Clear CSO pricing
before procurement pressure.
Transparent pricing for NHS digital health suppliers: £8,500 fixed-fee DCB 0129 clinical safety case package, £180/hr post-go-live CSO support, and supplier-side named CSO retainer from £750/month.
What does this cost?
The core pre-go-live DCB 0129 engagement is £8,500 fixed fee. That price is for a defined safety case package, not an open-ended consultancy day rate. It gets a suitable product from kickoff to a signed CSO release memo in four weeks.
After go-live, work is separate: £180/hr for safety reviews, incident review, hazard log updates, major change sign-off, DTAC/DSPT cross-walks and governance. If you need a supplier-side named CSO relationship, retainers start from £750/month depending on risk and workload.
One package, two ongoing routes.
The fixed fee covers the defined pre-go-live evidence. Anything after the go-live release memo is scoped separately so the fixed fee stays fixed.
Clinical Safety Case Report, Clinical Risk Management File, hazard log, safety requirements specification, written post-market surveillance plan and signed CSO release memo. Four-week turnaround, up to three meetings and two rounds of revisions.
Best for suppliers preparing for NHS pilot, DTAC, procurement or go-live review.Safety reviews after launch, incident reviews, hazard log updates, sign-off of major product changes or newly identified hazards, DTAC/DSPT cross-walks and recurring governance meetings.
Hours logged transparently and billed monthly.Supplier-side named CSO support for suitable live or near-live products: hazard log custody, quarterly post-market surveillance review, change triage and a known clinician for recurring safety governance.
From-price depends on product scope and clinical risk profile.What the £8,500 fixed fee covers.
What is priced separately.
These items can be important, but they are not part of the fixed pre-go-live package.
Running surveillance
Operating the post-market surveillance process, recurring reviews, incident handling and post-launch hazard log maintenance.
Major change sign-off
Reviewing new features, newly identified hazards, new settings, integration changes or risk-impacting workflow changes.
Regulatory and data work
UKCA/MDR work, ISO 13485, cyber assurance, data protection, legal advice and standing as the deploying organisation's DCB 0160 CSO.
Because timing matters.
If DCB 0129 appears late in procurement, the cost of delay is often larger than the cost of the safety case. Publishing the price lets founders and product leads budget before a trust pilot or DTAC review becomes time-critical.
The first question is still fit. I will not sign a safety case just because a supplier can pay the fee. The product scope, intended use, controls and residual risk have to be clinically defensible.
Send scope before booking.
If you are comparing CSO costs, send the product context first. I will tell you whether the fixed package fits, whether the retainer route is better, or whether you need a different kind of regulatory support.