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Templates, HIW

HIW inspection checklist template

A HIW inspection checklist with 21 items, taken from our HIW hub and grouped the way the work is done. Read it in full below, and take the editable version by email.

Updated . Mapped to HIW's published framework1.

CHK-INS-01Checklist

Templatev1.0, HIW edition

[Clinic name]

Controlled document

[Address]
[Registration or licence number]

Document
HIW inspection checklist
Reference
CHK-INS-01
Version
1.0
Owner
[Name, role]
Approved by
[Clinical lead]
Effective from
[Date]
Next review
[Date]
Regulator
Healthcare Inspectorate Wales

HIW inspection checklist

1Registration and documents

  • Your statement of purpose and patients' guide are current and match the services you provide.
  • Your registration certificate and conditions match what you actually do, including any laser or IPL equipment.
  • Your registered manager is the person HIW interviewed, and HIW has been told of any change.
  • Your policies are indexed, dated and reviewed, as Regulation 9 requires.

2Quality of the patient experience

  • Patient information sets out treatments and their costs in plain language.
  • Consent is recorded in the record for every treatment, with the information given.
  • You can show how patients give feedback and what changed as a result.
  • Patients who need another language or format are provided for.

3Delivery of safe and effective care

  • Five patient records a reviewer could read without help, signed and dated.
  • Medicines, emergency equipment and devices checked, with records of each check.
  • Safeguarding leads named and staff trained to the right level.
  • Infection prevention audits and risk assessments, each with actions.

4Quality of management and leadership

  • A document setting out lines of reporting and accountability.
  • A record of each concern or incident, what was learned and what changed.
  • Recruitment files with DBS checks, references and registration checks.
  • Training records and appraisals that are up to date.

5What an HIW inspector may ask

  • Can I see a sample of patient records? What to show, records that are accurate, complete and written at the time of care.
  • How do patients consent to treatment? What to show, what the patient was told, when they agreed, and where it is recorded.
  • How do patients know what treatment will cost? What to show, the information and prices given before treatment.
  • Who can see patient records, and how would you know? What to show, roles, access controls and an access log.
  • How do you monitor the quality of the service? What to show, the reports and audits managers read, and the actions that followed.

AAppendix, HIW readiness log, one row per theme

  1. A.1Theme ______ Owner ______
  2. A.2Standards that apply to our service ______
  3. A.3Records an inspector will sample ______
  4. A.4Documents to show ______ Last reviewed ______
  5. A.5What patients told us this year ______
  6. A.6What we changed as a result ______

Awaiting sign-off

[Name]

[Role], [registration number]

Signed [date], [time]

Questions

Has HIW approved this hiw inspection checklist?

No. HIW does not approve templates or software. This template is built from HIW's own published standards and our guides, and your clinic adapts it, signs it off and owns it.

Can we use it as it is?

Use it as a starting point. Replace every part in square brackets with your clinic's own details, check it against your services, and have your clinical lead sign it off before it is used.

How do we get the editable version?

Enter your work email on this page and we send the editable document. The full template is on this page to read before you ask.

In wai, the records this checklist depends on are versioned and signed, from notes and letters to consent forms and the audit trail.

See the signed record behind this checklist on your own clinic, in a 15 minute video call.

Sources

  1. 1HIW, 2025How does HIW inspect independent services?Read source

This is a template, not legal advice. HIW does not approve templates or software, wai included.