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Independent healthcare services

DBS Guidance for independent healthcare services

An enhanced DBS check is required for persons carrying on or managing an independent healthcare service and for those persons who have contact with vulnerable adults and/or children. A standard check is sufficient for those that do not.

Independent healthcare services will need to put their own arrangements in place for undertaking checks for those who work at the service.

Guidance to help you decide whether a role is eligible for a basic, standard or enhanced DBS check can be found at

The law

Providers and managers of independent healthcare services must comply with The Independent Health Care (Wales) Regulations 2011.

Regulations 10, 12 and 21 and Schedule 2 require that any person carrying on, managing or working at an independent healthcare service must have a DBS check.

There is no specific requirement in the Regulations stating that a DBS certificate must be renewed. However there is an ongoing requirement that workers remain ‘fit’ (Regulation 21 and Schedule 2). Upon registration and at inspection we need to be satisfied that independent healthcare services have a system in place for ensuring workers remain ‘fit’.  

Regulation 16 requires that providers make suitable arrangements for safeguarding patients from abuse.  Regulation 19 requires that patients must be protected against the risks of inappropriate or unsafe care and treatment. Independent healthcare services will need to demonstrate how they are meeting these requirements.

When submitting an application to register with HIW, applicants seeking to be providers and managers of independent healthcare services must provide HIW with an enhanced DBS certificate that has been applied for by HIW and issued within the last three years. We also require applicants to confirm that DBS certificates have been issued for staff working at the service.

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