Legislation

In the Netherlands, the provision of healthcare services by individual practitioners is regulated by the Wet op de beroepen in de individuele gezondheidszorg (Individual Healthcare Professions Act), generally known by its Dutch acronym, ‘BIG’.

The purpose of the Healthcare Professionals Act is to promote and monitor quality in health care.
The Act also protects patients from careless or incompetent treatment by a healthcare professional. The BIG register is one of the tools for implementing the Healthcare Professionals Act.

Professions listed in the Healthcare Professionals Act
Healthcare professions are classified in two groups , as referred to in sections 3 and 34 of the Healthcare Professionals Act. Only the ‘section 3 professions’ are listed in the BIG register and fall under disciplinary rules.

Overview of professions listed in the Healthcare Professionals Act.

Article 3 professions
Article 34 professions
  • have a legally protected professional title

  • are listed in the BIG register

  • are subject to disciplinary rules.

  • have a legally protected academic title

  • have no statutory register

  • are not subject to disciplinary rules.

Dentist
Doctor
Health psychologist
Pharmacist
Physiotherapist
Psychotherapist
Midwife
Nurse

Cesar remedial therapist
dental hygienist
dental technician
diagnostic radiographer
dietician
ergotherapist
nursing assistant
speech therapist
medical physicist
Mensendieck remedial therapist
optometrist
orthoptist
pharmaceutical assistant
podiatrist
therapeutic radiographer
skin therapist

BIG-register