Connect with us

TCI News

TCI Hospital hosts Medical Ethics Symposium on ‘Informed Consent’

Published

on

#Providenciales, September 19, 2018 – Turks and Caicos – InterHealth Canada – Turks and Caicos Islands Hospital hosted a Medical Ethics Symposium for nearly 70 health care professionals at the Cheshire Hall Medical Centre on September 14th, 2018 under the theme “Informed Consent – Recommended Best Practices.”

Informed consent is based on the moral and legal premise of patient autonomy and their right to make decisions about a particular treatment or test with an understanding of the risks and benefits.  The symposium was developed to exchange knowledge on the latest best practices, common challenges and pitfalls associated with soliciting informed consent from patients.

Claire Horner, a Clinical Ethicist, Lawyer and Assistant Professor at the Centre for Medical Ethics and Health Policy at Baylor College of Medicine gave a keynote presentation.  Horner stressed that informed consent is a process and not simply a form.  This process involves several critical elements including disclosure of information, effective documentation, a patient’s right to refuse treatment and exceptions to the informed consent rule in cases of emergency, incapacity, waiver or therapeutic privilege.

The presentation provided an overview of the ethics of informed consent, shared decision-making, cognitive biases, decision aids, the difficulties associated with hard cases and what health care professionals should avoid.  Other speakers based at the medical facility included Dr. Henry Blythe, General Practitioner who provided a regional perspective in partnership with Dr. Dionne Ranglin-Robinson, Anesthesiologist, who evaluated several key findings from a unique study on informed consent.  The event was chaired by TCI Hospital Chief of Medical Services, Dr. Denise Braithwaite-Tennant.

Advance healthcare directives, or a living will that pre-documents a patient’s wishes concerning medical treatments at the end of life or incapacitation is a growing practice in many jurisdictions.  Persons are encouraged to make decisions ahead of time so their care is aligned with their preferences and/or nominate a relative or friend to be their alternate decision maker in cases where informed consent is required.

During the visit to the medical facility, Horner also conducted a special CME session and reviewed the hospital’s current policies and standards of practice related to informed consent.  The expert’s recommendations will be used to further strengthen the existing framework.  Other areas examined included practices related to Do Not Resuscitate (DNR) Orders and the withdrawal of Life-Sustaining Care.  The symposium is held every two years, and is extended to health care practitioners from across the country to promote standardized practices across community medical facilities to benefit the patient’s continuum of care.

Commenting on the symposium, Chairman of the Medical Ethics Committee at TCI Hospital, Dr. Henry Blythe said: “Informed consent represents one of the major tenets of medical ethics.  This consent may be in the form of a consent document, verbal or implied.  There are some cases that require written consent such as invasive procedures.  It is important for our staff to be knowledgeable of the different scenarios where each of these cases apply.  As part of our quality improvement, we want patients to become more involved in their care.  It is okay to ask why, or disagree with a proposed treatment.  It is important to require full disclosure.  Medical care should no longer be approached in a paternalistic manner and patients have the right to question their care.”

 

 

Continue Reading

News

CARICOM – A Regional Club With Benefits; Turks & Caicos Wants In

Published

on

Turks and Caicos, March 18, 2026 – Public reaction across the Turks and Caicos Islands was immediate and, in some cases, heated after the Government confirmed in the House of Assembly on Friday, March 13, that it is exploring a move from Associate Member to full member of the Caribbean Community (CARICOM).

The announcement, delivered by Acting Premier and Minister of Immigration and Border Services Jamell Robinson, sparked strong concern among residents, particularly over fears that full membership could require the territory to accept free movement of labour or weaken its immigration controls.

Social media commentary over the weekend questioned why there had been no public consultation and whether the move signaled a shift in the country’s political direction.

However, a review of the official statement and follow-up remarks made by Robinson this week shows the proposal is not sudden, is not final, and would require approval from all fifteen CARICOM member states before the Turks and Caicos Islands could become a full member.

NOT A NEW IDEA

In his ministerial statement to Parliament, Robinson confirmed that discussions about full membership have been taking place within regional forums for some time.

“As an Associate Member of CARICOM, the Turks and Caicos Islands also participated in caucus meetings and discussions among Overseas Territories and Associate Members regarding regional cooperation and the continued advancement toward full membership within the CARICOM Community,” he told the House.

He added that full membership would allow the territory to engage more directly in decisions affecting the region.

“Full membership in CARICOM would present meaningful opportunities for the Turks and Caicos Islands. It would strengthen our ability to engage more fully in regional decision-making… and ensure that the Turks and Caicos Islands is better positioned to benefit from collective advocacy and coordinated action on issues of common concern.”

The idea of deeper integration is not new. Since the return of elected government in 2012, successive administrations have promoted stronger ties with CARICOM.

Former Premier Dr. Rufus Ewing regularly attended Heads of Government meetings and spoke openly about the importance of regional cooperation, even suggesting that long-term political development for the territory would likely place it closer to the Caribbean than to Britain.

Premier Sharlene Cartwright-Robinson also maintained active participation in CARICOM during her term, focusing on security cooperation, economic recovery, and regional partnerships, though her administration did not pursue full membership.

Under the current administration, Premier Charles Washington Misick has repeatedly said stronger regional integration is necessary for economic stability, security cooperation, and food supply resilience.

FREE MOVEMENT FEARS ADDRESSED

Much of the public backlash centered on the belief that full membership would force the Turks and Caicos Islands to accept the CARICOM free movement of labour provisions.

Speaking Monday to Cheryl Forman, host of First Edition on Radio Turks and Caicos, Robinson said that is not the position being taken by the Government.

“We’re looking for full membership, and just to be clear right off the bat, the Turks and Caicos is not looking to sign on to the free movement of labour portion of the Revised Treaty of Chaguaramas,” he said.

He noted that other British Overseas Territories and even some CARICOM members have negotiated exemptions.

“Just like Bermuda, just like the BVI… The Bahamas did not sign off on that portion. Free movement across the region does not even exist in the way people think. It applies only to certain skills and professions.”

Robinson stressed that any agreement would be negotiated and would not remove the territory’s ability to control immigration.

“The full membership process isn’t going to be a case where we lose our ability to determine our immigration and labour policies. Those are things that will form part of our negotiated position.”

WHY GOVERNMENT WANTS FULL MEMBERSHIP

Robinson outlined several reasons the administration believes deeper integration could benefit the territory.

One argument is that Associate Members can participate in discussions but do not have voting power.

“You can think of it as being part of a club. As an associate member, you don’t get all the benefits. You can sit in the room, but you don’t always have a final say in decisions that may impact you.”

He also said regional partnerships have already proven critical in national security.

“If it were not for the ability of our Premier to pick up the phone and speak to Prime Minister Davis in The Bahamas and Prime Minister Holness in Jamaica, our crime situation would be completely different,” Robinson said, referring to the deployment of tactical officers from both countries to assist local police operations.

He added that closer ties could also help reduce the cost of living through regional trade.

“In some cases, the very same products we import from the United States originate in the Caribbean, go to the US to be repackaged, and then come back to us. If we can trade more directly within the region, that could help bring down prices.”

Robinson also pointed to discussions within CARICOM about improving regional shipping, food production, and transportation links, including plans for Guyana to become a major agricultural supplier for the region.

NOT A GUARANTEE

Despite the public debate, Robinson emphasized that full membership is not automatic.

Any application must be negotiated and approved by all CARICOM member states, meaning the Turks and Caicos Islands cannot simply decide to join on its own terms.

That reality, he said, is why the Government is still developing its negotiating position, including work on population policy, immigration strategy, and labour planning before any final step is taken.

The debate now unfolding across the territory reflects more than a policy proposal.

It highlights a deeper question that has existed for more than a decade — whether the future of the Turks and Caicos Islands lies primarily with the United Kingdom, or increasingly with the Caribbean region to which it is geographically, economically, and culturally connected.

For now, full CARICOM membership remains only a possibility — but one that has clearly stirred strong emotions in a country still deciding how far regional integration should go.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

Continue Reading

News

Women In Uniform Honoured as Governor Hosts International Women’s Day Event in TCI  

Published

on

Turks and Caicos, March 18, 2026 – Women serving across the Turks and Caicos Islands’ national security agencies were honoured during a special International Women’s Day observance hosted by Governor Dileeni Daniel-Selvaratnam, highlighting the growing role of women in law enforcement, defence and border protection.

The Governor hosted the second annual Women in Uniform Brunch, bringing together female officers from the Royal Turks and Caicos Islands Police Force, the Turks and Caicos Islands Regiment, Border Force and His Majesty’s Prison Service for a morning of recognition, reflection and inspiration.

Delivering the keynote address was Vice Admiral Antonette Wemyss-Gorman, Chief of Defence Staff of the Jamaica Defence Force, who is widely regarded as one of the region’s most accomplished military leaders and one of the first women in the world to head a national armed force.

Her address focused on leadership, discipline and the importance of resilience in uniformed service, encouraging women to pursue advancement in fields traditionally dominated by men. Attendees responded with a standing ovation, as the Vice Admiral spoke about the responsibility of women in security services to lead with courage, professionalism and integrity.

The event formed part of the Turks and Caicos Islands’ observance of International Women’s Day 2026, celebrated globally under the theme of advancing equality, strengthening opportunity and recognising the contributions of women in every sector of society.

Governor Daniel-Selvaratnam said the service of women in uniform plays a critical role in strengthening institutions, protecting communities and building public trust, noting that their leadership continues to inspire the next generation of officers across the territory.

In addition to the keynote address, participants attended presentations on financial empowerment and personal wellbeing, aimed at encouraging women in service to invest in their personal development alongside their professional responsibilities.

Several officers were also recognised for outstanding contributions.
Assistant Superintendent of Prisons Meshelle Jennings received the Selfless Service Award, while Police Sergeant Desiree Hunt-Forbes was honoured for building community trust.
Turks and Caicos Islands Regiment Marine Kentoya Parker received the Integrity in Leadership Award, and Senior Border Force Officer Marylee Wilson and Prison Officer Aloida Henry were both recognised for resilient service.

Officials said the event reflects a continued commitment to supporting women across the territory’s security services, at a time when regional cooperation and strong leadership remain essential to maintaining safety and stability.

 

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

Continue Reading

News

Statistics Authority Highlights Trade Data as Turks & Caicos Records $227M in Imports for Q4 2025  

Published

on

Turks and Caicos, March 18, 2026 – The Turks and Caicos Islands Statistics Authority is highlighting the importance of reliable economic data following the release of its latest Trade Statistics Bulletin, which shows the country recorded approximately $227 million in imports during the fourth quarter of 2025.

The detailed report provides a clear breakdown of where goods entering the Turks and Caicos Islands are coming from, the types of products being imported, and the revenue generated from trade-related activity. The figures offer valuable insight into the level of economic activity across the country and the continued demand driven by tourism, construction, and consumer spending.

According to the bulletin, the United States remained by far the largest supplier of goods, accounting for more than $200 million in imports during the quarter. This represents the majority of all goods entering the Turks and Caicos Islands and reflects the territory’s long-standing dependence on U.S. markets for food, fuel, machinery, building materials, and consumer products.

The Dominican Republic was the second largest source of imports, supplying just over $4.1 million in goods, while The Bahamas ranked third, with approximately $1.8 million in imports recorded for the period. The report also noted increasing trade with countries such as China, Panama, Switzerland, Poland, and India, showing that businesses continue to expand their supply networks beyond traditional partners.

In terms of the types of goods being imported, the bulletin shows strong activity in categories such as food and live animals, mineral fuels, manufactured goods, machinery and transport equipment, and chemicals, all of which are essential to supporting the tourism industry, infrastructure development, and everyday life in the islands.

The report also tracks revenue collected from international trade, including fuel tax, customs processing fees, and motor vehicle licensing, providing another measure of economic performance during the quarter.

Officials say the quarterly Trade Statistics Bulletin is an important tool for government, businesses, and the public, offering accurate information presented through clear tables, charts, and graphics that make complex data easier to understand.

For a small, import-dependent economy like the Turks and Caicos Islands, access to reliable statistics remains critical. By continuing to publish detailed trade reports, the Statistics Authority helps ensure that decisions about growth, investment, and development are based on sound information.

Continue Reading

FIND US ON FACEBOOK

TRENDING