Area-based supervision

In 2017, the Health and Youth Care Inspectorate launched area-based supervision of networks in home environments. For area-based supervision, we do not visit a single institution or organisation. Rather, we look at various care providers in one area, for example, a particular neighbourhood or municipality. The area can vary in size.

The Inspectorate has chosen different groups with complex needs for health care as target groups for inspecting integrated care in care networks. These target groups are:

  • ill children who receive specialist care at home;
  • frail elderly people;
  • people with severe mental health problems;
  • people with an antibiotic-resistant bacteria.


The Inspectorate selects areas based on internal supervision information and public sources. These public sources contain information on, for example, number of inhabitants, age of inhabitants, distribution of diseases and social health. In these areas, we examine the collaboration between the different care providers in the client's care network. We supervise integrated care in home environments from the client's perspective. We also looks at the relationship between care, treatment and support.

Collaboration on local or regional level

Good cooperation in care networks also requires cooperation between different stakeholders in the region or municipality. To put this on the agenda, the Inspectorate organizes regional meetings with, for example, healthcare providers, managers of healthcare organizations, councilors and/ or representatives of local government. During those meetings, the Inspectorate takes notice of existing cooperation agreements and identifies (persisting) bottlenecks in the cooperation in care networks.

Not only care, but also local councils play an important role in support at home as they provide support and local services in their municipality. The Inspectorate therefore often cooperates with local supervisors of the Social Support Act (Wmo) when inspecting integrated care.