Private Healthcare Facility Licensing in Bangladesh

by Barrister Tahmidur Rahman | Sep 14, 2026

Trade, Competition & RegulationLicensed, inspected and ready to treat8 min read

Private Healthcare Facility Licensing in Bangladesh

Healthcare facility licensing advice for private hospitals, clinics, diagnostic centres, laboratories and their investors in Bangladesh: DGHS licences and renewals, building, fire, environmental and radiation approvals, staffing and equipment standards, inspections, closure orders and the legal side of opening, expanding or acquiring a facility.

Overview

How private healthcare facility licensing works in Bangladesh

Private hospitals, clinics, diagnostic centres and pathology laboratories deliver a large share of healthcare in Bangladesh, and each must be licensed before it treats patients or performs tests. The core legal basis remains the Medical Practice and Private Clinics and Laboratories (Regulation) Ordinance 1982, under which the Directorate General of Health Services licenses and inspects private facilities. Healthcare facility licensing has long been criticised as outdated, and reform has been discussed for years, so practice rests heavily on DGHS procedures and directions. We advise operators and investors on that system as part of our regulatory practice in Bangladesh.

A DGHS licence is only one of several permissions a facility needs. Depending on its size and services, a private hospital will also need a trade licence, building and occupancy approvals, a fire safety licence, environmental clearance from the Department of Environment, a licence from the Bangladesh Atomic Energy Regulatory Authority for X-ray and other radiation equipment, a drug licence for any in-house pharmacy, permissions for controlled medicines, and arrangements for medical waste under the applicable rules. Healthcare facility licensing therefore needs a single plan that sequences every approval rather than treating each in isolation.

The DGHS assesses facilities against minimum standards for premises, beds, operating theatres, equipment, and the number and qualifications of doctors, nurses and technicians. Doctors must be registered with the Bangladesh Medical and Dental Council, and nurses with the Bangladesh Nursing and Midwifery Council. Licences are renewed periodically, and inspections can take place without notice. In recent years the authorities have carried out repeated drives against unlicensed or non-compliant hospitals and diagnostic centres, including closure orders and mobile court proceedings. Operating while a renewal is pending or with a lapsed licence is a real healthcare facility licensing risk, not a technicality.

Healthcare facility licensing problems often surface after a patient complaint or adverse incident. A death or serious injury can trigger a DGHS inquiry, a complaint to the medical council, police involvement, a consumer complaint or a civil claim, sometimes all at once, and media attention can follow within hours. How the facility responds in the first days shapes each of those processes. We help facilities preserve records, manage inquiries and coordinate their response with clinical leadership, and our dispute resolution lawyers act where an incident turns into litigation or a criminal case against the facility or its staff.

Investment in private healthcare is growing, from domestic hospital groups and specialist chains to foreign operators and healthtech businesses. Acquirers need to know whether the target's licences are valid and transferable, whether the premises comply, and whether past incidents or inspections create hidden liabilities. Foreign investment registration now sits with Invest Bangladesh, which replaced BIDA on 23 August 2026. Patient data must be handled in line with the Personal Data Protection Act 2026. We advise on healthcare facility licensing as part of transactions, joint ventures and management agreements, working with clients' clinical and technical advisers on the standards that apply.

01 · What we handle

Core workstreams

  • New facility licensing
  • Renewals and compliance audits
  • Inspections, notices and closures
  • Incidents and patient complaints
02 · How it runs

Four clear stages

  1. 01Scoping and gap review
  2. 02Applications and approvals
  3. 03Operational compliance
  4. 04Incidents and disputes
03 · Start here

Talk to a partner

Consultations in Dhaka or by video. Scope, team and fees are agreed in writing first.

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How we help

How we support hospitals, clinics and diagnostic centres

Workstream 01Trade, Competition & Regulation

New facility licensing

  • Scoping and gap review
  • Applications and approvals
  • Operational compliance
  • Incidents and disputes
Workstream 02Trade, Competition & Regulation

Renewals and compliance audits

  • Scoping and gap review
  • Applications and approvals
  • Operational compliance
  • Incidents and disputes
Workstream 03Trade, Competition & Regulation

Inspections, notices and closures

  • Scoping and gap review
  • Applications and approvals
  • Operational compliance
  • Incidents and disputes
Workstream 04Trade, Competition & Regulation

Incidents and patient complaints

  • Scoping and gap review
  • Applications and approvals
  • Operational compliance
  • Incidents and disputes
Workstream 05Trade, Competition & Regulation

Transactions and investment

  • Scoping and gap review
  • Applications and approvals
  • Operational compliance
  • Incidents and disputes
Workstream 06Trade, Competition & Regulation

Clinical contracts and data

  • Scoping and gap review
  • Applications and approvals
  • Operational compliance
  • Incidents and disputes
01

New facility licensing

We plan the licensing of a new hospital, clinic or diagnostic centre from site selection onwards. That includes checking land use and building approvals, preparing the DGHS healthcare facility licensing application and supporting documents, and sequencing fire, environmental, radiation, drug and waste approvals so that the facility can open on schedule. We coordinate with architects and clinical planners on the standards the authorities will inspect against.

02

Renewals and compliance audits

We maintain a licence calendar for each facility and prepare renewal applications in good time. We also carry out healthcare facility licensing and compliance audits covering licences, staff registrations, consent forms, record keeping, waste handling and radiation safety, and report gaps with practical remediation steps, so that the facility is ready for an unannounced inspection rather than relying on last-minute fixes when officials arrive.

03

Inspections, notices and closures

When the DGHS or another authority inspects, issues a show cause notice, suspends a licence or orders closure, we respond quickly. We review the findings, prepare written representations and corrective action plans, engage with officials and, where a decision is unlawful or disproportionate, seek appropriate relief before the High Court Division, including interim orders that allow essential services to continue while the matter is heard.

04

Incidents and patient complaints

We advise facilities on the legal response to adverse incidents, patient deaths, complaints and media attention. That covers preserving records, internal reviews, cooperation with DGHS inquiries and the medical council, communication with families, and coordination with insurers. Where criminal complaints, consumer cases or negligence claims follow, we coordinate the defence of the facility and, where appropriate, separate representation for doctors and staff. Records, incident reports and staff accounts should be secured promptly, before details are lost.

05

Transactions and investment

We conduct regulatory due diligence on hospitals, clinics and diagnostic businesses, focusing on healthcare facility licensing, transferability, building compliance, staffing, incident history and pending proceedings. We draft acquisition, joint venture, management and equipment leasing agreements with conditions tied to licensing, and advise foreign investors on registration with Invest Bangladesh, foreign exchange rules and the structure of their participation in the facility. We also plan post-closing licence transfers.

06

Clinical contracts and data

We prepare consultant engagement agreements, outsourcing contracts for laboratories, imaging and pharmacy services, telemedicine terms, patient consent forms and internal policies. We also advise on the Personal Data Protection Act 2026 as it applies to patient records, cloud hosting, laboratory information systems and data sharing with insurers and corporate clients, so that clinical, commercial and privacy obligations remain aligned. We also train staff on consent and records.

RecognitionThe Legal 500Asia Pacific ranks Tahmidur Remura Wahid (TRW) Law Firm for dispute resolution in Bangladesh.
Cross-border reach6 jurisdictionsMatters coordinated with counsel in the UK, US, UAE, China, India and Singapore.
Bar and admissionsDhaka and LondonBarristers and advocates in Bangladesh, with a solicitor of England and Wales (non-practising).
HeadquartersDhakaHouse 410, Road 29, Mohakhali DOHS. Consultations in person or by video.
Who leads this work

Partner-led, on every matter.

Trade, Competition & Regulation matters at TRW are led by partners, supported by associates, with one responsible lawyer from first advice to final outcome.

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01

Which law governs private healthcare facility licensing in Bangladesh, and is it changing?

The Medical Practice and Private Clinics and Laboratories (Regulation) Ordinance 1982 remains the main legal basis for licensing private clinics, hospitals and laboratories, administered by the Directorate General of Health Services. Because the Ordinance is old and brief, much of the detail comes from DGHS procedures, standards and directions. Replacement legislation has been proposed and debated over many years. Facilities should therefore check the current requirements rather than rely on older guidance. We monitor developments and confirm the position on each healthcare facility licensing matter, including any change in fees, documents or online application procedures.

02

What approvals besides the DGHS licence does a new private hospital need?

A new hospital typically needs a trade licence, tax and VAT registration, building plan and occupancy approvals, a fire safety licence, environmental clearance, a radiation licence from the Bangladesh Atomic Energy Regulatory Authority for imaging equipment, a drug licence for any pharmacy, permissions for controlled medicines, and arrangements for medical waste. Blood banks, dialysis, transplant and some specialist services carry additional requirements. Some approvals depend on others, so the order matters. We prepare a single healthcare facility licensing plan with responsibilities and timelines for each approval, and track progress until the facility is ready to open.

03

Can a clinic operate while its healthcare facility licensing renewal is pending with the DGHS?

This is a frequent source of risk. A facility that applies for renewal in good time and can show that the application is pending is in a far better position than one whose licence has simply lapsed, but enforcement teams do not always draw that distinction on the day of an inspection. We advise facilities to apply well before expiry, keep proof of submission and payment available at reception, and follow up on outstanding queries promptly. Where an inspection or closure order occurs during a pending renewal, we act immediately to present the record and seek resolution.

04

What happens if the authorities close a diagnostic centre or hospital?

Closure or suspension orders may follow an inspection finding that a facility is unlicensed, understaffed, unsafe or using unqualified personnel, or after a serious incident. Mobile courts may also impose fines or other penalties on the spot. The facility's priorities are patient safety, preserving records, and a fast, accurate response to the authority. We review the order and the inspection findings, prepare a corrective plan and representations, and, where the order is unlawful or disproportionate, apply to the High Court Division. A credible healthcare facility licensing remediation plan is often the quickest route to reopening.

05

Are there minimum staffing and equipment standards in healthcare facility licensing for private hospitals?

Yes. The DGHS applies standards on the number of beds, the space per bed, operating theatre and intensive care facilities, essential equipment, and the number and qualifications of doctors, nurses and technicians per bed or per service. Standards differ by facility category and service. Inspectors check whether doctors are registered with the medical council and whether the staff on duty match the staff listed in the application. We help facilities compare their current position with the applicable standards and document compliance, which is particularly important when expanding services or adding beds after the original licence.

06

How does an acquirer check healthcare facility licensing during due diligence?

We review every licence and approval, its holder, scope, expiry and conditions, and whether it must be reissued after a change of ownership or name. We check building approvals against the actual premises, clinician registrations, inspection reports, closure orders, pending inquiries and litigation, and waste and radiation safety arrangements. Healthcare facility licensing gaps often affect valuation and timing, so we translate findings into conditions precedent, indemnities and post-completion actions, and agree which issues must be fixed before signing or closing. Where a licence cannot transfer, an interim operating arrangement should be agreed before signing.

07

What should a hospital do after a patient death or serious incident?

First, secure patient records, CCTV and equipment logs, and ensure that clinical staff document events accurately and promptly. Second, notify insurers and identify who will speak for the facility. Third, prepare for inquiries by the DGHS, a complaint to the medical council, police involvement or a negligence claim, and assess whether individual staff need separate advice. Communication with the family should be compassionate and careful. We advise facilities from the first hours, coordinate legal strategy across each process, and help prevent a single incident from becoming a healthcare facility licensing crisis. Lessons learned should feed into training.

08

Can foreign investors own or operate private hospitals, and how does healthcare facility licensing apply?

Foreign investment in private hospitals and diagnostic businesses is generally permitted, subject to registration, foreign exchange rules and sector-specific licensing. Since 23 August 2026, investment registration and facilitation functions formerly carried out by BIDA sit with Invest Bangladesh. The facility itself still needs DGHS licensing and other approvals, and foreign doctors and specialists need registration or permission from the medical council and work permits. Management agreements with foreign hospital groups raise questions on fees, branding and remittance. We advise on structure, approvals and agreements, coordinating with counsel abroad where the investor needs home-country advice.

How a matter runs

From first call to resolution.

  1. 01

    Scoping and gap review

    We review the planned or existing facility, its services, premises and staffing, identify every licence and approval required, and compare the current position against DGHS standards and the requirements of the other authorities involved in approval.

  2. 02

    Applications and approvals

    We prepare the DGHS healthcare facility licensing application and the related building, fire, environmental, radiation, drug and waste approvals in the right sequence, respond to queries and inspections, and track progress against the facility's planned opening or renewal date.

  3. 03

    Operational compliance

    Once licensed, we maintain a renewal calendar, audit compliance periodically, review clinical contracts, consent forms and data practices, and update the facility as requirements and enforcement practice change over the life of each licence and each new service.

  4. 04

    Incidents and disputes

    When an inspection, closure order, complaint or patient incident arises, we respond quickly with representations, corrective plans and, where justified, court proceedings, coordinating the facility's position across regulators, insurers and any civil or criminal process that follows.

“Demonstrates an extraordinary command over both domestic litigation and international arbitration.”

The Legal 500 Asia Pacific, Bangladesh: Dispute resolution, client feedback

FAQ

Questions, answered.

Still unsure? Email info@trw.co with a short outline of the matter.

Who issues licences for private hospitals and clinics in Bangladesh?
The Directorate General of Health Services licenses private hospitals, clinics, diagnostic centres and laboratories under the 1982 Ordinance, increasingly through online application and renewal systems. Other authorities issue the related permissions, including city corporations or municipalities for trade licences, the fire service, the Department of Environment, the Bangladesh Atomic Energy Regulatory Authority and the Directorate General of Drug Administration. Healthcare facility licensing in practice means coordinating all of them, not just the DGHS, and keeping each permission current at the same time.
How long does healthcare facility licensing take for a new clinic?
It depends on the size of the facility, the readiness of the premises and staff, and how many other approvals are needed. A small diagnostic centre with compliant premises may move quickly; a multi-specialty hospital with imaging, theatres and a pharmacy will take considerably longer because several approvals run in sequence. We prepare a realistic timetable once we have reviewed the plans and the site, and identify the approvals most likely to cause delay so that recruitment and equipment purchases can be timed sensibly.
Do telemedicine and home care services need healthcare facility licensing?
Telemedicine and home care sit in a less settled part of Bangladeshi regulation. Doctors providing remote consultations must still be registered with the medical council, and any physical facility, sample collection point or laboratory involved will normally need licensing. Data protection, prescription and advertising rules also apply to digital services. We analyse each service model against the current rules and DGHS practice, and advise on structuring the service so that it can be defended if questioned by the authorities.
What penalties apply when healthcare facility licensing is missing or has lapsed?
Operating without a valid licence can lead to closure orders, fines, seizure of equipment, mobile court proceedings and, in some cases, prosecution of owners and managers. Enforcement drives have been widely publicised, and reputational damage often exceeds the formal penalty. Where a licence has lapsed or was never obtained, we advise on regularising the facility as quickly as possible, including whether services should be suspended while applications are processed, so that further enforcement action can be avoided.
Does healthcare facility licensing cover advertising and pricing?
Licensing conditions and directions can address matters such as display of service charges, and advertising by medical facilities and practitioners is subject to professional and consumer protection rules that discourage misleading claims. Price lists, package offers and promotional material should therefore be reviewed before publication. We review marketing for hospitals and diagnostic centres and advise on complaints by competitors or consumers, including proceedings before the consumer protection authority, which can move quickly once a complaint is filed. Claims about outcomes, specialist status or equipment should be checked against actual qualifications and facilities before publication.
Does a hospital's X-ray or CT equipment need a separate licence?
Yes. Radiation equipment such as X-ray, CT and other imaging devices requires licensing by the Bangladesh Atomic Energy Regulatory Authority, with requirements on shielding, qualified personnel, dosimetry and safety procedures. The DGHS licence does not cover this. Operating radiation equipment without the appropriate licence exposes the facility to enforcement and can delay renewals. We coordinate radiation licensing with the facility's overall healthcare facility licensing timetable and with the equipment supplier's technical documentation. We also check that operators hold the required training records.
Are hospital disputes subject to mandatory mediation in 2026?
The Legal Aid Services (Amendment) Act 2026 introduced mandatory pre-case mediation for certain civil disputes, rolling out by district, and some commercial disputes involving hospitals, such as supplier, lease or management agreement claims, may be affected. Regulatory enforcement and criminal complaints are not resolved by that process. We advise facilities on whether mediation applies, and on the right forum for each dispute, before proceedings begin or a response deadline passes. Where mediation applies, we prepare the facility's position paper and attend the session.
How do we start healthcare facility licensing work with TRW & Co?
Contact us through our Dhaka contact page or on +880 1708 000660 with a short description of the facility, its location and services, and any licences already held. We review the position, identify the approvals required and confirm scope, timetable and fees in writing. Facilities facing an inspection, closure order or incident should tell us at once so that we can prioritise the immediate response. We can also review your existing licence file in advance.

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