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South African Nursing Council

The South African Nursing Council is the body entrusted to set and maintain standards of nursing education and practice in the Republic of South Africa.  It is an autonomous, financially independent, statutory body, initially established by the Nursing Act, 1944 (Act No. 45 of 1944), and currently operating under the Nursing Act, 2005 (Act No. 33 of 2005). 


SANC Annual Practicing Certificate

October 2020

SANC - Easter Holidays closure

29 March 2021

Please be informed that the South African Nursing Council (SANC) offices will be closed from Thursday, 1 April 2021 at 12:00 and will re-open on Tuesday, 6 April 2021 at 8:00.

Wishing you safe travels over the Easter holidays.

Examination Schedule - 2021

21 October 2020

Kindly take note of the following requirements applicable to the SANC examinations:

  1. The closing date for the examinations should be strictly adhered to and no exceptions or allowances will be made to extend these dates.
  2. Only registered learners will be eligible for an examination: The Head of the Nursing Education Institution (NEI) must ensure that all learners are registered with the SANC within the prescribed period. Foreign applicants apply as individuals but will have to adhere to the prescribed period.
  3. Candidates will not be registered for an examination with only an identity number. SANC reference numbers are needed in all cases. Please follow up with the SANC Registration Section first, if learners are registered for the course before registering them for an examination.
  4. The SANC will only process applications for entry ...


...read the entire Circular 10 of 2020

Examination Schedule for 2021

The SANC - Appreciating the value of nurses and midwives especially during the Covid-19 pandemic

25 August 2020

The world is experiencing its biggest crisis in more than a hundred years, with the saving of lives at the forefront of every thought and action.


In the midst of this pandemic is healthcare workers and more specifically, nurses and midwives. 
Often the sacrifices that they make are done under impossible conditions, at the cost of their own health and safety, and at the cost of time not spent with their loved ones.


Says Sizo Mchunu, SANC Registrar and CEO: “We express our deepest sympathy and sincere condolences to the family, friends and colleagues of those nurses who have succumbed during the fight against Covid-19. You are the true heroes of the pandemic, with sacrifices made to the end. We salute you and we honour you. To this end, the SANC would like to announce its plans for a Wall of Remembrance in the internal garden at the SANC premises. The wall will contain the names of those nurses who have succumbed during the Covid-19 pandemic. What better way to honour these heroes than in a peaceful garden at the headquarters of the regulating body for nurses. Details will be provided to nurses as soon as possible.”


...read the entire Press Release 6 of 2020

2021 Annual Fees

23 July 2020



The annual fees for the calendar year 2021 for different categories of practitioners are provided in the table below:

Registered Nurses and Midwives R700.00
Enrolled Nurses and Midwives R418.00
Enrolled Nursing Auxiliaries R293.00


The Council has resolved to introduce reduced fees for nurses 60 years of age and over as per the table below:

1.2.1 60 TO 64 YEARS OF AGE ON 1 JANUARY 2021 (25% REDUCTION)

Registered Nurses and Midwives R525.00
Enrolled Nurses and Midwives R314.00
Enrolled Nursing Auxiliaries R220.00


Registered Nurses and Midwives R350.00
Enrolled Nurses and Midwives R209.00
Enrolled Nursing Auxiliaries R157.00

NB: To qualify for the discount amounts, practitioners may be required to submit a certified copy of their identity document in order to confirm their age.


The annual fees for 2021 must be received by the SANC on or before 31 December 2020.

The amounts in the tables above all include 15% VAT.



The restoration fees for different categories applicable from 1 January 2021 are shown in the following table.

Registered Nurses and Midwives R2 100.00 R146.00
Enrolled Nurses and Midwives R1 254.00 R146.00
Enrolled Nursing Auxiliaries R878.00 R146.00
Retired Nurses R146.00 R146.00



The reduced restoration fee only applies to a practitioner:

bullet Who must have been removed from the register at his/her own request; or
bullet Who must be 60 years of age or older on 1 January 2021. However, this must be confirmed with the Council before paying the reduced amount.



A Nurse Practitioner who no longer wishes to practise in South Africa or who is unemployed, may request, in writing, a voluntary removal of his/her name from the register, by completing the form available from the SANC. If a voluntary removal is granted by the SANC, the nurse practitioner’s name will be removed accordingly on the 31 December of the year in which the application is received. Once removed, the nurse practitioner will no longer be required to pay annual fees while he/she is removed from the register. 

If the nurse practitioner requires reinstatement onto the register, he/she will, in addition to paying the reduced restoration fee, be required to complete a Restoration Form. It must be noted that practising while not being registered is illegal.



Please note that for the calendar year 2021, the closing date for the payment of annual fees is 31 December 2020. Payments must reach the SANC bank account on or before the closing date. You are, therefore, urged not to leave payment for the last minute to avoid problems associated with making payments at year end. Remember: Bank transfers from non-FNB banks may take up to 3 working days and you are therefore advised to pay well in advance to meet 31 December 2020 deadline.



Please note that other fees and fees payable by institutions will be applicable with effect from 01 January 2021.



The signing of Resolution 3 of 2019 in September 2019 by the National Department of Health together with major trade unions in Public Health and Social Development Sectoral Bargaining Council (PHSDSBC) brought into effect the implementation of Persal deductions in 2020 for all employees falling under the scope of the PHSDSBC.

As a result of this agreement, affected nurse practitioners are urged not to pay the annual fees on their own as the employers are required to pay on their behalf in terms of Resolution 3 of 2019. 



The SANC has made an eRegister facility available on the SANC website which can be utilised by employers to verify the registration status of all nurse practitioners in their employment. Employers are urged to utilise this facility in the absence of a physical Annual Practising Certificate (APC). Visit: https://www.sanc.co.za/eRegister.aspx for more details. 



Community Service Practitioners are not eligible to be issued with an APC and therefore should NOT pay annual fees. They MUST pay a conversion fee on completion of their Community Service in order to be registered as Nurse Practitioners using the REGFPRA registration fee code instead of ANLFEES (e.g. 12345678REGFPRA).


Government Gazette 43358

Delayed registrations of nurses are resulting from late submisions of applications to the SANC

12 June 2020


During a time when the world is facing one of its worst crisis, especially in the area of healthcare, the South African Nursing Council (SANC) has continued its commitment towards the nursing profession and the registration of nurses to enable them to practice.


The SANC recognises and understands the need for as many registered nurses as possible to assist with the Covid-19 pandemic and as a result has also offered free restoration into the Nursing Register to nurses who want to assist for the period of the COVID-19 National State of Disaster.


It is disheartening in the midst of a crisis of this magnitude to find that there is still misinformation causing misperceptions that ultimately result in damaging the SANC’s image and work.

.. read the entire Press Release 5 of 2020

Incorrect published Regulations regarding Scope of Practice for Nurses and Midwives

27 May 2020


The National Department of Health published the above Regulations in Government Gazette No. 43305 published on 12 May 2020 for public comments for a period of one month. It was discovered after publication that an incorrect version of the Regulations was published. The National Department of Health regrets this error. The correct version of the Regulations will be published in due course to enable the public to comment.


Factual informaton on R425 Registered Nurse, R174 Professional Nurse and Midwife, and R171 General Nurse

25 May 2020

The South African Nursing Council has become aware through various media platforms that there is misinformation regarding the status of the current and future status of the four(4)- year degree/diploma nursing programme (Regulations Relating to the Approval of and the Minimum Requirements for the Education and Training of a Nurse (General, Psychiatric and Community) and Midwife leading to Registration-Government Notice No. R. 425 of 22 February 1985 as amended) and possibly other qualifications. This has caused confusion to the profession and the public at large.


1. Current status of the Four year (4) Degree and Diploma programme. (R.425)
This is a legacy nursing qualification that is being phased out like all other legacy qualifications in the country, in line with the requirements of the Higher Education Qualifications Sub-Framework and as supported by the Board Notice published in the Government Gazette by the Minister of Higher Education, Science and Innovation in July 2016. The last intake for this programme was 2019. It must be noted however that the programme leading to this qualification continues and is going to continue being offered for pipeline students for the next four (4) to six (6) academic years including 2 years teach-out period.


This programme will for some years run concurrently with the new four-year Bachelor programme. These two qualifications are mutually exclusive qualifications and none is a replacement of the other.


Any person that completed the R. 425 programme leading to Registration with the SANC as a Nurse (General, Psychiatric and Community) and Midwife shall retain this title and qualification and shall not be "degraded" or "demoted" in any way.


On completion of the R. 425 programme, graduates and diplomats from the four-year programme will be registered by the South African Nursing Council as Nurse (General, Community & Psychiatric) and Midwife. This programme will not under any circumstances be downgraded or changed in any way. It will run its course until it is naturally phased out in about 6 years.

No downgrading of the four-year R425 Course
The profession needs to note that the Registered Nurse qualifying from this programme will not be downgraded in anyway whatsoever. Section 31 (1) (c) of the Nursing Act, 2005 (Act no. 33 OF 2005), prescribed a category Staff Nurse. Following various changes in legislation, particularly the National Qualifications Framework Act, it became necessary that the nursing qualifications fit within the country’s qualification framework.
As a result, the Category "General Nurse" was created through a board notice published in Government Gazette R.939 of 28 June 2019 by the Minister of Health. This programme will have a duration of three years and is not a replacement of any other qualification.



2. Future four- year programme (R.174)

This is a new four-year programme governed by Regulations Relating to the Approval of and the Minimum Requirements for the Education and Training of a Learner leading to Registration in the Categories Professional Nurse and Midwife (Government Notice No. R174 of 8 March 2013).

Several Universities and Public Nursing Colleges were accredited by the Council to offer the programme. The SANC is aware that they have opted to commence with the offering of this programme in 2021.



Further information for students:
Students that are currently undergoing the R 425 programme should therefore not panic due to misinformation and disinformation from informal sources. They are encouraged to enquire and seek clarity from their principals regarding the uncertainties. The Heads of Nursing Education Institutions can if necessary enquire and be duly and formally advised by the SANC.


On behalf of the CEO& Registrar:
Ms S Mchunu

Cover for Healthcare workers during Covid-19 by Old Mutual

9 April 2020


Impact of Coronavirus outbreak on Nursing Education and Training

25 March 2020


The purpose of this circular is to provide:

bullet 1.1 supportive guidance /reminder to Nursing Education Institutions on managing interrupted teaching and learning activities, in respect of students nurses and midwives.
bullet 1.2 information to the National Department of Health, Provincial Departments of Health, and relevant stakeholders in respect of point 1.1 above. 



bullet 2.1 The Declaration of “a national state of disaster” by the State President on 15 March 2020, followed by pronouncement by the Minister of Higher Education, Science and Innovation, on 17 March 2020, on measures to deal with COVID-19 threat in the post-school Education and Training Sector, refers. The South African Nursing Council supports, unequivocally, the measures and initiatives put in place by the South African Government in order to curb the spread of the coronavirus.
bullet 2.2 The following, regarding academic breaks and academic interruptions for Student Nurses and Student Midwives in Nursing, need to be noted:
o Students in the Post-School Education and Training Sector, specifically Universities, ordinarily have recesses in line with university calendars.
o Student Nurses and Student Midwives in the rest of Nursing Education Institutions do not have recesses but normally take an annual leave which is scheduled by the respective Nursing Education Institutions, in collaboration with health establishments where they are placed for clinical teaching and learning.
bullet 2.3 Despite these different arrangements, Student Nurses and Student Midwives are expected to meet the same specified theoretical and clinical/practical requirements in line with the requirements of the relevant nursing programme.
bullet 2.4 The pronouncement by the Minister of Higher Education, Science and Innovation, that all Post-School Institutions must close on 18 March 2020 is inclusive of “the CET Colleges, private higher education institutions and colleges, as well as all training colleges which are managed by other ministries, such as Nursing, Agricultural and other Colleges”.



While theoretical provisioning may continue through various distance learning modalities, Student Nurses and Midwives may not be able to meet the clinical/practical requirements of the their respective programmes, depending on the duration of the academic interruption. 



The Heads of Nursing Education Institutions are advised to:

bullet 4.1 Comply with the pronouncement by both the President of the country and the Minister of Higher Education, Science and Innovation;
bullet 4.2 Explore, while contact teaching is hampered, various alternative methods to enhance theoretical provisioning; and
bullet 4.3 Work on tentative recovery plans for implementation once the academic activities resume, that will ensure that more attention is given to clinical/ practical teaching and learning. The recovery plans should be kept as reference records for possible future discussions with the South African Nursing Council, where necessary.


... read the entire Circular 5 of 2020

COVID-19 process flow for Healthcare professions

5 March 2020

For more information, please visit the website: http://www.nicd.ac.za/diseases-a-z-index/covid-19/

Note: The SANC is communicating this information on request of the NICD . It remains the responsibility of the Employer to ensure that the nurses are well trained to cope with the virus.


What you will find on the Nursing Council website

The following is a brief outline of what you will find on this website.

About SANC tells you all about the Nursing Council - the Council vision, mission and objectives, the members that make up the Nursing Council , the various Council committees and the members that serve on each, etc.

Archive shows the numbers of Council Circulars and Press Releases for previous years. 

Complaints deals with the process of investigating matters which have been reported to the Nursing Council and which may constitute "unprofessional conduct".  You can find out how to lodge a complaint (if you have one) and the process which will follow the receipt of your complaint.  If you find yourself in the unfortunate position of having a complaint against you, this information will help you to understand the whole process - including your own rights.

Education and Training contains documents related to the education and training of nursing and midwifery students. This is where you will find Exit Level Outcomes, the Community Service process, the Standard and Qualifications framework, etc.

Education Institutions contains a full list of all the nursing education institutions accredited by the South African Nursing Council and their contact details (arranged by province).  If you are a prospective student, this will enable you to find an institution near where you live OR in a place where you would like to study.

Employment contains the currently advertised vacancies at SANC. 

eRegister is a link to the Nursing Council electronic register of nurses and midwives - where you can confirm the status and qualifications of registered practitioners.

Events is where you will find the dates of planned meetings and any other planned Council events.

Examinations deals with those examinations which are conducted by the Nursing Council.  Here you will find the schedule of examinations to be held as well as a link to the examination results page.  If you are a  candidate who is planning to write or who has written a Council examination, you will definitely be interested in this information.

News is where you will find all the latest decisions of the Nursing Council, new policies, proposed policies and discussion documents on which the Council would like your comments. You should visit these pages if you want to keep informed and to be involved in shaping the future of Nursing and Midwifery in South Africa.

Policies contains some of the Nursing Council policies and position papers that are published for general information.

Presentations contains Nursing Council presentations delivered at various events.  Delegates may find this useful material to supplement the knowlege gained during the event.

Professional Practice is where you will find the various competencies and Code of Ethics for nurses.

Publications contains the full texts of official publications which are available from the Nursing Council.  These include the Annual Reports, Guidelines, Learner Documents, Nursing Acts (previous and current), the Promotion of Access to Information Act Manual and examples of Acts and Ommissions. Although you are welcome to print and use copies of these documents, it is recommended that you refer to them on-line as you will then be sure to obtain the very latest information.

Regulations contains the regulations of the Council. Although you are welcome to print and use copies of these documents, it is recommended that you refer to them on-line as you will then be sure to obtain the very latest information.

Services gives details of the services provided by the Nursing Council and how much each costs.  You can also download various official forms from these pages - this will ensure that you always use the current version of the form.  This is also the correct place for you to find out about the various options available for paying annual fees.

Statistics is for the inquisitive and the researcher.  Ever wanted to know how many nurses qualify each year?  This is where you will find all the information you need.

Supply Chain is where suppliers or prospective suppliers can download the form used to apply for registration as a supplier on the Supplier Database.  You can also find out about current bids/tenders and download necessary forms and information.


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