Fast, product-led compliance

Clinical safety: DCB0129

Clinical safety assurance for launching or updating digital health products to meet NHS expectations and scale with confidence.

Trusted by visionary companies building transformative health technologies

Why you might need this

As digital health products mature, structured clinical safety work becomes essential. DCB0129 is required for NHS sales and is emerging as a marker of safer, more trusted products across the public and private sector. Teams typically seek support for:

  • New product launch
  • Major feature release
  • AI functionality added
  • NHS procurement stage
  • Safety expertise gaps
  • Increasing speed, safely

How we work

Fast and product-informed DCB0129 compliance for building safe, customer-ready digital health products.

Context & gap analysis

We audit your current clinical safety processes and documentation to identify gaps against DCB0129 requirements, including review of product functionality, intended use and risk profile.

Safety framing & classification

We define the clinical safety scope, including intended use, clinical risk context, and medical device qualification and classification where applicable.

Draft safety analysis

Curistica prepares a structured hazard log for your product, ensuring comprehensive risk coverage while prioritising the most significant risks and practical mitigations.

Hazard workshop

We run a structured workshop with product, clinical and technical teams to:

  • Validate risks
  • Identify controls
  • Ensure mitigations are realistic 

We use our proprietary tool to visualise and update hazard logs, making collaborative workshops fast and clear.

Final assurance & sign-off

We finalise all required documentation, including the Clinical Safety Case Report (CSCR), and issue the Clinical Authority to Release (CATR) certificate.

Ongoing assurance (optional)

To keep the product compliant through product updates, incidents and evolving regulations, we can either:

  • Act as your named CSO,
  • Support your in-house CSO, or
  • Ensure your internal processes are robust and self-sustaining

What you can expect

For a single product or major feature, we will deliver:

Audit of existing clinical safety processes and documentation
Facilitated hazard workshop with cross-functional stakeholders
Hazard log
Clinical Risk Management Plan (CRMP)
Clinical Risk Management System (CRMS)
Incident management log
Clinical Safety Case Report (CSCR)
Clinical Authority to Release Certificate (CATR)
Medical device qualification & classification

Why Curistica?

Ecosystem expertise

We work across healthtech and care delivery, so understand both how products are built and how they are actually used, and what your customers need from you.

Product-informed

We’ve built healthtech products ourselves, so know how to use compliance as an enabler and accelerator, not a blocker.

Care & optimism

We care about the future of digital health, and bring energy and creativity to solving problems, not slowing you down.

Peer-reviewed research

We co-author peer-reviewed research assessing NHS digital health technologies

Right-size compliance

We right-size compliance: pragmatic, proportionate, and defensible - prioritising real risk over paperwork and performative controls.

Regulatory confidence

We help you meet regulatory and compliance expectations with confidence, producing work that stands up to scrutiny from partners, buyers, and regulators.

Working with Keith and the Curistica team has been incredibly valuable. The team have considerable expertise in GenerativeAI and how it can be applied in health settings.
Sam Shah
,
Chief Medical Strategy Officer at Numan

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DCB0129

FAQs

What is a Clinical Safety Officer (CSO)?

A Clinical Safety Officer (CSO) is a suitably qualified and experienced clinician, registered with a professional body (e.g. GMC, NMC, HCPC), who is responsible for overseeing clinical risk management for digital health technologies. They must have completed recognised training, have the expertise to assess and manage clinical risk in practice, and have authority within the organisation to ensure DCB0129 processes are implemented and maintained.

Does our organisation need a CSO?

Yes, if your healthtech product is intended for use within the NHS or or publicly funded adult social care. Much like a Data Protection Officer (DPO), your organisation must have a named Clinical Safety Officer (CSO) responsible for overseeing clinical safety activities, including product updates and incident management. This is required to meet NHS clinical safety standards under Section 250 of the Health and Social Care Act 2012. The role can be outsourced if needed.

What technologies fall under DCB0129/DCB0160?

Any digital system used in publicly funded health or adult social care that could influence patient care in real time or near real time falls within scope. This includes clinical systems, patient-facing tools, administrative systems, and supporting technologies where failure or misuse could impact care delivery.

You can use our free CQC Readiness tool at assess.curistica.com to view example digital health categories and products to help build your DHT registry.

Is DCB0129 a legal requirement? Providers don't always ask to see this.

Yes. In England, under the Health and Social Care Act 2012, manufacturers of digital health systems are required to produce a DCB0129 clinical safety case. While enforcement has historically been variable, following DCB0129 is considered best practice across the UK and increasingly forms the foundation for NHS organisations to meet their own DCB0160 obligations.

Our product is a medical device and we have done ISO14971. Do we still need to do a DCB0129?

Yes. DCB0129 is still required for digital health technologies used in NHS settings, even if ISO 14971 has been completed. The two standards are complementary but not interchangeable.

Who enforces DCB0129/DCB0160?

There is currently no single enforcement body. However, compliance is increasingly reviewed during procurement, audits, and CQC inspections, and expectations across the NHS are tightening.