Confident digital deployment

Clinical safety: DCB0160

Clinical safety assurance for the safe, compliant use of digital health technologies in real care settings.

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Why you might need this

DCB0160 has been an NHS requirement for safe deployment of digital technologies for over a decade. While enforcement has historically been limited, regulatory expectations are now tightening. Organisations typically seek DCB0160 support for:

  • Complex AI or ambient scribe tools
  • Upcoming CQC inspections
  • Overwhelming compliance gaps
  • Building consistency across a PCN or ICB
  • High risk products 

How we work

Fast and confident DCB0160 compliance for the safe implementation of a single digital health technology.

Context capture

We collect organisational context (patients, workflows,  interacting technologies) and review the supplier’s DCB0129 artefacts to understand real-world risk.

Draft safety analysis

Curistica prepares a draft hazard log tailored to your setting, ensuring comprehensive risk coverage while prioritising the most significant ones.

Hazard workshop

We run a structured workshop with clinicians and operational staff to:

  • Validate risks
  • Identify existing 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 technology, 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)

Why Curistica?

Real world expertise

Our team includes clinicians with frontline experience, so we design processes and controls that work in real practice settings.

Inspection-ready

We make sure your digital health technologies are understood, documented, and defensible, so you’re prepared for inspection.

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.

PCNs & networks

We work at scale across PCNs and networks, reducing cost per practice

Working with Curistica has been invaluable. As our independent Clinical Safety assurance partner, they provide a level of rigour, insight, and reassurance that allows us to confidently trial and implement new technologies.
Dr Amar Ahmed
,
GP Partner, Wilmslow Health Centre

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DCB0160

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. Much like a Data Protection Officer (DPO), your organisation must have a named Clinical Safety Officer (CSO) responsible for overseeing clinical safety activities. This is required to meet NHS clinical safety standards under Section 250 of the Health and Social Care Act 2012. The role can be shared across organisations or provided externally.

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 DCB0160 a legal requirement? No one seems to be enforcing.

Yes. In England, DCB0160 is required under the Health and Social Care Act 2012 and the NHS Standard Contract. Enforcement has historically been inconsistent, but scrutiny is increasing, particularly through CQC inspections, and following DCB0160 is considered best practice across the UK.

Do I need a DCB0160 if the technology was procured centrally?

Yes. DCB0160 is a local responsibility and reflects how your organisation uses the technology in its specific context. This cannot be completed centrally, as risks depend on local workflows, systems, and patient populations. Centrally shared clinical safety materials, however, can help each local organisation meet their own requirements more efficiently and consistently.

What if I can't get the DCB0129 from the supplier?

Suppliers are expected to provide materials from their DCB0129 safety case (e.g. hazard log and Clinical Safety Case Report as a minimum) so providers can complete their DCB0160 obligations. Without this, it is difficult to demonstrate safe and compliant use of the technology. If it cannot be provided, you should carefully consider the risks of proceeding and whether the technology meets your governance requirements.

We are implementing a medical device. Do we still need to do a DCB0160?

Yes. DCB0160 applies regardless of device classification and focuses on how the technology is used within your organisation.

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.