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First phase: risk assessment

In the first phase of the 'phased supervision' approach, the Inspectorate makes an initial assessment of the risks which may prevent the provision of responsible care. It does so in each sector of the health care system. 

Gathering information

During the first phase, the Inspectorate starts to gather information relating to health care providers and their services. It relies on various sources, including:

  • Quality information submitted by the health care providers themselves, e.g. quality performance indicators.
  • Incoming reports and other signals.
  • Patient experiences, which are gathered systematically to produce the CQ index (not applicable to all sectors).
  • Annual Social Responsibility Reports.

Analysis and risk assessment

Based on the information compiled and any trends identified, the Inspectorate makes a risk assessment for each health care provider, usually based on a comparison with other providers in the same sector. In the larger sectors, such as residential care, the Inspectorate also determines in this phase which locations and facilities are to receive an inspection visit, and the order in which those visits are to be made.


Based on the analysis, the Inspectorate produces lists of 'points for attention' for each individual institution, or an aggregated report covering an entire sector. An example of the latter is the annual report Het resultaat telt ('The result counts') which deals with all hospitals in the Netherlands.