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Records ready for inspection, and every patient paid for, insured or self-pay

By the wai teamOctober 15, 20266 min read

Reviewed by The Wellness Clinical Team, October 5, 2026

A clinic director in his forties greeting a patient at the tall door of a grand Georgian private clinic on a bright Marylebone morning, white stucco and black railings

Key points

Summary

Choose software that produces a complete, contemporaneous record for CQC, protects health data under UK GDPR, codes insurer claims from the note and takes self-pay bookings with payment on the clinic's own website. Test each in the demo with your own services, and get the data location and export terms in writing.

The clinic passes inspection on the records it already keeps, and every patient is paid for first time, insured or self-pay. The regulatory duties below set what the software has to do, and the scorecard shows how to test it.

See it in your clinicThirty minutes on your own patients and doctors.

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247,495
private hospital and clinic admissions in the UK in Q1 2026, the highest quarter recorded 5
7.7%
rise in self-pay admissions from Q1 2025 to Q1 2026, to their highest ever level 5
2.6%
fall in insured admissions over the same year, the first first-quarter decline in five years 5

See a self-pay booking, a signed note and an insurer claim come from the same patient record, in fifteen minutes with a clinician who uses wai daily.

Practice software scorecard for a UK private clinic
RequirementWhere it comes fromTest it in the demo
Contemporaneous, complete recordCQC Regulation 17Show a signed note with its timestamp and every later edit
Report to CQC on requestCQC Regulation 17Export a patient's record and the access log in minutes
Staff and management recordsCQC Regulation 17Show who has access to what, by role
Health data protectedUK GDPR special category dataName the storage country and every subprocessor
Data protection fee paidData Protection (Charges and Information) Regulations 2018Confirm the supplier is named as a processor in your records
Insurer claims coded from the noteCCSD ScheduleCode a procedure you bill often from a signed note
Self-pay booking and paymentPatient demand, self-pay at a record highBook and pay on your own website in three taps
ExitYour contractExport every record in a standard format before signing

Two payers, one diary

PHIN's national data shows private admissions at 247,495 in the first quarter of 2026, a new record. Self-pay admissions rose 7.7% to their highest level, and insured admissions fell 2.6%, the first first-quarter decline in five years.5

Run both paths in one system, with card payment at online booking for self-pay and coded claims for insured patients.

CQC records, produced in two minutes

CQC registers the clinic, as set out in CQC registration for a private clinic, and the software is where the clinic shows it meets the regulations.

Regulation 17 requires a provider to maintain securely an accurate, complete and contemporaneous record for each person, including the care provided and decisions taken, along with staff and management records. When CQC asks, the provider sends a written report on how it meets the regulation.1 Software for CQC compliance maps the other regulations.

In the demo, open a patient seen last month. The record holds consent, findings, the plan and every letter sent, each signed and dated, with every later edit, who made it, and which staff roles can open it.

ICO registration and health data

Under the Data Protection (Charges and Information) Regulations 2018, organisations, including sole traders, that use personal information pay the ICO data protection fee unless exempt.2 Check the fee is paid before go-live and name each software supplier as a processor in your records.

Health data is one of the special categories of personal data that UK GDPR gives extra protection.3 Ask where records are stored, how access is logged and what the export looks like. wai hosts each clinic's records in its own country, under that country's rules. We set this up with your clinic.

Insurer billing from the note

Private insurers pay against procedure codes from the CCSD Schedule, developed and licensed by a group of representatives of four major private healthcare insurers.4 A claim is paid first time when the code matches the procedure in the signed note and the invoice matches the policy.

Test this with a procedure you bill often. The code is suggested from the note and confirmed by the clinician, then the claim goes to the insurer, as set out in billing private medical insurers.

The booking, note and claim on one wai record

wai Checkout takes self-pay bookings and card payment on the clinic's own website through the clinic's own Stripe account, with no wai subscription or setup fee.6 wai Clinicians drafts the note and letters during the consultation for the clinician to sign. wai Admin extracts codes from the signed note and prepares claims for insurers for the team to approve.7

Every draft, approval and signature is written to an event log the clinic can export, and access is role-based and least-privilege.8

Where to start

Confirm the clinic's CQC registration and ICO fee are current, and list every system that holds patient data. Record last quarter's claim rejection rate and the share of self-pay bookings taken online. Ask each supplier for its subprocessor list and data processing agreement before the demo.

Take the scorecard into each demo with your own prices and a procedure you bill often. Choose the system that leaves you inspection-ready on day one and moves both numbers in the first quarter.

Bring a procedure you bill often and your price list. We show the booking, the signed note and the claim on one record.

Frequently asked questions

Does CQC register the clinic or its software?

The clinic. CQC registers the provider, and the software is where the clinic keeps the records Regulation 17 requires.1

Does a private clinic need to pay the ICO fee?

Organisations, including sole traders, that use personal information must pay the data protection fee unless they are exempt.2

What does Regulation 17 say about records?

It requires an accurate, complete and contemporaneous record for each person, kept securely, including care given and decisions taken.1

Which codes do UK private insurers use?

Codes from the CCSD Schedule, developed and licensed by a group of representatives from four major private healthcare insurers.4

How fast is self-pay growing?

Self-pay admissions rose 7.7% in a year to their highest level, while insured admissions fell 2.6%.5

Where does wai host UK clinic records?

wai hosts each clinic's records in its own country, under that country's rules. We set this up with your clinic.8

Sources

  1. 1Care Quality CommissionRegulation 17, good governanceRead 14 October 2026Read source
  2. 2Information Commissioner's OfficeData protection feeRead 14 October 2026Read source
  3. 3Information Commissioner's OfficeWhat is special category dataRead 14 October 2026Read source
  4. 4CCSD GroupAbout the CCSD Group and the CCSD ScheduleRead 14 October 2026Read source
  5. 5Private Healthcare Information Network, 2026Private healthcare market update, September 2026, United KingdomRead 14 October 2026Read source
  6. 6wai, 2026wai Checkout, booking and payment on your own websiteRead 14 October 2026Read source
  7. 7wai, 2026wai Admin, the front desk and back officeRead 14 October 2026Read source
  8. 8wai, 2026Security at waiRead 14 October 2026Read source
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Ready for inspection, and every patient paid for first time.

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