Nursing association Fights Back, Says NHFRA Bill Threatens Independence of Nursing Profession
FNA NEWS, Abuja, Nigeria – 14 July 2026
The Association of General Private Nursing Practitioners of Nigeria (AGPNP) has strongly opposed the proposed National Health Facility Regulatory Agency of Nigeria (NHFRA) Bill, warning that it poses a serious threat to the independence and statutory autonomy of the nursing profession.
The association made its position clear during a public hearing organised by the Senate Committee on Health (Secondary and Tertiary) earlier this month where it submitted a detailed memorandum urging lawmakers to reject the bill in its entirety.
Concerns Over Duplication and Bureaucracy
AGPNP argues that the proposed NHFRA would duplicate the existing regulatory roles of several established bodies, including the Nursing and Midwifery Council of Nigeria (NMCN), Medical and Dental Council of Nigeria (MDCN), Pharmacy Council of Nigeria (PCN), and state health authorities.
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According to the association, creating an additional federal agency would lead to overlapping mandates, increased bureaucracy, higher costs for healthcare providers, and potential confusion in the regulation of health facilities across the country.
“The Committee is respectfully urged to reject the Bill in its entirety rather than merely amend it,” the AGPNP stated in its memorandum.
Threat to Professional Autonomy
A major concern raised by the group is the potential erosion of the nursing profession’s independence. Nursing is a distinct profession governed by its own legal framework under the Nursing and Midwifery Act, with the Nursing and Midwifery Council of Nigeria (NMCN) as the sole statutory regulator.
The association referenced a 2016 Lagos State High Court judgment that affirmed the NMCN’s exclusive authority over nursing practice. It warned that any attempt to subject nurses to a different regulatory body would conflict with Nigerian law and undermine professional standards.
Federal vs State Powers
AGPNP also highlighted constitutional concerns, noting that health matters fall within the concurrent legislative list. The group believes the creation of a powerful central agency could encroach on the regulatory responsibilities of state governments, which are better positioned to monitor facilities at the grassroots level.
Key Recommendations
Instead of establishing a new regulatory body, the AGPNP called on the National Assembly to:
- Reject the NHFRA Bill in its current form
- Strengthen existing professional regulatory councils through better funding and capacity building
- Respect the constitutional roles of state governments in healthcare regulation
- Establish a dedicated Health Bank to support the development of Nigeria’s health sector
Growing Industry Opposition
The AGPNP’s position adds to a rising wave of concern from various healthcare stakeholders. While many agree on the need to improve standards and accountability in Nigeria’s health system, there are fears that the proposed bill may create more administrative challenges than solutions.
FNA Insight
This development reflects deeper tensions in Nigeria’s healthcare sector around professional autonomy, regulatory efficiency, and the balance of power between federal and state authorities. How the Senate Committee on Health responds could significantly shape the future of healthcare regulation and inter-professional collaboration in the country.
FNA News will continue to monitor developments and provide updates as they emerge.
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Charles Wealth is an accomplished healthcare administrator with decades of hands-on experience across various healthcare organizations in Nigeria and beyond. Known for his strategic leadership, operational excellence, and deep commitment to advancing the nursing profession, Charles brings a wealth of expertise to healthcare management, policy, and professional development.
As a co-founder and Editor at Fellow Nurses Africa, he plays a pivotal role in shaping content that educates, inspires, and unites nurses across the continent. His editorial vision focuses on amplifying the voices of nurses, highlighting best practices, addressing contemporary challenges in healthcare, and promoting professional growth within the nursing community.
With a strong background in healthcare administration, Charles is passionate about bridging the gap between clinical practice and effective leadership. He continues to contribute significantly to the development of robust healthcare systems and the empowerment of nurses through knowledge sharing and advocacy.
