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For klinieken, zbc's and zorgaanbieders in the Netherlands, Inspectie Gezondheidszorg en Jeugd

IGJ readiness software, built to help you achieve an IGJ inspection with no measures.

The IGJ supervises every Dutch zorgaanbieder on the Wkkgz, the Wtza and the WGBO, reads patient files on its visits and publishes its reports and measures. wai runs booking, notes, patient messaging and payments for clinics, groups and hospitals, and keeps each as the evidence an inspector asks for, built to help you achieve an IGJ inspection with no measures.

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Updated . Every IGJ fact is checked against igj.nl and the other official pages cited below.

A clinician at ease in a vast, light-filled private clinic in Amsterdam, the city beyond the glass

For

Particuliere klinieken, zbc's, hospitals and groups, with notes for solisten

Regulator

Inspectie Gezondheidszorg en Jeugd, under the Minister of VWS

Framework

Wkkgz, Wtza and the WGBO, as in force on 16 October 2026

Records

Hosted in each clinic's own country, under that country's rules

For clinics, centres and health systems

  1. Particuliere klinieken and zbc'sMedisch specialistische zorg needs a Wtza toelatingsvergunning before it starts.
  2. Hospitals and groups750 of the 1,790 calamiteiten reported to the IGJ in 2025 came from medisch specialistische zorg.
  3. Cosmetic clinicsReports to the IGJ about cosmetic care rose from 60 in 2024 to 110 in 2025.
  4. Solisten and new providersEvery new zorgaanbieder reports to the CIBG before the first patient, solisten included.

What an IGJ inspector finds with wai

With wai, an inspector reads one file. The booking, the consent recorded, the signed note, every message and every complaint sit together, timed and named. A calamiteit review starts from the audit trail on the day it is found, and the file is kept for the twenty years the WGBO asks.

What does the IGJ hold a Dutch clinic to in 2026?

Five sets of duties, from three laws, each one supervised by the IGJ.

Five sets of duties from the Wkkgz, the Wtza and the WGBO, each supervised by the IGJ. Open one for the articles under it.1

01Goede zorg and the kwaliteitssysteemThe zorgaanbieder gives good care, safe, effective, efficient and client-centred, organises its people and materials to deliver it, and runs a system that watches, controls and improves quality.5 articles
  1. Wkkgz artikel 2, goede zorg
  2. Wkkgz artikel 3, organisatie van de zorg
  3. Wkkgz artikel 4, zorgverleners, written agreements and the VOG
  4. Wkkgz artikel 7, systematische bewaking, beheersing en verbetering
  5. Wkkgz artikel 9, a written internal procedure for incidents

Goede zorg and the kwaliteitssysteem on wetten.overheid.nl

02Meldingen to the IGJThe zorgaanbieder reports every calamiteit, violence in the care relationship and dismissal for serious failure to the IGJ without delay, and tells the patient about any incident with noticeable consequences.5 requirements
  1. Wkkgz artikel 11, onverwijld melden bij de inspectie
  2. Calamiteit reported within 3 working days of being established
  3. Up to 6 weeks to investigate whether an event is a calamiteit
  4. Onderzoeksrapport within 8 weeks when the IGJ asks for one
  5. Wkkgz artikel 10 lid 3, incidents told to the patient and noted in the dossier

Meldingen to the IGJ on igj.nl

03Klachten and geschillenA written, low-threshold complaints scheme, a klachtenfunctionaris who advises the complainant at no cost, a reasoned written answer within six weeks, and membership of a recognised geschilleninstantie.4 articles
  1. Wkkgz artikel 13, a written klachtenregeling
  2. Wkkgz artikel 15, the klachtenfunctionaris
  3. Wkkgz artikel 17, a written answer within six weeks, extendable by four
  4. Wkkgz artikel 18, aangesloten bij een geschilleninstantie

Klachten and geschillen on wetten.overheid.nl

04Wtza toetreding and the registerEvery new zorgaanbieder reports to the CIBG before it starts, and an instelling providing medisch specialistische zorg or Zvw or Wlz care needs a toelatingsvergunning. The Minister keeps a public register of all zorgaanbieders.4 requirements
  1. Wtza artikel 2, the meldplicht before care starts
  2. A melding within three months before the start
  3. Wtza artikel 4, the toelatingsvergunning
  4. Wkkgz artikel 12, the Landelijk register zorgaanbieders

Wtza toetreding and the register on toetredingzorgaanbieders.nl

05The dossier under the WGBOThe hulpverlener keeps a dossier for every patient, informs the patient and has their consent, keeps the file for twenty years from its last change, and gives the patient access and a copy on request.5 articles
  1. BW 7:448, informing the patient
  2. BW 7:450, consent for every verrichting
  3. BW 7:454, the dossier, kept twenty years from the last change
  4. BW 7:456, inzage en afschrift for the patient
  5. NEN 7510, NEN 7512 and NEN 7513, under the Besluit elektronische gegevensverwerking door zorgaanbieders

The dossier under the WGBO on wetten.overheid.nl

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How does an IGJ inspector assess a clinic?

On site or from the desk, and always ending in a judgment and a report.2

  1. 01

    Inspectiebezoek

    Announced or (partly) unannounced, 2,020 of them in 2025.

  2. 02

    Gesprekken

    Interviews with professionals, the client council, the board and internal supervisors.

  3. 03

    Observatie

    Inspectors may watch professionals at their daily work.

  4. 04

    Dossiers and documenten

    Inspectors read documents and patient files, and article 24 of the Wkkgz extends their powers to dossiers.

  5. 05

    Desk-inspectie met oordeel

    A judgment on written and digital information alone, 300 in 2025.

  6. 06

    Beoordelend gesprek

    A conversation when risks are seen, to decide whether enforcement is needed.

How does an IGJ inspection end?

With a judgment and a published report, and when standards are missed, a measure that is often published too.3

  1. No measuresA judgment and a report, published on toezichtdocumenten.igj.nl
  2. Verscherpt toezichtExtra visits and improvement reports, 17 times in 2025
  3. AanwijzingA written instruction with a deadline, 26 in 2025
  4. BevelImmediate, valid seven days, 2 in 2025
  5. Last onder dwangsom or boete113 and 33 in 2025, a boete up to €33,500

  1. 2,020

    inspection visits by the IGJ in 2025, beside 300 desk inspections with a judgment.4

  2. 1,790

    calamiteiten reported to the IGJ in 2025, up from 1,540 in 2024.4

  3. 26

    aanwijzingen issued in 2025, against 21 in 2024 and 15 in 2023.4

  • After every inspection visit the IGJ gives a judgment and writes a report, published on its toezichtdocumenten site.
  • An inspection report stays online for 5 years after publication, and published measures stay visible for 3 years after they end.
  • A provider receives an openbaarmakingsbesluit first, and may object within 6 weeks.
  • A boete of up to €33,500 applies to a melding under article 11 that is not made.

What has changed for Dutch zorgaanbieders?

Three things a clinic should know in October 2026, each marked as in force or scheduled.

  1. In force. In 2025 the IGJ stopped asking hospitals for a calamiteitenrapportage, and asks for bestuurlijke reflectie on the improvement measures instead.
  2. In force. Since 1 January 2025 the Wtza vergunningplicht also covers providers with fewer than 11 zorgverleners giving Zvw or Wlz care, and many already working received a vergunning van rechtswege.5
  3. Scheduled. An amendment to article 3a of the Wkkgz, on the availability of acute care, takes effect on 1 January 2027.

Who the Wtza and the Wkkgz apply to

Every zorgaanbieder answers to the Wkkgz. The Wtza decides whether it only reports or also needs a vergunning.

ProviderWtzaWkkgz
Instelling providing medisch specialistische zorgReports before the start, and needs a toelatingsvergunningEvery duty, from goede zorg to the geschilleninstantie
Instelling giving Zvw or Wlz careA vergunning, including below 11 zorgverleners since 2025, or a vergunning van rechtswegeEvery duty
Solist or zzp'er in an eenmanszaakReports before the start, no vergunningApplies, klachtenfunctionaris and geschilleninstantie included, per Rijksoverheid
Cosmetic and alternative careReports when it falls under the WkkgzApplies, except certain beauty-specialist activities

Proposed, and not in force

One bill a Dutch clinic will hear about, stated as it stands.

  1. The Wet integere bedrijfsvoering zorg- en jeugdhulpaanbieders (Wibz, 36.686) is a bill, and nothing in it applies to a clinic today.6
  2. On 3 June 2026 the government wrote to parliament about the date for sending its reconsideration of the bill.

The IGJ in Dutch

The official Dutch names of the bodies and terms on this page.

  1. Inspectie Gezondheidszorg en Jeugd, the IGJ, which supervises care and youth care for the Minister of VWS.7
  2. Wet kwaliteit, klachten en geschillen zorg, the Wkkgz.
  3. Wet toetreding zorgaanbieders, the Wtza, with its meldplicht and toelatingsvergunning.
  4. Wet op de geneeskundige behandelingsovereenkomst, the WGBO, in Boek 7 of the Burgerlijk Wetboek.
  5. Calamiteit, an unintended or unexpected event about the quality of care that led to a patient's death or serious harm.
  6. Klachtenfunctionaris and geschilleninstantie, the two steps of the complaints route.
  7. Toezichtdocumenten, where the IGJ publishes its reports and measures.

What should clinic software in the Netherlands actually run?

Each module runs part of the clinic and records the evidence for the duties beside it.

  1. 01

    Appointments and booking

    Online booking from your own website, every clinician's diary read from their calendar, reminders, rebooking after a missed visit and waitlist offers when a slot opens.

    Evidences Wtza toetreding and the registerKlachten and geschillen

    For patients
    Online booking at any hour, with a reminder before the visit.
    For the business
    Fewer missed appointments, and cancelled slots offered to the waitlist.
    On the record
    Every booking, reminder and change, with a time and a name.
  2. 02

    Billing and payments

    Card payments into your own Stripe account, the cancellation policy shown at booking, invoices, statements and reconciliation, with an export for your accountant.

    Evidences Klachten and geschillen

    For patients
    A clear price and policy before they commit, and an invoice in their app.
    For the business
    Payments reconciled against visits, with an export for your accountant.
    On the record
    What was charged, when, against which visit, and the policy the patient saw.
  3. 03

    AI scribe and clinical notes

    The note, letters and referrals written from the consultation, cited to published clinical guidelines, with the transcript beside the note, for the clinician to read, edit and sign.

    Evidences The dossier under the WGBOMeldingen to the IGJ

    For patients
    The clinician's attention stays on them during the consultation.
    For the business
    Less time spent writing notes after clinic.
    On the record
    A contemporaneous note, signed, with the time, the signature and the source it cites.
  4. 04

    Follow-ups and patient messaging

    WhatsApp, email and calls in one thread per patient, replies drafted in the patient's own language for your team to approve, a response clock on every new enquiry, and recalls a clinician approves.

    Evidences Klachten and geschillenMeldingen to the IGJ

    For patients
    A reply in the language they wrote in, approved by your team.
    For the business
    More enquiries answered within the hour, when they are most likely to book.
    On the record
    The whole conversation on one record, with response times.
  5. 05

    Referrals, consent and audit trails

    Recording consent taken at booking, referrals written from the visit, patient flags for controlled drugs and safeguarding notes, and every read of a record logged against a named account.

    Evidences Meldingen to the IGJThe dossier under the WGBOGoede zorg and the kwaliteitssysteem

    For patients
    Flags and checks in the record at the point of care.
    For the business
    Incident reviews that start from the audit trail, with times and names.
    On the record
    Who saw what, who changed what, and when, to the minute.
  6. 06

    Staff access and accountability

    Named accounts for every person, and role-based access enforced in the database, so every action sits under a name.

    Evidences Goede zorg and the kwaliteitssysteemWtza toetreding and the register

    For patients
    Their record seen only by staff whose role allows it.
    For the business
    Access and actions tied to named people, in the same system as the record.
    On the record
    Who holds which role, and every action taken under it.
  7. 07

    Reporting

    Takings, front desk and website reports, response targets, and the patient's own record exportable on request.

    Evidences Goede zorg and the kwaliteitssysteemThe dossier under the WGBOWtza toetreding and the register

    For patients
    A copy of their record when they ask for it.
    For the business
    Weekly reports for leaders on response times, the front desk and takings.
    On the record
    Reports for any period, produced on the day they are asked for.

Prices for clinics, groups and hospitals are published on the wai pricing page, and you can request a demo of the full platform.

Two people talking in armchairs in a tall, light-filled room, the Amsterdam skyline beyond the windows

How does wai evidence each duty the IGJ supervises?

For each set of duties, the records wai keeps, how you produce them, and what changes for patients and the business.

Goede zorg and the kwaliteitssysteem

Quality data the clinic collects as it works.

  • Reports on response times, the front desk and takings for any period
  • Named accounts for every person, with role-based access
  • Incident reviews that start from the audit trail, with times and names
  • AI drafts, and a named person signs or approves every output

On request. Show the quality data the clinic gathers, how it is checked, and what changed because of it.

For patients
Care organised so that it holds on a busy day as well as a quiet one.
For the business
An article 7 system run from live data, with no separate binder to keep.

Meldingen to the IGJ

The timeline of an event, rebuilt from the record.

  • Who saw what, who changed what, and when, to the minute
  • The signed, timed note and the transcript beside it
  • Every message to and from the patient, with times
  • Reports for any period, produced the day they are asked for

On request. Rebuild the event from the audit trail for the melding and the 8 week report.

For patients
An honest account of what happened, from a record nobody rewrote.
For the business
A melding on time, in a year when the IGJ fined 33 times.

Klachten and geschillen

Every complaint answered, with the clock on the record.

  • Every message in one thread per patient, with response times
  • Replies drafted in the patient's language, approved by your team
  • The signed note and the consent recorded at booking, for the complaint file
  • The patient's own record exportable on request

On request. Open one complaint and show when it arrived, who answered, and what the patient was told.

For patients
A complaint heard quickly, in their own language, with a written answer.
For the business
Fewer disputes at the geschilleninstantie, which may award damages of at least €25,000.

Wtza toetreding and the register

Systems running on the first day of care.

  • Online booking, reminders and waitlist offers from the first day
  • Named accounts for every person, with role-based access
  • Records hosted in the clinic's own country, set up before go-live
  • Reports that show activity from the first week

On request. Show the systems a new provider's first IGJ contact asks about, running on real patients.

For patients
A new clinic that works properly from the first appointment.
For the business
A melding and a vergunning backed by systems that already run.

The dossier under the WGBO

One dossier, signed, timed and logged.

  • Notes, letters and referrals written from the consultation for the clinician to sign
  • Recording consent taken at booking, and the consent discussion in the signed note
  • Every read and change of a record logged against a named account
  • The patient's own record exportable on request

On request. Open a dossier as an inspector would, under article 24 of the Wkkgz, and show who read it.

For patients
Their file kept whole, and theirs to see and copy.
For the business
A twenty year duty met by the system that writes the record.

What do patients and the business gain?

Published research on response times, ambient scribes and appointment reminders.

  1. 7x

    An enquiry answered within the hour is nearly seven times as likely to become a real conversation.8

  2. 30%

    Clinicians using an ambient scribe did 30% less work after hours.9

  3. 23%

    Patients sent a notification before their visit were 23% more likely to attend.10

How does wai surface IGJ evidence on request?

What may be asked for, where it is kept in wai, and how it is produced.

  1. The patient fileThe patient record, beside the transcriptOpen the consultation to see the note, transcript, signature and time together.
  2. ConsentThe booking and the noteThe recording notice the patient saw at booking, and the consent discussion in the signed note.
  3. Calamiteit timelineEvery recordWho read or changed it, under which account, to the minute, for the melding and the 8 week report.
  4. Complaint fileThe patient's threadEvery message, in Dutch or any language, with response times.
  5. Access to the dossierAccounts and rolesWho holds which role, and every read logged against a named account, as NEN 7513 expects of logging.
  6. Inzage en afschriftReportingThe patient's own record exported on request.
  7. Quality dataReportingResponse times, the front desk and takings for any period.
  8. Payment and the policy shownPaymentsWhat was charged, when, against which visit, and the policy the patient saw.

How do you prepare for an IGJ inspection?

A readiness checklist in four parts.

01Toetreding and the register

  • Bewijs van melding from the CIBG on file for every legal entity.
  • A toelatingsvergunning, or the vergunning van rechtswege, wherever the Wtza requires one.
  • The register of zorgaanbieders checked for every location and form of care.
  • eHerkenning at level 2+ for the person who makes the CIBG melding.

02Kwaliteit and meldingen

  • A written internal procedure for incidents, known to every member of staff.
  • A calamiteit procedure with the 3 working day and 8 week clocks written in.
  • Quality data collected, checked and acted on, as article 7 asks.
  • Written agreements with every zorgverlener who is not an employee.

03Klachten and geschillen

  • A written klachtenregeling, made known to patients.
  • A named klachtenfunctionaris, independent in the role and at no cost to the patient.
  • Every complaint answered in writing within six weeks, or ten with notice.
  • Membership of a recognised geschilleninstantie, shown to patients.

04The dossier

  • Ten files an inspector could read cold, complete, signed and timed.
  • Consent and the information given recorded in the file.
  • Retention set to twenty years from the last change.
  • Access logged under NEN 7513, and requests for inzage en afschrift answered.

What will an IGJ inspector ask you?

Questions to expect, what to show, and where wai holds the answer.

01May I see the files of these patients?

What to show

Complete dossiers, consent included, that match what the clinician describes.

Where wai has it ready

The note, consent, letters and messages sit on one record, signed and timed.

02Show me how you report and investigate a calamiteit.

What to show

The procedure, the meldingen made, the investigation reports and the measures taken.

Where wai has it ready

The audit trail and the signed note give the investigation its timeline, to the minute.

03How does a patient complain here, and who helps them?

What to show

The klachtenregeling, the klachtenfunctionaris, the answers sent and the geschilleninstantie.

Where wai has it ready

Every message sits in one thread with response times, and reports run for any period.

04How do you know the quality of your care?

What to show

The data collected, how it is reviewed, and what changed as a result.

Where wai has it ready

Reports on response times, the front desk and takings, produced the day they are asked for.

05Who can open a patient file, and how is that logged?

What to show

Roles, access controls, an access log and where records are hosted.

Where wai has it ready

Role-based access enforced in the database, every read logged, records hosted in the clinic's own country.

06How do you use generative AI, and who checks it?

What to show

Where it is used, who checks the output and how its risks are assessed, as the IGJ asked in February 2025.

Where wai has it ready

AI drafts the note and the reply. The clinician signs, and a person approves every message.

What is at stake when the IGJ visits?

Reports and measures are public, a missed melding carries a boete, and the IGJ now sees more new providers than ever.

  1. 13,730

    new zorgaanbieders reported to the CIBG in 2025, 2,170 of them instellingen that need a vergunning.4

  2. €33,500

    is the highest bestuurlijke boete under the Wkkgz, for a calamiteit or other melding that is not made.11

  3. 113

    lasten onder dwangsom and 33 boetes were imposed by the IGJ in 2025.4

Request a demoEmail us

IGJ guides

All IGJ guides
  1. VisitWhat happens on an IGJ inspection visit, and how do you prepare a clinic for one?8 min read
  2. IncidentsHow do you report a calamiteit to the IGJ under the Wkkgz?9 min read
  3. PatientsWhat does the Wkkgz require for complaints, the klachtenfunctionaris and the geschilleninstantie?8 min read
  4. ToetredingDoes a new Dutch clinic need a Wtza melding or a toelatingsvergunning?9 min read
  5. QualityWhat quality system does the Wkkgz require of a Dutch clinic?8 min read
  6. RecordsHow long must a Dutch clinic keep the patient file, and who may see it?8 min read
  7. EnforcementWhat measures can the IGJ take against a clinic, and what does it publish?8 min read

Questions

What is the best software for IGJ compliance?

The best IGJ compliance software is the system your clinic already runs on, so the evidence is a by-product of the care. Look for one record behind booking, notes, patient messaging, payments and access, a full audit trail, AI output that a person signs, and records hosted under your country's rules. wai is built that way, to help you achieve an IGJ inspection with no measures.

Is there IGJ approved software?

The Inspectie Gezondheidszorg en Jeugd supervises zorgaanbieders on the Wkkgz, the Wtza and the WGBO. It does not approve, certify or endorse software, wai included, and software cannot earn an inspection judgment on a provider's behalf. wai keeps the records your team uses to show IGJ how care is delivered, and IGJ decides the inspection judgment.

Does the Wkkgz apply to a private or cosmetic clinic?

Yes. The Wkkgz applies to every zorgaanbieder, institutions and self-employed professionals alike, and Rijksoverheid names cosmetic treatment and alternative care among them. It does not apply to support under the Wmo or to jeugdhulp.

Does a new clinic need a Wtza toelatingsvergunning?

An instelling providing medisch specialistische zorg, or care under the Zvw or the Wlz, needs one. Since 1 January 2025 that includes providers with fewer than 11 zorgverleners. A solist in an eenmanszaak only reports, and every new provider reports before the first patient.

How quickly must a calamiteit be reported?

Without delay, and within 3 working days of establishing that it is a calamiteit. If that is unclear, the provider has up to 6 weeks to find out, and when the IGJ asks for a report it allows 8 weeks.

How long must a Dutch clinic keep a patient file?

Twenty years from the last change to the file, or longer where good care requires it, under article 7:454 of the Burgerlijk Wetboek. A patient may ask for the file to be destroyed, within the limits of article 7:455.

Does wai work in Dutch?

Yes. wai drafts replies in the language the patient writes in, Dutch, English or any other, for your team to approve.

Where does wai keep our records?

In its own country, under that country's rules, encrypted, with a full audit log. We set this up with you before go-live.

The Netherlands by city

All regulators
  1. By cityAmsterdam, where the WGBO keeps the patient file for twenty years and NEN 7510 sets the measure for a clinic's systems.

Across regulators and the product

  1. Read nextEvery regulator
  2. Read nextHAS certification, France
  3. Read nextSwiss cantonal licensing
  4. Read nextHIQA, Ireland
  5. Read nextJCI accreditation
  6. Read nextClinic management software
  7. Read nextThe AI scribe
  8. Read nextSecurity
  9. Read nextPricing for clinics, groups and hospitals

See wai on your own diary, notes and inbox.

Fifteen minutes on video, opening one patient file the way an IGJ inspector would. Built to help you achieve an IGJ inspection with no measures. wai hosts each clinic's records in its own country, under that country's rules. We set this up with you before go-live.

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team@wellnessa-i.com

Sources

  1. 1Overheid.nl, wetten.overheid.nl, 2026Wet kwaliteit, klachten en geschillen zorgRead source
  2. 2Inspectie Gezondheidszorg en Jeugd, 2026ToezichtactiviteitenRead source
  3. 3Inspectie Gezondheidszorg en Jeugd, 2026Jaarbeeld IGJ 2025Read source
  4. 4Inspectie Gezondheidszorg en Jeugd, 2026Jaarbeeld IGJ 2025Read source
  5. 5Ministerie van VWS and CIBG, Toetreding zorgaanbieders, 2026Vergunning van rechtswegeRead source
  6. 6Eerste Kamer der Staten-Generaal, 2026Wet integere bedrijfsvoering zorg- en jeugdhulpaanbieders (36.686), brief regering van 3 juni 2026 over de herbezinning WibzRead source
  7. 7Inspectie Gezondheidszorg en Jeugd, 2026Inspectie Gezondheidszorg en JeugdRead source
  8. 8Harvard Business Review, 2011The Short Life of Online Sales LeadsRead source
  9. 9JAMA Network Open, 2025Clinician Experiences With Ambient Scribe Technology to Assist With Documentation Burden and EfficiencyRead source
  10. 10BMJ Open, 2016Using digital notifications to improve attendance in clinic, systematic review and meta-analysisRead source
  11. 11Overheid.nl, wetten.overheid.nl, 2026Wet kwaliteit, klachten en geschillen zorgRead source