Template draft. Replace everything in [square brackets] with your own decision,
delete what does not describe what you really do, and approve it through your own document control. It is not legal
advice and does not make an organisation compliant or certified.
1. Purpose
This policy makes sure that known vulnerabilities in software and firmware are fixed before they can be used against the Organisation. It sets patch deadlines linked to risk, the testing and deployment approach, and the way that systems which cannot be patched are protected.
2. Scope
The policy covers operating systems, firmware, hypervisors, databases, middleware, applications, libraries, containers and images, network and security devices, endpoints, mobile devices and cloud-hosted systems for which the Organisation is responsible for patching under the shared responsibility model.
- In scope: the Organisation's own systems and systems run for it by suppliers, where the contract makes patching a supplier duty and the Organisation checks evidence.
- In scope: third-party and open source components in software that the Organisation builds.
- Out of scope: systems fully managed and patched by a SaaS provider; the provider's patching is reviewed under the Supplier Relationship Management Policy.
3. Terms and Definitions
| Term | Meaning |
|---|
| Patch | A software update that fixes a defect or vulnerability. |
| Vulnerability severity | A rating of how serious a weakness is, such as the base score of a common vulnerability scoring system. |
| Exploit in the wild | A weakness known to be used in real attacks, which raises its urgency above its base score. |
| Compensating control | A temporary measure that reduces risk where a patch cannot yet be installed. |
| Test group | A small set of representative systems that receives patches first. |
| End of life | Software or hardware no longer supported with patches by its maker. |
4. Roles and Responsibilities
| Role | Responsibilities |
|---|
| Head of IT Operations (document owner) | Owns this policy, resources patching, approves deadline extensions up to [30 days], and reports compliance monthly. |
| Patch manager | Maintains the patch calendar, tracks advisories, assigns severity, runs the process and reports exceptions. |
| System owner | Approves outage windows, confirms test results and accepts the risk of any delay. |
| System and platform engineers | Test, deploy and verify patches, document rollbacks and update the asset register. |
| Information security manager | Rates urgency using threat information, runs vulnerability scans, validates fixes and approves compensating controls. |
| Application development leads | Update dependencies and base images in line with these deadlines and rebuild and redeploy. |
| Activity | Responsible | Accountable | Consulted | Informed |
|---|
| Track advisories and assign severity | Patch manager | Head of IT Operations | Information security manager | System owners |
| Test patches | Engineers | Patch manager | System owner | Information security manager |
| Approve and schedule deployment | Patch manager | System owner | Change manager | Service desk |
| Deploy and verify | Engineers | Head of IT Operations | Information security manager | System owner |
| Approve a deadline extension | Head of IT Operations | Head of IT Security | System owner, information security manager | Patch manager |
| Report patch compliance | Patch manager | Head of IT Operations | Information security manager | Management |
5. Policy Statement
5.1 Identification and rating
- Vulnerability information must be collected from supplier advisories, security bulletins, scanner results and threat intelligence, and reviewed at least [daily] for internet-facing systems and [weekly] for others.
- Each vulnerability is rated by the patch manager using the base severity and adjusted for exposure, exploit in the wild, asset criticality and compensating controls. The adjusted rating sets the deadline.
- All systems must be in the asset register, with version and patch level, so that an advisory can be matched to affected assets within [1 working day].
5.2 Patch deadlines
| Adjusted rating | Typical trigger | Deploy within |
|---|
| Emergency | Exploit in the wild on an internet-facing or Tier 1 system, or active attack | [48 hours] under emergency change |
| Critical | Base score [9.0 to 10.0], or high score with remote exploit on exposed systems | [7 days] |
| High | Base score [7.0 to 8.9] | [14 days] |
| Medium | Base score [4.0 to 6.9] | [30 days] |
| Low | Base score below [4.0] | [90 days] or next maintenance cycle |
| Routine operating system and application updates | Monthly vendor releases | Within [30 days] of release |
The clock starts when the patch is available. Where only a workaround exists, it must be applied within the same period and the patch applied when released.
5.3 Testing and deployment
- Patches must be tested before production use, in a test group of at least [5%] of systems or a test environment that matches production. Emergency patches may use a reduced test with documented risk acceptance.
- Production deployment follows the Change Management Policy and Procedure. Routine patching is a standard change with a pre-approved template, and high-risk systems need a normal change.
- Deployment uses waves: test group, then low-risk systems, then production, with a pause of at least [24 hours] between waves unless urgency demands otherwise.
- Each deployment has a rollback plan. A backup or snapshot is taken first for Tier 1 and Tier 2 systems.
- Automatic updates are enabled for endpoints and for services where a failure is tolerable. Servers are patched in scheduled windows.
- After deployment, the engineer verifies that the patch is installed, services work, and a vulnerability scan no longer reports the issue within [7 days].
5.4 Systems that cannot be patched
- If a patch cannot be installed in time because of compatibility, vendor support or business need, the system owner must raise an exception with the risk, compensating controls such as network isolation, virtual patching or monitoring, and an end date no later than [90 days].
- End-of-life software must not be used for Tier 1 or Tier 2 systems. Where unavoidable, it must be isolated, monitored, listed in the risk register and scheduled for replacement.
- Firmware and appliance patches are included. Vendor support contracts must cover security patches for the system life.
5.5 Software that the Organisation builds
- Dependencies and base images must be scanned on each build. Critical and high findings block release unless an exception is approved.
- Dependency updates are applied within the deadlines above, counted from the release of the fix, and the application is rebuilt and redeployed.
6. Patch Cycle and Worked Example
| Day | Activity | Owner |
|---|
| Second Tuesday of the month | Vendor releases arrive; patch manager reviews, rates and publishes the monthly patch list | Patch manager |
| Day +1 to +3 | Deploy to the test group; collect health reports and user feedback | Engineers |
| Day +4 | Go or no-go decision at the change meeting; defer any patch that failed testing | Patch manager, system owners |
| Day +5 to +14 | Wave deployment to low-risk systems, then production, within the agreed windows | Engineers |
| Day +15 to +21 | Verification scan, mop-up of missed systems, exception review | Information security manager |
| Day +30 | Compliance report issued; overdue items escalated to the Head of IT Operations | Patch manager |
Note. Worked example: a remote code execution flaw with a base score of 9.8 is announced for the web server software on the customer portal, and a public exploit appears two days later. The base score gives Critical, but exploit in the wild on an internet-facing Tier 1 system raises it to Emergency. The patch manager raises an emergency change, ECAB approves within 2 hours, a virtual patch rule is applied at the web gateway the same day, and the vendor patch is deployed to the test group on day 1 and production on day 2. The scan on day 3 confirms closure, and the record shows 38 hours from availability to deployment against the 48-hour target.
7. Compliance and Monitoring
| Check | Performed by | Frequency |
|---|
| Authenticated vulnerability scan of all in-scope systems | Information security manager | [Weekly] for exposed systems, [monthly] for the rest |
| Patch compliance report against deadlines | Patch manager | [Monthly] |
| Reconciliation of asset register and scanner coverage | Patch manager | [Quarterly] |
| Review of open exceptions and end dates | Head of IT Operations | [Monthly] |
| Internal audit sample | Internal audit | [Yearly] |
Detailed steps and forms are in the Patch Management Procedure.
8. Measures
| Measure | Target |
|---|
| Emergency and critical patches deployed within the deadline | [100%] |
| High patches deployed within the deadline | [95%] |
| Overall patch compliance across endpoints | [97%] |
| Systems with unsupported software and no approved exception | [0] |
| Patches that caused an incident | [under 2%] |
| Open exceptions beyond end date | [0] |
9. Records and Evidence
- Advisory log with severity decisions, kept [2 years].
- Patch test and deployment records linked to change records, kept [3 years].
- Scan results and compliance reports, kept [2 years].
- Exception records and compensating controls, kept [3 years] after closure.
Annexure A: Patch exception request
| Field | Entry |
|---|
| System, owner and classification | |
| Vulnerability and adjusted rating | |
| Reason patch cannot be applied | |
| Compensating controls and who verified them | |
| Requested end date | |
| Approvals and dates | |
10. Exception
Exceptions to this document are allowed only where compliance is not practicable and the risk has been assessed. A request must state what is to be excepted, why, the risk it creates, the compensating controls, and an end date no later than [6 months]. It is approved in writing by the document owner and the risk owner, recorded in the exceptions register, and reviewed at the end date. An exception does not change the document.
11. Enforcement
Compliance is monitored through internal audits, management review and routine checks by the document owner. Non-compliance is reported through the incident or non-conformity process and handled under the organisation's disciplinary procedure, and under the terms of any contract for people who are not employees. Serious or repeated non-compliance may lead to loss of access and, where the law is broken, to referral to the authorities.
12. Review
This document is reviewed at least every [12 months], and when there is a significant change to the organisation, its systems, its risks or the law, or after an incident that shows it was not effective. Each review is recorded in the revision history.
ISO/IEC 27001:2022 references
| Reference | Title |
|---|
| A.8.8 | Management of technical vulnerabilities |
| A.8.19 | Installation of software on operational systems |
| A.8.32 | Change management |
| A.8.9 | Configuration management |
| A.5.7 | Threat intelligence |
| 6.1.2 | Information security risk assessment |