Building a strong cyber security culture in the healthcare sector
- Christiane Wuillamie

- Feb 11, 2025
- 3 min read

Cyber attacks on healthcare institutions are rising fast, with high costs and serious consequences.
This case study explains how hospitals can strengthen cyber resilience by focusing on culture — not just technology — and by making cyber security an enterprise-wide responsibility, from trustees and senior leadership to every staff member.
The scale of the challenge
Healthcare is a prime target for cybercrime.
Ransomware, data theft and operational disruption are increasing in the healthcare sector. Successful attacks have stolen patient records, triggered multimillion-dollar recovery costs and exposed organisations to regulatory and legal action. Legacy systems, stressed and overworked staff, and often limited cyber investment contribute to the sector’s exposure.
Why technology alone is not enough
Cyber security remains treated as a technical issue.
Hospitals often view cyber security through a narrow lens of firewalls, patching, and perimeter defence, without addressing the organisational conditions that shape risk behaviours and response. As the case study highlights, this leaves critical gaps — especially when staff are fatigued, reporting is low, and Boards lack deep cyber understanding.
Defining core hospital cyber risks
Multiple factors combine to create vulnerability.
The PDF identifies common risks in healthcare settings:
Cyber security seen as a technology issue
Weak board understanding of cyber risk
Unsafe IoT medical devices
Legacy IT systems
Non-mandatory cyber training
Fatigue and stress among clinical staff
Special access demands from doctors
Weak data backup and recovery plans
These systemic drivers mirror the real work context and create pressures that technology alone cannot mitigate.
Culture is the best firewall
A statement of organisational accountability.
A senior quote in the case study makes the shift in perspective clear:
“Cyber threats are a mirror of the entire organisation, not just the cyber security function.” Christiane Wuillamie OBE
This reframing helps leaders see cyber security not as an IT problem, but as an enterprise risk requiring shared accountability.
Building a cyber security culture in healthcare
Strategic actions that matter.
The case study sets out a series of practical elements that strong healthcare organisations adopt:
Identify systemic cyber risk using data and culture mapping to reveal hidden drivers
Board commitment to cyber governance, including cyber training for trustees
Engaging business leaders and clinicians in risk discussions, not just IT staff
Risk management design for security embedded in core processes
Internal communications to improve cross-function coordination
Securing the supply chain through oversight of partners and vendors
Employee care and training, including home/work environment security
Linking cyber security to business priorities so risk is visible and managed alongside clinical and operational goals
These practices move cyber security from a checklist to a governed organisational system.
Leadership and accountability
Everyone must be responsible.
Another expert quote reinforces this enterprise view:
“Every function must become cyber-responsible. To blunt cybercrime, we must adopt a culture of rigorous cyber hygiene.” Rick McElroy, Cyber Security Strategist, VMware
In healthcare, that means trustees, administrators, clinicians and support staff all play a role in reducing exposure and improving rapid response.
What leaders should take from this
A culture focus strengthens outcomes.
Boards and executives in healthcare should:
Treat cyber security as core to organisational strategy
Commit to cultural practices that shape secure behaviours
Use analytics and mapping to uncover causal risks
Engage leaders across functions to reduce silos
Make cyber performance visible through leading indicators
This approach aligns with broader healthcare goals — protecting patients, data, trust and operational continuity.
Key topics covered in this article
Rising cybercrime in the healthcare sector
Core systemic risks in hospital environments
Why technology alone does not suffice
Reframing cyber security as enterprise accountability
Practical elements of a strong cyber security culture
Leadership roles in shaping secure practice
Cultural drivers that enable or hinder resilience
About PYXIS Culture Technologies
PYXIS Culture Technologies helps organisations understand and improve the cultural drivers of performance, safety, and cyber resilience.
By combining deep research, operational experience, and advanced culture analytics, we help organisations close the gap between strategy and everyday behaviour.
Our approach is effective:
We treat culture as a systemic business issue, not an HR initiative.
We identify key internal business practices that create cyber security risks and provide effective solutions you can immediately implement.
We link your cyber security culture to business financial metrics, showing a clear ROI for strengthening your cyber security culture.
Connecting the dots
For more information or to request a demo on how mapping culture drivers can improve business results, contact us here.