Independent Healthcare Fees

Fees will be invoiced by email when we confirm that we are in receipt of a complete application.  The email will provide details of the amount you will be required to pay, the date it must be paid by and how you can pay it.  You should not pay your fee until you have received the invoice.  The registration fees payable are listed below:

Where an application to register falls within more than one of the categories listed, only one fee is payable, this will be the higher fee. If there is more than one individual applying to be registered, each individual needs to pay a fee.  Where a sole trader is applying to register then only the Provider fee is payable.

As part of the registration process HIW must carry out a DBS in respect of the Registered Manager/s (RM/s) and Responsible Individual/s (RI/s) which has been issued within the last 3 years.  Where necessary, DBS application packs are posted on receipt of an application to register and a fee of £44 to cover the cost will be invoiced via email.

You do not need to pay a registration fee if you are applying to register a Hospice or if you are registering as a charity and the only services provided by that charity are free and the charity's services are not commissioned by the NHS or a local authority.  This exception does not apply to Registered Managers of charities that fulfil this criteria.

Your annual fee is due one month after the date of registration and annually thereafter on the anniversary of the month of registration (date of registration can be found on your certificate of registration).  We will issue an invoice by email to inform you that your annual fee is due.  The email will provide details of the amount you will be required to pay, the date it must be paid by and how you can pay it.  You should not pay your fee until you have received the invoice.  The fees payable are listed below:

For example, if you are an acute hospital with 55 approved places the calculation would be:

Flat rate fee = £2,000

Places 1-25 = 25 x £200 = £5,000

Places 26-55 = 30 x £100 = £3,000

Total annual fee = £10,000

If you have registered more than once because you operate services through separate legal entities, an annual fee will apply to each of your registrations.

If you do not pay your annual fee by the due date, HIW will issue a Notice of Proposal to cancel your registration.  HIW may also choose to recover the fee as a civil debt.

If you wish to remove or change (vary) a condition of registration you will need to pay a fee.  The table below sets out these fees.  You should submit the application to HIW and we will issue an invoice by email which will set out the fee payable, when it is due by and instructions on how to make the payment.

A major variation is a variation of conditions where HIW consider it necessary to visit the setting to gain assurance in order to determine the application.  It will often be an application which changes the purpose for which registration was originally granted.   The following are examples however each application will be considered on its own merits: 

• Extension of the service into newly built accommodation that involves structural alterations such as:
  • removing walls;
  • changing fire evacuation routes;
  • changing the use of rooms used by patients.
• Changes to a service that requires new equipment/staffing.
• Providing treatment using a Class 3B or Class 4 laser product (where similar services are not already provided).

A minor variation is a change to the service where it is not necessary for HIW to visit the setting to gain assurance in order to determine the application.  The following are examples however each application will be considered on its own merits:

• Cessation of a type of treatment or service.
• Minor building alterations to accommodation.
• A new Class 3B or Class 4 laser product to carry out similar treatments to those already registered.

If you apply to cancel your registration you may be entitled to a refund.

• The refund will be no more than 50% of the annual fee.
• Any refund will be calculated by how many complete quarters remain of the registration year (calculated form the date of payment of the annual fee). 
• A quarter of the year means a period of three consecutive months.
• In calculating how many quarters of the year remain, no account is to be taken of the calendar month in which the application to cancel is received.

The Independent Health Care (Fees) (Wales) Regulations 2011 sets out the fees that are payable to apply for registration and to maintain registration annually under The Care Standards Act 2000

The fees applicable are required by the above legislation as set out by the Welsh Ministers.  HIW are not responsible for setting the fees.