Training in General Nursing ? Private Schools of Nursing ? Policy on regulation of grant of permission to the private Schools of Nursing and other matters connected therewith ? Rules- Issued.




G.O.Ms.No.313                                                                                     Dated: 16-8-1997

                                                                                                               Read the following:-


1.      G.O.Ms.No.430, HM&FW (K1) Dept., Dt. 4-7-1989.

2.      G.O.Ms.No. 434, HM&FW (M2) Dept., Dt. 12-8-1993.

3.      G.O.Ms.No. 420, HM&FW (M2) Dept., Dt.19-8-1994.

4.      Common Order dated 26-3-1996 of the Hon?ble High Court of Andhra Pradesh in W.P.No.10266/92 and batch cases.

5.      G.O.Ms.No. 255, HM&FW (M2) Dept., Dt. 15-6-1996.

6.      Letter Rc.No.4033/NEA/96, Dt. 24-8-1996 of the Director of Medical Education A.P., Hyderabad.


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O R D E R:


            The Government have been concerned for quite some time about the need to have a comprehensive  policy for granting  permission to the Nursing Schools and also to frame regulations  governing their functioning.  The concern of the Government  to  maintain the minimum standards required in these institutions  arose in the wake of certain reports which appeared in the Press  and other media about the falling standards in Nursing  Education.  The need for having an  adequate number of properly trained nurses in Nursing can never be over-emphasized particularly when it is  known that the efforts of Nursing  staff are equally, if not more important, as compared to those of the Medical  officers in respect of patient care.  With this  background in view, the  Government in Health Medical and Family Welfare Department  appointed an Expert Committee in G.O.Ms.No. 217, HM&FW (M2) Dept., Dt. 31-3-1995 to study the functioning of the existing Nursing  Schools in the Private Sector.


The  Hon?ble High Court while disposing of a batch of writ petitions filed before it questioning the orders issued in  G.O.Ms.No. 420, HM&FW (M2) Dept., Dt.19-8-1994, G.O.Ms.No.430, HM&FW (K1) Dept., Dt. 4-7-1989, G.O.Ms.No. 434, HM&FW (M2) Dept., Dt. 12-8-1993, had  made certain observations requiring the Government to examine the  observations in detail while formulating a new policy.  The  Hon?ble High Court has also directed the Government that an  Expert Committee be constituted for examining the various issue  relating to Nursing  Schools and also the observations made by the  Hon?ble High  Court while disposing  of the  batch  of writ  petitions.  The Hon?ble  High Court  had further directed that the representatives of the private Nursing Schools shall be  associated with the Expert  Committee while examining the issues. Accordingly, the Government  in Health Medical and Family Welfare (M2) Department, vide G.O.Ms.No. 255, Dt. 15-6-1996 issued  orders constituting  an Expert Committee with Director of Medical Education as Chairman.  The Expert Committee, which also heard  the views and the various problems being faced  by the managements  of the private nursing schools from their representatives who participated in the discussions had submitted a report to the Government.


The Department have examined the report of the Expert Committee and prepared a draft Nursing Policy and placed it  before the Cabinet on  15-7-1997.  The Cabinet have decided to  constitute a  Cabinet Sub-Committee with Dr. N. Janardhan Reddy, Hon?ble Minister of Health, Medical and Family Welfare, Sri  K. Srihari, Hon?ble  Minister for  Social Welfare, Sri K. Chandrasekhara Rao, Hon?ble Minister for Transport as members to study the guide-lines  prepared by the Department and submit a report for consideration of the  Cabinet.  The Cabinet  Sub-Committee had met on 16-7-1997 and 18-7-1997 and made certain recommendations.  As per the recommendations of  the  Cabinet  Sub-Committee, the Government in super session of the earlier orders issued hereby make the rules in regard to according permission to the Private Nursing schools and prescribing the procedure for admission of students as detailed below:

Contd. 2

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In exercise of the powers conferred by Section 99 of the Andhra Pradesh Education Act, 1982 (Act 1 of 1982) the  Governor  of Andhra Pradesh hereby makes the following rules governing  the grant of permission to provate schools of Nursing and admission into such institutions.




(1)               These rules may be called the Andhra Pradesh General Nurse Training Institutions (Admission into General Nurse Training and Grant of Permission to Private Schools of Nursing) Rules 1997.

(2)               They shall apply to all the Private Nursing schools or Institutions imparting General  Nurse Training Course.

(3)               They shall come into force at once.



2.   Categorisation of Seats:


Fifty percent (50%) of the total number of seats shall be set apart as ?free seats? and the remaining fifty percent of seats (50%) shall be called ?Management seats?.


  1. Method of Admission:


1.   Admissions to ?free seats? shall be made by a Selection Committee consisting of the following:-


(i)         Joint Collector of the District                                Chairman

(ii)        Dist. Medical & Health Officer                             Member-convenor

(iii)       Superintendent of the Dist.                                   Member
Headquarters  Hospital


(iv)       Deputy Director Social  Welfare                          Member

(v)        Principal of the concerned                                    Member
            training institution


2.      The Selection Committee shall select the candidates for admission based purely on merit on the basis of aggregate  marks obtained by the candidates in the Group subject  excluding languages.  In deciding merit, candidates who quality under compartmental system will be placed after candidates who pass in a single attempt.


3.      The  Principals of private institutions shall admit the candidates as selected  and allotted by  the  selection Committee on the basis of ranking assigned to them against 50% ?free seats?.


4.      The Maximum number of students to be admitted in an institution shall not exceed 60 (Sixty) students.  However, if  infrastructural facilities teaching staff etc.  in an institution are found to be inadequate to train 60 (sixty) students, Government has the right to permit less number of students.


5.      Admission to ?management seats?  shall be done by the institution only after the list of candidates to be admitted is checked by the  Selection Committee; and




Contd. 3

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6.      The committee after completing the selection and admissions, shall close the admissions and furnish the list of admitted candidates under both the categories, namely free seats  and management seats to the director of Medical Education or as the case may be to the Andhra Pradesh Nurses,  Midwifery, Auxilary Nurse, Midwife and Health Visitor  Council.  Issue of hall tickets to the students permitting  them to appear for the relevant examination shall be limited  to the number of students admitted, as according to the list  furnished by the Selection Committee.





Rule of reservation shall be strictly followed while making the selection for both free seats and management seats.  Unfilled seats meant for reserved categories shall be kept vacant  and shall not be filled up.  The  rules in force regulating the  reservation to the local candidates as prescribed by the  Education Department shall be  followed.





A maximum fee of Rs.1000/- per month per candidate can be charged for free seats.  As  regards the management seats the  fee shall  not be more than five times the fee  applicable to free  seats.  Government will have the authority to  fix the  maximum fee chargeable for free seats and also to fix an upper limit in respect of fee for the management seats.




The  eligibility criteria for admission into General Nurse Training Course shall be as follows:-


(1)   NATIONALITY AND DOMICILE: The candidates should be Indian Nationals and should satisfy local or as the case may be  the non-local  status requirements as laid down in Andhra Pradesh  Educational Institutions (Regulation of Admissions) order 1974 as amended in G.O. (P) No. 646, Education (W) Department dated 10-7-1979; and


(2)  EDUCATIONAL QUALIFICATIONS AND AGE: According to the Indian Nursing  Council Regulations 1986.




            The Convenor of the Selection Committee shall publish an advertisement in the popular daily newspapers inviting applications in the prescribed form,  from the candidates satisfying the eligibility criteria laid down under rule-6.  The  advertisment, among others, should indicate  the application fee payable, registration fee, the last date for submission of the filled-in  applications, the seats  available in each institution the tution  fee payable etc.




            The physical facilities in terms of land, buildings, class-room facilities, Laboratory facilities, requirement of  personnel and equipment shall be as fixed by  the Indian  Nursing Council from time to time



Contd. 4



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            As specified in the Indian Nursing Council  Regulations, 1986.




No Permission to a private School  of Nursing  shall  be  accorded unless it has affiliation to a hospital, having  a minimum of 160 beds.


Note:    (1)  (a)        The practice of considering different hospitals having lesser bed strength  than 160 beds, leads to improper supervision and thereby improper training.   Hence the strength of beds of 160 should be arrived at in such a way  that  preferably  the 160 beds are  located in one single hospital and, in any case, definitely not more than three hospitals put together.  In no case shall one and the same Government or a private hospital be permitted to accord affiliation for practical training to  more than one private School of Nursing.  The Director of  Medical Education shall maintain a list of Private  Schools of Nursing and the private or the Government hospitals to which they stand affiliated in order to  ensue that this stipulation is strictly adhered to.  Any  deviation in this regard will render the officer (S)  concerned liable for stringent  departmental action ;


(b)               Hospitals must invariably have all facilities for imparting  training in all disciplines as per the regulations of Indian Nursing  Council 1986; and


            (2)              Renewal of Permission shall be ordinarily for a period of 3 years which shall however the subject to fulfillment of all instructions/guide-lines as may be prescribed by the Government from time to time.




(i)                  Nursing Schools which require clinical attachment  for purposes of imparting training to their students  in Government Hospitals  shall have to pay a fee of Rs. 1000/-  per head per annum.  However,  Government  reserve the right to revise this Fee from time to time; and


(ii)                Permission for affiliation of a private Nursing  School in any Government Hospital shall be given only by the  Government and no superintendent of the Hospital or any other authority subordinate to the Government  is authorized to issue such permission.


12.       The Director of Medical Education in the capacity of Ex-Officio President of A.P. Nursing Council will prepare  an  appropriate proforma for application form for  Essentiality  Certificate and the price of the application form shall be Rs.  5,000/- and is revisable by the  Government form time to time .  There shall also be an inspection fee of Rs. 5,000/- which is revisable by the  Government from time to time for organizing an inspection by the  Director  of Medical Education.


13.       The syllabus for the course will be prescribed by the  Director of Medical Education and Examination for awarding Diploma  will also be  conducted by the Director of medical Education  in accordance with the guidelines prescribed by  Indian Nursing Council in  this regard.


14.        The Government have constituted a Committee for examination and consideration of the applications submitted seeking  permission for  establishing private Nursing Schools vide G.O.Ms.No.267, HM&FW (E1) Department, Dated. 14-7-1997 under the Chairmanship of Justice  P. Ramachandra Raju (Retired Judge).  Government will issue Essentiality Certificate to only such applicant institutions which are recommended by this committee.                                                                     nbsp;                                                    

Contd. 5

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15.                           Institutions which obtain Essentiality Certificate from Government shall be deemed to be recognized by the State Government and diploma or as the case may be the Certificate  awarded by them shall be considered valid unless the Nursing  Council of India or the Andhra Pradesh Nursing council  finds  its performance far below and recommends to the state Government to de-recognise the institution.


16.                           (a)     The above rules shall be made applicable to the existing institutions also.  The  existing institutions having any  deficiencies as per the stipulations of these rules shall make  good such deficiencies within a period of one  year from the date  of issue of these rules; and


(b)          In case, any deficiencies or irregularities are noticed during the course of the functioning of an institution, depending  on gravity of such deficiencies or irregularities, a notice shall  be given to the institution concerned  calling upon it to make  good  the  deficiencies and also to take appropriate steps for its  proper functioning with a maximum period to be notified.  If  the institute fails  to do so,  the permission accorded to if shall be cancelled and the students admitted to the course shall  be transferred to the nearest Government cum Nursing School.  The  students so transferred to the Government institution shall not  be entitled  for stipend  on per with the other students.


17.          SECURITY DEPOSIT:


(1)                There shall be a security Deposit to be maintained by the applicant Institutions for a minimum period of 5 (five) years in a Nationalised   Bank in the  joint name of the principal of the Institution and the Head of  the Department  concerned  which is  under the administrative control of  the Health Medical and Family Welfare Department as an evidence of the  financial credibility of the Institution.  This  Security Deposit shall be maintained in the form of a Fixed Deposit  in a joint  account  as mention above. The  Fixed  Deposit  certificate shall be kept in the  custody of the concerned Head of Dept.  till the period of five  years is completed. The  period of Five Years will be reckoned  from the  date from which the Institution Commences the first batch of admissions.  The  Security Deposit  to be maintained by the Nursing  Schools should be as follows:-


a.       Rs. 5.00 lakhs where the Institution is located in places other than those recognized as backward areas:

b.       Rs. 2.50  lakh  for Institutions to be located in backward areas: and


(2)                The definition of Backward area shall be the one fixed by the Government from time to time.


18.        On issues other than those expressly provided  for in these rules, the regulations of Indian Nursing council shall apply.


19.        The Director of Medical Education, Andhra Pradesh, Hyderabad and all other officers concerned shall take suitable action as per the instructions issued through this G.O.




                                                                               C. ARJUNA RAO

                                                              PRINCIPAL SECRETARY TO GOVERNMENT


The Director, Medical Education, A.P., Hyderabad.

Mr. Justice P. Ramachandra Raju (Retired Judge).

The Registrar, A.P. Nurses and Midwives, ANM?s &
        HV?s Council, Hyderabad.

The Registrar, Indian Nursing Council, New Delhi.

The Director, Printing, Stationery and stores Purchase, (Printing Wing) Department,
        Hyderabad ( for publication in the Andhra Pradesh Gazette).

Copy to:

The Deputy Secretary to Chief Minister.

The Private Secretary to Minister (HM&FW)

The Private Secretary to  Principal Secretary (HM&FW)

The  Scrutiny cell of Law Department.


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