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Independent Healthcare Fees

Fees are payable, unless you qualify for an exemption, when you are applying to register; vary a condition of registration; remove a condition of registration; and annually to maintain registration.

Application 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:

Independent hospitals

Category

Application fee for registration as a ProviderApplication fee for registration as a Manager
Non-acute hospital£1,500£100
Acute Hospital£2,500£100
Mental Health Hospital£2,500£100
Termination of Pregnancy Hospital£750£100
Maternity Hospital£1,500£100
Medical treatment using local anaesthesia£750£100
Dental treatment under general anaesthesia£750£100
Cosmetic Surgery£2,500£100

 

Independent Hospital whose main purpose is providing treatment using a Prescribed Technique or Prescribed Technology

Category

Application fee for registration as a ProviderApplication fee for registration as a Manager
In Vitro Fertilisation (IVF)£750£100
Class 3B or class 4 Laser products used for a non-surgical purpose£500£100
Class 3B or class 4 Laser products used for a surgical purpose£750£100
Intense Light (IPL)£500£100
Dialysis£750£100
Endoscopy£750£100
Hyperbaric Oxygen Therapy£750£100
Male Circumcision£500£100

 

Independent clinic and medical agency

Category

Application fee for registration as a ProviderApplication fee for registration as a Manager
Independent Clinic£500£100
Independent Medical Agency£500£100

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.

DBS fees

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 £57 to cover the cost will be invoiced via email.

Fee exemptions

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.

Annual fees

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:

Independent hospitals

Category

FeeAdditional fee for each approved place (over- night bed): 1- 25Additional fee for each approved place (over- night bed):26- 59Additional fee for each approved place (over- night bed):60- 99Additional fee for each approved place (over- night bed):100+
Non-acute£1,500£200£100£100£100
Acute£2,000£200£100£50£25
Mental health£2,000£200£100£50£25
Termination of pregnancy£1,500----
Maternity£2,000£200£100£100£100
Treatment provided using local anaesthesia£750----
Dental treatment under general anaesthesia£1,500----
Cosmetic surgery£2,000£200£50£50£50

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

Independent Hospital whose main purpose is providing treatment using a Prescribed Technique or Prescribed Technology

Category

Fee
In-vitro fertilisation (IVF)£1,500
Class 3B or class 4 laser products used for a non-surgical purpose£500
Class 3B or class 4 laser products used for a surgical purpose£750
Intense light (IPL)£500
Dialysis£1,500
Endoscopy£1,500
Hyperbaric oxygen therapy£1,500
Male circumcision£500

 

Independent clinic and medical agency

Category

Fee
Independent clinic£500
Independent medical agency£500

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.

Fees to vary or remove a condition of registration

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.

Type of changeFee
Minor variation£250
Major variation£500
Remove a condition£50

Major variation

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).

Minor variation

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.

Refunds

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 law

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.