The IGJ can place a clinic under verscherpt toezicht, and under the Wkkgz the Minister can issue an aanwijzing, an inspector a seven day bevel, and a last onder dwangsom or a boete of up to €33,500 can follow. Reports and many measures are published, and a measure stays visible for 3 years after it ends.
The ladder of measures
| Measure | What it means | In 2025 |
|---|---|---|
| Verscherpt toezicht | Informal, with extra unannounced visits or improvement reports | 17 |
| Aanwijzing | A written instruction with the measures to take and a deadline | 26 |
| Bevel | Written, immediate, valid seven days and extendable, where safety cannot wait | 2 |
| Last onder dwangsom | A penalty payment order until the clinic complies, under article 29 | 113 |
| Bestuurlijke boete | Up to €33,500, for example for a melding not made | 33 |
How the IGJ chooses, and what it publishes
The IGJ chooses a soft or a coercive measure by the seriousness, scale and circumstances, weighing the risk to public health and its confidence in the organisation's ability to improve.1 Under article 27 of the Wkkgz an aanwijzing names the failings and the deadline, and under article 28 a structural aanwijzing answers serious organisational shortcomings.2 Failing to make a melding under article 11 is also an offence, punishable by detention of up to a year or a fine.2
- Read the report and the judgment. Separate what must change now from what can be planned.
- Answer the openbaarmakingsbesluit in time. You may object within 6 weeks, and a request for interim relief generally has a 2 week deadline.
- Write an improvement plan with owners. Each finding, the measure, the owner and the date, in one document.
- Show the change in the records. Data from the system the clinic runs on proves the change better than a policy does.
- Report back on the deadline. An aanwijzing carries a term, and the IGJ checks against it.
- Report dated ______ Measure ______ Deadline ______
- Finding ______ Standard or article ______
- Measure taken ______ Owner ______ Due ______
- Evidence it works ______
- Reported to the IGJ on ______
The IGJ publishes its inspection reports and a zakelijke weergave of verscherpt toezicht and enforcement measures, and a report stays online for 5 years.3 It imposed 113 lasten onder dwangsom and 33 boetes in 2025.4 To stay out of this table, start with the guide to the inspection visit.
Questions
Who imposes an aanwijzing under the Wkkgz?
The Wkkgz gives the power to the Minister in article 27, and the IGJ lists the aanwijzing among its own interventions. An inspector may issue a bevel directly when safety cannot wait.
How long does a published measure stay online?
Three years after the measure ends, while an inspection report stays online for five years after publication.
Can we object to publication?
Yes. You receive an openbaarmakingsbesluit first and may object within 6 weeks, with interim relief usually requested within 2 weeks.
Sources
- 1Inspectie Gezondheidszorg en Jeugd, 2026Handhavende interventiesRead source
- 2Overheid.nl, wetten.overheid.nl, 2026Wet kwaliteit, klachten en geschillen zorgRead source
- 3Inspectie Gezondheidszorg en Jeugd, 2026Wat we openbaar makenRead source
- 4Inspectie Gezondheidszorg en Jeugd, 2026Jaarbeeld IGJ 2025Read source
Written by the wai team from Inspectie Gezondheidszorg en Jeugd guidance, checked on 16 October 2026. This is guidance, not legal advice. The IGJ does not endorse wai or any software.