduces accidental and malicious distribution.Policy incidents and false positives.
DevelopStrengthen offline, off-site or immutable recovery and mature information governance.Improves ransomware resilience and lifecycle control.Architecture tests and governance reviews.

Implementation

A four-phase roadmap

Phase 1

Prove the basics

  • Map critical systems to backup
  • Review failed and warning jobs
  • Test priority restores
  • Close encryption gaps

Phase 2

Control access

  • Define recovery objectives
  • Restrict unmanaged downloads
  • Review guests and sharing links
  • Pilot high-confidence DLP

Phase 3

Strengthen resilience

  • Protect backup administration
  • Improve off-site or immutable copies
  • Exercise multi-system recovery
  • Train more than one recovery operator

Phase 4

Mature governance

  • Expand classification and retention
  • Automate sharing review
  • Test supplier recovery claims
  • Refine objectives after exercises

Test with safe, representative data

Restore exercises should protect confidentiality and avoid overwriting production. Use authorised test locations, clear success criteria and documented disposal. DLP and download restrictions also need pilots so legitimate care collaboration is not blocked without warning.

Pilot controls that can block data use

Audit/report-only → pilot → validate → enforce → monitor → review

DLP, download restrictions, retention changes and sharing controls should be tested against genuine collaboration and accessibility needs before blocking. Recovery changes also require safe, representative restore validation. Use the Safe Enforcement Pattern →

Understand the supplier recovery boundary

Confirm who protects which data, who restores the service, how information can be retrieved and what happens if several services depend on the same provider. Use the Supplier and Third-Party Risk guide →

Prevent Publisher files becoming stranded

Microsoft 365 subscribers are expected to lose access to Publisher from 1 October 2026. Find important .pub files, choose a future format and validate their content and appearance before the deadline. Use the Publisher continuity guide →

Evidence

Measure recovery confidence

ScopePriority systems mapped to complete, monitored backup coverage.
Job healthFailures and warnings investigated within target.
Restore assuranceSuccessful tests, elapsed time, completeness and lessons recorded.
Resilient copiesCritical data protected from compromise of production credentials and systems.
Controlled movementHigh-risk sharing, download and DLP events reviewed.
Operational readinessRecovery roles, procedures and care-service objectives agreed.

Residual risk and escalation

Record data and recovery gaps that remain

What may remain unresolved?

Untested restores, incomplete SaaS or legacy-system backup, limited immutable copies, excessive sharing, weak classification and licensing-limited DLP or retention coverage may remain.

Why might it remain?

Supplier boundaries, storage cost, licensing, confidentiality constraints, legacy platforms, unavailable test environments or unclear service ownership may limit assurance.

Compensating safeguards

Restrict access and sharing, maintain additional copies, protect backup administration, monitor data movement and document manual recovery procedures.

Risk owner

The accountable information or service owner owns the consequence, supported by data-protection, backup and platform administrators.

Review requirement

Review after restore exercises, platform or supplier change, major data migration, control failure and at the agreed recovery-assurance interval.

Escalation triggers

Failed priority restore, ransomware activity, backup compromise, uncontrolled sensitive-data movement, repeated job failure or inability to meet essential recovery needs.

Recording does not equal acceptance. Recovery assumptions and data-protection gaps require explicit ownership, safeguards and a time-bound decision.

References

Standards alignment

Continue

Make attacks visible

Domain 6 turns existing logs and alerts into a sustainable monitoring routine.