Forms Test

Access request by the public

Bolton NHS Foundation Trust uses closed circuit television (CCTV) systems for the purposes of crime prevention, the prosecution of offenders and public safety.

The UK General Data Protection Regulation (UK GDPR) and Data Protection Act 2018 gives you the statutory right of access to the CCTV images we process about you. Please complete this form if you wish to access a CCTV image. If you require assistance please contact the Information Governance Department (details listed below)

Information Governance Department
Bolton NHS Foundation Trust,
Informatics Building, opposite N block
Royal Bolton Hospital
Minerva Road
Farnworth
Bolton
BL4 0JR

Telephone: 01204 390861

Fees payable

Under the General Data Protection Regulation the rights to access information is free of charge.

 Timescale

We will respond to your request promptly, and in no more than 30 days. If we encounter any difficulties in locating your image(s) we will keep you informed of our progress.

Online CCTV Form Submission

Notes to Assist in Completion of the Form

Location

Provide details of the camera location, and the date and time of the image(s) you would like to see, as well as a general description of your appearance, clothing etc. at the time in question.

If it is a vehicle, you will need to provide extra information such as brand, colour and number plates. We may also require proof of ownership.

Please see Section 6 for exact location details.

Storage

Images are stored for 30 days only. Any requests for images recorded more than 30 days ago will no longer be available.

Obligations to Third Parties

Where information of third parties is also shown within the images of the person who has made the access request, the Trust has a legal obligation to consider whether to obscure this information prior to release to the applicant.

Declaration

The person making the application must complete this section.

a) If you are the data subject — tick the first box, sign the authorisation, then proceed to Section 6.

b) If you are completing this application on behalf of another person, in most instances we will require their authorisation before we can release the data to you. The data subject should be asked to complete the ‘Authorisation’ section of the form (Section 5).

c) If the data subject is a child (under 16 years of age), the application may be made by someone with parental responsibility — in most cases a parent or guardian. If the child is capable of understanding the nature of the application, his/her consent should be obtained, or the child may submit an application on their own behalf. Generally, children aged 12–16 will be presumed to understand the nature of the application. All cases will be considered individually.

Applicant

The applicant is the person applying on behalf of the data subject to access the CCTV image(s).

Because of the confidential nature of data held by Bolton NHS Foundation Trust, it is essential that we obtain proof of your identity and your right to receive CCTV image(s). Your application must be supported by:

  • 1 × photo ID (e.g. passport or driving licence)
  • 1 × address ID (e.g. recent utility bill)
  • Proof of right of access (e.g. letter from the court, power of attorney)

All applications under subject access provision must be made in writing to the Trust. Email is classified as written correspondence.

Warning: Making false or misleading statements to obtain access to personal information to which you are not entitled is a criminal offence.