PAKISTAN KIDNEY AND LIVER INSTITUTE AND RESEARCH CENTER ACT 2019

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PAKISTAN KIDNEY AND LIVER INSTITUTE AND 
RESEARCH CENTER ACT 2019 
(XI of 2019) 
CONTENTS 
1. Short title, extent and commencement. 
2. Definitions. 
3. Establishment of the Institute. 
4. Functions of the Institute. 
5. Administration of the affairs of the Institute. 
6. Board of Governors. 
7. Meetings of the Board. 
8. Disqualifications. 
9. Removal of a private member. 
10. Casual vacancy. 
11. Power and duties of the Board. 
12. Chairperson. 
13. Dean. 
14. Executive Council. 
15. Hospital Director. 
16. Functions of the Hospital Director. 
17. Medical Director. 
18. Functions of Medical Director. 
19. Nursing Director. 
20. Finance Director. 
21. Employees of the Institute. 
22. Special Selection Board. 
23. Funds. 
24. Bank accounts. 
25. Maintenance of accounts. 
26. Accounts and audit. 
27. Transfer of state land. 
28. Indemnity. 
29. Power to make rules. 
30. Power to frame regulations. 
31. Trust. 
32. Repeal. 
TEXT 
1
PAKISTAN KIDNEY AND LIVER INSTITUTE AND RESEARCH CENTER 
ACT 2019 
(XI of 2019) 
[21st March, 2019] 
An 
Act 
to provide for the establishment of the Pakistan Kidney and Liver Institute and 
Research Center. 
It is necessary  to provide  for the  establishment of the  Pakistan Kidney and Liver 
Institute and Research Center in the Punjab and for the matters ancillary thereto; 
Be it enacted by Provincial Assembly of the Punjab as follows: 
1. Short title, extent and commencement .− (1) This Act may be cited as the 
Pakistan Kidney and Liver Institute and Research Center Act 2019. 
(2) It shall extend to whole of the Punjab. 
(3) It shall come into force at once. 
2. Definitions.− In this Act: 
(a) “Act” means the Pakistan Kidney and Liver Institute and Research 
Center Act 2019; 
(b) “Board” means the Board of Governors of the Institute; 
(c) “Chairperson” means Chairperson of the Board; 
(d) “Council” means the Executive Council of the Institute; 
(e) “Dean” means head of the Institute and the Council; 
(f) “Government” means Government of the Punjab; 
(g) “Hospital Director” means head of the administration of a hospital 
appointed under section 15 of the Act; 
(h) “Institute” means Paki stan Kidney and Liver Institute  and Research 
Center established under the Act; 
(i) “Medical Director” means head of the clinical units appointed under 
section 17 of the Act; 
(j) “member” means a member of the Board; 
(k) “Nursing Director” means head of the Nursing establishment of a 
hospital appointed under section 19 of the Act; 
(l) “prescribed” means prescribed by the rules  or the regulations made 
under the Act; 
                                                           
1This Act was passed by the Provincial Assembly of the Punjab on 13 March 2019; assented to by the Governor of the Punjab 
on 18 March 2019; and, was published in the Punjab Gazette (Extraordinary), dated: 21 March 2019, pp.2185-2192. 
(m) “regulations” means the regulations framed under the Act; and 
(n) “rules” means the rules made under the Act. 
3. Establishment of the Institute.− (1) The Government shall, by notification  in 
the official Gazette , establish an Institute to be known as the Pakistan Kidney and 
Liver Institute and Research Center. 
(2) The Institute shall be a body corporate having perpetual succession 
and a common seal with power to acquire, hold and dispose of any movable and 
immovable property subject to subsection (3) and shall by the said name, sue and be 
sued. 
(3) The Institute shall not  dispose of immovable property without prior 
approval, in writing, of the Government. 
4. Functions of the Institute.− The Institute shall: 
(a) establish a center of excellence in medical and surgical care, 
teaching and research with respect to kidney, liver, bladder,  
prostate and pancreatic diseases; 
(b) provide free of cost, shared cost or full cost basis diagnosis and 
treatment of kidney, liver and bladder diseases; 
(c) educate and increase awareness about prevention of kidney, 
liver, bladder, prostate and pancreas diseases; 
(d) provide state of the art medical and surgical services to patients 
with kidney, bladder, prostate, liver and pancreatic diseases; 
(e) promote various aspects of preventive medicines of kidney, 
bladder, prostate, liver and pancreatic diseases; 
(f) provide education and training in the above mentioned 
disciplines to doctors, medical students, nurses, technicians and 
para-medical staff according to international standards , and 
award the training certificates; 
(g) distribute prizes in recognition of outstanding original research 
work; 
(h) purchase, take on lease or otherwise acquire an y movable or 
immovable property; 
(i) accept don ations or other transfer of any  moveable or 
immovable property from any individual or organization; 
(j) coordinate with international institutions with regard to work of 
the Institute; 
(k) raise funds and seek donations for furtherance of the work of the 
Institute; 
(l) establish and manage funds for its employees and patients; 
(m) raise and borrow any funds required for purposes of the Institute 
on recognized security mechanism; 
(n) invest monies  of the Institute not immediately required in such 
securities, shares, debentu res or otherwise in such manner,  as 
may, from time to time, be determined by the Board; and 
(o) perform any other function as may be ancillary to the above 
functions or as may be prescribed. 
5. Administration of the affairs of the Institute .− (1) The general 
administration of the Institute and its affairs shall vest in the Board. 
(2) The Board shall transact and dispose of its business in such manner as 
may be prescribed. 
(3) If for any reason, the Board becomes dysfunctional , the G overnment 
shall constitute an administrative committe e to run the affairs of the I nstitute for a 
period of three month. 
6. Board of Governors.− (1) The composition of the Board of Governors shall 
be as follows: 
(a) Chief Minister, Punjab; Patron in Chief 
(b) Secretary to the Government, 
Specialized Healthcar e and Medical 
Education Department; 
Member 
(c) Secretary to the Government, Finance   
Department; 
Member 
(d) Secretary to  the Government, Law and  
Parliamentary Affairs Department; 
Member 
(e) Secretary to the Government, Planning 
and Development Department; 
Member 
(f) Dean, Pakistan Kidney and Liver 
Institute; 
Member 
(g) seven persons of eminence from the 
private sector  including at least one 
female member  from the civil society ; 
and  
Members 
(h) Hospital Director; Member/Secretary 
 
 (2) The Government shall appoint  the Chairperson and private members 
for a period of three years and a retiring member shall be eligible for re-nomination. 
 (3) A private m ember may be removed by the Government at any time 
during his term of office in the manner provided under section 8 of the Act.  
 (4) The Board may co-opt any other person or expert for a meeting or for a 
specific purpose or project. 
 (5) A private m ember may resign by tendering resignation to the 
Government. 
 (6) A private member may receive remuneration for the services rendered 
as a m ember as may be prescribed by the Government and he shall be  entitled to 
receive traveling, boarding and lodging allowances. 
7. Meetings of the Board.− (1) The Board shall me et at least six times in a 
calendar year. 
(2) The Patron in Chief shall preside over a meeting of the Board and in 
his absence the Chairperson shall preside over the meeting.  
(3) One third members shall constitute quorum for a meeting of the Board. 
(4) Decisions of the Board shall be t aken by simple majority of the 
members of the Board, and, in case of tie, the person presiding over shall have the 
second vote. 
8. Disqualifications.− No person shall b e, or shall continue to be, the m ember 
of the Board who: 
(a) has tendered resignation and not withdrawn it within a period of 
thirty days; 
(b) is, or at any time has been, adjudicated as insolvent;  
(c) is found to be of unsound mind by a c ourt of competent 
jurisdiction; 
(d) is, or has at any time been, convicted of any offence involving 
moral turpitude; 
(e) has mental or physical infirmity as  may be  determined by a 
Medical Bard constituted by the Government; 
(f) is guilty of misconduct; and 
(g) absents himself from three consecutive meetings of the Board, 
without taking leave from the Board.  
9. Removal of a private m ember.− (1) If the Government is  of the opinion that 
a private member is unable to perform  his functions as a m ember due to conditions 
specified in section 8, it may remove such a member. 
(2) If a person is removed from the office of member under this section, he 
shall not be eligible for re-appointment under this Act. 
10. Casual vacancy.− In case of any va cancy of the post of a private m ember, 
the Government shall fill such vacancy by appointing another person for the 
remainder of the tenure of the m ember whose post has become vacant due to any 
reason. 
11. Power and duties of the Board.− (1) The Board shall, s ubject to the 
provisions of the  Act, rules  and regulations  framed thereunder , exercise complete 
administrative, financial and academic powers in  respect of the Institute as may be 
necessary for its proper and efficient functioning. 
(2) In particular and without prejudice to the generality of the foregoing 
provision, the Board shall: 
(a) lay down policy for the administration of  the property, 
funds, investment and resources of the Institute including 
the approval of the purchase or acquisition and disposal 
of immoveable property and borrow or raise money for the 
purpose of the Institute; 
(b) approve the proposed annual plan of wor k, the annual 
and revised budgets, the annual report and annual 
statement of accounts and to exercise supervision and 
overall control over the Institute; 
(c) approve the appointment of professionals, deans, 
teaching staff of the Institute or a committee; 
(d) examine the annual research program, annual reports and 
audited statements of accounts of the Institute; 
(e) create, suspend or abolish such posts of medical, nursing, 
administrative, para-medical, teaching and non -teaching 
staff of the Institute as may be necessary; 
(f) determine terms and conditions of the teaching and non -
teaching staff of the Institute; 
(g) consider and approve annual and revised budget 
estimates and to re -appropriate funds from one major 
head of expenditure to another and to appoint Internal and 
third party Auditors; 
(h) cause proper books of accounts to be kept for all sums of 
money received and expended by the Institute and for 
asset and liabilities of the Institute; and 
(i) frame regulations. 
(3) The Board may delegate any of its functions to the Chairperson, 
a committee, or any other member of the Board. 
12. Chairperson.− (1)  The Chairperson shall perform such functions as may be 
delegated to him by the Board. 
 (2) The Chairperson may, in an emergency , which in his opinion requires 
immediate action, take such action as deemed necessary and shall, as soon as 
possible, submit report of his action to the Board. 
 (3) If due to any reason , the Chairperson is unable to perform his function 
or where the office  of the Chairperson has become vacant, Secretary  to the 
Government Specialized Healthcare and Medical Education Department shall 
perform the functions. 
13. Dean.− (1) The Board shall appoint a full time Dean for the I nstitution for a 
period of five years, who  shall be eligible for re -appointment on such terms and 
conditions as the Board may determine:  
Provided that no Board member shall be appointed as Dean. 
(2) The Dean shall possess such qualification and experience as may be 
prescribed. 
(3) The Dean shall: 
(a) keep in custody the records and seal of the Institute; 
(b) authorize payments of monthly salaries and allowances to 
the employees working in the Institute; 
(c) prepare budget estimates and supplementary budget 
estimates of the Institute and place the same before the 
Board for approval; 
(d) approve payment of bills under any head of the budget of 
the Institute; 
(e) act as honorary non -voting member of the Board and to 
perform such functions with respect to Board meetings as 
may be assigned to him by the Chairperson or the Board; 
(f) take steps for the implementation of decisions of the 
Board; 
(g) receive and send all the correspondence of the Institute; 
(h) execute deeds and documents on behalf of the Institute; 
and 
(i) perform any other duties as may be assigned to him by 
the Board. 
(4) The Dean may delegate any of his powers to any other officer or 
committee of the Institute. 
(5) The Dean shall be the Principal Accounting Officer, responsible and 
accountable for maintaining financial discipline and transparency. 
14. Executive Council.− (1) The Institute shall have an Executive  Council which 
shall perform such functions as may be assigned to it by the Board or under the Act 
or the rules or regulations made under the Act. 
(2) The Dean shall be the Head  of the Council and i n the absence of the 
Dean the Hospital Director shall preside over the meeting.  
(3) The Hospital Director shall be the secretary of the Council. 
(4) The Hospital Director, Medical Director, Finance Director, Nursing 
Director and the heads of the Department of the Institutes shall be members of the 
Council.  
(5) The Council may associate such other experts as it may consider 
necessary. 
(6) The meetings of the Council shall be held as frequently as may be 
possible, but not less than six times in a calendar year. 
(7) The quorum of a meeting of the Council shall be one half  of the total 
number of the members of the Council. 
15. Hospital Director.− (1) The Board shall appoint a full time Hospital Director 
for the I nstitution for a period of five years , who shall be eligible for re -appointment, 
on such terms and conditions as the Board may determine:  
Provided that no Board member shall be appointed as Hospital Director. 
(2) The Hospital Director shall possess such qualificati on and experience 
as may be prescribed. 
(3) The Hospital Director may be removed from the office by the Board, 
before the expiration of period of five years on such grounds as may be prescribed. 
(4) In performance of his functions, the Hospital Director shall be 
responsible to the Board through the Dean. 
(5) The Hospital Director shall not have any conflict of interest with his 
official business.  
16. Functions of the Hospital Director .− The Hospital Director shall be 
responsible for: 
(a) all non-clinical functions of the hospital; 
(b) preparation of the annual  budget, and business plan for 
presentation to the Dean; 
(c) maintenance of building and engineering services; 
(d) maintenance and development of all ancillary services, including 
but not limited to pharmacy, nursing, materials management, 
human resources, clerical, communication, janitorial and security 
services;  
(e) procurement; and 
(f) implementation and execution of the orders of the Board and the 
Council and to achieve the targets set by the Board.   
17. Medical Director.− (1) The Board shall appoint a full time Medical Director for 
the Institution for a period of five years , who shall be eligible for re -appointment, on 
such terms and conditions as the Board may determine: 
Provided that no Board member shall be appointed as Medical Director. 
(2) The Medical Director shall possess such qualification and experience 
as may be prescribed. 
(3) The Medical Director may be removed from the office by the Board, 
before expiration of period of five years on such grounds as may be prescribed. 
(4) In performance of his functions, the Medical Director shall be 
responsible to the Board through the Dean. 
(5) The Medical Director shall not have any c onflict of interest with his 
official business.  
(6) All heads of clinical departments shall report to the Medical Director. 
18. Functions of Medical Director .− The Medical Director shall be responsible 
for the performance of all clinical functions including but not limited to:  
(a) ensure clinical excellence in all aspects of hospital functions; 
(b) ensure timely, appropriate management of the patients;  
(c) ensure the best outcome of all patients; 
(d) undertake clinical governance for quality control; 
(e) assess and audit existing clinical programs and developing new 
clinical programs; and 
(f) develop an annual clinical budget including capital medical 
equipment requests for presentation to the Hospital Director, the 
Council and the Board. 
19. Nursing Director.− (1) The Board shall appoint a full time Nursing Director for 
the Institution for a period of five years who  shall be eligible for re -appointment, on 
such terms and conditions as the Board may determine:  
Provided that no Board member shall be appointed as Nursing Director. 
(2) The Nursing Director shall possess such qua lification and experience 
as may be prescribed. 
(3) The Nursing Director may be removed from the office by the Board, 
before the expiration of period of five years on such grounds as may be prescribed. 
(4) In performance of his  functions, the Nursing Direc tor shall be 
responsible to the Board through the Dean.  
(5) The Nursing Director shall not have any conflict of interest  with his 
official business. 
(6) The Nursing Director shall be responsible for a ll nursing function s, 
including but not limited to: 
(a) training of nurses;  
(b) ensuring adequate nursing staffing for all clinical needs; 
(c) maintaining the highest nursing standards; and 
(d) performing regular audits of nursing functions.  
20. Finance Director.− (1) The Finance Director shall be appointed by the Board, 
in the manner as may be prescribed, for a period of three years, and shall be eligible 
for re-appointment. 
(2) The Finance Director  shall have such  minimum qualification and 
experience as may be prescribed. 
(3) In performance of his functions, the Finance Director shall be 
responsible to the Board through the Dean.  
(4) The Finance Director shall be responsible for all functions relating to  
finance, including but not limited to: 
(a) compliance with financial rules and propriety;  
(b) pre-audit functions; 
(c) ensure value for money; and 
(d) liaising and coordinating with external audit. 
21. Employees of the Institute .− (1) The Board may appoint such number of 
employees for services and operations of the Institute as the Special Selection Board 
may recommend. 
(2) The employees so appointed shall not be considered as the employees 
of the Government.  
(3) The Board may determine  the terms and conditions of the service of 
various categories of the employees. 
(4) The employees of the Institute shall be liable to such disciplinary action 
in such manner as may be prescribed. 
(5) The Board may post doctors and nurses on deputation basis in the 
Institute with the prior approval of the Government. 
(6) Where the Dean, Hospital Director, Medical Director or Finan ce 
Director are Government servants, they shall receive such additional remuneration 
as may be determined by the Board and approved by the Government. 
(7) Only consultants and heads of clinical disciplines shall be  allowed 
institutional-based private practice as may be prescribed by the Government. 
22. Special Selection Board.− (1) The Government shall, on recommendat ions 
of the Board, constitute a Special Selection Board which shall re commend 
appointment of persons in the Institution. 
(2) The Special Selection Board shall consist of such number of members, 
as may be determined by Government, in consultation with the Board.  
(3) The members mentioned in subsection (2) , shall include 
representatives of Sec retary, Specialized Healthcare and  Medical Education 
Department, Secretary Regulations Wing of Services and General Administration 
Department and one subject specialist to be nominated by the Secretary of the 
concerned Administrative Department. 
23. Funds.− (1) There shall be a Fund of the Institute to be known as the 
Pakistan Kidney and Liver Institute and Research Center Fund which shall be  
operated and managed by the Board. 
(2) The Fund shall consist of: 
(a) grants made by the Government or by the Federal 
Government; 
(b) donations and endowments rec eived from any person or 
entity; 
(c) income from investments and deposits; 
(d) loans raised or aid obtained by the Institute; 
(e) fees, royalties on publications of the Institute and other 
charges for services rendered by the Institute; 
(f) grants made by any local or international agency; and 
(g) any other money received by the Institute from any 
source. 
(3) The Government shall provide adequate funds for construction, 
establishing and operation of vari ous facilities of the Institute to perform its functions 
effectively. 
(4) The powers for utilization of the F und shall be as per the prescribed 
criteria. 
24. Bank accounts.− (1) All Funds of the Institute, not otherwise employed or 
invested, shall be deposited to the credit of the Institute in a scheduled bank. 
(2) The Board may authorize any officer or employee of the Institute to 
sign cheques, drafts and other orders for the payment of money from an account of 
the Institute as it deems appropriate. 
25. Maintenance o f accounts .− The Board shall cause the accounts of the 
Institute to be maintained in such form and in such manner as may be prescribed. 
26. Accounts and audit.− (1) The Board shall ensure keeping of complete and 
proper books of accounts of the Institute for each financial year. 
(2) The accounts of the Institute shall be audited every  year by the Auditor 
General of Pakistan. 
(3) The Board shall appoint an internal auditor of the Institut e for pre-audit 
of expenditures. 
(4) The Dean shall submit annual statement of accounts to the Board and 
the Board may pass such order as it deems necessary. 
(5) Third party audit may be conducted with the approval of the Board. 
27. Transfer of state land .− (1) The land transferred to the Institute b y the 
Government shall remain the property of the Government. 
(2) The Institute shall not transfer or permanently alienate its immovable 
property except through exchange of land for obtaining right of way with the prior 
approval of the Government. 
28. Indemnity.− No suit or legal proceedings shall lie against the Government, 
the Board or any person in respect of anything which is done or purported to have 
been done or intended to be done in good faith under the Act. 
29. Power to make rules .− The Government may, by notification in the official 
Gazette, make rules, for carrying out the purposes of the Act. 
30. Power to frame regulations.− The Board may, by notification  in the official 
Gazette, frame  regulations, not inconsis tent with the provisions of the  Act and the 
rules, for carrying out the purposes of the Act. 
31. Trust.− The Pakistan Kidney  and Liver Institute and Research Center Trust 
shall cease to have any role in the affairs of the Institute. 
32. Repeal.− The Pakistan Kidney and Liver Institute and Research Centre Act, 
2014 (Act II of 2015) is hereby repealed.