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Who needs to register with us?

If you want to provide the following services in an establishment (fixed setting) in Wales you may need to register with us before being able to do so.

  • Private dental practices
  • Independent healthcare services
    • Independent hospitals
    • Independent clinics
    • Independent medical agencies

You can register either as an individual (sole trader) or as an organisation (Ltd company).

Private dental practices

Private dental practices in Wales include:

  • Dental practices that provide any amount of private dental care
  • Dental care professionals (DCPs) who provide private direct access services from their own practice (dental hygienists, dental therapists and clinical dental technicians)

Independent healthcare services

Independent healthcare services in Wales include:

  • Independent hospitals – Non-NHS establishments in Wales that provide any of the following:
    • Medical or psychiatric treatment or palliative care together with inpatient (overnight) beds
    • Listed services (regardless of whether inpatient beds are provided) which include the use of class 3B/4 lasers; use of IPL; circumcision of male children; haemodialysis or peritoneal dialysis; endoscopy; hyperbaric therapy; IVF.
    • Treatment or nursing (or both) for persons liable to be detained under the Mental Health Act 1983
  • Independent clinics – establishments in Wales where private only medical services are provided regularly by medical practitioners (General Medical Council (GMC) registered personnel)
  • Independent medical agencies – a service that doesn’t have a fixed establishment (remote/online) where private only medical services are provided regularly by medical practitioners (General Medical Council (GMC) registered personnel), either individually or on behalf of a company and that individual/company is based in Wales.

Do I need to register with HIW?

Healthcare services are provided in a number of different ways and by a variety of healthcare professionals. We have produced information on who needs to register with us. This is provided as a general guide only. You must complete a registration query form and email it to  A member of the Registration team will review the information and provide a written response on whether or not registration is required.  We will also include information on how to register.

We have also developed some frequently asked questions to help answer your registration related queries. From dental to laser, our FAQ’s should be able to help you get some instant answers.

The law

All private dental practices, private direct access practices and independent healthcare services must be registered with us as legally required by the Care Standards Act 2000.

Private dental practice legislation

The Private Dentistry (Wales) Regulations 2017

Independent healthcare legislation

The Independent Health Care (Wales) Regulations 2011

The Independent Health Care (Wales) (Fees) Regulations 2011

The Registration of Social Care and Independent Health Care (Wales) Regulations 2002

National Minimum Standards for Independent Health Care Services in Wales 2011