Monday 6 February 2023



The Honourable Minister for Health,

Federal Ministry of Health (FMOH),

Federal Secretariat Phase III, Ahmadu Bellow Way,

Central Business District Abuja,

P.M.B.083 Garki, Abuja




Director, Human Resources FMOH




The National Executive Council (NEC) of University Graduates of Nursing Science Association (UGONSA), a professional association of nurses with a minimum first degree in Nursing (B.N.Sc./B.Sc. Nursing), conveys the fraternal greetings and the appreciation of her members to you and all your staff.

2.      It could be recalled that the Office of the Head of Service of the Federation (HCSF) in a Circular Ref. No. HCSF/SPSO/ODD/NCE/CND.100/S.8/72 (Please refer to Annexure A) conveyed the approval of Enhanced Entry Point for B.N.Sc/B.Sc. Nursing holders by the National Council on Establishment (NCE) at its 43rd meeting held at Abuja, FCT, from 24th to 28th January, 2022. With the development, the entry point into the Nursing Officers’ cadre in the civil service for nurses with B.N.Sc/B.Sc. Nursing degree became Grade Level (GL) 10 (. i.e., CONHESS 09) effective from 28th January, 2022.

3.      Kindly also recall that in an earlier Circular from the Office of the Head of the Civil Service of the Federation Ref.No.B.63279/S.7/II/T/273 dated 24th April, 2002, (Please refer Annexure B) on “Adjustment of Salary Grade Level as a Result of Enhanced Entry Point (Base Grade level Adjustment) to a Cadre in the Civil Service"  unambiguously stated that "in order to stem the spate of agitation over adjustment of grades any time the base grade of any cadre in the Civil Service of the Federation is enhanced, Government has decided that adjustments should affect only the officers within the cadre whose positions fall below the new entry point; but such officers should retain the date of the adjustment as their date of seniority on the new grade, while serving officers who attained the new base grade and other grades above it by promotion or direct appointment will retain their original date of seniority on their respective grades”.

4.      The provision of the referenced circulars implies that while a fresh graduate of B.N.Sc/B.Sc. Nursing is appointed on GL10 (.i.e. CONHESS 09) post-NYSC (National Youth Service Corps) following the completion of an internship, those that are already in service but are still below the new entry point of CONHESS 09 should be adjusted to the new base grade effective from 28th January 2022 (. i.e., the approval date by the NCE) to maintain their seniority over other graduate nurses that were newly employed into the service after the release of the circular.

5.      Some worrisome development in the implementation of the circular compelled us to bring the issue to your esteemed attention. While many heads of institutions and facilities bluntly refused to implement the new circular, others are selectively implementing it with no regard to the provisions of the referenced extant circulars. Some heads of facilities strangely assert that "B.N.Sc./B.Sc. Nursing" nurses who were employed before the effective date of the circular (.i.e., 28th January, 2022) are not eligible for the adjustment to the new base grade because they are already in service, while others, argues that the adjustment will only affect "B.N.Sc./B.Sc. Nursing" nurses who show evidence of completion of an internship.

6.      While we advocate for the active participation of young graduates of B.N.Sc./B.Sc. Nursing degree in the internship programme, especially those that graduated after 2016/2017 when internship for nurses was approved; we make a strong case for those that had graduated years before the approval of the one-year internship programme for nurses in 2016. They were already out of the school system or employed and so were not eligible to participate in the internship and should not be denied their due promotion/upgrade because of an internship program that was non-existent for nurses at the time they left school or when they were employed.

7.      An example of a hospital that blatantly refused to implement the circular is the Neuropsychiatric Hospital, Aro, Abeokuta, Ogun State. This they displayed by refusing to implement the said circular for the new nursing officers they employed after the circular had been released (please refer to Annexure C I&II herewith attached). This is despite bringing the attention of its management to the extant circulars.

8.      Also, it may interest you to note with displeasure that the management of the under-listed health institutions/facilities and many more have decided to selectively implement the circular as it seems comfortable for them. This selective implementation ranges from either refusal to implement the circular at all or refusal to upgrade those nurses with B.N.Sc. degree holders who have completed their internship and NYSC schemes, and were employed before the effective date of the circular (28th January, 2022) but are still below the new base grade (SGL10), to refusal to adjust nurses with B.N.Sc. degree who were employed before the approval of internship for nurses, and as such, could not participate in the scheme, but have completed one-year NYSC service as at the time of their employment but are still below the new base grade (SGL10).

These include:

        i.      Neuropsychiatirc Hospital, Aro, Abeokuta, Ogun State

      ii.      Federal Teaching Hospital, Ido-Ekiti (FETHI), Ekiti State

    iii.      Obafemi Awolowo Teaching Hospital (OAUTH), Ile-Ife, Osun State.

    iv.      University of Uyo Teaching Hospital (UUTH) Uyo, Akwa Ibom State

      v.      Specialist Hospital, Yola, Adamawa State

    vi.      Fedreal Medical Center, Abeokuta, Ogun State.

  vii.      University of Abuja Teaching Hospital Gwagwalada , Federal Capital Territory (FCT),

viii.      Modibbo Adama University Teaching Hospital, Yola, Adamawa State

    ix.      University of Ilorin Teaching Hospital, Ilorin, Kwara State.

      x.      Federal Medical Center (FMC), Makurdi, Benue State,

    xi.      Lagos University Teaching Hospital (LUTH), Idi-Araba, Surulere, Lagos State

  xii.      University of Nigeria Teaching Hospital (UNTH), Enugu, Enugu State. Etc.



We passionately request that you use your good office to intervene by

1.      Releasing a memo/circular to all heads of health institutions/facilities under your ministry which engages the services of nurses (B.N.Sc. nurses and Midwives) to commence full implementation of the circular as approved by NCE by placing eligible nurses on SGL.10 (CONHESS 9) without further delay or objection.


2.      Mandating heads of health institutions/facilities under your ministry to upgrade the "B.N.Sc./B.Sc.Nursing" degree holders who are still below GL 10 (.i.e., CONHESS 09) to the new base. This category of nurses were employed and had been in service before the approval of the internship scheme for nurses and so could not participate in the one internship programme, but have completed their one-year NYSC scheme before employment.


3.      Specifically mandating the management of the Neuropsychiatric Hospital, Aro, Abeokuta, Ogun State, to commence full implementation of the Enhanced Entry Point Circular on all deserving nurses with "B.N.Sc./B.Sc. Nursing" degree and adjustment of the grade level of those already in service that are still below the newly approved entry grade of SGL 10.


Please, accept the assurances of our highest regards.




Nurse Ojo Opeyemi                                                                       Nurse Philip O. Eteng

National President                                                                               National Secretary





The Office of the Head of Civil Service of the Federation (OHCSF), Abuja,

Director of Nursing Services (DNS), Federal Ministry of Health, Abuja

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