No. II 2019 AN Ordinance: Government of Pakistan
No. II 2019 AN Ordinance: Government of Pakistan
of.
PART I
GOVERNMENT OF PAKISTAN
AN
ORDINANCE
 To provide for Ihe regulation and control of the medical profession and 10
  establish a uniform minimum standard of basic.medical educalion and
   training and recognition of qualifications in medicine and dentistry.
               AND'WHEREASthe Senate and the National Assembly is not iri se'ssion a~d
      the President is satisfied that circumstances exist which render it necessary to take
      immediat~ action;
                                                                                                                                .~
                NO~ ,THEREFORE,in exercise of p~wers conferred by clause (1) of Arti~le
       89 of the Constitution of the Islamic Republic of Pakistan the President is pleased to
     . make and promulgate the following Ordinance':-
          , ,:,    (3) .It shall come into force at once:' ",                   J;,
                                                                                                                ,   ,
         .. . 2. ',Definitions.-'                 In this 9rdinance,           unle~sthere is anything repugn'ant
       in the subject or context,-               "                              "          '           '
                                           ,                                                "
                                                                           ,            ,
I
                   (iii)          "basic science faculty" means faculiy in a medical or dent~1 college
                                  or medical or dental university as the Case may be, involved in teaching
                                  the baSic,n~n-ciinical medical sciences, including anatomy, physiology,
                                  pharmacology, immunology,- pathology, forensic sciences, and othe'r
                                  medical or dental sciences not involving direct patient' care;
                    (v)           "Council" means the Pakistan Medical and Dental Council (PM&DC)
                                  constituted under this Ordinance;
                    (iii)                                                   •
                            is relevant to the practice of registered       medical or d~ntal
                            practitioner;
         (xv)      "Ministry" means the Federal Ministry concerned with the affairs
                   with the council;
       (xxv)      "Regulations"
                                          .                         .
                                   mean regulations made under this Ordinance;
                                                                        .   .            .   .
                                                                                                 ,
       ,."(2) The Council shall be a body corporate by the name of the Pakistan
Medical and Dental Council having perpetual succession and a common seal, with
power, sul;lject to the provision of this Ordinance, to hold and dispose ofprope'rty, to
enter into contracts and shall in the said name sue and be sued.
               . (b)      four members being one faculty member from the clinical faculty of a •
                          Public Medical college or University, from each, province nominated
                         by the Provincial or relevant government of the respective province or
                         territory. The nom ihated member must be at least at the rank of
                        Professor, with ten years experience as a clinical practitioner and
                        teacher, and of outstanding merit;
               (c)      four members being one faculty member from the basic science faculty
                        of a Public Medical College or University, from each province
                       nominated by the Provincia! or relevant government of the respe.ctive
                       province or territory. The nominated member must be at least ~t the:
                       rank of Associate Professor, with ten years experience as a teacher,      <
           (d)         two members being members of the clinical faculty selected by the
                       Prime Minister of Pakistan from the Private medical colleges, meeting
                       the same criteriil: as the nominees from the Public Medical Colleges
                       as in (b) above.
          (e)          two members being one faculty member from the clinical faculty ofa
                       Public Dental College or Medical and Dental University,. from the
                      Punjab and Khyber Pakhtunkhwa on a rotational basis~ and one from
                      the Sindh and Balochistan province on a rotational basis, nominated by                  I
                     the Provincial government of the respective combined provinces. The
                     nominated member must be at least at the rank of Associate Professor,
                                                                                                              I
                     with ten years experience as a cl inieal dental practitioner and teacher,
                     and of outstanding merit.
                                                                                                          I
         (f)         one member being a nominee of the President of the College of
                     Physicians and Surgeons Pakistan not below a Councilor; and
                                                                                                          I
         (g)      one member being a nomineeofthe            Surgeon General of the Armed
                  Forces Medical Service.
    .    (2) After the notification of the members of the Council the Ministry shaN
forthwith and not later than fifteen days of the issuance of notification, call the first
                                                                                                         I.
      8                                                                               --         -   '-
                THE GAZETTE OF PAKISTAN, EXTRA., JAN. 9, 2019                                [PART I
     meeting of the newly constituted Council'for the purposes of electing the President
     and Vice-President of the Council. A minimum of eleven members of the Council,
     shall constitute a quorum forthe purposes of the first meeting of the Councilor any
     other meeting wherein an election is to be undertaken.
              (4) No member shall enter upon office of the member of the Council until -
     he signs and submits a declaration of no con~ict of interest.
               (6) Subject to~ub-section (5) No act done by the Council spall be invalid
     on 'the ground merely of existence of any vacancy in or any defect in the constitution'
     of the Council.'                                                                    .
'.
          (a)    if the Council decides by a three fourth majority that his membership
                 is not in the interest of the Council; or
          (b)    his name has been removed from the Register of practitioners as a
                 result of inquiry under this Ordinance; or
         (6) Where the said term of three years is about to expire in respect ofuny
member,his successor may be nominated or elected at any time within three months-
before the expiry of said term, but shall not assume office until the expiry of the said
term.
         (7), .An elected office-bearer or nominated member may, at any time, resign
his membership by writing under his hand addressed to the President and the seat of
such member shall be deemed to have fallen vacant from the date of acceptance of
his resignation by the President.       .                    "
        (8) A vacancy i~ the Council shall be filled through nomination, and the
person nominated to fill the vacancy shall hold office for the remaining term of the
vacancy. Any nomination required to fill a vacancy shall be submitted within fifteen
days of such vacancy having occurred.
         (2) A minimum often members of the Council shall form a quorum, except
an elective meeting, and all of the acts of the Council shall be decided by a majority
of the members present and voting.
                                                                                               /
        (3)          The Registrar shall act as secretary to the Council in all meetings of
the Council.
           (a)      to provide for all matters relating to welfare, terms and conditions of
                    service and appointment of aIIofficers and other employees of Council
                    including, with theapproval of the MinistrY to issue compulsory golden
                    handshake scheme for the employees of the Councilor such other
                    severanc.e package, as it'may ?eem proper;.
       ,     ..
                                           ,                                          .
           (b) 'approve the pn:ip?sed annual plan of work including key perfonnance
                indicators, the annual and revised budgets, the annual report and the
                annual statement of account; .             "                  ,                     .'
           (c) . approve strategic plans and approve' financial resource development
               'plans of PMDC; . '.,       ',I       "
       (d)" to develop accreditation standards" for medical and dental programs                    .-,
            of study' based, predominantly in Pakistan and for assessment of
            international medical graduates for registration in Pakistan;
       (t)          to assess and grant recognition to medical and dental institution which
                    train or grant"or both train and grant medical and dental qualifications
                    and the qualifications granted by it leading to registration of the
                    graduates of those programs to practice medicine il) Pakistan, to
                  , determine whether the institutions meet approved accreditation
                    standards;
    -PARTI]         THE GAZETTE OF PAKISTAN, EXTRA., JAN.                   9, 2019           II
              (g)       to assess authorities in other countries that conduct exam inations for
                      ,registration in medicine and dentistry, or that accredit programs of
                       study relevant (0 registration in medicine and dentistry, to decide
                       whether
                          '       persons who. successfull)' complete the examinations or
                       programs of study conducted or accredited by those authorities would
                       have the knowledge, clinical skills and professional attributes necessary
                      to practice medicine and dentistry in Pakistan;
             (h)     to assess, or oversee the assessment of, the knowledge, clinical skills
                     and professional attributes of overseas qualified medical and dental
                     practitioners who are seeking registration in medicine and dentistry
                     whose qualifications are not approved qualifications under the
                     Ord inance pursuant to Regu lations;
                                              )
         '(i)        to assess the case for the recognition of new medical and dental
                     specialties;
         (k)         to' advise the Federal Government and the Provincial Governments,
                     Health"Care Commissions, Regulatory bodies in the field of medicine
                   , and dentistry and any other Authority or local body on matters within
                     the powers ofthe Council under the Ordinance and ancillary and
                     incidental thereto; "
       (n)         to fix the salaries and remuneration ot'the officers and servants of the
                   Council,
         (p)    to do all such maltersas are ancillary to, convenient for or which
                foster or promotc the advancement of matters that are the subject of              "
these objectives.
         (3)' The ~ouncilmay, of its own motion or otherwise, call f~r'and examine
the record of any proc~edings in which an order. has been passed b.y any officer,
committee or authority of the Council for the purpose of satisfYing itsel f as to the
corre~tness, legality or propriety of any finding or order and may pass such orders
as it may deem fit:
        Provided that no such order shall be passed unless the person to be affected
thereby is affdrded an opportunity of being' heard.-
         (c) Such other persons as may be prescribed by the Rules to be the principal,
officers of the Council.                    '
               (b)
                        be the custodian of the common seal and the records of the Council;
         (3) The term of office of the Registrar shall be for a fixed terrn of three
 years, which may be renewed by Council for one more tenn of three years. The
 incumbent shall not be eligible for appointment after completion of the second term:
          Provided that the Council may, on the advice of the President, terminate the
 appointment of the Registrar on grounds of inefficiency or misconduct in accordance
 with prescribed procedure.
         (3)         The Director Finance shall be the chief financial officer of the Council
and shall,-
        (b)         prepare the annual and revised bu.dget estimates of the Couhcil and
                    present them to the Council for approval and incorporation in the budget
                    by the Council;                                                                  .J
       (c)        ensure that the funds of the Council are expended on the purposes for
                  which they are provided;
          14
                    THE GAZEITE          OF PAKISTAN, EXTRA., JAN. 9, 2019
                                                                                           [PART I
                  (e)       perform such other duties as may be prescribed.
                  (4) The term of office of the Director Finance shall be a fixed term of.
         three years. The appointment may be renewed by council for one more' term of
        3 years. The incumbent will not be eligible for appointment after completion of the
        second tenn. Provided that the Council may, on the advice of the President, terminate'
        tJle.appointment of the Director Finance on grounds of in-efficiency or misconduct
        in accordance' with prescribed procedure.                         I
                                                       ..
               (3) Upon receipt of ap'plication made in pursuance of sub-section (2) the
      Registrar shall scrutinize the application and if satisfied that the application is in
      confonnity with the prescribed procedure, shaUplace thea:pplication on the agenda
    . of the upcoming meeting 6ft1le appropriate Evaluation.Committee for its consideration
      and appointment ofinspeetors for carrying out the inspection of the medical institution
     as prescrib.ed. in case the application is found to be deficient and required infonnation
     has not been provided, the Registrar shall, within fifteen days of receipt of application,
     return the same for a revised re-submission.
"          (4) After inspection, if the Evaluation Committee is satisfted that the medical
 inslitution has the prescribed infrastructure and faculty to train and grant medical
qualification, it shall recommend 'the same to the Council for approval. r I'approved.
the Council shall recomme~d the Ministl)' for recognition of the medical institution in
tenns of sub-section (I).                                                         i
   PART I]        THE GAZETTE     OF PAKISTAN,        EXTRA.,    JAN.   9, 2019             15
            (2)   For. those who, in addition toa basic medical or dental qualification
  which is registerable      in ,the jurisdiciionin which it was awarded, also possess
  postgraduate    qualification(s)     ~hich are recognized by the Council, no further
 examination will be required and the Council may then recommend to the Ministry
 to issue a notification in favor of such p.erson to register him and his qualifications.
 Upon such notification, tlie Council shall register such recognized qualifications
 possessed by the person. On the recommendation           ~f the Council such recognized
 additional qualifications shall be included in the Third Schedule by the Ministry by
 notification in the official Gazette ..
             (ii)   notity it only and shall not be included in the TI~irdSchedule, however,
                    a separate list thereof shall be maintained; or
(b) proceed as per section 16 or 21",as the ca~e may be. '
          (2) Tlie provision of sub-section (2), (3), (4), {5), a'nd (6) of section 15
 shall apply mutatis mutandis for the recogilition of such organization, '
  .                      .                   ".",                              '.
                     "
                                                      ,                                    ,
          (2) The provision of sub-section (2), (3), (4), (5), and (6) of section 15
shall apply mutatis mutandis for the recognition of such dental institutions and
qualifications.                                                              ';
                                                                                               I.
           (2) The provision ofsLib-section (2), (3), (4), (5). and (6) of section 15
 shall apply mwmis mutandis for the recognition of such dental institutions and
 qualification~.
         (4) ( I) The Council may authorize any of its officers or its inspectors to
enter the premises of a Inedical or dental college or institution or other such institution
for purposes of inspection.
          (3) The authorized officer shall, within forty~eight hours of the inspection,
, submit his inspection report to the President or the Council.
          (4) The Council may authorize any of its officers to undertake investigation,
 in the manner it may prescribe, in any matter with regard to its functions and to seek
 any specific information, from any person, which the Council may deem useful in
 order to enable it to determine and dispose of such matter including seizing of any
 record as may be deemed necessary by the Council for such investigation.,                        ..
                                                                                                  ,   ,
                                                                                                  .~
         23. Withdrawal ofrccogitition.-(!)      When upon report by the Committee
or the Inspector appointed under section 23 or from any other source it appear to the
Council that,-                                     '
         (d)'.' that facilities for training for house job or intemship or foundation year.
                in a continuous professional developm'ent opportunity providing
                organi~ation h~s deterio'nited to an extent that the stand'ardof
                proficiency required from candidates at examiri~tion held 'fo~.the
                purPose of granting such qualification additionalqualiticaticin is not,
                such as to secure to persons holding sucl] qualification the knowledge
                and skill requisite for the efficient practice of medicine or dentistry;
          (2) The Council shall forward to the medical or dental institutio;l, a summa!)'
of its findings with the proposed action io be taken against such medical or den till
institutioll\\'ith an intimation of the period, which sl;allnot be less thall fifteen days,
within which the medicalordental institution may submit its exp,lanaiionto the Council
and may reqllest for a hearing before the Council if it so desires.                    ,\
           (3) If the Council is not satislied with the explanation or, where ilO
explanation is submitted within the stipulated time then on the expi!)' of that period,
it shall recominend to the Ministry for closure of the institution subject tothe conditions
  . PARTIJ      THE GAZETTE OF PAKISTAN, EXTRA., JAN. 9, 2019                                   19
                                  .                                                    .
   that students who are enrolled in such medical or dental institution during the period
   it was recognized by the Council shall not suffer any loss in terms of the period of
   education already undertaken and remaining period to be undertaken by them:
            Provided that for purposes of protecting the rights of existing students, the
   Council may approve a scheme which may include the management of the' medical
   or dental institution being handed over to an interim comlnittee administrator or
   persons appointed by the Council with the approval of the Ministry.
          Provided that the Ministry, within thiny days, may require the Council. to
 reconsider its recommendation. Where Council after reconsideration uphold its earlier
 recommendation the Ministry shall i.ssue the notification as provided under sub-
 section (3).
 under section 26' or sectio(1 27 shall be deemed to be public document within the
 meaning of the Qanull-e-Shahdal Order. 1984 (P. O. No. 10 of 1984) ..
         -(2) Th~ 'Council shall cause for the updated list of all duly'recognized
  medical practitiol]ers and dental practitioners to be publis~ed on its website available
. for public access. ,                                                                 ,
           (3) No pe~on shall be entitled to recover any charge in any court of law
 for any medical dental or surgical advice or attendance Dr f<irthe performance of
 any operation or intervention or for any medicine p'rescribed or supplied unless he is
 a registered medical ordental practitioner having valid registration with the Council.
         30. Removal of names from the Register.-{ I) The Council, in' its
discretion, may direct the Registrar to permanently or for a specified period remove
from the Registe'r the name of any registered medical practitioner or registered
dentist who has been found guilty of misconduct or professional negligence or
incompetence or violation of the code of conduct by the disciplinary committee or by
any other court of law for any offence involving moral turpitude or who fails to
maintain the minimum standard of the national continuous medic~1 education or .                   I
continuous professional development programme or who by his conduct has rendered                  I
himself to be unfit to continue in practice or on account of menta I incapacity or f<:r
such other grounds as may be prescribed by the Council.
         (2) The Council may restore any name removed from ,the Register under
sub-section (I).
        (3) For the purpose of an inquiry under sub-section (I), the disciplinary
committee of the Council shall exercise all the powers of a civil court under the
                                                                                    ~
      22
                 THE GAZETTE OF PAKISTAN, EXTRA., JAN. 9, 2019
                                                                                         [PART I
     Code of Civil Procedure, 1908 (Act V of 1908) for summoning the witnesses, for
     compelling the production of documents and for issuing commissions.
               4
              ( ) The claim of professional negligence shall initially be established before
     the disciplinary committee ofttie Council befo~e any other proceedings.
          (5) Whoever aids or abets any person to falsely register with the Council
as a registered medical practitioner without having recognized medica( or dental ..
qualifications shall be guilty of an offence punishable with imprisonment for a telm
                                                                                    '.
                                                                                                  ''C.•
    which may extend to two years or with fine which may extend to ten million rupee's
   'but shall not be less than five million rupees or with both.
          (8) The tenn fo~ which the Medical Tribunal directs the offender to be .
  imprisoned in default of payment of a fine shall not exceed one-fourth of the tenn of
  imprisonment which is the nlaximum fixed for the offence:
          (9) All offences under this Ordinance shall be non-cognizable and triable
  by the Medic'al Tribunal constituted under this Ordinance.
                                                                                               .•       t
        33. ' Cognizance of offences.~ I) No court shall take cognizance of any .(
offence or matter under this Ordinance to which the 'jurisdiction' of. tl{e Medical
Tribunal extends.
        (2)' Any person aggrieved by a~ act which is an offence u~der this "
Ordi~ancc may institute a complaint orclaimbefore the Medic,al Tribu~l..", .
          (2) A Medical Tribunal shall consi~t of a Chairperson who is, orhas been,
or is qualified for appointment as, ajudge of the High Court, to be'appointed aft~r
consultation with the Chief Justice of Pakistan and four members to be appointed by,
the Prime Minister ofPlikistan of which at leasttwo s~alLbe a technical member
witli suitable professional qualifications and experience, in the medical field.
         (4) The principal seat of the Tribunal shall be at Islamabad. The Benches
of the Tribunal may function at any of the provincial headquarters as per schedule'
directed by the Chairman. .                 .'
             (7) Medical Tribunal may hold its sittings at such places within its territorial
  jurisdiction as the Chairperson may decide.
         (9) The terms and conditions of service of the Chairperson and members
 of the Medical Tribunal shall be such as may be prescribed by Rules .
                                                 .
          35. Jurisdiction     and powers of Medical Tribunals.-(        I) Medical
 Tribunal shall exercise sllch powers and perform such functions as are, or may be,
 conferred upon or assigned to it by or under this Act or the rules. and regulations
 made there under.                                         , '.
          (3) Any person l\ggrieved by an act cognizable u'nder this Ordinance may
 file a complaint before the MedicaI Tribunal.
         (4) In exercise of its criminal jurisdiction, the Medical Tribunals shall have
 the same powers as are 'vested in Court of Session under the Code of Criminal
 Procedure, 1898 (Act V of 1898).
                                                                  '.
         (5) In exercise of the civil jurisdiction the Medical Tribunals shall !lave the
same powers and shall follow the same procedure as civil court under the Code of
Civil Procedure, 1908 (Act V of 1908).
          (6) In all matters with respect to which no procedure has been provided
for in this Act, the Medical Tribunal shall follow the procedurc laid down in the Code
of Civil Procedure, 1908 (Act V of 1908). The Medical Tribunal shall frame such
rules for its functioning as deemed appropriate by the Chairman in consultation with
the members.                          .
        (7) Medical Tribunal may issue bailable warrant for the arrest of any
person against whom reasonable suspicion exist, of his having been involved in
contravention punishable under section 32:
     26
                THE GAZETTE OF PAKISTAN, EXTRA., JAN. 9, 2019
                                                                                      [PARPI
             Provided that such warrant shall be applied for, issued, and executed in
     accordance with the provisions of the Code of Criminal Procedure, 1898 (Act V of
     1898):
              Provided further that if the person arrested executes a bond with sufficient
     sureties in accordance with the endorsement on the warrant he shall be released
   . from custody, failing which he shall be taken or sent without delay. to the officer
     in-charge of the nearest police station.
              (9) No court other th.an Medical Tribunal shall have or exercise ~ny
   jurisdiction with respect to any matter to which the jurisdiction of Medical Tribunal
   extends under this Ordinal)ce, the rules a!ld regulation~ made there under.
             (10) The Medical Tribunal shall hear and decide all complaints or appeals
   instituted before it within 120 days without exception and shall refuse all requests
   tor adjournments if sought by any party if such adjournment \vouldlead to the Tribunal
   not being able to decide a case within the stipulated period.
         Provided that any party to such a suit, appeal or application may, within
ninety days of the establishment of the appropriate Tribunal, prefer an appeal to it in
respect of any suth matter which is in issue in.such suit, appeal or application.
         42. Power til make Reg'ulations.-(            I) .The Council may, with the
approval of the Ministry, make Regulations generally to carry out the purposes of
this Ordinance, ilnd, without prejudice to the generality of this power, such Regulations
may provide for-
        (a)    the management of the property of the Council and the maintenance
               and audit of its accounts;
        (b)    the summoning and holding of meetings of the Council, the times and'
               places where such meetings are to be held, the conduct of business
               thereat and the number of members necessary to constitute aquorum;
        (I)   the appointment, powers, duties and procedure of medical and dental
              inspectors;
(h) . the procedure for any inquiry under sub-section (I) of section 31;
              (i)     any matter for which under this Ordinance provision may be made by
                      regulations; and
          (b)        prescribing minimum requirements for. the content and duration of.
                     courses of study as aforesaid; .
         (f)
                                                                   .                     .
                    terms and conditions ofscrvice for all employees of the Council;
           (2) The Ministry IT"!aypublish, in such manner as it may think fit, any
 'report, and copy, abstract or other information furnished to it under this section or
  under section 27.                                              '
     ,    (3) The Ministry shall forward the report of the commission of inquiry to
the Council for implementation and for remedial actions. The Council shall submit to
the Ministry a detaile~ pl~n of remedial measures to be adopted by the Council
which shall be considered as approved ifno further orders are passed by the Ministry
in this regard wi~hin three months. All remedial actions shall be taken by the Council
within a stipulated period of six months and the Council shall submit to ihe Ministry
a report of actions taken thereon. If the Council fails to comply with the remedial
measures forwarded to it by the Ministry, the Ministry may by itself amend the
regulations of the Councilor make such provisions or issue orders or take such other
steps as may seem necessary to give effect to the recommendations               of the
corn mission.
        Provided that delegation of such power shall not include the power to grant,
revoke or cancel recognition of a medical or dental institution or any of its financial
powers including the power to approve the annual budget.'
  30        THE GAZETTE OF PAKISTAN, EXTRA., JAN. 9, 2019                         [PART    I
         46. Officers, etc. deemed to be public servants.-The          Registrar, the
 Director Finance officers, employees and other staff ofthe Councils shall be deemed.
 to be public servants within the meanings of section 21 of the Pakistan Penal Code
 (Act XLV of 1860)
           (2) Notwithstanding the repeal of the Pakistan Medical and Dental Council
  Ordinance, 1962 (Act XXXII of 1962) or anything contrary contained hereiil, all
  regulations, decisions, disciplinary astion taken by the Council, Ad-hoc Council;:
. Exe<;utive Committe.e or any other Committee or authority of the Pakistan Medical
 and DentalCouncil shall be deemed to have been validly made under the provisions
 of this Ordinan'ce until altered, repealed or modified by the new Council Constituted
 under this Ordinance:
         Provided that any existing regulations to the extent that they are in conflict
with the provisions of this Ordinance shall be deemed to have been repealed and.
shall not be enforceable. .
         (3) All officer or employees of the Council under the repealed Ordinance
shall deemed to be employees of the Council on the same terms and conditions .
                   .
       . (4) All assets, rights, properties, cash etc, of the Council under the repealed
Ordinance shall be deemed to be the assets, rights, properties, cash etc., of the
Council.
        (5) All liabilities of the Council under the repealed Ordinance shall be
deerned to be the liabilities of the Council.
                                     J
             (6) All registration, recognition etc., granted by the Council under the
    repealed Ordinance shall be deemed to be the registration, recognition granted by
    Council.
            FIRST SCHEDULE
            SECOND   SCHEDULE
          . THIRD SCHEDULE
            FOURTH   SCHEDULE
            FIFTH SCHEDULE
            SIXTH SCHEDULE
                                                          •                       JUSTICE (R)
              ;-                                              f     .    .