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In the Netherlands, all care institutions providing services according to the Long-term Care Act (Wet langdurige zorg, Wlz) or the Healthcare Insurance Act (Zorgverzekeringswet, ZVW), fall under the scope of the Care Sector Quality, Complaints and Disputes Act (Wet kwaliteit, klachten en geschillen zorg, Wkkgz).
These care institutions must meet the following quality requirements:
- Your provide expert staff. Some care providers must therefore be listed in the BIG register as a healthcare professional.
- You must check whether new employees have had measures taken against them or are subject to an order. You can for instance check Dutch-language Alert Register Care and Welfare. You may also ask for a Certificate of Good Conduct (VOG). If the disciplinary body has suspended a care provider or laid him off, they are registered in the Limitations of competence list.
- You provide good quality care. The care is provided in a timely, safe and effective manner.
- You draft a care plan together with the patient in which you state agreements about the care and support that will be provided. At least once a year you discuss this care plan with the patient.
- Your institution has a patients’ council.
- Your institution has a complaints procedure and a complaints committee.
- Each year before 1 June, your institution publishes a report in which you account for the previous year’s policy and the quality of health care.
- Your employees have the means to notify incidents and to learn from these.
Applying for a Wtza authorisation
Do you want to provide services in the care sector? You may need to apply for a Wtza authorisation (in Dutch). Wtza authorisation is required for:
- Care providers who provide specialised medical care
- Care providers who provide medical care, under the Healthcare Insurance Act (Zorgverzekeringswet) or the Long-term Care Act (Wet langdurige zorg, Wlz), with more than 10 medical staff members
Most health- and youth care providers are required to register under the Healthcare Quality, Complaints and Disputes Act (Wet kwaliteit, klachten en geschillen gezondheidszorg, Wkkgz) or the Youth Act (Jeugdwet):
- New care providers should register with the CIBG 3 months before starting.
- If you are not registered in the National Register for Care Providers (Landelijk Register Zorgaanbieders, LRZa, in Dutch) and you do not provide annual reports, you must register with the CIBG before 1 July 2022.
- If you are registered in the National Register for Care Providers you do not have to re-register.
The CIBG will send your registration to the Dutch Health and Youth Care Inspectorate (Inspectie Gezondheidszorg en Jeugd, IGZ). This enables the inspectorate to better monitor the quality of the care provided.
Notification of emergencies at care institutions
Care institutions are required to report emergencies, violence or dismissals on capability grounds (in Dutch) to the Dutch Health and Youth Care Inspectorate. This requirement applies not only to institutions offering inpatient care, but also to GP practices and home care organisations, for example.