Introduction to Licensing


Introduction to Licensing

Licensing is a grant of permission issued to a Healthcare Establishment (HCE) by the Sindh Healthcare Commission (SHC) under the SHC Act 2013 for the use of any premises or conveyance as a Healthcare Establishment. A Healthcare Establishment means


  • Hospital
  • Diagnostic center
  • Medical clinic
  • Nursing home
  • Maternity home
  • Dental clinic
  • Homeopathic clinic
  • Tibb clinic
  • Acupuncture clinic
  • Physiotherapy

Or any other premises or conveyances wholly or partly used for providing healthcare services. Licensing is a mandatory process and no Healthcare Establishment can function or operate without obtaining license from the SHC. Licensing focuses on the enforcement of Sindh Service Delivery Standards (SSDS) for delivery of healthcare services. It sets out standards that a Healthcare Establishment must observe and implement in order to operate and deliver quality healthcare services.


Benefits of Licensing for a HCE

Licensing ensures that a given Healthcare Establishment is allowed to operate as a safe and effective place, promising a reduction in the number and severity of system failures, ensuring greater patient and practitioner confidence in the Healthcare Establishment thereby raising its profile, professional value, clientele and quality of healthcare services. Licensing also provides immunity to healthcare service providers from any suit, prosecution or other legal proceedings except under the SHCC ACT 2013, and protects employees of the Healthcare Establishments from harassment.

Licensing is Mandatory

All HCEs in Sindh, both in the public and private sectors, are required to obtain a license from the SHCC. If a Healthcare Establishment fails to be licensed under the SHCC ACT within a required period of time, the SHCC may impose a fine which may extend to Rs. 500,000 or order the closing down of the Healthcare Establishment.

Process of Licensing

  1. After registration the copy of Sindh Services Delivery Standards. (SSDS) provide to all registered HCE
  2. Get nomination of at least two employees of the HCE establishment regarding training on SSDS
  3. Within 30 days of issuance the certificate the HCE apply for provincial license under section 15(1) on prescribed application a accompanied documents and fees.
  4. All received application should review and check all required documents should attached to the application
  5. After that conduct the inspection of all received application to verify the particular provided in the application and assess HCE as per (SSDS).
  6. The inspection team constitute U/S 2(x VIII) & 22(1)
  7. Identify the deficiencies of HCE and send in a writing within two weeks the Healthcare establishment rectify the deficiencies and upgrade itself to meet the SSDS
  8. Issue provincial license to the Healthcare establishment, within 30 days of acceptance of application U/S (2) of the act
  9. The provincial license is valid for six month
  10. The provincial license renewable for further six months subject to the application for renewable and payment of the prescribed fee.
  11. After at least three months of issuance of provincial license give intimation notice of ten days for inspection
  12. Conduct inspection of HCE by inspection team and if Health care establishment met the notified SSDS the HCE will apply for regular license on prescribed application accompanied with documents and fees
  13. Issue the regular license to the HCE U/S 16(2)(4) of the act within the period of 30 days after receipt of application
  14. Regular license is valid for the period of five years.
  15. A license should visibly at the HCE prominent place
  16. The HCE make an application renewable of a license at least three months before it is expiry in case of case of regular license and one month in case of provincial license
  17. If the healthcare establishment rectify the deficiencies pointed out by the inspection team within the period of time ,issue license and if fail to rectify, the Commission may take coercive measures or give additional time for the defaulter to improve their identified defecencies.