Clinical Safety Compliance Services

Ensure your digital health technology meets NHS clinical safety requirements with expert support from Patient Guard. We help organisations implement Clinical Risk Management in accordance with DCB0129 and DCB0160, develop Clinical Safety Cases and supporting documentation, and prepare confidently for NHS procurement and deployment.

500+ Manufacturers Supported
BSI ISO 13485 Certified
UK & EU Offices
Former MHRA Expertise
Established 2017
Patient Guard medical device regulatory consultancy illustration showing UKCA, CE MDR, FDA, ISO 13485, IVDR and technical documentation.

What is Clinical Safety Compliance?

Clinical Safety Compliance ensures that digital health technologies are designed, developed, deployed and maintained in a way that minimises risks to patients, healthcare professionals and organisations. Within the NHS, manufacturers and healthcare providers are expected to apply structured Clinical Risk Management processes in accordance with DCB0129 and DCB0160, demonstrating that clinical risks have been identified, evaluated, controlled and monitored throughout the product lifecycle.

Whether you’re developing a Software as a Medical Device (SaMD), clinical decision support system, patient-facing application, AI-enabled healthcare solution or another digital health technology, robust clinical safety documentation is often essential for NHS procurement and successful deployment. This may include Clinical Risk Management Plans, Hazard Logs, Clinical Safety Cases and other supporting evidence that demonstrates your product has been developed with patient safety at its core.

At Patient Guard, we provide practical, hands-on clinical safety consultancy tailored to your technology and intended use. From determining whether DCB0129 or DCB0160 applies, through to developing complete Clinical Safety Case documentation and supporting your organisation with experienced Clinical Safety Officers, we help you build confidence in your product’s safety and accelerate your journey towards NHS adoption.

David Small - Patient Guard - CEO and Founder
"Clinical safety is not simply about producing documentation—it's about demonstrating that patient safety has been considered throughout the design, development and deployment of your digital health technology. By applying structured Clinical Risk Management in accordance with DCB0129 and DCB0160, organisations can identify potential hazards early, implement effective risk controls and build confidence among NHS customers that their solution is safe for clinical use."
Infographic illustrating the clinical safety lifecycle for digital health technologies, showing planning, hazard identification, risk control, evaluation, monitoring and continual improvement in accordance with DCB0129 and DCB0160.

Why Choose Patient Guard?

Clinical safety specialists

Our experienced consultants help organisations implement Clinical Risk Management in accordance with DCB0129 and DCB0160, ensuring patient safety is embedded throughout the product lifecycle.

Hands-on implementation support

We develop the documentation, hazard logs, Clinical Safety Cases and supporting evidence needed to demonstrate compliance with NHS clinical safety requirements.

Practical, risk-based approach

Our advice is proportionate to your technology and intended use, helping you identify, evaluate and control clinical risks without unnecessary complexity.

Established regulatory consultancy

Providing specialist regulatory affairs, quality assurance and digital health compliance services to the healthcare industry since 2017.

Trusted by 500+ companies

From innovative digital health start-ups to established healthcare organisations, we help businesses build robust clinical safety processes and prepare for NHS deployment.

End-to-end clinical safety support

From initial planning and Clinical Risk Management through to Clinical Safety Case development and ongoing support, we help your organisation achieve compliance with confidence.

What Our Clinical Safety Service Includes

Clinical Risk Management Planning

We establish a structured Clinical Risk Management approach, defining responsibilities, governance and activities in accordance with DCB0129 and DCB0160.

Hazard Identification & Risk Analysis

Our consultants work with your team to identify clinical hazards, assess potential risks and implement appropriate risk control measures throughout the product lifecycle.

Clinical Safety Documentation

We develop the documentation required to demonstrate compliance, including Clinical Risk Management Plans, Hazard Logs, Safety Cases and supporting evidence.

DCB0129 & DCB0160 Compliance

Whether you're a manufacturer or deploying organisation, we help you implement the requirements of the relevant NHS Clinical Risk Management standards.

Clinical Safety Officer Support

Access experienced Clinical Safety Officers who provide practical advice, review documentation and support your organisation throughout the compliance process.

Clinical Safety Case Development

We prepare comprehensive Clinical Safety Cases that demonstrate how clinical risks have been identified, controlled and managed, giving confidence to NHS customers and stakeholders.

Who Needs Our Clinical Safety Services

Clinical Safety Requirements

Clinical Safety Compliance is built around a structured approach to identifying, assessing and controlling risks that could impact patient safety. Whether you’re developing a new digital health technology or deploying an existing solution within the NHS, organisations are expected to demonstrate that clinical risks have been systematically managed in accordance with recognised NHS standards. Key requirements typically include:

Our Clinical Safety Compliance Process

01

Step 1: Clinical Safety Assessment & Planning

We begin by understanding your digital health technology, intended use and deployment environment. Our consultants determine the applicable clinical safety requirements, identify whether DCB0129 or DCB0160 applies, review any existing documentation and develop a structured Clinical Risk Management plan tailored to your project.

02

Step 2: Clinical Risk Management & Documentation

Working alongside your team, we identify clinical hazards, assess risks and implement appropriate risk control measures. We develop the required clinical safety documentation, including Clinical Risk Management Plans, Hazard Logs, Clinical Safety Cases and supporting evidence, ensuring compliance with NHS clinical safety standards.

03

Step 3: Review, Assurance & Ongoing Support

Before deployment or NHS procurement, we perform a comprehensive review of your clinical safety documentation to ensure it is complete, consistent and ready for assessment. We can also provide ongoing Clinical Safety Officer support, documentation updates and continued Clinical Risk Management as your technology evolves.

Infographic illustrating Patient Guard’s three-step clinical safety compliance process, covering assessment and planning, clinical risk management and documentation, and final review, assurance and ongoing support in accordance with DCB0129 and DCB0160.

Digital Health Technologies We Support

Organisation Type How Our DTAC Readiness Assessment Helps
Digital Health Start-ups Understand NHS requirements before engaging with customers or procurement frameworks.
Scale-up Health Technology Companies Identify compliance gaps before expanding into NHS markets.
Software as a Medical Device Manufacturers Align DTAC readiness with regulatory and clinical safety obligations.
Medical Device Manufacturers with Digital Products Prepare connected devices and companion software for NHS adoption.
AI Healthcare Developers Demonstrate governance, safety and compliance to NHS buyers.
NHS Suppliers Strengthen evidence before responding to tenders or framework opportunities.
Healthcare Software Vendors Assess readiness against all DTAC domains and prioritise improvements.
International Companies Entering the UK Understand NHS procurement expectations and prepare supporting evidence.

Clinical Safety Compliance Service Pricing

Premium

Clinical Safety Compliance Projects

£ 6,500

From

Projects are tailored to the complexity of your digital health technology, existing documentation and the level of clinical safety support required.

What's Included

  • Clinical Risk Management planning
  • DCB0129 / DCB0160 implementation
  • Hazard Log development
  • Clinical Safety Case preparation
  • Clinical Safety Officer support
  • Final documentation review

Time Lines

01

Week 1–2 - Clinical Safety Assessment & Planning

We review your digital health technology, determine the applicable clinical safety requirements, establish project scope and develop a Clinical Risk Management plan aligned with DCB0129 or DCB0160.

02

Week 3–6 - Clinical Risk Management & Documentation

Working closely with your team, we identify clinical hazards, assess risks, develop the Hazard Log, prepare Clinical Safety documentation and produce the Clinical Safety Case and supporting evidence.

03

Week 7–8 - Final Review & Ongoing Support

We complete a comprehensive review of your documentation, confirm readiness for NHS deployment or procurement, and provide ongoing Clinical Safety Officer support where required.

Typical project duration: Most Clinical Safety Compliance projects are completed within 6–8 weeks, depending on the complexity of your digital health technology, the maturity of your existing documentation and the scope of Clinical Risk Management activities required.

Frequently Asked Questions (FAQs)

Clinical Safety Compliance is the process of identifying, assessing and controlling clinical risks associated with digital health technologies to ensure they can be used safely within healthcare settings. In the NHS, this is typically achieved by applying Clinical Risk Management processes in accordance with DCB0129 and DCB0160, supported by documentation such as Hazard Logs and Clinical Safety Cases.

DCB0129 applies to organisations responsible for the manufacture or development of health IT systems and digital health technologies, requiring them to implement Clinical Risk Management throughout the product lifecycle. DCB0160 applies to healthcare organisations deploying or implementing these systems within their own clinical environments, ensuring local risks are identified and managed before use.

Many organisations developing or deploying digital health technologies benefit from appointing a suitably qualified Clinical Safety Officer. The CSO provides independent clinical safety oversight, supports Clinical Risk Management activities, reviews documentation and helps ensure compliance with NHS clinical safety standards. Patient Guard can provide experienced outsourced Clinical Safety Officer support where required.

The documentation required depends on your technology and intended use but commonly includes a Clinical Risk Management Plan, Hazard Log, Clinical Safety Case, risk assessments, evidence of implemented risk controls and records demonstrating that clinical risks have been reviewed and reduced to an acceptable level in accordance with DCB0129 or DCB0160.

Yes. Clinical Safety is one of the key domains within the NHS Digital Technology Assessment Criteria (DTAC). Patient Guard can support your organisation with Clinical Risk Management, DCB0129 and DCB0160 compliance, Clinical Safety Officer services and Clinical Safety documentation, as well as wider DTAC Readiness Assessments and DTAC Accelerator implementation projects, providing a complete digital health compliance solution.

Related Services

Click on the links below to discover more:

Do you need Training?

Check out Patient Guards Training Courses

Recent Blog Posts

Cosmetic Product Safety Report (CPSR): A Complete Guide to UK Cosmetic Compliance

Before a cosmetic product can legally be placed on the UK market, manufacturers and Responsible Persons must demonstrate that it is safe for human use under normal or reasonably foreseeable conditions. The Cosmetic Product Safety Report (CPSR) is one of the most important regulatory documents required under the UK Cosmetics Regulation. This guide explains what a CPSR is, who can prepare one, what information it must contain, how it relates to the Product Information File (PIF) and how it supports legal cosmetic compliance.

Read More »

IVDR PMPF Explained: A Complete Guide to Post-Market Performance Follow-up

Post-Market Performance Follow-up (PMPF) is a fundamental requirement under the EU In Vitro Diagnostic Regulation (IVDR), ensuring that manufacturers continually monitor the scientific validity, analytical performance and clinical performance of their in vitro diagnostic medical devices after CE marking. This guide explains IVDR PMPF requirements, PMPF Plans, PMPF Reports, Annex XIII expectations and how ongoing performance monitoring supports continued regulatory compliance throughout the device lifecycle.

Read More »

IVDR Scientific Validity Explained: A Complete Guide for Manufacturers

Scientific Validity is the first pillar of IVDR Performance Evaluation and provides the scientific foundation demonstrating that an analyte or biomarker is associated with a specific clinical condition or physiological state. This guide explains Scientific Validity under Regulation (EU) 2017/746, including literature reviews, Scientific Validity Reports, Annex XIII requirements, evidence appraisal and how Scientific Validity supports successful CE marking.

Read More »
IVDR Performance Evaluation Explained image for Patient Guards blog on IVDR Performance Evaluation

IVDR Performance Evaluation Explained: A Complete Guide for Manufacturers

Performance Evaluation is one of the most important requirements under the EU In Vitro Diagnostic Regulation (IVDR). Every manufacturer must demonstrate that their in vitro diagnostic medical device achieves its intended purpose through robust scientific validity, analytical performance and clinical performance evidence. This guide explains every stage of IVDR Performance Evaluation, including Performance Evaluation Plans (PEPs), Performance Evaluation Reports (PERs), Post-Market Performance Follow-up (PMPF) and how Performance Evaluation supports successful CE marking under Regulation (EU) 2017/746.

Read More »

IVDR Classification Explained: A Complete Guide to Class A, B, C and D IVDs

Understanding how your in vitro diagnostic device is classified under the EU IVDR is one of the first and most important steps towards regulatory compliance. This guide explains the IVDR classification rules, the differences between Class A, B, C and D IVDs, how Annex VIII is applied, and how classification affects conformity assessment, technical documentation and Notified Body involvement.

Read More »

When Do You Need New Biocompatibility Testing for a Medical Device?

A material change, supplier switch, manufacturing transfer or design modification does not automatically require new ISO 10993 biocompatibility testing. Learn how manufacturers use Biological Evaluation Plans (BEPs), chemical characterisation, toxicological risk assessments and Biological Evaluation Reports (BERs) to determine whether existing biological evidence remains valid or whether additional testing is required under ISO 10993-1, the EU MDR and FDA expectations.

Read More »
Posted on Google Google
Munna P profile picture
Munna P
51 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Working with the Patient Guard team has been a great experience throughout our MHRA and ISO 13485 documentation journey. Their expertise, structured approach, and practical guidance helped our team build a robust quality management system while keeping us aligned with regulatory expectations. The collaboration was professional, responsive, and focused on finding solutions rather than simply identifying issues. A special thank you to Alex and Steve for their outstanding coordination, responsiveness, and continuous support throughout the project. They were always approachable, provided valuable feedback, and worked closely with our team to resolve challenges efficiently. Their commitment made a significant difference in keeping our documentation effort on track. I highly recommend Patient Guard to any healthcare or MedTech organization looking for experienced regulatory and quality system partners for MHRA, ISO 13485, and broader medical device compliance initiatives. Thank you again to the entire Patient Guard team for being such reliable partners.
Posted on Google Google
Peter Reeve profile picture
Peter Reeve
78 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
STEPPER design, manufacture & distribute eyewear across the globe. With the increasingly complex landscape concerning the placing of Mecial Devices onto the market, we realised we needed professional guidance. We found Patient Guard via a simple internet search and are delighted we did! They provide a pragmatic solution to our needs, are totally reliable & always available to answer our (often simplistic) questions. They are highly efficient & responsive to what is a changing picture in our world and nothing is too much trouble. We have a much better understanding of regulatory affairs and our responsibilities as manufacturers & distributors and they support us in navigating the requirements in different territories. Updating our Declaration of Conformity, ensuring our labelling is compliant and acting as our PRRC are the key areas of their service for us.
Posted on Google Google
Derek Timm profile picture
Derek Timm
78 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
For those companıes lookıng to comply to ISO standards and ın partıcular ISO13485 whıch to be honest ıs a nıghtmare I would strongly suggest goıng to the professıonals as ındeed we dıd by joınıng forces wıth Patıent Guard Ltd The staff are fantastıc nothıng ıs too much trouble and as a medıcal supply company we sımply cannot lıve wıthout them Thanks ın partıcular to Alex and Steve for all the hard work and our best regards from Dan Medıca South Lımıted
Posted on Google Google
BMSCriticalCare profile picture
BMSCriticalCare
115 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Great service, very helpful and always willing to answer any questions we have,
Posted on Google Google
Thomson Software profile picture
Thomson Software
786 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Alex Lewis of PatientGuard guided us through the ISO13485 process in a thorough, systematic and efficient manner. He was friendly, patient and willing to go the extra mile. Excellent service.
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

Get in touch

Our Friendly Team are here to help.

Book a Free Consultation

Speak to one of our regulatory and compliance experts to arrange an obligation-free call. Our experienced team is ready to help you get your medical device to market.

UK Office

Get the Medical Device Technical Checklist

Thank you! The checklist is now ready to download.