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Report to the Nation: TCI NHIP underfunded as lifestyle diseases costs soar, overdue report to reveal if contributions will increase

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Photo by Jean Sagesse

#Providenciales, Turks and Caicos Islands – April 24, 2018 – In a report due to be completed by the end of May is where the nation will find out if the cost of contributions to the National Health Insurance Board should or will be increased to help stymie the year on year shortfalls of the social health care plan.

The Premier and Finance Minister, Hon Sharlene Robinson on Monday led a delegation of officials from the Ministry of Health and the National Health Insurance Board in a nationally aired press conference which exposed progresses at the beleaguered entity.

Premier Sharlene Robinson, in opening said: “I have started the overdue actuarial review of the National Health Insurance Board, the results of which will form and inform key government decisions.  Our Government has ensured financial support of the National Health Insurance Board to the tune of $12m.  Ten million of which has already been dispersed in the recently passed supplementary budget.”

The NHIP has been running a deficit budget for the past three years and it is costing TCI tax payers $12m to bail out the health care plan.

“These funds have been used to significantly reduce the organization’s liabilities to its local and overseas providers.  At this point the National Health Insurance Board is 70 to 80% of clearing all outstanding liabilities for the financial year 2017-2018.  The remaining 20% should be completed by the end of April 2018.”

The reason for the overrun at the NHIB, which in the Statutory Board Review was recommended to be dismantled, is – among other things – the surging cost to the Plan of medical treatment overseas for thousands of patients; 70 to 80% of which are Turks and Caicos Islanders.

“The average total expenditure for the National Health Insurance Board over the last three years is $61 million.  Hospital related payments accounted for about 51% of the average NHIP expenditure, followed by Treatment Abroad with 35%, pharmaceutical and local provider costs averaged about six percent and two percent respectively,” said Delton Jones, Chairman of the NHIP Board, who added later that, “This is indicative of the persistent under funding of the NHIP at a time when there has been increasing health care costs.”

The National Health Insurance Plan is reviewed in the Stephen Turnbull report as unsustainable, that it should be absorbed into the Ministry of Health.  However, Cabinet Ministers rejected the idea and voted ‘no’ to the recommendation.  The Premier tried to quell the fears of the 30 staffers at the NHIP.

“Let us not for one minute think that nothing is happening at the National Health Insurance Board. Our government has been working alongside the Board to fix the issues and turn the organization around, we are fixing it and we are committed to fixing the National Health Insurance Board.  Premier Robinson said to the staff, with whom she plans to meet soon that “I personally wish to thank them for their dedication and  assure them that the National Health Insurance Board is here and that my government is committed to their well being.  We recognize that they have a pivotal role in turning the organization around and will be a part of all key decisions…”

The long overdue Actuarial Report is but one of the advancements currently underway to reveal the truest state of the NHIP; it was also announced that the Health Regulatory Agency (HRA) is nearing launch and Desiree Lewis, Permanent Secretary of the Ministry of Health shared that there is a roll out plan.

“We have in place the CEO, as the Minister mentioned… it (the HRA) should have been in place prior to the opening of the Hospitals, unfortunately that did not progress in the manner in which it should have but we are now closer – closer meaning we have established an implementation plan which we should be rolling out within the next four to six months, before December.”

P.S. Lewis explained that the HRA is currently seeking a location, will bring on staff and will eventually manage and monitor all health facilities within the Turks and Caicos Islands.  The HRA will also have auditing power over the National Health Insurance Plan.

The National Health Insurance Plan, as explained by Chairman of the Board, Delton Jones started collecting contributions in 2009 with a current enrolment of 33,218 members, which includes dependents.

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Durliat Delivers Bronze as TCI Swim Team Earns Hero’s Welcome

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PHOTOS COURTESY OF THE TCI SPORTS COMMISSION

 

Turks and Caicos, April 14, 2026 – The Turks and Caicos Islands is celebrating a proud moment in aquatics, led by standout swimmer Luc Durliat, who secured the country’s lone medal at the 2026 CARIFTA Aquatics Championships in Martinique.

Durliat captured bronze in the Boys 11–12 200m Butterfly, clocking an impressive 2:39.33 after advancing through multiple rounds, showcasing both endurance and composure in the pool. His performance stood out in a highly competitive field and signaled growing strength in the territory’s aquatics programme.

The Turks and Caicos Islands Swimming Federation praised the young athlete’s achievement, stating:

“Congratulations to Luc Durliat on winning bronze in the Boys 11–12 200m Butterfly at the CARIFTA Aquatics Championships 2026, proudly representing the Turks and Caicos Islands National Team. Your hard work, determination, and strong performance in the pool have made Turks and Caicos proud.”

Durliat’s medal came amid a broader showing of progress by Team TCI, with several swimmers delivering personal best performances throughout the competition. Among them were Isaac Farley, Anaiah Alleyne, Kian Jules, Ezekiel Martin and Rishith Gururaja, all of whom posted significant improvements, underscoring the team’s upward trajectory.

Minister of Education, Youth, Sports and Culture Rachel Marshall Taylor also commended the team’s efforts, highlighting Durliat’s resilience and the wider gains in the sport.

“In the pool, Luc Durliat showcased resilience and competitive spirit, earning a bronze medal in the 200m Butterfly… His performance stands as a testament to the growth and promise of aquatics in the Turks and Caicos Islands,” she said.

The team returned home to a celebratory reception organized by the Turks and Caicos Islands Sports Commission, beginning with an airport welcome at the Providenciales International Airport, followed by a motorcade and press conference.

The homecoming not only honored Durliat’s podium finish but also recognized a team that continues to build momentum on the regional stage—proving that while the medal count may be small, the impact is growing.

Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.

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Multi-Agency Enforcement Action Conducted at Caicos Lodge

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Providenciales, Turks and Caicos Islands, 14 April 2026The Informal Settlements Unit (ISU), in coordination with the Planning Department and key partner agencies, conducted a multi-agency enforcement exercise on Thursday, April 9, 2026, at Block and Parcel 60802/49 and 60802/65, located in the Caicos Lodge area.

The operation was led by the Planning Department, with coordination by the ISU and support from the Royal Turks and Caicos Islands Police Force, the TCI Border Force, Pelican Energy TCI, and DevCon Power Supply. All agencies worked collaboratively to ensure the exercise was carried out in a safe, orderly, and controlled manner.

The enforcement action followed a structured and lawful process in accordance with the Physical Planning framework of the Turks and Caicos Islands. A total of fifty (50) unauthorized structures were removed during the exercise.

Section 45 Enforcement Notices were first issued on the affected parcels on December 11 2024, identifying unauthorized structures in illegal occupation. This was followed by the issuance of Warning Notices on March 26 2026, which clearly advised occupants that they were in breach of planning and land use regulations and provided a 14-day period to remove the structures voluntarily. Despite these notices and the time afforded for compliance, the unauthorized structures remained in place.

The Government wishes to emphasize that the structures removed were unauthorized developments, constructed without the required planning approvals and in breach of established building and land use regulations.

Planning regulations exist to ensure that all developments meet minimum standards for safety and structural integrity. Unauthorized settlements, regardless of appearance, often lack these safeguards and can pose serious risks to occupants and the wider community.

The enforcement of these regulations is therefore not only a legal obligation, but a necessary measure to protect lives, property, and public health.

The Turks and Caicos Islands Government remains fully aware of the housing challenges currently facing the country. However, unlawful development cannot be allowed to proliferate in a manner that compromises safety, undermines planning systems, and infringes on property rights.

All persons undertaking construction or occupation of land must do so in accordance with the law, including obtaining the necessary planning approvals.

The Government will continue to work collaboratively across agencies to:

  •  Uphold planning and development regulations
  •    Protect private and public lands
  •  Prevent the expansion of unsafe and informal settlements
  •  Advance long-term solutions for sustainable community development

This exercise represents part of an ongoing commitment to ensuring that development within the Turks and Caicos Islands is lawful, safe, and aligned with national standards.

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What Planning Board Meeting Exposes about Housing Development in Providenciales

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Turks and Caicos, April 14, 2026 – Planning data from the March 31, 2026 Physical Planning Board meeting points to a clear and consequential trend in Providenciales: a steady rise in approvals for multi-unit residential developments, reflecting growing demand for rental housing on the island.

Applications reviewed at the meeting include apartment buildings ranging from small two-unit structures to larger developments with up to 15 units, along with extensions to existing buildings to add additional floors and living space. The pattern is consistent across multiple submissions—developers are no longer focusing primarily on single-family homes, but instead are maximizing land use to accommodate more residents per parcel.

This shift signals more than just a change in construction style; it reflects mounting pressure within the housing market. Providenciales has been experiencing sustained population growth, driven by economic opportunity, migration and labour demand, all of which are placing strain on available housing stock. As a result, rental inventory has tightened, with many residents facing limited options and rising costs.

In that context, the Planning Board’s approvals suggest that the market is responding—perhaps not through a coordinated housing policy, but through private development adapting to demand. Multi-unit dwellings, apartment complexes and building expansions are emerging as practical solutions to increase housing availability in a setting where land is finite and demand continues to climb.

At the same time, the data reveals that not all proposed developments are moving forward without delay. Several applications, including larger-scale residential projects, were deferred, indicating that regulatory review remains active and that some proposals require further scrutiny or modification before approval. This points to a balancing act between facilitating growth and maintaining planning standards.

What emerges from the meeting is a picture of an island adjusting in real time. Housing development is becoming denser, more vertical and more responsive to immediate needs, as opposed to long-term master planning.

For residents, the implications are significant. Increased rental units could help ease the current shortage, but questions remain about affordability, infrastructure capacity and whether the pace of development can keep up with demand.

In the end, the Planning Board data offers a grounded look at how Providenciales is evolving—not through announcements, but through approvals that reveal where the pressure truly lies.

Beyond housing, the meeting also revealed a mix of supporting and stalled developments shaping the wider growth picture. Among the notable approvals were a warehouse and distribution centre, pointing to expanding commercial and logistics needs, and a boat ramp in Providenciales, signalling continued investment in marine access infrastructure.

At the same time, several applications were deferred, including proposals for solar farms and larger-scale residential developments, suggesting that while demand is strong, not all projects are advancing at the same pace. The combination of approvals and deferrals highlights a development environment that is active but still navigating regulatory checks, infrastructure readiness and planning requirements.

The 786th Ordinary Meeting of the Physical Planning Board was held on March 31, 2026, in Providenciales, with participation both in person and via video conference. Acting Chairman Trent Dickenson presided over the session, joined by members Dondre Brooks and Terrell Gardiner, along with ex-officio members Dainer Lightbourne from Planning and Jamall Blair from the Department of Environment and Coastal Resources. Supporting the Board were key technical staff, including Deputy Director of Planning Toriano Williams, Assistant Director and Secretary Reginald Charles, and Land Use Planner Britney Simmons, reflecting a full complement of planning and environmental oversight at the sitting.

Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.

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