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Cardiology Services with innovative technology now available at TCI Hospital

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#Providenciales, March 12, 2019 – Turks and Caicos – Turks and Caicos Islands Hospital officially announced the commencement of Cardiology services under the Visiting Consultant Program during a press conference on Friday 8th March 2019. The new development will provide in-country access to Cardiology medical care that was previously only available under the Treatment Abroad Program (TAP). 

Under the Visiting Consultant Program, medical expertise from all-over the world in various specialties visit the island on a periodic basis to deliver services in outpatient clinics and operative procedures, which are not permanently available in-country.

Visiting Consultant Cardiologist, Himanshu Shukla, M.D. will deliver adult cardiology non-invasive programs, specifically, echocardiography rhythm monitoring and consultations at a tertiary care level. Based on statistics, Cardiology and Ophthalmology are the two most frequently required medical services under the Treatment Abroad Program (TAP). Hence, the introduction of on-shore Cardiology services will provide high quality and comprehensive care to patients, which reduces government expenditure and the need for patients to travel abroad. 

Patients who require Cardiology services will be identified by TCI Hospital’s Internal Medicine Physician to ensure the referral is clinically necessary and to promote best use of resources. The service will be delivered on a quarterly basis with clinics ranging from 7-10 days based on patient volumes.

An innovative technology has been introduced under the program as an alternative to the a traditional Holter monitor that measures and records a patient’s heart activity (ECG). The stick-on Zio patch empowers patients to maintain a clean, uninterrupted signal with minimal effort or disruption to their lifestyle. The miniature device also gives the assurance of reliable data with a clear and comprehensive look into a patient’s heart rhythm over longer periods for more appropriate diagnosis. There are also no wires to manage, batteries to charge or leads to reconnect. Cindy Durham, a cardiology patient and nurse at the hospital was used to demonstrate the technology. 

The inaugural visiting consultant cardiology clinic was held last week with overwhelming positive feedback from patients. Dr. Shukla stressed that the technology is also more customized to the patient population, suitable for local climatic conditions, more cost- effective and has minimal hardware. A portal ultrasound has also been used during the consultant visits, which is another innovative expansion to the hospital’s current capacity.

During the press conference, Dr Shukla also stated that building a cardiology program is advantageous to the country. Based on population demographics and steady growth, persons may experience a cardiology issue at some point. It is an unfortunate, but a realistic statistic. An increase in diabetes and renal health-related conditions across the community can precipitate heart related issues for persons. Therefore, appropriate screening, management and counselling for patients early in the process is invaluable. Dr Shukla also believes the transition and growth of the program will be successful in the long-term since the infrastructure and platform has already been provided.

Chief Executive Officer of InterHealth Canada – TCI Hospital, Daniel Carriere stated: “It is great that we can bring this type of talent to the Turks and Caicos Islands. Dr. Shukla’s credentials, experience and qualifications are impeccable and we are very fortunate to have a person of this caliber providing services. This is another example of bringing services close to home, which is always great for the patient and their families. We are always open and willing to work with Ministry of Health – TCI Government in exploring avenues that will ease the burden on government budgets. We recognize that health care is expensive by nature, and anything that the organization can do to lessen the cost and continue to improve services for our patients is something we are interested in doing.”

Chief of Medical Services of InterHealth Canada – TCI Hospital, Dr. Denise Braithwaite-Tennant stated: “Cardiovascular disease is prevalent in the Turks and Caicos Islands. It is very important for us to support primary health care in preventive measures to reduce the impact on secondary and tertiary care interventions. The Zio technology is new to the country, and Dr. Shukla has also graciously funded 10 Zio patches for local patients at the onset. We are very appreciative of health care providers who view their expertise as a means of delivering a philanthropic service, as opposed to strictly focusing on the bottom line. The introduction of pediatric patients to the cardiology program requires the creation of a business case, which is currently under creation. Our next iteration is to include pediatric patients. Dr. Shukla’s first clinic visit was held on Providenciales due to patient numbers, but this does not eliminate the prospects for future visits to Grand Turk.” 

Minister of Health, Agriculture, Sports and Human Services, Honorable Edwin Astwood stated: “The launch of the program is very pleasing to all of us. We have heard that Cardiac and Heart Disease are the number one complaint in the Turks and Caicos Islands. To be able to better monitor and control these diseases can go a far way in dealing with the local population… It was also fitting to see the process that is taking place, whereby we are moving one step closer to the ideal situation that we envisioned this facility to be. The introduction of the program is very commendable as we are moving in the right direction. We are extremely happy to see this state-of-the-art technology being introduced in the Turks and Caicos Islands…”

Interim Chief Executive Officer of the National Health Insurance Board, Dr Terese Maitland stated:” To date the majority of patients who require cardiology tests and procedures, ranging from non-urgent to life-threatening emergencies, are treated outside of the TCI under the auspices of the Treatment Abroad Program, which is managed by the National Health Insurance Plan. Indeed, cardiology-related referrals, rank second in the total number and accounts for approximately 12% of treatment abroad referrals and a substantially larger percentage in terms of cost. Today officially marks the on-boarding of some of these services. This is expected to provide TCI residents with in country access to a broader range of cardiology related medical procedures…NHIP is excited about this endeavor, which is anticipated to be more accessible to a broader cross-section of our valuable clients and beneficiaries, facilitate prevention and early detection whilst simultaneously being cost effective and allowing us to stretch our health care dollars…”

TCI Government (TCIG) Acting Contract Performance Manager, Florinda Talbot delivered remarks on behalf of the Government’s Contract Management Unit, which oversees the partnership agreement between TCIG and InterHealth Canada. Talbot stated that the introduction of cardiology services supports both standards and service development of the hospital.

Press Release: InterHealth Canada

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Ministry of Health Welcomes Appointment of New NHIB Chief Executive Officer and Highlights Progress of Organisational Transformation

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Providenciales, Turks and Caicos Islands, 13 July 2026: The Ministry of Health is pleased to announce the recent appointment of Ralph Patrick as the new Chief Executive Officer of the National Health Insurance Board (NHIB).

The appointment marks an important milestone in NHIB’s ongoing transformation journey and comes as the organisation continues to implement a broad programme of stabilisation, improvement and reform under the examination process initiated in March 2025.

Over the past twelve months, NHIB has made significant progress in strengthening its financial management, operational controls, technology infrastructure and strategic planning. Through this work, the organisation has gained greater visibility over its finances, improved reporting capabilities, enhanced cybersecurity, strengthened governance arrangements and identified opportunities to improve both healthcare outcomes and value for money.

Minister of Health, Hon. Knowles, said:

“The appointment of a permanent Chief Executive Officer comes at a pivotal time for NHIB. Over the past year, significant effort has been invested in stabilising the organisation, improving transparency and building the foundations for long-term sustainability. We are grateful for the dedication of the NHIB team, the Interim leadership, Board members and our advisers who have helped drive this progress. The new CEO inherits an organisation with a clearer understanding of its challenges, stronger controls, better information and a solid platform from which to drive future improvements.

The Ministry is also advancing the recruitment of additional senior leadership positions to further strengthen NHIB’s executive capacity. Building a permanent and capable leadership team will be critical to sustaining momentum, enhancing accountability and supporting the delivery of long-term organisational and service improvements.”

The newly appointed CEO will work with the Board and stakeholders to build on the progress already achieved, helping to embed sustainable improvements, strengthen organisational capability and support the delivery of NHIB’s long-term strategic objectives.

The Ministry also thanks the Interim CEO, Dr. George, and the team at NHIB for their leadership, commitment and resilience during a period of significant change and transition.

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PDM Alleges Governor ‘Bias’, Opposes One-Year Extension    

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PROVIDENCIALES, Turks and Caicos Islands — People’s Democratic Movement (PDM) Leader Douglas Parnell is urging the United Kingdom not to extend Governor Dileeni Daniel-Selvaratnam’s tenure, alleging that a pattern of decisions and omissions has demonstrated “bias” in the exercise of her constitutional responsibilities.

Speaking during a nationally streamed address from PDM Headquarters on Friday evening, Parnell said his party’s National Executive Committee had carefully reviewed the Governor’s performance and concluded that she should leave office when her current term expires.

“We believe she should depart the Turks and Caicos Islands and not be given an extension,” Parnell declared. “The Governor must not be extended for another year.”

The Governor was appointed on June 29, 2023, to a four-year term. Parnell claimed that during the June 25 sitting of the House of Assembly, Government members confirmed to the Leader of the Opposition that efforts were underway to secure a one-year extension.

Parnell outlined what he described as six reasons for opposing any renewal of the Governor’s appointment.

Foremost among them, he said, was her refusal to commission an independent review of the Royal Turks and Caicos Islands Police Force promotion process after such a request was made by the Opposition.

He also criticized what he described as delays in making constitutional appointments, citing the appointment of Dudley Been to the Integrity Commission.

“His appointment was held up for over six months,” Parnell alleged, arguing that constitutional appointments should be made in a timely manner.

The Opposition Leader further accused the Governor of neglecting the Office of the Governor in Grand Turk, saying she spends only “a small fraction” of her time there. He suggested that if the United Kingdom no longer intends to occupy Waterloo, the historic waterfront property should be transferred to the Turks and Caicos Islands Government for redevelopment, either as an official Premier’s Office and residence or as a beachfront hotel investment for Islanders.

Parnell also criticized the absence of a Boundaries Commission following the General Election, saying one should already have been established given the prospect of constitutional changes.

He further argued that constitutional discussions with UK Minister Stephen Doughty should have included the Leader of the Opposition.

“That failure demonstrates bias,” Parnell said, adding that he was also concerned by what he described as the selective leaking of sensitive information that, in his view, could only have originated from the Governor’s Office, the Premier’s Office or the Civil Service.

The Governor has not publicly responded to the allegations made by Parnell during his address.

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Government Takes Case to Washington After U.S. Keeps TCI at Level 2  

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PROVIDENCIALES, Turks and Caicos Islands — The Turks and Caicos Islands is taking its case for an improved United States travel advisory all the way to Washington, enlisting the British Embassy as the Government argues that the destination’s dramatic reduction in violent crime deserves greater recognition.

The objective is clear: convince the United States that current security conditions justify moving the Turks and Caicos Islands from Level 2 — Exercise Increased Caution to the more favourable Level 1 — Exercise Normal Precautions.

Acting Governor Her Excellency Anya Williams confirmed that the Governor’s Office is “working with the British Embassy in Washington to ensure that the internal security situation in the Turks and Caicos Islands is accurately represented in U.S. travel advisories.”

That carefully worded statement signals that the matter has moved beyond local reassurance and into diplomatic channels. The Government is effectively taking its evidence to Washington after the latest State Department review maintained Level 2 because of crime, particularly in Providenciales, and cited potentially limited police resources for investigations.

Premier Charles Washington Misick says the statistics demonstrate meaningful progress. Murders are reportedly down 40 percent, while serious sexual offences have fallen 33 percent year over year. He also pointed to increased investment in border security, intelligence-led policing, crime prevention and law enforcement.

Tourism Minister Zhavargo Jolly added that the territory welcomed 203,587 stayover visitors during the first quarter, more than 10,500 above the corresponding 2025 period, with March alone approaching 80,000 arrivals.

The combined argument is unmistakable: crime is falling, visitor numbers are rising and hundreds of thousands continue to enjoy the destination safely—so why has the rating not improved?

This is also not the first time TCI has challenged an American assessment.

During the COVID-19 pandemic, then Health Minister Erwin “Jay” Saunders publicly objected after the U.S. Centers for Disease Control and Prevention lowered TCI only from Level 4 to Level 3. Calling the assessment disproportionate and potentially arbitrary, Saunders said he would contact the CDC directly and demand clarity about the criteria being used.

TCI was subsequently classified by the CDC at Level 1 — Low Risk, with the territory promoting its strong vaccination programme, low positivity rate and stringent visitor protocols.

That history will likely encourage the Government as it begins this latest fight—tongue firmly in cheek—with Washington.

This time, however, the issue is not a temporary health emergency. It is the international safety reputation of a tourism-dependent country. The Government hopes its falling crime figures, strong visitor performance and diplomatic engagement through the United Kingdom will persuade U.S. authorities that Turks and Caicos has earned a better rating.

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