At the conference, 99% of nurses voted in favour of the motion which said the congress has no confidence in Mr Lansley’s management of the NHS reforms.
It follows calls made at the BMA emergency Special Representative Meeting where doctors voted for the Health Bill to be withdrawn, but stopped short of passing a motion of 'no confidence' in the health secretary.
RCN chief executive and general secretary Dr Peter Carter said the vote at the RCN conference reflects members' 'passionate' concerns that the reforms could destabilise the NHS.
He said: ‘Nurses need to have a pivotal role within the new NHS structures and we call on the Government to listen to what our members have been expressing this week. At the heart of these concerns are the interests of patient care.
'We want to work with the Government to ensure that the NHS develops and moves forward in a way that we and patients would wish.’