DCB 0160 is the clinical risk management standard which NHS organisations need to comply with when they implement health systems. The standard is governed by NHS Digital and is mandatory under the Health and Social care Act 2012. Digital health technology can introduce risk, as well as mitigate against clinical risk.
Any organisation purchasing and implementing a health system, needs to adhere to DCB0160. This includes CCGs, Healthboards, PCNs or Practices that implement a health system are accountable for ensuring this standard is adhered to and as such, they need to have a clinically qualified individual (a CSO, Clinical Safety Officer) in order comply to this standard.
DCB0160 states you must have:
1. Clinical Risk Management Plan
2. Clinical Safety Case Report
3. Hazard Log
4. And an accredited Clinical Safety Officer (CSO) must sign this off.
DCB0160 exists to ensure that any health systems have been passed for clinical risk and continue to be implemented in a way that prevents patients harm. As more patients are using online consultation the risk of harm is also increasing. We are now processing over one million eConsults per month and it’s not just the volumes that have risen significantly. Even with improvements to our ‘red flagging’ approach, the number of complex cases has risen by 300%. We are proud to report no serious incidents.
We urge you to check your providers comply with DCB0129 and the quality of their compliance.
Our CSO, Dr Aravinth Balachandran has written a blog outlining the DCB standards.
The E-LH Clinical Risk Management Training programme developed with NHS Digital outlines the principles of safety, risk management and risk mitigation, all within the context of Health IT by implementing the safety standards, DCB 0129 and DCB 0160
DCB0129 applies to suppliers of health systems. In accordance with DCB0129, we apply Clinical Risk Management principles and
– hold a clinical risk management plan,
– a hazard log,
– a clinical incident log
– and produce a clinical safety case reports to provide assurance on our clinical safety.
Yes, but that’s just part of our clinical risk governance story.
We have been developed by NHS clinicians and place clinical safety as a core principle within our business. Our clinical development team makes up 20% of our staff. We have a mixture of GPs and senior nurses who author new content based on the latest guidelines including National Institute of Clinical Excellence (NICE), Clinical Knowledge Summaries (CKS), NHS.UK and other referenced sources. Our clinical governance group has representation from a pool of 26 external clinicians from various specialities including A&E, ITU, Pharmacy and Paramedics to provide critical feedback on the clinical safety elements of our templates.
A CSO is a Clinical Safety Officer (CSO). A CSO must be a clinician, and will need to be trained in clinical risk management. The CSO will be responsible to overseeing the clinical risk management including how Health systems are implemented and chosen.
As a company we have our own CSO, Dr Aravinth Balachandran.
It is the responsibility of the Care Quality Commission to ensure adherence to the standards. They have the power to inspect and have extensive measures in place to protect the quality of care.