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REPUBLIC
OF CYPRUSMARIA EVANGELOU
PRESIDENT
CYPRUS NURSING AND MIDWIFERY COUNCIL
THE EVOLUTION OF THE
NURSING AND
MIDWIFERY LAWS OF THE
REPUBLIC OF CYPRUS
BEFORE THE REPUBLIC 1960
• 1571 until 1878 Cyprus was under Turkish
Occupation
• 1878 until 1960 Cyprus was under British rule
following the Cyprus Convention of 4/6/1878
which was a secret agreement reached between
the Ottoman Empire and the United Kingdom
whereby Britain would protect the Sultan’s Asian
territories from the threat of Russia.
Her Majesty the Queen of the United Kingdom of Great Britain and Ireland, Empress of India, the Right HonourableAusten Henry Layard, Her Majesty's Ambassador Extraordinary and Minister Plenipotentiary at the Sublime Porte; And His Imperial Majesty the Sultan, his Excellency Safvet Pasha, Minister for Foreign Affairs of His Imperial Majesty; Who, after having exchanged their full powers, found in due and good form, have agreed upon the following Articles:
Occupation and Administration of Cyprus by Great Britain.
And in order to enable England to make necessary provision for executing her engagement, His Imperial Majesty the Sultan further consents to assign the Island of Cyprus to be occupied and administered by England.
CONVENTION of Defensive Alliance between Great Britain and
Turkey, with respect to the Asiatic Provinces of Turkey. Signed
at Constantinople, 4 June, 1878.
NO STRUCTURED
HEALTH SYSTEM
EXISTED PRIOR TO
BRITISH RULE IN 1878
THE MEDICAL REGISTRATION
LAW OF 1917
The Cyprus Gazette 1917
• A bill t o provide for the registration of m e d i c a l practitioners.
• b e it enacted by his Excellency the High Commissioner and Commander-in-chief of the island of Cyprus, with the advice and consent of the legislative council thereof, as follows :— 1. this law may be cited as the medical registration short title. law, 1917. 2 . in t h i s l aw : interpretation. Register means the medical register to be kept under this law. " practitioner " means a person whose name is on the register. 3. the words " legally qualified medical practitioner," 2jjai or " licensed medical practitioner," or any words import- practitioner ing a person recognized by law as a medical practitioner *- or member of the medical profession, when used in any law of the island, shall be construed to mean a person registered under this law. 4.—(1) there shall be hereby constituted a body of medical persons, hereinafter referred to as the medical assessors, * whose duties shall be to decide upon applications of persons desiring to have their names placed upon the register
The first law introduced in
Cyprus was The Midwifery
Law which was approved in
1932 and there was an
amendment in 1936
REGISTRATION OF A MIDWIFE
AMENDMENT OF 1932 LAW
HEALTH CARE PROVIDERS IN
CYPRUS - EARLY 1900’s
NURSING IN CYPRUS - EARLY
1900’s
The Nursing and Midwifery
Laws of 1951
On 11th January 1951 this Law was replaced
by the Nursing and Midwifery Law of 1951
which categorised nurses as follows –
– general nursing,
– mental nursing,
– tuberculosis nursing,
– nursing as a Cyprus Registered Nurse,
– nursing as a student nurse
THE NURSING AND MIDWIFERY LAW
1951
The Law of 1951 and the Council
The Nursing and Midwifery Council by the law consisted
of………..
• The Director of Medical Services (double vote)
• Two Medical Practitioners of the Public Service
• Two Medical Practitioners of the Private Service
• Two Registered Nurses one of whom was the Senior
Matron in the Government Nursing Service
• Two Registered Midwives, one of whom was of the
public service
FIVE DOCTORS – TWO NURSES – TWO MIDWIVES
APPOINTED BY THE GOVERNOR FOR A 3 YEAR
PERIOD
1951 WHO WAS LEGIBLE TO
PRACTICE NURSING OR MIDWIFERY
• Registered nurse or midwife
• Specially licensed nurse (person practicing
nursing for over a three year period)
• A Medical Practitioner
• Cyprus Registered Nurses had to be supervised
by General Nurses who had been registered by
the General Nursing Council of England, Wales or
Scotland
• Registration had a fee of 50 mils
Person practicing contrary to the law
were:
• Guilty of an offence
• Liable to imprisonment for
maximum of 3 months
• Fine of maximum 25 pounds
• Imprisonment and fine
1960 ZURICH – LONDON TREATY
CYPRUS GAINS INDEPENDENCE ON
16/8/1960
• THE NURSING AND MIDWIFERY LAW OF 1951
WAS AMENDED ON 24/5/1962 removing
remnants of British Rule such as references to
“the Governor”
• The law now printed in the Greek Language.
1962 LAW
The Nursing and Midwifery Council
consisted of :
– An Administrative Officer of M.O.H
– Chief Medical Officer
– Medical Officer recommended by M.O.H
– Senior Matron
– Two qualified Nurses or Midwives in the public
services
– Two qualified Nurses or Midwives in the private
services
1 Administrator, 2 Doctors, 5 Nurses/Midwives
A NURSE REGISTERED IN 1970
A MIDWIFE REGISTERED IN 1971
1974
14 August 1974 - Turkey invaded and seized 36.2
percent of the territory of the Republic of Cyprus
and it maintains an illegal military occupation in
the northern areas of the island to this day.
In 1975 the Nursing School gained autonomy
graduates of our Nursing School are no longer
required to be examined at the British Bases to
obtain registration. They applied directly to the
UK
1975 CYPRUS HONOURS NURSING
WITH A STAMP
NURSES IN CYPRUS LATE 1970s
ONE OF THE MOST IMPORTANT
LANDMARKS IN THE EVOLUTION OF
THE LAW WAS:
THE ANNULMENT OF THE
1962 LAW AND ENACTMENT
OF THE NURSING AND
MIDWIFERY LAW OF 1988
27
NURSING AND MIDWIFERY LAWS
AND AMENDMENTS
The Nursing and Midwifery Law N. 214 of 1988
131 of 1991
154(Ι) of 2003
217(Ι) of 2004
249(Ι) of 2004
30(Ι) of 2006
43(Ι) of 2009
122(Ι) of 2011
1(Ι) of 2012
1988……..
• FINALLY ….AFTER 56 YEARS THE COUNCIL
WAS MADE OF NURSES / MIDWIVES :
• 5 REGISTERED NURSES (First Level) appointed
by the Ministry of Health to ensure
• representation from all fields of the profession :
one member from nursing education, one General
Nurse, one Mental Health Nurse, one Midwife and
one Health Visitor
• Plus 4 nurses voted in the elections of the Cyprus
Nurses Association which later became the
Cyprus Nurses and Midwives Association
1988…..
• The Registrar…..was “a person” appointed by the
Ministerial Council and who maintained the
following Registers:
– Register of First Level General and Mental Health
Nurses
– Register of Second Level General and Mental Health
Nurses
– Register of Midwives
– Registered of Licensed Assistants of Private Clinics
– Register of Practical Nurses who were still practicing
at the time of the enactment of this law
1988……
• Register was printed in the Official Newspaper of
the Republic of Cyprus every January
• The Council had disciplinary responsibilities
• The Cyprus Nurses Association was established
(Later to become The Cyprus Nurses and Midwives
Association)
Amendment of 2003
The Republic of Cyprus acceded to the European
Union on 1/5/2004. The Amendment of 2003 was
intended for the harmonisation of the law with all
relative EU directives
FINALLY in 2003, after 71 years from the first Law,
the Registrar is defined in the Law as …..the
NURSE appointed by the Ministerial Council.
AMENDMENT OF 2003
• REGISTERS :
– REGISTER OF NURSES – GENERAL
- MENTAL HEALTH
– REGISTER OF MIDWIVES
THE REGISTER FOR SECOND LEVEL NURSES
WAS CLOSED.
EU CITIZENS COULD APPLY FOR
REGISTRATION IN CYPRUS
REGISTRATION OF GENERAL NURSES FROM EU
MEMBER STATES FROM 2003 TO 2009
0
20
40
60
80
100
120
140
160
REGISTRATIONS IN 2011
OTHER M.S – U.K, BULGARIA, ROMANIA, CZECH R, LATVIA
214
104
18
CYPRUS GREECE
OTHER M.S
SUMMARY OF REGISTRATIONS
FROM EU MS FROM 2003 - 2011
20
40
86
70
46
95
69
97
123
0
20
40
60
80
100
120
140
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
2009 LANGUAGE REQUIREMENTS
• In the amendment of 2009,
Article 10 of the Law stated
that in order to practice nursing
or midwifery in Cyprus an
ELEMENTARY knowledge of
the Greek Language is
required.
AMENDMENT OF 2011
• FOR THE CYPRUS NURSES AND
MIDWIVES ASSOCIATION
– Increased number of members of
Administrative Council
– Increased duration of term
– Added duties of the association
– Voting system changed
– Introduction of emblem etc
CYPRUS NURSES AND MIDWIVES
ASSOCIATION OFFICIAL EMBLEM
NEXT GREAT LANDMARK 2012
• THE AMENDMENT OF 2012
• INCREASED MEMBERS OF COUNCIL FROM
NINE TO 11 :
Appointed members : 4 Registered Nurses - one from
nursing education, one general nurse, one mental
health nurse, one health visitor and one midwife
Elected members : 4 Registered General Nurses, one
Midwife and one Mental Health Nurse
Duration increased to four year period
The Amendment of 2012
• Introduces a License to Practice which has to be
renewed every four years, promoting CPD
• Renewal requires 32 hours or 20 credits of theory
plus 25 days per year of professional practice
• Introduces procedure for Registration, Provision
and Renewal of License to Practice
• Introduces Codes of Practice for both Nursing
and Midwifery
• Introduces fees and establishment of treasury
prior to this the Council had no income
The Amendment of 2012
• Extends the duties of the Council e.g.
cooperation with CY.N.M.A for issues
relating to CPD
• Introduces separate Disciplinary Council
consisting of FIVE members 3 Nurses, 1
Midwife and 1 Mental Health Nurse
MY REGISTRATION
License to Practice
A CURRENT CERTIFICATE OF
REGISTRATION
UNOFFICIAL STAMP OF CYPRUS NMC
FEATURING GREEK GODDESS HYGEIA
FEES
FEES (€ )
(Ι) Application for registration in the
Nursing / Midwifery Register
Thirty Five Euros
(€35,οο)
(ΙΙ) Application for re-examination
of application for registration in the
Nursing / Midwifery Register
Thirty Five Euros
(€35,οο)
(ΙΙΙ) Issue of a registration
certificate and License to Practice
the profession
Thirty Five Euros
(€35,οο)
(IV) Renewal of License to
Practice the profession
Ten Euros (€ 10,00) for every
Year of renewal
(V) Application for the re-issue of a
lost certificate
Forty Euros
(€ 40,00)
(VI) Fees for the issue of a
certificate of Current Professional
Practice
Forty Euros
(€ 40,00)
48
MANY THANKS
ENJOY YOUR STAY ON OUR BEAUTIFUL
ISLAND