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Bariatric patients get spotlight in TCI House of Assembly; cry continues for severe obesity surgery

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#Grand Turk, Turks and Caicos – October 18, 2020 — Individuals who struggle with being overweight in the Turks and Caicos got the kind of vocal support in the House of Assembly, which makes those in our bariatric community feel a lot lighter.

It is reported that there have to be policy changes in order for bariatric patients to have their severe obesity re-considered. 

It is not cosmetic.  It is a serious medical condition which could be the difference between life and death.

“It is nothing that is cosmetic.  It is something that is life threatening and it is would appear as if their voices are not being heard loud enough.  Those persons live lives in a way that they don’t know if they are going to go to sleep tonight and wake up tomorrow, that’s how bad it is,” said Hon Dwayne Taylor, Speaker of the TCI House of Assembly.

It was agreement with a presentation by the member for Grand Turk North, Hon George Lightbourne who is calling for efforts to amend the laws to be accelerated.

“I’ve gotten reports from persons who are concerned.  Persons who find themselves in need of – I believe the correct term would be: bariatric surgery – life threatening surgery and I’ve been asked to address it.  The relevant minister, I’m not sure how far you’ve gotten in terms of amending policies and doing whatever you have to do but it’s a real issue,” said Lightbourne during House of Assembly on October 13.

In a Letter to the Editor in June 2020, it was said:  “Some of us have been told over two years ago that they are amending the policy to include this procedure under the NHIP Scheme, and to date, nothing yet. Some of us have been given month to month promises for the last three years that hopefully we would be out of here in a few weeks’ time to a month to undergo surgery, and to date, nothing yet.”

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The TCI Bariatric Group is a community now; in solidarity as they advocate to be acknowledged and approved for the life-saving procedure.  In the June letter to Magnetic Media, the Group talked about steps taken and disappointments experienced.

“For those of you who do not understand the term Bariatric, it is simply means the medical treatment of obesity which is being seriously overweight and a number of us have been deemed medically morbidly obese,” it was added, “We were told that if we got referrals from the doctors, that our issues would be place before the cabinet and that it should not be a problem for us to be given the bariatric procedure which is so badly needed to save all of our lives, so we all went and got numerous of referrals, some exceeding as much as five. We followed the necessary procedures, only to be told that are referrals were refused because the NHIP Policy does not cover this procedure and that it is deemed a cosmetic procedure.”

The Governor, the Premier and the Minister of Health are reportedly aware of the vexing battle of the Bariatric Group.

Lightbourne expressed, it is time for the mischaracterization of the condition to cease.

“Cosmetic, Mr. Speaker is something that you do for fashion and you do because you want to look better.  When the issue is pertaining to something that is life threatening, we ought to take it serious and we ought to act with haste.”

The surgery, according to the Bariatric Group costs around $10,500.  The members are all National Health Insurance Plan (NHIP) contributors and question the lackluster pace to make the adaptations which would all the NHIP to cover the costs of the surgery.

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“We need help, we need this government to live up to the promise made to us. We were told that monies have already been budgeted for these procedures from last year budget and as of today nothing. 

Persons on the outside would look and say, oh go and exercise you all too lazy, or stop eating, you all too greedy and frankly that is not the case. Many of us cannot exercise because of our knees, our backs or something else, and really food is not an issue. It is simply a metabolism issue, a genetic issue or some other kind of medical issue.

Every country we have contacted is offering this surgery free of cost to locals once persons meet the medical requirements, what is wrong with our Country?”

Hon Lightbourne offered this in conclusion:  “I think that our number one interest should be to do whatever it takes to make life better, Mr. Speaker.

Magnetic Media is a Telly Award winning multi-media company specializing in creating compelling and socially uplifting TV and Radio broadcast programming as a means for advertising and public relations exposure for its clients.

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From Removal to Redevelopment: ISU Announces 27 Concepts

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Turks and Caicos, December 12, 2025 – For the Turks and Caicos Islands, the shift from removal to redevelopment marks a profound national pivot — one that redefines how the country confronts a problem that has quietly reshaped its landscape for more than a decade.

At a media briefing held Tuesday, December 11, the Informal Settlements Unit (ISU) confirmed that it has now reviewed 35 informal settlement sites for full redevelopment and is advancing 27 conceptual redevelopment designs, signalling a move beyond enforcement toward long-term planning and land re-imagination.

The announcement comes after nearly three years of intensive work under the leadership of Carlos Simons KC, a former justice of the Supreme Court and one of the country’s most respected legal minds. For Simons, who is himself a Turks and Caicos Islander, the mandate has never been cosmetic. Informal settlements, he has repeatedly stressed, are not simply unsightly — they pose public safety risks, strain infrastructure, undermine land ownership regimes, and create environments vulnerable to criminal activity.

Turks and Caicos remains the only British Overseas Territory grappling with informal settlements at this scale.

From Clearance to Control of Land

Since its inception, the ISU has focused first on reclaiming land that had fallen outside the bounds of planning and regulation. According to data presented, more than 800 informal structures have been addressed across Crown land, private land, and other properties, with the bulk of activity concentrated in Providenciales, and additional operations carried out in Grand Turk and North Caicos.

Providenciales accounts for the largest share of reclaimed acreage and enforcement actions, reflecting both population density and the concentration of informal developments. In Grand Turk, ISU interventions have been more targeted, often tied to flood-prone or environmentally sensitive areas. North Caicos, while hosting fewer informal settlements, has now been formally incorporated into the Unit’s monitoring and redevelopment framework.

To date, the ISU reports approximately 35 acres of land reclaimed, creating, for the first time, a realistic platform for planned redevelopment rather than ad-hoc clearance.

Redevelopment, Not Replacement

What distinguishes this phase of the ISU’s work is not simply the scale of removal, but the clarity of what comes next.

Officials confirmed that 27 redevelopment concepts are now in progress, supported by land already under government control. These are housing-led but not housing-only designs, incorporating infrastructure layouts, access routes, drainage, and green space — a deliberate break from the sprawl and density that defined informal settlements.

One example shared, illustrated the potential of vertical, modular development: a 2.5-acre site, previously crowded with informal structures, re-imagined to accommodate 105 formal housing units, alongside communal space and planned utilities. The intent, ISU officials said, is to replace disorder with density done right — preserving land while increasing livability.

The Survey Behind the Strategy

Central to the ISU’s evolving approach is a comprehensive Social Needs Assessment Survey, designed not merely to count structures, but to understand the people who lived within them.

The survey spanned multiple islands and dozens of informal settlement sites, collecting data on household size, age distribution, employment status, length of residence, access to utilities, sanitation conditions, flood exposure, and vulnerability factors. It captured information across genders and age groups, with particular attention to working-age adults, children, and households headed by single earners.

Officials described the survey as essential to avoiding a blunt enforcement model. Instead, the data is being used to inform redevelopment planning, guide social interventions, and identify patterns — including how long informal settlements persist, how residents integrate into the labour force, and where the greatest risks to health and safety lie.

The findings reinforced what authorities had long suspected: informal settlements are not transient. Many households had occupied land for years, often without basic services, and in conditions that posed escalating risks during heavy rains or storms. The survey now forms a baseline against which future redevelopment and resettlement outcomes will be measured.

Targeting the Next Generation

Recognising that enforcement alone cannot dismantle a culture of informal construction, the ISU launched youth-focused initiatives over the past year, aimed squarely at prevention.

Through school engagement, creative challenges, and public education campaigns, the Unit has begun addressing the mindset that normalises shanty-style building. Officials described the youth programmes as an investment in long-term cultural change, encouraging young people to see planning, legality, and design as non-negotiable elements of national development.

The initiatives also seek to foster pride in place — reframing orderly development not as exclusionary, but as essential to safety, dignity, and opportunity.

A National Turning Point

The ISU’s presentation makes clear that Turks and Caicos has entered a new phase in confronting informal settlements — one grounded in data, planning, and land control, rather than reaction.

Whether the country can sustain the political will, funding discipline, and cross-agency coordination required to move concepts into construction remains to be seen. But for the first time, the national conversation has shifted.

This is no longer only about what must be removed.

It is about what can — and should — be built in its place.

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

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Stanbrook Prudhoe Score Top Flight Legal 500 Directory Rankings

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Firm Also Secures 8 Individual Rankings and Strengthens Its Regional Leadership

 

[Providenciales, Turks & Caicos Islands – Stanbrook Prudhoe, a leading Caribbean law firm, is 1 of 2 firm’s ranked in Tier 1 for cross-Caribbean work and is described as having “built a strong reputation across the Caribbean for handling complex matters, multi-jurisdictional work spanning both transactional and disputes”. Sophie Stanbrook, Tim Prudhoe, Khamaal Collymore and Nadia Chiesa attract plaudits in this category.

Specific to Guyana, Sophie Stanbrook, Tim Prudhoe and Anna-Kay Brown are listed.

In addition, Stanbrook Prudhoe is again given Tier 1 status in the TCI firm rankings. Lawyers Sophie Stanbrook, Tim Prudhoe, Sam Kelly and Nadia Chiesa achieved individual rankings and Laura Miller named as a key lawyer for the firm’s Cross-Caribbean work.

Since its launch in 2022, Stanbrook Prudhoe has established itself as a formidable presence in the Caribbean legal sphere, specialising in Corporate and Fiduciary, Disputes, and Restructuring & Insolvency. This strong reputation is reflected in this latest round of Legal 500 rankings.

The firm’s co-founders, Sophie Stanbrook and Tim Prudhoe, are ranked as ‘Leading Partners’, Tim being 1 of 2 lawyers also listed as such across and the Caribbean as a whole.

The firm has offices in the Cayman Islands, Guyana and the Turks and Caicos Islands. With a growing presence in the federation of St Kitts and Nevis.

Commenting on the recognition, StanbrookPrudhoe co-founder Sophie Stanbrook said, “In just three years, we’ve gone from a bold idea to a Tier 1-ranked firm leading the Caribbean legal market. This recognition proves that ambition, talent, and teamwork can redefine what’s possible in our region, and we’re only just getting started. We look forward to building on this momentum and continuing to drive the standards for legal excellence across the Caribbean.”

The Legal 500 is one of the UK’s most respected legal directories, benchmarking law firms through rigorous independent research and ranking both lawyers and their areas of expertise. For nearly 40 years, it has provided a trusted assessment of law firm capabilities worldwide, evaluating more than 150 jurisdictions through comprehensive research, client feedback, and interviews with leading practitioners.

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TCI Hosts Strategic Defence Summit as Overseas Territories Regiments Strengthen Security Partnerships

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Turks and Caicos, December 4, 2025 – The Turks and Caicos Islands this week became the centre of regional security cooperation as senior defence leaders from across the British Overseas Territories gathered in Providenciales for the 4th Annual Overseas Territories Commanding Officers Conference — a three-day summit focused on strengthening capability, maritime readiness, and inter-territorial partnerships.

Acting Governor Anya Williams and Premier Charles Washington Misick, OBE, on December 1, welcomed Lord Lancaster, a key figure in the establishment of the TCI Regiment and the current Honorary Colonel of the Cayman Islands Regiment, for a courtesy call and high-level briefing session. Lord Lancaster joined Permanent Secretary for National Security Tito Lightbourne, TCI Regiment Commanding Officer Colonel Ennis Grant, and Commanding Officers from Bermuda, Cayman, Montserrat, the Falkland Islands, and UK defence representatives.

The visit, along with the wider conference agenda, signals a meaningful step forward for the rapidly evolving TCI Regiment, which has grown into a crucial national asset for disaster response, coastal security, joint operations, and resilience planning. Lord Lancaster’s presence carries additional significance: he was instrumental in shaping the Regiment’s formation in 2020 and remains a vocal advocate for expanding the capabilities of small-territory defence units within the UK network.

At the conference’s opening ceremony, Acting Governor Williams emphasised the importance of “collaboration and strategic leadership across the Overseas Territories,” noting that shared challenges — from climate shocks to transnational crime — demand a unified approach. The Permanent Secretary echoed this, highlighting increased maritime coordination and training pathways as areas where the TCI is seeking deeper integration with its regional counterparts.

Throughout the week, Commanding Officers participated in strategic discussions, intelligence and security briefings, resilience planning sessions, and on-site engagements showcasing the TCI’s developing operational infrastructure. The agenda also focused on improving interoperability — ensuring that Overseas Territories regiments can operate seamlessly together during disaster deployments, search and rescue missions, and joint maritime operations.

For the TCI Regiment, hosting the conference marks a milestone: it positions the young force as an active contributor in shaping the region’s security future rather than merely a participant. Leaders left no doubt that the momentum is intentional — and that the Turks and Caicos Islands are strengthening their role within a broader, coordinated defence framework designed to safeguard shared interests.

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

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