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NHS Acute Care
Healthcare
Closing security gaps and enforcing consistent policies across a large London NHS trust while maintaining operational continuity

How Active Directory was remediated to strengthen security and governance

Improved AD Security Posture

Operational Continuity Maintained

Governed & Standardised

The Customer

Healthcare

Client:

Large - Enterprise

Size:

United Kingdom

Geography:

Image by Sheila C
The Challenge

A large NHS acute care trust in London identified critical security gaps and misconfigurations within their Active Directory (AD) environment.


These issues posed risks to:

  • Authentication reliability across clinical and administrative systems

  • Overall security posture

  • Access governance and policy enforcement

  • Operational continuity during hospital hours


The trust required rapid, tactical remediation delivered in a structured and fully governed approach, ensuring security improvements without disrupting critical services.

Key Activities

  • Initiation & Prioritisation Workshop

  • Remediation Workstream Execution

  • Active Directory Fixes & Hardening

  • Governance & Change Control

Technologies

  • Microsoft Active Directory (AD DS)

  • Group Policy (GPO)

  • Windows Server

  • NHS corporate identity and authentication systems

The Solution

Venture 1 delivered a controlled, tactical Active Directory remediation programme, providing:


  • Enhanced security and resilience across AD

  • Improved governance and structured change processes

  • Reduced risk of authentication failures for clinical and administrative staff

  • Clear ownership and documentation for ongoing AD management

Benefits & Results Derived

  • Improved AD Security Posture – Policies and configurations aligned with best practice, reducing risk.

  • Stabilised Identity Operations – Authentication reliability strengthened for critical hospital systems.

  • Reduced Operational Risk – Fewer misconfigurations and security gaps across AD.

  • Governance & Compliance – CAB-approved process and documentation ensured repeatable and auditable changes.

  • Clear Ownership & Knowledge Transfer – IT teams empowered to manage and monitor AD effectively.

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