{ "schema_version": "qanun-law-text/1", "id": "pk-code-d88e3d07aa7d1cde", "title": "Pakistan Nursing and Midwifery Council Act, 2026", "source_collection": "Federal", "content_kind": "stored_law_text", "content_extent": null, "source_url": "https://pakistancode.gov.pk/alpha/UY2FqaJw1-apaUY2Fqa-apaUY2Npa5tqaA%3D%3D-sg-jjjjjjjjjjjjj", "version": null, "source_snapshot": null, "legal_status": "not independently verified", "text_quality": "Complete stored UTF-8 TXT file recovered byte-for-byte from owned Drive. Source transcription retained verbatim; legal completeness, OCR accuracy and current consolidation unverified.", "text_sha256": "fc87b3b490feece64092243c6bd4b8fe92911e141545c3ca93d2705e898ae60b", "source_sha256": "fc87b3b490feece64092243c6bd4b8fe92911e141545c3ca93d2705e898ae60b", "text_version_id": "law:pk-code-d88e3d07aa7d1cde:sha256:fc87b3b490feece64092243c6bd4b8fe92911e141545c3ca93d2705e898ae60b", "quality_flags": [], "encoding": "UTF-8", "text": "Page 1 of 33 \r\n \r\n \r\nTHE PAKISTAN NURSING AND MIDWIFERY COUNCIL ACT, 2026 \r\n \r\nCONTENTS \r\n1. Short title, extent and commencement \r\n2. Definitions \r\n3. Purpose of Pakistan Nursing and Midwifery Council \r\n4. Establishment of the Council \r\n5. Powers of the Council \r\n6. Functions of the Council \r\n7. Term of office of members \r\n8. Casual Vacancies \r\n9. Vacancy not to invalidate proceedings \r\n10. Meetings of the Council \r\n11. President and Vice-President \r\n12. Executive Committee \r\n13. Office of the Council \r\n14. Innovation and Reforms Unit and Centres of Excellence \r\n15. Secretary \r\n16. Finance Director \r\n17. Officers and support Staff of the Council \r\n18. Provincial and Regional Nursing and Midwifery Board \r\n19. Recognition of institutions conducting educational courses or programs \r\n20. Inspection of Nursing Institution \r\n \r\n\r\n \r\nPage 2 of 33 \r\n \r\n21. Appeal Against the Decisions of the Council \r\n22. Random revisits \r\n23. Inspection of affiliating universities \r\n24. Recognition of foreign qualification \r\n25. Certification of certain persons in possession of recognized qualification \r\n26. Effect of recognition \r\n27. Institutions to furnish information required by the Council \r\n28. Withdrawal of Recognition \r\n29. Maintenance of Database \r\n30. Digital identification, verification, and digitization cost \r\n31. Maintenance of the Register \r\n32. Procedure for Registration \r\n33. National Registration Examination \r\n34. National Licensing Examination \r\n35. Renewal of License \r\n36. Removal of name from the Register \r\n37. Disqualification for Registration \r\n38. Prohibition of employment of unregistered nurses, etc. \r\n39. Nursing standards in healthcare facilities \r\n40. Insurance coverage for nursing personnel and students \r\n41. Offences and penalties \r\n42. Quarterly report \r\n43. Appellate Authority \r\n44. Commission of Inquiry \r\n45. Directives from the Division concerned \r\n46. Reporting, dissemination, and confidentiality of data \r\n47. Action done in good faith \r\n \r\nPage 3 of 33 \r\n \r\n48. Fund of the Council \r\n49. Endowment Fund \r\n50. Power to make regulations \r\n51. Powers to make Rules \r\n52. Removal of difficulties \r\n53. Repeal and Saving \r\nThe First Schedule \r\nThe Second Schedule \r\nThe Third Schedule \r\nThe Fourth Schedule \r\n \r\nThe Fifth Schedule \r\n \r\n \r\n \r\nPage 4 of 33 \r\n \r\nTHE PAKISTAN NURSING AND MIDWIFERY COUNCIL ACT, 2026 \r\nACT NO. XXXVII OF 2026 \r\n[4th June, 2026] \r\nAN \r\nACT \r\nto consolidate the laws relating to registration, licensing, and training of nurses, nurse \r\npractitioners, midwives, midwifery associates, and nurse auxiliaries \r\nWHEREAS it is expedient to consolidate the laws relating to registration, licensing, and training of \r\nnurses, nurse practitioners, midwives, midwifery associates, nurse auxiliaries, and to provide for matters \r\nconnected herewith and ancillary thereto; \r\nIt is hereby enacted as follows:— \r\n1. Short title, extent and commencement.— (1) This Act may be called the Pakistan Nursing and \r\nMidwifery Council Act, 2026. \r\n(2) It extends to the whole of Pakistan. \r\n(3) It shall come into force at once. \r\n2. Definitions.—In this Act, unless there is anything repugnant in the subject or context,- \r\n(i) “Affiliating univer sity” means a university or institute recognized by the Higher \r\nEducation Commission, which is authorized under its charter or applicable law to \r\naffiliate nursing institutions and to conduct examinations, assessments, or award \r\ndegrees in respect of nursing and midwifery programs recognized by the Council; \r\n(ii) “Board” means a Provincial and Regional Nursing and Midwifery Examination \r\nBoard constituted under section 18 of this Act; \r\n(iii) “BSN” means a Bachelor of Science in Nursing declared as a r ecognized higher \r\nqualification; \r\n(iv) “Centre of Excellence (CoE) Nursing Institution” means a specialized, high-standard \r\nnursing education and training institution that provides high -quality nursing \r\neducation and training through faculty exchange programs, uses mod ern simulation \r\nlabs and curricula aligned with international standards for export of nurses outside \r\nPakistan, and ensures national and international employment of the nurses; \r\n(v) “CNIC” means Computerized National Identity Card; \r\n(vi) “Council” or “PN&MC” means the Pakistan Nursing and Midwifery Council \r\nestablished under section 4 of this Act; \r\n \r\n \r\nPage 5 of 33 \r\n \r\n(vii) “Current registration ” means a registration given by the Pakistan Nursing and \r\nMidwifery Council present on its Register; \r\n(viii) “CSO” means a community service organization register ed with the relevant \r\nauthority; \r\n(ix) “Division concerned” means the Division to which the busin ess of the council shall \r\nstand allocated; \r\n(x) “Endowment Fund” means the Pakistan Nursing and Midwifery Council Endowment \r\nFund established under section 49 of this Act; \r\n(xi) “Fund” means the Pakistan Nursing and Midwifery Council Fund establishe d under \r\nsection 48 of this Act; \r\n(xii) “Government” means the Federal Government; \r\n(xiii) “Healthcare facility ” means the facility, either public or private, that provides \r\nhealthcare including hospitals, trauma centres, institutes, clinics, outpatient care \r\ncenters, community and rural health centres, basic health units, specialized care \r\ncentres including psychiatric and rehabilitation centres and all such facilities where \r\nnurses, nurse practitioners, midwives, midwifery associates or nursing auxiliaries are \r\nemployed for provision of healthcare; \r\n(xiv) “HEC” means the Higher Education Commission of Pakistan; \r\n(xv) “ICAP” means the Institute of Chartered Accountants of Pakistan; \r\n(xvi) “ICN” means International Council of Nurses; \r\n(xvii) “Member” means a member of the Council and includes the President and the Vice-\r\nPresident of the Council; \r\n(xviii) “Midwifery associate” means a member of the health team, who has acquired the \r\nprescribed qualification recognized by council and is granted license to practice as \r\nmidwifery associate by the Council and includes Lady Health Visitor, Community \r\nMidwife, associate degree holder, A ssociate Midwife and Family Welfare Worker \r\nwho provides care during pregnancy, labor and postpartum period and instruct \r\nparents in baby care as per the scope of practice specified by the council; \r\n(xix) “Midwifery professional ” means a person who has obtai ned the recognized \r\nqualification or recognized higher qualification and is granted licenses to practice by \r\nthe council; \r\n(xx) “NGO” means a Non -Governmental Organization register ed with the relevant \r\nauthority; \r\n(xxi) “NRE” means National Registration Examination, as specified in section 33 of this \r\nAct; \r\n \r\nPage 6 of 33 \r\n \r\n(xxii) “NLE” means National Licensing Examination as specified in section 34 of this Act; \r\n(xxiii) “Nurse” means a healthcare professional who— \r\n(A) has completed a formally recognized program of nursing edu cation and has \r\nacquired the requisite qualification, and is granted a license to p ractice \r\nnursing by the council; \r\n(B) demonstrates competency in the practice of nursing; and \r\n(C) is authorized to \r\n(a) engage in the general scope of nursing practice, inclu ding the \r\npromotion of health, prevention of illness, and care of physically -ill, \r\nmentally-ill, and disabled people of all ages and in all healthcar e and \r\nother community settings; \r\n(b) carry out healthcare teaching in nursing; \r\n(c) participate fully as a member of the healthcare team; \r\n(d) supervise and train nursing auxiliaries; and \r\n(e) be involved in research. \r\n(xxiv) “Nurses Auxiliary ” means healthcare providers who assist nurses and other \r\nhealthcare providers and include certified nursing assistants and pupil midwives; \r\n(xxv) “Nursing Institution” means any school, college, university, or institute imparting \r\neducation or training to nurses, nurse practitioners, midwives, midwifery associates, \r\nor nursing auxiliaries recognized by the Council; \r\n(xxvi) “Nurse Practitioner” means a nurse who has advanced clinical education and training \r\nand can perform physical examination, diagnose and treat diseases, prescribe \r\nmedications and perform such duties carefully determined by the Council and as \r\nprescribed under Rules; \r\n(xxvii) “Prescribed” means prescribed under Rules or Regulations made under this Act; \r\n(xxviii) “Recognized Higher Qualifications” means a degree qualification recognized by the \r\nHEC and granted by an institution established and maintained in Pakistan or in a \r\nforeign country, or granted by a university for nurses, midwives and midwifery \r\nassociate which is declared to be a recognized higher qualification for the purposes \r\nof this Act and includes any qualification recognized as a higher qualification under \r\nthis Act and obtained by a person registered with the Council prior to the date of the \r\ncommencement of this Act shall continue to be recognized; \r\n(xxix) “Recognized Qualifications” means a qualification granted by a Board or a university \r\nor which is declared to be a recognized qualification for the purposes of this Act and \r\nincludes,— \r\n \r\nPage 7 of 33 \r\n \r\n(a) a qualification specified in the First Schedule of this Act, amended from time \r\nto time, by the Council in consultation with the Division concerned; and \r\n(b) a qualification, which immediately before the commencement of this Act, \r\nwas a recognized qualification under the Pakistan Nursing Council Act, 1952 \r\n(LIX of 1952), the Pakistan Nursing Council Act, 1973 (XXVI of 1973) as \r\namended from time to time, and Pakista n Nursing and Midwifery Council \r\nOrdinance, 2025 to the extent of only such person(s) registered with the \r\nCouncil prior to the commencement of this Act; \r\n(xxx) “Register” means the register of nurses, midwives, midwifery associates, and nursing \r\nauxiliaries maintained under section 31 of this Act; \r\n(xxxi) “Regulations” mean regulations made under this Act; \r\n(xxxii) “RM” means Registered Midwife who has completed the prescribed qualification \r\nrecognized by the Council and has been registered and licensed by the Council to \r\npractice as a registered midwife; \r\n(xxxiii) “Rules” mean rules made under this Act; \r\n(xxxiv) “Other Committees” means sub-committees constituted by the Council for special \r\npurpose under sub-section (2) of section 12 of this Act; \r\n(xxxv) Schedule” means the Schedules to this Act that may be ame nded by the Division \r\nconcerned. \r\n(xxxvi) “Secretary” means secretary of the council; and \r\n(xxxvii) “Commission of Inquiry ” means the Commission of Inquiry established under \r\nSection 44 of this Act. \r\n3. Purpose of P akistan Nursing and Midwifery Council. —The purpose of the Council shall be \r\nto,— \r\n(i) protect, promote, and maintain the public health and wellbeing; \r\n(ii) to serve the people of Pakistan with regard to healthcare services in general, and \r\nnursing and Midwifery services in particular; \r\n(iii) ensure uniform international standards and competencies of registered professionals \r\nof the Council; and \r\n(iv) liaison with all stakeholders about nursing and midwifery education, professional \r\ngood conduct, legal and authorized practice, and productive employment within and \r\noutside the country. \r\n4. Establishment of the Council.— (1) Upon the commencement of this Act, the Pakistan Nursing \r\nand Midwifery Council shall stand established. The Council shall consist of following nineteen members \r\nappointed by the Prime Minister upon recommendations of the Division concerned, namely:— \r\n \r\nPage 8 of 33 \r\n \r\nS.No. Designation Status \r\n(1) (2) (3) \r\n(a) \r\nNominee of the Secretary of the Division \r\nconcerned, not below the rank of BS-20; \r\nEx-officio Member \r\n(b) \r\nChief Nursing Administrator, by whatever name \r\ncalled, of the Armed Forces Nursing Service; \r\nEx-officio Member \r\n(c) Director General Health, MNHSRC; Ex-officio Member \r\n(d) Director General of Nursing of each province; Ex-Officio Member \r\n(e) \r\nOne senior nurse from the faculty of the academic \r\ninstitute imparting nursing education from the \r\npublic or private sector to be nominated by each \r\nprovincial Health Department and Department of \r\nHealth, Gilgit -Baltistan and two senior nurses \r\nfrom Islamabad Capital Territory (ICT) to be \r\nnominated by the Division concerned. \r\n \r\nThe nominated person should hold the domicile of \r\nthe respective provinces or region and possess \r\nmaster’s degree in nursing or equivalent duly \r\nrecognized by the Council or HEC with ten years’ \r\nexperience. \r\n \r\nExperience in nursing education, administration or \r\nquality assurance may be preferred. \r\nNominated Member \r\n(f) \r\nOne senior midwife or LHV to be nominated by \r\nthe Division concerned. \r\n \r\nThe nominated person shall possess a bachelor ’s \r\ndegree in nursing/ midwifery, duly recognized by \r\nthe Council and HEC, with seven years ’ \r\nexperience. \r\n \r\nExperience in nursing, midwifery education, \r\nadministration, or quality assurance may be \r\npreferred. \r\n \r\nProvided that the seat shall be ro tated among \r\nprovinces and regions in alphabetical order for one \r\ncomplete term of the Council. \r\nNominated Member \r\n(g) \r\nThree members appointed by the Prime Minister \r\non the recommendation of the Division concerned, \r\nfrom whom one member shall be a \r\n \r\n \r\nPage 9 of 33 \r\n \r\n (i) Legal Professional of known integrity and \r\neminence with a minimum of fifteen years of \r\nexperience as a practicing lawyer; \r\nNominated Member \r\n (ii) Chartered Accountant of known integrity and \r\neminence with a minimum of ten years of \r\nexperience in the field of accountancy or finance; \r\nand \r\nNominated Member \r\n(iii) Philanthropist from civil society having a \r\nBachelor’s degree with a minimum of fifteen years \r\nof experience working with or being a member of \r\nthe board of a well -reputed, known integrity and \r\neminent CSO or NGO, preferably working in the \r\nhealth sector. \r\nNominated Member \r\n \r\nProvided that at least thirty-three percent representation of the Council shall be women. \r\n(2) The Council established shall be a body corporate having perpetual succession and a common \r\nseal with powers to enter into contracts, purchase, hold, and dispose of properties and sue or be sued by its \r\nname. \r\n(3) No member mentioned at S. No. (f) to (h) in sub -section (1) shall be appointed, if there are any \r\ndisciplinary or criminal proceedings pending against him or removed or dismissed or penalized from any \r\nservice or convicted or declared unsound or insane by a court of competent jurisdiction. \r\n(4) No person shall be eligible for membership of the Council if he has a confli ct of interest as \r\nprescribed under the Rules: \r\nProvided that the maximum age for a member of the Council shall be sixty-six years. \r\n(5) Every nominated member of the Council shall, before assumption of office, and thereafter \r\nannually on and before the first day of July, submit to the Division concerned and the President of the \r\nCouncil a declaration of assets in the prescribed form and manner. \r\n(6) Notwithstanding anything contained in this Act, the Prime Minister, on the recommendation of \r\nthe Division concerne d, may remove or disqualify all or any member of the Council, on the following \r\nground(s):- \r\n(a) misconduct, fraud, corruption, and unsatisfactory performance; \r\n(b) inability to perform duties due to physical or mental incapacity; \r\n(c) conviction by a court; \r\n(d) declared by any court as an insolvent; \r\n(e) conflict of interest in the manner prescribed under the Rules; \r\n(f) not being a citizen of Pakistan; and \r\n \r\nPage 10 of 33 \r\n \r\n(g) acting in contravention of the provisions of this Act: \r\nProvided that the actions against the members shall be completed within a period of ninety days. \r\n(7) The positions for members of the Council shall be honorary. However, the Council may prescribe \r\nthe remuneration payable to a member for attending a meeting. \r\n(8) Any ex officio member appointed by virtue of his office shall cease to be a member on vacating \r\nsuch office. \r\n5. Powers of the Council.—The powers of the Council shall be to: — \r\n(i) grant license and regulate registered nurse, clinical nurse specialist, nurse \r\npractitioner, midwife, and midwifery associate practice in Pakistan; \r\n(ii) grant registration, maintain and update the register of registered nurses, clinical nurse \r\nspecialists, nurse practitioners, midwives, midwives, and midwifery associates; \r\n(iii) prescribe the requirements of good health and good character that an applicant is \r\ncapable of safe and effective practice as a registered nurse, clinical nurse specialist, \r\nnurse practitioner, midwife, and midwifery associate for the satisfaction of the \r\nconcerned committee of the Council; \r\n(iv) require public, private, and non -government educational institutions and employers \r\nof registrants of the Council to promptly submit annual returns of registered nurses, \r\nclinical nurse specialists, nurse practitioners, midwives, midwives, and midwifery \r\nassociates in their employment and such other information as required by the Council \r\nfor the purposes of this Act; \r\n(v) assist and advise the Federal, Provincial, and regional governments on the \r\nformulation and implementation of policies related to nur sing and midwifery \r\nprofessions; \r\n(vi) act on sound principles of professionalism and morality governed under the \r\ndirectives and policies of the Division concerned; \r\n(vii) carry out licensing examinations for the grant of license to practice and to develop, \r\nrevise, and update curricula for nursing institutions; \r\n(viii) ensure that the right to prescribe drugs or medical devices may not be given to \r\nregistered nurses, nurse specialists, midwives, or lady health visitors, except nurse \r\npractitioners as prescribed under the Rules; \r\n(ix) evaluate and accredit institutions that provide education and training in nursing, \r\nmidwifery, midwifery associate, and nursing auxiliary, and to cooperate with other \r\naccreditation bodies or institutions where necessary; \r\n(x) designate nursing and midwifery programs, specialties, and categories; \r\n(xi) determine the scope of practice for its registrants; \r\n \r\nPage 11 of 33 \r\n \r\n(xii) set, monitor, and update— \r\n(a) standards for education, clinical practice, professional conduct a nd \r\ninstitutional accreditation; \r\n(b) conditions and policies for registration or license to practice; \r\n(c) conditions and policies for enrolment into nursing and midwifery programs; \r\n(d) conditions and policies for institutions offering nurs ing and midwifery \r\nprograms; and \r\n(e) continuous development programs for its registrants; \r\n(xiii) formulate, revise, and update policies and to advocate and motivate government and \r\nprivate institutions to adopt changes in nursing, midwifery, midwifery associate, and \r\nnursing auxiliaries; \r\n(xiv) establish committees for quality assurance, examination, accreditation, and \r\ncurriculum development as deemed appropriate by the Council in consultati on with \r\nthe concerned Division; \r\n(xv) determine and receive fees, donations, grants, or any other financi al benefits or \r\nassistance from within or outside the country; \r\n(xvi) prescribe minimum nursing standards for healthcare facilities employing nurses, \r\nnurse practitioners, midwives, midwifery associates, or nursing auxiliaries; \r\n(xvii) collect, analyze, and disseminate information about nursing, midwifery, and lady \r\nhealth visitors ’ education, practice, and the nursing, midwifery, and l ady health \r\nvisitors’ workforce; \r\n(xviii) take steps for the welfare of nurses, nurse practitioners, midwives, midwifery \r\nassociates, or nursing auxiliaries; \r\n(xix) alter, modify, or change the regulations of the Council with the appr oval of the \r\nDivision concerned; \r\n(xx) establish and maintain an Endowment Fund, linked with and forming a part of the \r\nFund of the Coun cil, contributed annually by the nursing institution and healthcare \r\nfacilities through a fee determined by the Council; \r\n(xxi) make provisions for insurance cover for the students in nursing institutions, and \r\nnurses, nurse practitioners, midwives, midwifer y associates, or nursing auxiliaries \r\nemployed in healthcare facilities, and maintain a digital repository of the same; \r\n(xxii) impose administrative penalties, including fines, suspension or cancellation of \r\nregistration, recognition or accreditation, in accordance with this Act; \r\n \r\nPage 12 of 33 \r\n \r\n(xxiii) establish, operate, and enforce digital identification, verification, and credentialing \r\nsystems for students and registrants, including requirements for mandatory displ ay \r\nand verification mechanisms; \r\n(xxiv) appoint a regist ered Chartered Accountant Firm accredited by the Institute of \r\nChartered Accountants of Pakistan (ICAP) and having at least a “B” rating provided \r\nby the State Bank of Pakistan, along with a quality assurance certificate by ICAP; \r\n(xxv) review, scrutinize, or withdraw, on the recommendations of inspectors maintained \r\nby the Council or on the directions of the Division concerned, all inspections \r\nauthorized, approvals given, recognitions granted, registrations ordered, and \r\ncertifications made earlier before the commencement of this Act; \r\n(xxvi) approve the annual audited accounts duly audited by the Chartered Accountant Firm; \r\n(xxvii) perform such functions for the purposes of this Act; \r\n(xxviii) recommend the changes or amendments in the Schedules u nder this Act to the \r\nDivision concerned \r\nProvided that the Division concerned may also change or amend the schedules on its \r\nown; and \r\n(xxix) make provisions for the execution of powers and continuity of the functions of the \r\nCouncil until the Rules and Regulations are framed under this Act. \r\n6. Functions of the Council.—Function of the council shall be to.— \r\n(i) administer, manage, and run the affairs of the council efficiently and to appoint and \r\nremove staff and take such disciplinary action where necessary in the interests of the \r\nCouncil under the Rules; \r\n(ii) properly maintain the records, minutes, and all documents pertaining to the affairs of \r\nthe Council; \r\n(iii) perform financial management, including maintenance of the accounts of the \r\nCouncil; \r\n(iv) appoint an advisor, consultant, and other staff on such terms and conditions to such \r\nposition as necessary for the efficient administration and management of the council \r\nwith the approval of the Division concerned; \r\n(v) co-opt or appoint a person who is not a member of the Council to advise the Council \r\nwhenever required; \r\n(vi) acquire, rent, let, hire or dispose of property, borrow money, accept and administer \r\nany trust or donation, and charge fees for any services of the Council for the purposes \r\nof the Act; \r\n \r\nPage 13 of 33 \r\n \r\n(vii) conduct feasibility studies for advanced practice nurse curricula development, \r\neducation, and experience required as per ICN guidelines, make and implement plans \r\nfor the introduction of courses, career pathway for productive local and international \r\nemployment; \r\n(viii) conduct research in the nursing and midwifery sector; and \r\n(ix) carry out all other actions connected and ancillary to the purposes of this Act. \r\n7. Term of office of members. —(1) A member of the Council, other than an ex officio member, \r\nshall hold the office for a term of three years from the date of his notification by the Division concerned: \r\nProvided that the term of a member shall not exceed the term of the Council. \r\n(2) A nominated member may at any time submit his written, signed resignation to the President of \r\nthe Council, and the seat of such member shall thereupon become vacant and his resignation shall take \r\neffect from the date on which it was tendered. \r\n(3) A nominated member shall be deemed to have vacated his seat,— \r\n(i) on completion of his tenure of three years as provided in sub-section (1) without any \r\nfurther notification by the Division concerned; \r\n(ii) ceases to hold any office or appointment by virtue of which h e was eligible to be \r\nnominated; \r\n(iii) declared by t he Council to have been absent without sufficient cause from three \r\nconsecutive meetings of the Council; \r\n(iv) removed by the appointing authority as a member of the Council; \r\n(v) if the nominating authority withdraws his or her nomination at any time; or \r\n(vi) if any member does not disclose his conflict of interest as prescribed under the Rules \r\nor policy in vogue. \r\n(4) A nominated member shall be eligible for re-nomination but not for more than two consecutive \r\nterms. \r\n8. Casual Vacancies. —In case of a vacan cy of a member of the Council by death, resignation, \r\ndisqualification, or removal under this Act, the Prime Minister shall appoint a person as a member in \r\naccordance with the provisions of this Act for the remainder of the term of the member who has died, \r\nresigned, disqualified, or removed, as the case may be. The vacancy shall not be filled if the remaining \r\nperiod thereof is less than four months. \r\n9. Vacancy not to invalidate proceedings. —No act or proceeding of the Council shall be invalid \r\nmerely on the ground of the existence of any vacancy in, or any defect in the constitution of the Council. \r\n \r\nPage 14 of 33 \r\n \r\n10. Meetings of the Council. — (1) The Council shall, for the purpose of transacting its business, \r\nmeet at least once every three months, at such time and place as the Council may deem fit or as the President \r\nof the Council may determine. \r\n(2) A special meeting of the Council may be called by the President at such time and places \r\nwhenever required. \r\n(3) A written notice along with the agenda and the time and place of ea ch meeting shall be sent by \r\npost or courier or by modern electronic means that constitutes documentary proof of notice, such as an \r\nemail, by the Secretary of the Council, provided he has no conflict of interest, to all the members at least \r\nseven days before the date fixed for such meeting: \r\nProvided that an emergency meeting may be called at twenty-four-hour notice. \r\n(4) One third of the total members shall form a quorum for the meeting of the Council. A member \r\nmay participate in a meeting through digital mod e, and such participation shall be deemed to have formed \r\nthe quorum. \r\n(5) The decision of the Council shall be taken by the majority of its members present and voting, \r\nand in case of a tie, the Chair of such meeting shall have a casting vote. \r\n(6) All orders, determinations, and decisions of the Council shall be taken in writing and shall be \r\nsigned by the members of the Council present and voting physically or electronically in the meeting, \r\nincluding the Secretary of the Council. \r\n(7) The meetings of the Council shall normally be presided over by the President of the Council. In \r\ncase the President is absent, the Vice President may preside with the approval of the President. \r\n11. President and Vice -President.—(1) The Minister -in-charge of the Division concerned shall \r\nappoint the President and the Vice-President of the Council from amongst the members. \r\n(2) The President and the Vice-President shall hold office for a period of three years or until removed \r\nfrom the office by the Minister -in-charge for any of the reasons mentioned in sub -section (5) Section 4. \r\nTheir tenure shall not exceed the term of the Council. \r\nProvided that ex officio members, if appointed as President and Vice -President by the Minister-in-\r\ncharge, shall cease to hold the office of such positions upon vacation of their offices. \r\n(3) The President shall be the head of the Council and shall preside over all meetings of the Council. \r\n(4) The Vice -President shall act in the absence of the President and shall carry out any duties \r\nassigned to him by the President. \r\n12. Executive Committee. —(1) The Council shall, for its efficient functioning, constitute an \r\nExecutive Committee to meet frequently to oversee day to day functions, as determined by the Council. The \r\nexecutive committee shall be headed by the President, or Vice President only in the absence of the President, \r\nand four other members, including the Director General of Health, a Member legal Professional, a Member \r\nChartered Accountant, and one member to be nominated by the Council. \r\n \r\nPage 15 of 33 \r\n \r\n(2) The Council may also constitute such other committees or sub-committees as it may deem fit or \r\nas advised by the Division concerned for carrying out the purposes of this Act. \r\n(3) The decision of the Executive Committee or any other such committee or sub -committee may \r\nbe reviewed by the Council. \r\n(4) The Executive Committee shall exercise and perform such powers and functions as are, or may \r\nbe, conferred upon it by the Council and will report on its activities to the Council at every Council meeting. \r\n(5) The Executive Committee may co-opt any other member advised by the Division concerned. \r\n13. Office of the Council.—(1) The head office of the Council shall be in Islamabad. \r\n(2) The Council shall appoint a Director Human Resource, a Director Registration, a Director \r\nEducation and Quality Assurance, and a Director IT to the Secretariat of the Council on such terms and \r\nconditions as it may determine with the prior approval of the Division concerned. \r\n(3) The Council may create a schedule of employees, re -designate or abolish posts, and determine \r\nsalaries and benefits for them with the prior approval of the Division concerned. \r\n14. Innovation and Reforms Unit and Centres of Excellence. — (1) There shall be a Nursing \r\nInnovation and Reforms Unit in the Division concerned and a Reforms Unit in the Council, established for \r\nthe purpose of policy innovation, research and development, reforms, international cooperation, and \r\nstrategic development in nursing and midwifery education, training. and workforce development and \r\nproductive employment within and outside Pakistan. \r\n(2) The Nursing Innovation and Reforms Units shall, inter alia,— \r\n(i) formulate and implement reform initiatives relating to nursing and midwifery \r\neducation, training, research, and workforce planning; \r\n(ii) facilitate the establishment of Centres of Excellence (CoE) Nursing institutions, in \r\ncollaboration with public and private stakeholders; \r\n(iii) promote research, innovation, and development in nursing and midwifery education, \r\nclinical practice, service delivery models, and workforce management; \r\n(iv) promote international linkages, faculty exchange, regulatory cooperation, and \r\ngovernment-to-government collaboration; \r\n(v) facilitate forward linkages, productive employment, and ethical export of nursing and \r\nmidwifery human resources to other countries, including for the generation of foreign \r\nremittances for the country; \r\n(vi) explore and support access to national and international nursing job markets and skill \r\npathways; and \r\n(vii) manage national and inter national grants and projects related to the progression of \r\nthe nursing and midwifery profession. \r\n \r\nPage 16 of 33 \r\n \r\n(3) The Council shall grant recognition to the CoE Nursing institutions or such other institutions \r\nidentified and recommended by the Division concerned in the province(s), autonomous regions and the \r\nIslamabad Capital Territory (ICT). The CoE Nursing institutions shall,- \r\n(i) have a minimum training capacity of two hundred students, w ith morning and \r\nevening shifts; \r\n(ii) provide state-of-the-art education, training, research, and simulation facilities; \r\n(iii) support career progression, productive employment, applied research, innovation, \r\nand international mobility of nursing personnel; and \r\n(iv) shall take necessary steps to enable and facilitate the students to obtain Government \r\nscholarships, in accordance with the applicable laws, rules, and policy framework. \r\n(4) CoE nursing institutions shall be established, operated, or managed through long -term public-\r\nprivate partnership, government -to-government cooperation, outsourcing, concession agreements, \r\ncontractual arrangements, build -operate-transfer arrangements, or any other mode of partnership, as the \r\ncase may be, approved by the Division concerned. \r\n(5) The Division concerned may post or transfer any officer, official, reform manager, academician, \r\ninformation technology specialist, or any employee of the Council to the Nursing Innovation and Reforms \r\nUnit in the Division concerned or to the Reforms Unit in the Council for the purposes of this Act. \r\n15. Secretary. —(1) The Council shall appoint a Secretary with the approval of the Division \r\nconcerned, on such terms and conditions as prescribed under the Rules for a period of three years, and shall \r\nbe eligible for re-appointment based on key performance indicators and evaluation. The Secretary shall,- \r\n(i) act under the direction of and report to the President and Council; \r\n(ii) be responsible for the efficient management of the office of the council; \r\n(iii) send out notices for the meetings to be held in consultation with the President, and \r\nshall record the minutes of all the meetings and send out notices along with the \r\nagenda items seven days before convening the meeting; \r\n(iv) keep the President informed of all matters; and \r\n(v) perform any other duties as specified by the President and the Council. \r\n(2) The Secretary shall be appointed through an open competitive process. The qualification shall \r\nbe a Master ’s degree in nursing, public policy, administration, or equivalent degree duly recognized by \r\nHEC with ten years of experience in policy administration. \r\n(3) The appointment of the secretary shall be on such terms and conditions as may be prescribed by \r\nrules. \r\n(4) The Division concerned, till the appointment of a regular incumbent, may post any officer, not \r\nbelow the rank of BPS-19 or equivalent, as Secretary of the Council. \r\n \r\nPage 17 of 33 \r\n \r\n16. Finance Director .—(1) There shall be a Director of Finance in the Council appointed on a \r\nregular basis by the Division concerned through a competitive and transparent process. \r\n(2) The Finance Director shall be responsible for the financial management, maintenance of proper \r\naccounts of funds of the Council, and shall ensure the annual audit by a duly appointed registered chartered \r\naccountant firm. \r\n(3) The Finance Director shall report all matters to the President and shall keep the Council informed \r\nof all important financial matters, and update the Council in its each meeting. \r\n(4) The Division concerned, till the appointment of a regular incumbent, may post any officer, not \r\nbelow the rank of BPS-19 or equivalent, as Director Finance of the Council. \r\n17. Officers and support Staff of the Council .— (1) The Council may appoint professionals, \r\nadministrative support staff, consultants, or advisors, herein referred to as employees of the Council , on a \r\nregular or contract basis with the prior approval of the Division concerned as it may deem fit and prescribed \r\nunder the Rules for carrying out the purposes of this Act. \r\n(2) Every employee of the Council, including members, advisors, consultants, and every person \r\nacting or purporting to act under this Act, rules and regulations made thereunder, shall be deemed to be a \r\npublic servant within the meaning of section 21 of the Pakistan Penal Code, 1860 (Act XLV of 1860). \r\n(3) The Council shall determine the terms and conditions of service and fix the pay and allowances \r\nof its employees as prescribed under the Rules. \r\n18. Provincial and Regional Nursing and Midwifery Board. —(1) The Council, in consultation \r\nwith respective provincial and regional health departments, shall constitute Provincial and Regional Nursing \r\nand Midwifery Board(s), with such composition as it may determine. \r\n(2) The functions of the Boards shall be to hold examinations and to confer, grant or issue diplomas, \r\ncertificates or other documents stating or implying that the holder, grantee or recipient thereof has acquired \r\na qualification in nursing, midwifery, midwifery associate, public health nursing or auxiliary nursing. \r\n(3) The Board shall get verified pre-enrollment certificates from the relevant authority on a random \r\nbasis. The Board shall verify from the issuing board of higher secondary and intermediate boards or \r\nauthorities on a random basis each year and send a report to the Council. \r\n(4) If any document is found fake or forged, after a t horough inquiry, the student or any other \r\nbeneficiary shall be debarred for life, and a warning letter shall be issued to the institution from where the \r\nenrolment has been sent. Further, penal action shall also be taken against the delinquent. A copy of su ch \r\ndocuments must be sent to the council. \r\n(5) A Board shall conduct its proceedings in such a manner as may be prescribed by the Regulations. \r\n(6) The provincial and regional boards constituted under sub -section (1) shall maintain their \r\nrespective funds for discharging the functions defined under the Act. \r\n19. Recognition of institutions conducting educational courses or programs. —(1) Any \r\ninstitution aiming to conduct any degree, courses, or programs in nursing and midwifery shall apply to the \r\n \r\nPage 18 of 33 \r\n \r\ncouncil for its recognition, on a prescribed format and on payment of such fee as determined by the Council. \r\nThe institution shall not commence any such course or program unless prior approval has been obtained \r\nfrom the Council. \r\n(2) For the purposes of inspection, evalua tion, and accreditation of institutions, the Council shall \r\nmaintain a pool of well-reputed inspectors of known integrity, drawn from all Provinces and the Islamabad \r\nCapital Territory in the manner prescribed by the Council. \r\n(3) The inspectors included in the pool shall be selected by the President of the Council on the basis \r\nof prescribed criteria, including \r\n(i) having a professional qualification in health sciences; \r\n(ii) adequate experience in the healthcare system; \r\n(iii) known integrity and reputation; and \r\n(iv) absence of conflict of interest. \r\n(4) The Council shall utilize the services of inspectors for the purposes of inspection, evaluation, \r\nand accreditation of institutions on such remuneration as determined by the Council. The inspectors \r\nincluded in the pool may be assigned inter-provincial or intra-provincial inspections. \r\n(5) The institution making an application under sub -section (1) shall fulfill t he requirements \r\nprovided below:— \r\n(i) financial sustainability; \r\n(ii) capacity to conduct the program applied for, by possessing: \r\n(a) proper infrastructure; \r\n(b) qualified number of faculty; and \r\n(c) clinical facility. \r\n(iii) satisfy the Council that it shall comply with the Rules, Regulations, policies, \r\ninstructions, and minimum Standards as prescribed by the Council for public and \r\nprivate sector institutions, as the case may be. \r\n20. Inspection of Nursing Institution. — (1) The already recognized institutions shall be inspected \r\nthrough the inspection teams constituted from the pool of inspectors maintained by the Council under \r\nsection 19: \r\nProvided that the Council may conduct re-inspection of the institutions, if deemed necessary. \r\n(2) The selected inspectors shall conduct biennial inspections of nursing and midwifery institutions, \r\non charging an inspection fee as prescribed by the Council, and shall submit a comprehensive report on \r\ncompliance to the Council with prescribed standards and the quality of education imparted, including \r\nconfirmation of the continuity and consistency of facilities and services declared to the inspectors at the \r\ntime of the initial inspection and recognition. \r\n \r\nPage 19 of 33 \r\n \r\n(3) The Council shall forward a copy of an inquiry or inspection report made under sub -section (2) \r\nto the institution concerned for responding to such observations within the period specified by the Council. \r\n(4) Upon the expiry of the period specified under sub-section (3), the Council may take actions under \r\nsection 28. \r\n(5) The Council shall ensure transparency in its affairs, and implement such digita l processes, \r\nincluding maintaining its website, contents for right to information as covered under applicable law, sharing \r\ninstitutional facilities, applications of the in stitutions, inspections, acceptance and withdrawals of \r\nrecognitions, or any other fun ctions of the Council and its reporting through Dashbo ards of the Division \r\nconcerned. \r\n(6) The Division concerned may direct the Council for the inspection, grant of registration or \r\naccreditation of any nursing institution after due process. \r\n21. Appeal Agai nst the Decisions of the Council. —(1) Any aggrieved person or institution \r\naggrieved by any decision of the Council may file an appeal before the Secretary of the Division concerned \r\nthrough an application, within a period of thirty days, clearly stating the reasons and justifications. \r\n(2) The Secretary may, if deemed appropriate, direct a special inspection and verification of the facts \r\nby a third party or team of experts so nominated by the Division concerned. \r\n(3) The decision of the Secretary of the Division concerned shall be final. \r\n(4) An appeal shall be subject to payment of a fee as determined by the Council. \r\n22. Random revisits.—(1) Throughout the year, all accredited institutions, universities, or degree-\r\nawarding institutes and affiliating universitie s shall provide their data and information in respect of any \r\nchanges in programs, students, teachers, available facilities, infrastructure, and land or area for review by \r\nthe council. \r\n23. Inspection of affiliating universities.— (1) The Council shall conduct biennial inspections of \r\naffiliating universities to ensure that such universities are duly performing their academic, examination, and \r\naffiliation functions in respect of nursing institutions recognized by the Council. \r\n(2) The Council shall further ensu re that all nursing institutions established, maintained or run by \r\nsuch universities, are maintained as state -of-the-art institutions and are fully compliant with all standards, \r\nrequirements and facilities prescribed under this Act, including standards relating to infrastructure, faculty, \r\nlaboratories, libraries, clinical training arrangements, student welfare, examination systems, quality \r\nassurance and any other nursing-related standards notified by the Council under this Act. \r\n(3) Any failure or deviation from the prescribed standards may result in suspension or cancellation \r\nof the affiliating status of the university for nursing and midwifery programs, suspension or cancellation of \r\nrecognition of the nursing institution established, maintained or run by th e affiliating university itself, or \r\nsuch other action as the Council may deem appropriate as per prescribed regulations made under the rules, \r\nafter affording an opportunity of hearing. \r\n24. Recognition of foreign qualification. —(1) After conducting the nati onal registration \r\nexamination, if the Council is satisfied that a person holding a qualification granted by a nursing or \r\n \r\nPage 20 of 33 \r\n \r\nmidwifery institution outside Pakistan, possesses sufficient knowledge and skill to be registered as a nurse \r\nor midwife for the purpose of this Act, may register him and their qualification. \r\n(2) The Council shall register the qualification granted by a nursing or midwifery institution outside \r\nPakistan, possessed by a person maintaining a separate list in the register. \r\n(3) The Council may grant recognition to such post -graduate nursing or midwifery institutions \r\noutside Pakistan that either impart training or grant higher qualifications or both. All such recognized \r\ninstitutions or qualifications shall be included in the Third Schedule of thi s Act and may be updated from \r\ntime to time. \r\n(4) The Council, for the reasons to be recorded in writing, may disqualify after evaluating the \r\ncredentials of the foreign institution and the qualification granted by them. \r\n(5) If any post -graduate nursing or midwifery institution outside Pakistan that imparts training or \r\ngrants additional nursing or midwifery qualifications or both, intends to get recognition of the institution, it \r\nshall apply to the Council for recognition. If an institution wishes to only train for a recognized postgraduate \r\nqualification in any specialty, it shall also apply to the qualification awarding body, and after consultation \r\nand approval of the Council, the institution shall be added in the Third Schedule to this Act, declaring it as \r\na recognized postgraduate institution. \r\n(6) The Council shall evaluate any higher qualifications granted by suc h foreign institutions and \r\nmay,— \r\n(a) recognize and include in the Third Schedule; or \r\n(b) notify only and shall not be included in the Third schedule; however, a separate li st \r\nthereof shall be maintained. \r\n25. Certification of certain persons in possession of recognized qualification. —(1) Where an \r\napplication is made by a person who is qualified from an institution outside Pakistan having relevant \r\nexperience, the Council shall satisfy itself that such a person possesses qualifications not inferior to a \r\nrecognized qualification with the certification of the HEC that such a person possesses qualifications \r\nmaking him eligible for a recognized qualification. \r\n(2) A person in favor of whom a certificate under sub-section (1) has been granted shall be deemed \r\nto be possessed of a recognized qualification for the purposes of this Act. \r\n26. Effect of recognition.—Notwithstanding anything contained in any other law for the time being \r\nin force,— \r\n(a) a person possessing a recognized qualification shall be entitled to be enrolled in the \r\nregister; \r\n(b) a person possessing a recognized higher qualification shall be entitled to have such \r\nqualification entered as a supplementary qualification in the register; and \r\n(c) no person shall, after the commencement of this Act, be entitled,— \r\n \r\nPage 21 of 33 \r\n \r\n(i) to be enrolled in the register as a nurse, midwife, health visitor, public health \r\nnurse, or nursing auxiliary unless such person possesses a recognized \r\nqualification; or \r\n(ii) have any of his qualifications that are not a recognized higher qualification \r\nentered as an advanced professional qualification in the register. \r\n27. Institutions to furnish information required by the Council. — Every institution or authority \r\nwhich conducts any educational programs for the purpose of preparing candidates for any recognized \r\nqualification or recognized higher qualification, or applies for the recognition of any qualifications granted \r\nby it in the fields of nursing, midwifery, or midwifery associate, shall furnish to the Council, such \r\ninformation as it may, from time to time, require relating to — \r\n(a) the educational programs; \r\n(b) examinations conducted during such educational programs; \r\n(c) the ages at which admissions are allowed to such courses of study and training; \r\n(d) clinical setting and beds pertaining to the education Program; or \r\n(e) any other matter generally pertinent to the requirements for its recognition. \r\n28. Withdrawal of Recognition. — (1) After considering a report submitted under Section 20, the \r\nCouncil may hold the opinion that,— \r\n(i) the educational program required to be undergone for obtaining a recognized \r\nqualification or recognized higher qualification, or conditions for admission to such \r\ncourses o f study or training, or the standa rds of proficiency acquired by the \r\ncandidates at the examinations held by the Board, are not in conformity with, or fall \r\nshort of the standards required by, the regulations, or \r\n(ii) that an institution recognized by the Council for the education of nu rses, midwives, \r\nmidwifery associates, or nurse auxiliaries does not satisfy the prescribed \r\nrequirements as to educational program for continuing recognized qualifications or \r\nrecognized higher qualifications. \r\n The Council shall send a statement to that effect, clearly stating the reasons for non -\r\nrecognition to the institution concerned or requiring submissions within a specified period. \r\n(2) Upon the expiry of the period specified under clause (b) of sub -section (1), the Council, after \r\nconsidering the explanation of the institution, shall take such steps, including temporary suspension of \r\nrecognition, as may be necessary to ensure compliance by the institution with the requirements of this Act \r\nand regulations made thereunder. \r\n(3) The temporary suspension may not exceed six months, allowing the institution to rectify the \r\ndeficiencies reported in the inspection. \r\n(4) Without prejudice to any steps that may be taken by it under sub -section (2) with respect to an \r\ninstitution, the Council may, by notification in the official Gazette, declare that any qualification granted \r\n \r\nPage 22 of 33 \r\n \r\nby such institution which is a recognized qualification or a recogni zed higher qualification shall, if it is \r\ngranted after a date specified in the notification, ceases to be recognized qualification or, as the case may \r\nbe, a recognized higher qualification. \r\n(5) The Council may, by notification in the official Gazette, decl are that any qualification granted \r\noutside Pakistan which is a recognized qualification or a recognized higher qualification shall, if it is granted \r\nafter a date specified in the notification, cease to be a recognized qualification or, as the case may be, a \r\nrecognized higher qualification. \r\n29. Maintenance of Database. — The Council shall maintain the following digital database for \r\nnational nursing and midwifery human resources,— \r\n(a) pre-registration; \r\n(b) registration; \r\n(c) faculty registration; \r\n(d) good standing certificates; and \r\n(e) nursing staff working in foreign countries: \r\nProvided that the Council shall maintain and verify the CNIC and all other necessary credentials of \r\na person registered and licensed by the Council, and carry out biometrics of all persons registered, and \r\nmaintain the updated information of where each person registered and licensed under the Act is working. \r\nSuch information shall be shared by the Council with the Division concerned and the respective healthcare \r\ncommissions, as and when required. \r\n30. Digital identification, verification, and digitization cost. — (1) The Council shall issue a \r\ndigitally verifiable identification card incorporating a quick response (QR) code or any other secure digital \r\nidentifier to all nurses, nurse prac titioners, midwives, midwifery associates, and nursing auxiliaries \r\nregistered or licensed by the Council and working in any healthcare facility or any other place. \r\n(2) Every person issued an identification card under sub -section (1) shall wear or visibly d isplay \r\nsuch card at all times while present in a nursing institution, healthcare facility, or any place of professional \r\nengagement. \r\n(3) Every institution recognized, accredited, or regulated by the Council shall not permit any \r\nregistrant to perform academic, clinical, or professional duties without such identification. \r\n(4) The Council shall maintain a central digital system for verification of credentials through \r\nscanning of the identification card for the purposes of authentication, monitoring, and public safety. \r\n31. Maintenance of the Register. —The Council shall, for the purpose of registration of nurses, \r\nmidwives, midwifery associates and nursing auxiliaries possessing recognized qualifications or recognized \r\nhigher qualifications, maintain a register, which shall enter such particulars relating to the persons registered \r\nas may be prescribed under Regulations. \r\n \r\nPage 23 of 33 \r\n \r\n32. Procedure for Registration.—Any person possessing a recognized qualification or recognized \r\nhigher qualification, who is not disqualified for registration, may make an application, accompanied by the \r\nprescribed fee, for registration of his name in the register to the Council. \r\n(2) The Council shall, if it is satisfied that the applicant possesses a recognized qualification or \r\nrecognized higher qualification and it is not disqualified for registration, register the name of the applicant \r\nin the register. \r\n(3) No application under sub -section (1) shall be rejected except after giving the applicant an \r\nopportunity of being heard. \r\n33. National Registration E xamination.—The Council, as per the schedule approved by it, shall \r\nconduct the NRE for Pakistani foreign graduate students having obtained an undergraduate nursing or \r\nmidwifery qualification, including internship issued by a foreign university or by a foreign institution duly \r\nrecognized by the Council. Passing the NRE shall be mandatory for obtaining a full registration. The NRE \r\nshall be designed in the manner as prescribed under the rules. \r\n34. National Licensing Examination. —(1) The Council shall conduct t he NLE at as per the \r\nschedule approved by it. \r\n(2) On graduation, the Council shall issue a provisional license for one year. \r\n(3) Passing the NLE shall be mandatory for obtaining a full license: \r\nProvided that there shall be no limit on the number of attempt s for a person to appear in the NLE \r\nand at any time: \r\nProvided further that the Council shall implement the NLE within a period of two years from the \r\ncommencement of this Act. \r\n(4) The Council shall formulate the examination structure and standards of the NLE for the grant of \r\na provisional license upon completion of undergraduate training, and to set up and authorize a committee \r\nof not less than three persons to formulate the examination papers of the NLE for approval of the Council \r\nin a manner prescribed under the Rules for all bachelor’s degrees. \r\n(5) All universities and Boards shall, within ten days of students having successfully completed the \r\nprogram of study and passed their final exanimations, inform the Council of the results to enable the students \r\nto be registered for taking the NLE. \r\n(6) Any registrant who has obtained a license to practice in any foreign country after having qualified \r\nfrom Pakistan or from a foreign insti tution recognized by the Council and does not hold a postgraduate \r\nqualification recognized by the Council shall be required to qualify for the NLE for the grant of a full license \r\nto practice in Pakistan: \r\nProvided that a registrant who has obtained a licens e to practice in a foreign country or qualified \r\nfrom a foreign institution, but has acquired a postgraduate qualification in Pakistan or from a foreign \r\ninstitution recognized by the Council, shall not be required to qualify for the NLE and shall be granted a \r\nfull license to practice on the basis of the recognized postgraduate qualification. \r\n \r\nPage 24 of 33 \r\n \r\n35. Renewal of License.— (1) The Council shall renew a license granted to a registrant subject to \r\ncompliance with recognized standards and competencies after passing the prescribed training courses and \r\nthe Continuous Professional Development (CPD) Program. \r\n(2) The Council shall prescribe training courses and a Continuous Professional Development (CPD) \r\nProgram to be completed for renewal of the license. \r\n36. Removal of name from the Register.— (1) The Council may, if it is satisfied that a person has, \r\nafter his registration, become disqualified for such registration, remove the name of such person from the \r\nregister, in a manner prescribed, whereupon such person shall cease to be a registrant: \r\nProvided that no name shall be so removed except after giving the person affected an opportunity \r\nof being heard. \r\n(2) Council shall maintain the lists of qualified and disqualified registrants on its website. \r\n(3) The Council may, at any time for reason to be recorded in writing, restore in the register the \r\nname of any person who has been removed therefrom under sub-section (1). \r\n37. Disqualification for Registration. —A person shall be disqualified for regis tration in the \r\nregister, if he— \r\n(a) has been convicted of any offence under this Act or of any other offence which in \r\nthe opinion of the Council, implies a defect of character; or \r\n(b) has, at any enquiry held by the Council in which the person was given a reasonable \r\nopportunity of b eing heard, been found guilty of such conduct as is considered \r\nderogatory to his profession in accordance with the Regulations. \r\n38. Prohibition of employment of unregistered nurses, etc.—No healthcare facility shall employ \r\ntherein any person as nurse, midwife, midwifery associate or nursing auxiliary unless such person,— \r\n(a) is registered in the register; or \r\n(b) is a trainee at an institution recognized for the purpose by the Council and is certified \r\nby the head of that institution to have already received su fficient training to be able \r\nto perform his duties safely and satisfactorily. \r\n39. Nursing standards in healthcare facilities.—(1) The Council shall prescribe minimum nursing \r\nstandards for healthcare facilities employing nurses, nurse practitioners, midwife ry associates, or nursing \r\nauxiliaries, including standards relating to,— \r\n(i) nursing management and supervisory structures; \r\n(ii) nursing quality assurance, patient safety, and clinical governance; \r\n(iii) induction training, in -service training, and continuing professional development of \r\nnursing personnel; \r\n(iv) staffing levels, duty rosters, and working conditions for nursing personnel; \r\n \r\nPage 25 of 33 \r\n \r\n(v) employment-related benefits for nursing personnel, including wages, leave, social \r\nsecurity, and employees’ old-age benefits coverage, where applicable; and \r\n(vi) performance evaluation, grievance redressal, and professional developm ent of \r\nnursing personnel. \r\n(2) Every healthcare facility shall maintain and submit to the Council, in such form and at such \r\nintervals as may be determined by the Council, information and documentation demonstrating compliance \r\nwith the nursing standards prescribed under sub-section (1). \r\n40. Insurance coverage for nursing personnel and students. —(1) Every nursing institution \r\nrecognized or accredited by the Council shall ensure that all enrolled students, including pre -enrolled \r\nstudents, are covered by appropri ate health and accidental insurance for the duration of their training and \r\neducation. \r\n(2) Every healthcare facility engaging nurses, nurse practitioners, midwives, midwifery associates, \r\nor nursing auxiliaries shall ensure that such personnel are covered by adequate health, life, and accidental \r\ninsurance, in accordance with standards determined by the Council. \r\n(3) The cost of insurance coverage for students may be recovered by the nursing institution as part \r\nof tuition or admission-related fees, in such manner as may be determined by the Council; and the cost of \r\ninsurance coverage for nursing personnel shall be borne by the healthcare facility, as the case may be. \r\n(4) Every healthcare facility and nursing institution shall maintain records of insurance covera ge \r\nand shall submit evidence of compliance to the Council annually. \r\n41. Offences and penalties. —(1) Any person who commits an offence under this Act, or \r\ncontravenes any provision of this Act, the rules or regulations made thereunder, shall be punishable in \r\naccordance with the Fourth and Fifth Schedules. \r\n(2) The Court of Sessions shall, in accordance with the Criminal Procedure Code, 1898 (Act V of \r\n1898), try the offences mentioned in the fourth schedule, which shall be amended by the Council with the \r\napproval of the Division concerned. \r\n(3) The Council shall take cognizance of the offences mentioned in the fifth schedule, which shall \r\nbe amended by the Council with the approval of the Division concerned. \r\n42. Quarterly report.— (1) The Council shall submit a quarterly report to the National Assembly \r\nStanding Committee and to the Division concerned covering the conduct of its affairs and shall also display \r\nit on its website by the end of September each year. \r\n(2) The Division concerned may, at any time, require the Council to furnish it with— \r\n(i) a report on any subject with which the Council is concerned; \r\n(ii) any return, statement, statistics, or other information regarding any matter under the \r\ncontrol of the Council; or \r\n(iii) a copy of any document in the charge of the Council, and the Council shall comply \r\nwith every such requisition, and the Council shall be bound to act thereon. \r\n \r\nPage 26 of 33 \r\n \r\n43. Appellate Authority. —The Secretary of the Division concerned shall be the Appellate \r\nAuthority for the offences menti oned in the Fifth Schedule of this Act, and any appeal or representation \r\nprovided under this Act shall lie to him within thirty days of any impugned decision of the Council. \r\n44. Commission of Inquiry. —(1) The Division Concerned, upon receipt of any informa tion or \r\ncomplaint or on its own motion, may constitute a Commission of Inquiry headed by an officer of the \r\nDivision concerned not below the rank of Joint Secretary and one member, an expert in the subject matter. \r\nThe commission shall, for the purpose of this Act, have the same power as vested in a Civil Court under the \r\nCourt of Civil Procedure 1908 (Act V of 1908) to conduct the proceedings relating to the following:- \r\n(i) summoning and enforcing the attendance of any person and examining him on oath; \r\n \r\n(ii) compelling the production of a document, including any digital evidence; \r\n(iii) receiving evidence on affidavits; and \r\n(iv) issuing a commission for the examination of witnesses. \r\n(2) The Commission shall fix the responsibility within ninety days of the inquiry and shall submit a \r\nreport to the Secretary of the Division concerned, who shall be authorized to take disciplinary action against \r\nthe employees of the Council under Efficiency and Disciplinary Rules applicable to the Council. \r\n(3) Upon receiving the report from the Commission, the Secretary of the Division concerned may \r\nadvise the Council to withdraw the recognition or accreditation of such institutions that obtained their \r\nrecognition or accreditation fraudulently or are running the same without legal procedures as prescribed \r\nunder the Act, rules, or regulations: \r\nProvided that such advice of the Secretary of the Division concerned shall be binding upon the \r\nCouncil. \r\n(4) The Council shall provide the secretariat support to the Commission of Inquiry: \r\nProvided that no inquiry shall be ordered by the Division concerned on a false, frivolous, baseless, \r\nor anonymous complaint or information. The Commission of Inquiry shall, before proceeding with the \r\ncomplaint, satisfy itself with regard to the genuineness and authenticity of the complaint. \r\n45. Directives from the Division concerned. —The Division concerned may, from time to time, \r\nissue to the council such policies, directives, and instructions as it may consider necessary for carrying out \r\nthe purposes of this Act, and the Council shall be bound to act thereon. \r\n46. Reporting, dissemination, and confidentiality of data. —The real -time data, information, \r\nSOPs, guidelines, and reports as produced by the council shall be reported and regularly placed and updated \r\non its public website for wider dissemination and sharing, in English and the national language, to keep the \r\npublic informed. \r\n47. Action done in good faith.— (1) No suit or other legal proceedings shall lie against the Division \r\nconcerned, Council, or any other committee constituted so, inspection teams, advisers, consultants, staff, \r\nand officers, or other persons appointed by the Council for anything done in good faith in the execution or \r\npurported execution of this Act, rules, or regulations made thereunder. \r\n \r\nPage 27 of 33 \r\n \r\n(2) No suit or other legal proceedings shall lie against the Council for any damage caused or likely \r\nto be caused for anything which is done with due care in good faith or intended to be done in pursuance of \r\nthe provisions of this Act. \r\n48. Fund of the Council.—(1) There shall be established a fund to be known as the Pakistan Nursing \r\nand Midwifery Council Fund, hereinafter referred to as the Fund, which shall vest in the Council and shall \r\nbe utilized by the Council to meet charges and expenses in connection with the affairs of the Council. \r\n(2) The Fund shall consist of, — \r\n(i) such sums, grants received from the Government or any other source; \r\n(ii) donations from domestic and international donor agencies and other institutions; \r\n(iii) grants of money and sums borrowed or raised by the Council for the purposes of \r\nmeeting any of its obligations or discharging any of its duties; \r\n(iv) fees, penalties, fines, or other charges imposed under this Act; and \r\n(v) all other sums which may in any manner become payable to or vested in the Council \r\nin respect of any matter incidental to the exercise of its functions and powers. \r\n(3) The Council shall be responsible and accountable for management and disbursement of \r\nexpenditure from the Funds, including the use of assets as prescribed under the Rules and such procedures \r\ndefined in Regulations. \r\n49. Endowment Fund. —(1) There shall be established an Endowment Fund, linked with and \r\nforming part of the Fund of the Council, to be known as the Pakistan Nursing and Midwifery Council \r\nEndowment Fund. \r\n(2) The Endowment Fund shall be utilized exclusively for purposes including— \r\n(i) development and strengthening of international linkages and cooperation; \r\n(ii) faculty exchange programs, fellowships, and capacity-building initiatives; \r\n(iii) regulatory collaboration and exchange with foreign nursing and midwifery councils \r\nand bodies; \r\n(iv) facilitation of memoranda of understanding, international agreements, and regulatory \r\nexchanges; \r\n(v) promotion, exchange, and export of nursing and midwifery human resource potential \r\nof Pakistan; and \r\n(vi) provision of scholarships, educational support, and financial assistance to deserving, \r\nneedy, and talented students enrolled in nursing and midwifery programs, in such \r\nmanner as may be determined by the Council. \r\n(3) Every institution recognized, accredited, or regulated by the Council shall make an annual \r\ncontribution to the Endowment Fund in such amount and manner as may be determined by the Council. \r\n \r\nPage 28 of 33 \r\n \r\n(4) Any institution organizing conferences, seminars, workshops, or similar academic or \r\nprofessional events relating to nursing or midwifery shall deposit a prescribed proportion of the revenue or \r\ncollection generated from such events into the Endowment Fund. \r\n(5) The Endowment Fund shall be administered, managed, and accounted for by the Council as part \r\nof its Fund, subject to audit and financial oversight in accordance with this Act. \r\n(6) The Council shall ensure transparency in the utilization of the Endowment Fund and shall include \r\na separate statement of its receipts and expenditures in its annual report. \r\n(7) Where any institution fails to make the required contribution to the Endowment Fund within the \r\nprescribed time, the Council may, after affording an opportunity of being heard,- \r\n(i) suspend or cancel the registration, recognition, or accreditation of such institution \r\nunder this Act; or \r\n(ii) recover the outstanding amount as arrears of land revenue in ac cordance with the \r\nrelevant law. \r\n(8) The remedies provided under sub-section (7) shall be in addition to and not in derogation of any \r\nother action that may be taken under this Act. \r\n(9) The Council shall be responsible and accountable for management and disbursement of \r\nexpenditure from the Funds as prescribed under the Rules and such procedures defined in Regulations. \r\n50. Power to make regulations. —The Council shall make regulations for carrying out the purposes \r\nof this Act, subject to approval of the Division concerned, inter alia,— \r\n(i) management of the property of the C ouncil and the maintenance and audit of its \r\naccounts; \r\n(ii) summoning and holding of the meetings of the Council or of a Board, the conduct of \r\nbusiness thereof, and the number of members necessary to constitute a quorum; \r\n(iii) the functions of the Executive Committee, the summoning and holding of meetings \r\nthereof, the times and places at which such meetings shall be held, and the number \r\nof members necessary to constitute a quorum; \r\n(iv) the conditions for admission to courses of training as aforesaid; \r\n(v) procedure and timelines for inspection, accreditation, and recognition of the public \r\nand private sector nursing institutions reporting thereof; \r\n(vi) the standards of examination and other requirements to be satisfied for the declaration \r\nof any qualification as a recognized qualification or recognized higher qualification; \r\nand \r\n(vii) any other matter which is to be or may be prescribed. \r\n \r\nPage 29 of 33 \r\n \r\n51. Powers to make Rules — (1) The Federal Government, with the consultation of the Division \r\nconcerned, may make rules for carrying out the purposes of this Act inter alia,— \r\n(i) the powers and duties of the President and the Vice-President; \r\n(ii) scope of practice for its registrants, including regulating the practice of nurses, \r\nmidwives, midwifery associates, and nursing auxiliaries, and for prohibiting persons \r\nnot registered in the register from so practicing; \r\n(iii) fees to be charged for registration or for any other purpose of the Act; \r\n(iv) fees for recognition of any institution or authority; \r\n(v) a code of p rofessional conduct and standard for practice and education for Nurses, \r\nMidwives, and midwifery associates; \r\n(vi) the functions of the Nursing and Midwifery provincial and regional Boards; \r\n(vii) terms and conditions of service, the pay and allowances of the officers and servants, \r\nand the powers and dutie s of the officers and supportive staff of the Council in \r\nconformity with the federal government pay and scale for the autonomous bodies; \r\n(viii) financial and funds management of the council; \r\n(ix) procedure for removing all or any member of the Council; \r\n(x) prescribing conflict of interest; and \r\n(xi) any matter connected or ancillary to this Act. \r\n52. Removal of difficulties.—If any difficulty arises in giving effect to any provision of this Act, \r\nthe Federal Government, through the Division concerned, may make such orders not inconsistent with the \r\nprovisions of this Act as may appear to it to be necessary for the purpose of removing such difficulty. \r\n53. Repeal and Saving.—(1) The Pakistan Nursing Council Act, 1973 (Act No. XXVI of 1973) as \r\namended from time to time, and Pakistan Nursing and Midwifery Council Ordinance, 2025, and any \r\nregulations or bye -laws made under the said Act or Ordinance and were in force immediately before the \r\ncommencement of this Act are hereby repealed. \r\n(2) Notwithstanding the repeal of the said Act and Ordinance.- \r\n(i) the Pakistan Nursing and Midwifery Council constituted under the Pakistan Nursing \r\nand Midwifery Council Ordinance, 2025 (Ordinance No IX of 2025), and functioning \r\nimmediately before the commencement of this Act, shall be deemed to have been \r\nconstituted under this Act to the extent of Section 4 of this Act and shall continue to \r\nfunction as per the composition already notified; \r\n(ii) any scheme of reciprocity settled under the said Act or Ordinance and subsisting \r\nimmediately before the commencement of this Act shall continue in force and be \r\ndeemed to be a scheme of reciprocity settled under the said Acts; \r\n \r\nPage 30 of 33 \r\n \r\n(iii) any register of nurses, midwives, health visitors, and nursing auxiliaries which was \r\nmaintained immediately before the commencement of the said Act or Ordinance \r\nunder the said Act, and the persons registered in such register shall be deemed to be \r\nthe register-maintained persons registered therein under this Act; \r\n(iv) any qualification entered as a supplementary qualification in any register under the \r\nsaid Act or Ordinance shall be deemed to be the supplementary qualification entered \r\nin the register under this Act, notwithstanding that such qualification is not a \r\nrecognized higher qualification; \r\n(v) subject to the administrative scrutiny, any employee of the Pakistan Nursing and \r\nMidwifery Council appointed under the said Act or Ordinance, through due process \r\nof law and procedure, shall be deemed to be an employee appointed by the Council \r\nunder this Act; \r\n(vi) all assets, rights, powers, authorities and privileges and all property, movable and \r\nimmovable, and all interests therein and all deb ts, liabilities and obligations of the \r\nPakistan Nursing and Midwifery Council constituted under the said Acts and \r\nsubsisting immediately before the commencement of this Act shall stand transferred \r\nto, and be deemed to be the assets, rights, powers, authorities, privilege, property and \r\ninterests of the Council established under this Act; \r\n(vii) any action taken or any proceeding commenced under any of the provisions of the \r\nsaid Act or Ordinance shall continue in force and be deemed to have been done, \r\ntaken, or commenced under the corresponding provision of this Act; and \r\n(viii) subject to the administrative scrutiny by the Division concerned, any decisions taken \r\nby the Council in the past, in good faith and with proven due diligence, before the \r\ncommencement of this Act shall be deemed to be decisions taken under this Act. \r\n \r\n \r\nPage 31 of 33 \r\n \r\nThe First Schedule \r\n[see section 2 (xxi, xxii)] \r\nRecognized Qualification \r\n(1) Bachelor’s in Nursing: Four-year Degree Course \r\n(2) Post RN Bachelor’s in Nursing: Two-year Degree Course \r\n(3) Master’s in Nursing (MSN): Two-year Degree Course \r\n(4) Doctorate in Nursing: Four years Degree course \r\n(5) Post Basic Specialization: l year diploma course in different disciplines, e.g. Cardiac Care Nursing, \r\nOncology Nursing, etc. \r\n(6) Midwifery Associate \r\n(i) Lady Health Visitor (LHV): Twenty-seven months Diploma Course \r\n(ii) Community Midwife (CMW): Two-year Diploma Course \r\n(iii) Associate Degree: (LHV) Two-year Course \r\n(iv) Associate Midwifery Degree: Two-year Midwifery Course \r\n(v) Female welfare worker: two-year program \r\n(7) Post Associate Bachelor’s Degree for (LHV): Two-year Degree Course \r\n(8) Post Associate Midwifery Degree (RM): Two-year Midwifery degree Course \r\n(9) Nursing auxiliary \r\n(i) Certified Nursing Assistant \r\n(ii) Health Caregiver one-year Diploma Course \r\n(iii) Any other discipline as deemed appropriate by the Council. \r\n \r\n************ \r\nThe Second Schedule \r\n [see Section 18] \r\nRecognized Institutions \r\n ************ \r\n The Third Schedule \r\n [see Section 22] \r\nRegistered Foreign Qualification \r\n \r\nPage 32 of 33 \r\n \r\nThe Fourth Schedule \r\n[See section 41] \r\n \r\nOffence Cognizable by the Court of Sessions \r\nSr. \r\nNo. \r\nOffence Punishment \r\n(a) Any person procuring or attempting to \r\nprocure registration by making or causing to \r\nbe made any false or fraudulent statement, \r\nrepresentation, or declaration \r\nImprisonment of either description for a \r\nterm which may extend to six months, or \r\nfine which may extend up to Rs. 500,000, \r\nor both. \r\n(b) Representing oneself as a registered nurse, \r\nmidwife, midwifery associate, or n ursing \r\nauxiliary without being registered, or using \r\nany title, word, or letter intended to imply \r\nsuch registration \r\nImprisonment of either description for a \r\nterm which may extend to one year, or fine \r\nwhich may extend up to one million \r\nrupees but not less th an one hundred \r\nthousand rupees, or both \r\n(c) Practicing as a nurse, midwife, midwifery \r\nassociate, or nursing auxiliary in \r\ncontravention of this Act, rules, or \r\nregulations \r\nImprisonment of either description for a \r\nterm which may extend to two years, or a \r\nfine which may extend up to one million \r\nrupees but not less than one hundred \r\nthousand rupees, or both \r\n(d) Repetition of the same offence more than \r\nthree times \r\nSuspension or cancellation of registration \r\nor license, in addition to punishment as \r\nmentioned in clause (c) of this Schedule. \r\n(e) Issuing, selling, awarding, or offering \r\nforged or unauthorized nursing or \r\nmidwifery qualifications, or falsely \r\nrepresenting such qualifications as \r\nrecognized. \r\nImposing a fine on the institution, which \r\nmay extend to Rs. 2,000,000. \r\n \r\n \r\n \r\nPage 33 of 33 \r\n \r\nThe Fifth Schedule \r\n[see Section 41] \r\n \r\nOffences Cognizable by the Council \r\nSr. No. Offence Punishment \r\n(a) Any institution fails to make the \r\nrequired contribution to the \r\nEndowment Fund of the Council \r\nwithin the specified period of time, \r\nand after affording an opportunity to \r\nbe heard. \r\nTemporary suspension of the \r\nregistration, recognition, or accreditation \r\nof such institution initially for a period of \r\nthree (03) months. In c ase of continued \r\ncontravention, it may lead to permanent \r\ncancellation. \r\n(b) Intentionally or knowingly not \r\nproviding insurance cover to the \r\nstudents of the recognized nursing \r\ninstitutions and engaging nurses, \r\nnurse practitioners, midwives, \r\nmidwifery associ ates, or nursing \r\nauxiliaries at healthcare facilities as \r\nper Section 40 of the Act. \r\nCancellation or suspension of \r\nregistration or recognition of the nursing \r\ninstitution, and imposition of a fine not \r\nexceeding PKR 500,000 on the \r\nhealthcare facility or nursing institution, \r\nor both. \r\n(c) Any institution seeking or attempting \r\nto seek recognition by making or \r\ncausing to be made any false or \r\nfraudulent statement or representation \r\nImposing a fine of not exceeding twenty-\r\nfive hundred thousand on the institution \r\n(d) Establishing, operating, or \r\nadvertising any nursing or midwifery \r\ninstitution, or admitting students \r\ntherein, without recognition, \r\nregistration or accreditation from the \r\nCouncil, or by using false \r\nrepresentation of such authorization \r\nshall be punishable with a fine which \r\nmay extend to ten million rupees but \r\nshall not be less than three million \r\nrupees, and the institute concerned shall \r\nbe liable to closure for a period which \r\nmay extend to two years but shall not be \r\nless than one year, or with both. \r\n \r\n \r\n_____________ \r\n \r\n \r\n \r\nRGN Dated: 03-07-2026", "passage_offset_convention": "zero-based Unicode code points and UTF8 bytes; end exclusive", "passages": [ { "passage_id": "law:pk-code-d88e3d07aa7d1cde:sha256:fc87b3b490feece64092243c6bd4b8fe92911e141545c3ca93d2705e898ae60b:chars-0-1780:41b8ca665ee0c1aae0a20cb78e46a0cd1b75f708fb7312f2cc81fb9f7da73597", "character_start": 0, "character_end": 1780, "utf8_byte_start": 0, "utf8_byte_end": 1780, "passage_sha256": "41b8ca665ee0c1aae0a20cb78e46a0cd1b75f708fb7312f2cc81fb9f7da73597", "reader_fragment": 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