NAWAZ SHARIF INSTITUTE OF CANCER TREATMENT AND RESEARCH ACT 2025

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NAWAZ SHARIF INSTITUTE OF CANCER TREATMENT AND 
RESEARCH ACT 2025 
(XXV of 2025) 
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. Director Accreditations and Quality Assurance 
22. Employees of the Institute 
23. Special Selection Board 
24. Funds 
25. Bank accounts 
26. Maintenance of accounts 
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27. Accounts and audit 
28. Transfer of state land 
29. Indemnity 
30. Power to make rules 
31. Power to frame regulations 
  
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TEXT 
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NAWAZ SHARIF INSTITUTE OF CANCER TREATMENT AND RESEARCH ACT 
2025 
(XXV of 2025) 
[2nd May, 2025] 
An 
Act 
to provide for the establishment of Nawaz Sharif Institute of Cancer Treatment and 
Research, Lahore.  
It is necessary to provide for the establishment of Nawaz Sharif Institute of Cancer 
Treatment and Research, Lahore 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 Nawaz 
Sharif Institute of Cancer Treatment and Research Act 2025. 
(2) It extends to whole of the Punjab.  
(3) It shall come into force at once.  
2. Definitions. In the Act:  
(a) “Act” means Nawaz Sharif Institute of Cancer Treatment and Research Act 
2025; 
(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) “Director Finance” means head of Finance Department refers to the individual 
appointed under section 20 of the Act who is responsible for all the functions 
relating to Finance; 
(g) “Director Accreditations and Quality Assurance” refers to the individual 
appointed under section 21 of the Act who is responsible for all the functions 
relating to Accreditations and Quality Assurance; 
(h) “Government” means Government of the Punjab;  
(i) “Hospital Director” means head of the administration of a hospital appointed 
under section 15 of the Act; 
(j) “Institute” means Nawaz Sharif Institute of Cancer Treatment and Research, 
Lahore established under the Act; 
(k) “Medical Director” means head of the clinical units appointed under section 17 
of the Act; 
(l) “member” means a member of the Board; 
(m) “Nursing Director” means head of the Nursing establishment of a hospital 
appointed under section 19 of the Act; 
                                            
1This Act was passed by Provincial Assembly of the Punjab on 22 April 2025; and was assented to by Governor of the Punjab on 02 May 
2025; and was published in the Punjab Gazette (Extraordinary), dated: 02 May 2025, pp. 4255-4262. 
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(n) “prescribed” means prescribed by the rules or regulations made or framed 
under the Act; 
(o) “regulations” means the regulations framed under the Act; and 
(p) “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 Nawaz Sharif Institute of Cancer 
Treatment and Research, Lahore. 
(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 oncological treatment and in allied areas, 
teaching and research with respect to cancer diseases; 
(b) provide free of cost, shared cost or full cost basis diagnosis and treatment of 
cancer diseases; 
(c) educate and increase awareness about prevention of cancer diseases; 
(d) provide state of the art medical and surgical services to patients with cancer 
diseases; 
(e) promote various aspects of preventive medicines of cancer 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 any movable or immovable 
property; 
(i) accept donations 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, debentures 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. 
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(3) If for any reason, the Board becomes dysfunctional, the Government shall 
constitute an administrative committee to run the affairs of the Institute 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 
Healthcare 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 Board. 
Member 
(f) Secretary to the Government, Primary and 
Secondary Healthcare Department. 
Member 
(g) Dean, Nawaz Sharif Institute of Cancer 
Treatment and Research. 
Member 
(h) Five persons of eminence from the private 
sector including at least one female 
member from the civil society. 
Members 
(i) 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 member 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 member may resign by tendering resignation to the Government. 
(6) A private member may receive remuneration for the services rendered as a 
member 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 meet 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 taken 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 be, or shall continue to be, the member 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; 
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(c) is found to be of unsound mind by a court 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 Board 
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 member. (1) If the Government is of the opinion that a 
private member is unable to perform his functions as a member 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 the Act.  
10. Casual vacancy. In case of any vacancy of the post of a private member, the 
Government shall fill such vacancy by appointing another person for the remainder of the 
tenure of the member whose post has become vacant due to any reason. 
11. Power and duties of the Board. (1) The Board shall, subject 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 work, 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. 
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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 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 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 in 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, 
Director Accreditations and Quality Assurance 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. 
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(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 
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 Hospital Director. 
(2) The Hospital Director shall possess such qualification 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 conflict 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; 
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(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 qualification 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 Director 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 all nursing functions, 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.  Director Accreditations and Quality Assurance. (1) The Director Accreditations and 
Quality Assurance shall be appointed by the Board, in the manner as may be prescribed, for a 
period of five years, and shall be eligible for re-appointment. 
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(2) The Director Accreditations and Quality Assurance shall have such minimum 
qualification and experience as may be prescribed. 
(3)  In performance of his functions, the Director Accreditations and Quality 
Assurance shall be responsible to the Board through the Dean. 
(4)  The Director Accreditations and Quality Assurance shall be responsible for all 
functions relating to Accreditations and Quality Assurance, including but not limited to: 
(a) compliance with Accreditations and Quality Assurance rules; 
(b) healthcare quality assurance, hospital accreditation, health regulations, or 
healthcare management; 
(c) preparing, implementing, and managing healthcare accreditation standards, 
quality management frameworks, audits and compliance processes; and 
(d) expertise in internal and external healthcare audits, risk management, patient 
safety programs and performance evaluation. 
22. 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 Finance Director, 
Nursing Director or Director Accreditations and Quality Assurance 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. 
23. Special Selection Board. (1) The Government shall, on recommendations of the 
Board, constitute a Special Selection Board which shall recommend 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 sub-section (2), shall include representatives of 
Secretary, 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. 
24. Funds. (1) There shall be a Fund of the Institute to be known as Nawaz Sharif 
Institute of Cancer Treatment and Research, Lahore 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; 
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(b) donations and endowments received 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 various facilities of the Institute to perform its functions effectively. 
(4) The powers for utilization of the Fund shall be as per the prescribed criteria. 
25. 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. 
26. Maintenance of accounts. The Board shall cause the accounts of the Institute to 
be maintained in such form and in such manner as may be prescribed. 
27. 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 Institute 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. 
28. Transfer of state land. (1) The land transferred to the Institute by 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.  
29. 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. 
30. Power to make rules. The Government may, by notification in the official Gazette, 
make rules, for carrying out the purposes of the Act. 
31. Power to frame regulations. The Board may, by notification in the official Gazette, 
frame regulations, not inconsistent with the provisions of the Act and rules, for carrying out 
the purposes of the Act.