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Crown Land Management recommended NOT to return to Cabinet Minister

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By Deandrea Hamilton

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#TurksandCaicos, December 13, 2022 – Crown Land management will likely not be returning to a cabinet ministerial portfolio following the recommendation in the freshly published report, made available by the Office of the Premier on December 8.

On page 120 it is surmised that:  “Before the Crown Land Ordinance 2012, the administration of Crown land for residential purposes came under the Ministry of Natural Resources. It was said that the absence of legislative control of Crown land made it “susceptible to ministerial abuse”151 and it became clear that the Minister had indeed become personally involved in directing the relevant public servants to make particular land grants.152 In response, this recommendation was made: “ensure complete independence of the departmental body to be entrusted by the proposed new legislation from ministerial involvement or interference in its individual allocations of Crown Land by way of lease or sale.”

The last decade, the report explains, has severed the tie to cabinet ministers sufficiently enough that risk is at an all-time low.  The mitigation of the risk of undue influence has also opened the door to expanding the function of land allocation beyond the Attorney General’s Chambers and the Crown Land Unit.  Now, the dispersal of this valuable resource could involve a new Housing Entity.

According to the report, the Housing Entity would be established to support land distribution and while the proposal is for this body of appointees to review only residential lots in a highly choreographed system, the AGs office will continue to work directly with the Crown Land Unit in dishing out larger tracts of land.

This change, if accepted by the masses, may result in expediting residential land purchases or it could prove more cumbersome as it once again relies on the proper staffing of the Housing Entity and equitable management which would employ a points system.

“We propose that in the first stage a civil service caseworker in the Housing Entity should apply the points system to a particular Crown land allocation and come to a provisional decision. In the second stage, the caseworker’s provisional decision should be sent to a new Housing Points Board which has the task of reviewing and making changes if needed to the caseworker’s provisional decision. The Housing Points Board would be composed of: o the Permanent Secretary for Physical Planning, Infrastructure and Development or their delegate o the Permanent Secretary for Finance or their delegate o the Director of Social Development or their delegate o a member with a professional legal qualification o 6 lay members.”

While the report favours this approach as low risk for corruption; there are expressed misgivings about the powers which would be legally granted to the appointees of the Housing Entity.

“Our view is that if the Housing Entity is going to be involved in large and costly infrastructure projects, and also involved in the oversight of wide-ranging housing issues from rehousing inhabitants of informal settlements to subsidising rents for the poor, enforcing non-payment, and monitoring housing supply, then it needs to be closely integrated within the civil service. Such a broad set of functions will require continual contact with other civil service departments and unimpeded access to civil service resources.”

A determination is the Housing Entity not evolve to a statutory body, for example but be grafted into the Ministry of Physical Planning and Infrastructure Development.  The report makes it clear that it is an absolute must for the members of the Housing Entity be completely un-influenced by the elected government.

Housing Points are expected to be the equalizer; giving a final score to determine which applicants are successful for the land in question.  It is also recommended that the Governor and Cabinet decide on the transfer of that land through the Crown Lands Unit.  The Housing Entity and Housing Points Boards will have no authority to transfer land, says the report.

Recommendation 43, is one of 146 recommendations which have emerged in a report summarizing the results of weeks of interviews, surveys and online engagement in an effort to amend the current Crown Land Ordinance.

The Turks and Caicos Islands and United Kingdom are working on this modernization together.  Washington Misick, TCI Premier said “I welcome the joint review final report as it remains my governments vision to seek equitable access for the people of these islands.”

Lord Zac Goldsmith, UK Overseas Territories Minister said “I welcome this joint review and it’s set of practical and well-considered recommendations to improve the utility of crown land in TCI and generate a more efficient and transparent process,” adding that, “The TCI Government has our full support as they move ahead to implementation and delivery of these reforms.”

The 400 page report was completed by R Donhue Gardiner, TCI Attorney with experience in land law and policy development in TCI, and Professor Simon Cooper PhD, an expert in Caribbean land law and registration systems.

Health

Turks and Caicos Islands Hospital Celebrates Patient Safety Awareness Month: “Team Up for Patient Safety”

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Turks and Caicos Islands – March 23, 2026 – In recognition of Patient Safety Awareness Week, observed March 8–14, 2026, the Turks and Caicos Islands Hospital, operated by InterHealth Canada Ltd., proudly joined healthcare partners worldwide in advancing this year’s theme, “Team Up for Patient Safety.” The 2026 campaign emphasized the critical role of teamwork and reinforced the importance of collaboration among patients, families, care teams, and leadership in creating safer healthcare environments.

While globally observed as a week-long initiative, the Turks and Caicos Islands Hospital extended its activities throughout the entire month of March, underscoring that patient safety requires sustained commitment, continuous learning, and shared accountability.

A Month of Learning, Engagement, and Collaboration

Throughout March, the hospital hosted a series of Continuing Professional Education (CPE) sessions aimed at strengthening competencies and reinforcing a culture of safety across all levels of care. These included:

  • Patient SafetyYour Role, empowering individuals to recognize and act on their impact on safety outcomes
  • Effective Communication Strategies, focusing on delivering safe care through structured, reliable communication
  • TeamSTEPPS – Reinforcement and Expansion, strengthening the use of evidence based teamwork tools to enhance care delivery

Grand Rounds sessions further supported clinical excellence and knowledge translation, featuring:

  • Rescue Ready 2025: Translating AHA PALS Updates into Practice
  • Colorectal Cancer Screening: A Roadmap for Caribbean Countries
  • Beyond the Algorithm: Applying the latest American heart Association BLS & ACLS Guidance in Emergency Practice

To promote engagement and learning in an interactive format, a Patient Safety Trivia Event was also hosted. The event featured five dynamic rounds covering patient safety principles, general knowledge, and a TCI knowledge lightning round, with prizes awarded to the top five participants. In addition, we welcomed Grade 4 students to our Hospital Teddy Bear Clinic, which served as an innovative extension of our patient safety efforts. This initiative allowed children to role-play as caregivers by bringing their teddy bears for “treatment,” helping them understand basic healthcare processes such as first aid, hand hygiene, communication, and safe care practices. By introducing these concepts early, the clinic not only reduces fear associated with healthcare settings but also promotes awareness of patient safety behaviours in a simple, memorable way.

Reaffirming a Shared Commitment

A defining moment of the month was the symbolic passing of the Patient Safety Baton, reinforcing the collective responsibility for safe care:

“Patient safety is not one person’s responsibility. It is a commitment we share across teams, departments, organizations, and nations; and it is upheld in partnership with every patient and family we serve.”

Advancing the 2026 Patient Safety Objectives

Aligned with the global theme, the hospital’s initiatives focused on four strategic priorities:

  • Promote Collaboration: Encouraging active participation from all members of the care team, including patients and families
  • Enhance Communication: Strengthening open dialogue to improve understanding of care plans and safety protocols
  • Recognize Achievements: Celebrating progress while identifying opportunities for continuous improvement
  • Engage Communities: Inspiring broader discussions on patient safety, equity, and quality in healthcare delivery

Acknowledgements

The Board of Directors and Executive Leadership of the Turks and Caicos Islands Hospital extend sincere appreciation to all who participated in the month’s activities and contributed to the success and sustainability of this important initiative.

Special thanks are extended to our dedicated healthcare teams for their unwavering commitment to delivering safe, high-quality care; our video and production team for effectively amplifying key messages; our valued healthcare partners for their collaboration and support; and the leadership of the Turks and Caicos Islands, including Her Excellency the Governor, Dileeni Daniel-Selvaratnam, the Honourable Premier, Charles Washington Misick and the Honourable Minister of Health, Kyle Knowles for their continued guidance and commitment to advancing patient safety nationally.

Building a Culture That Lasts

“Patient safety is not a solo effort, it is a collective commitment that defines the integrity of our healthcare system,” said Isha Honoré, Quality, Risk, Patient Safety and Management Lead at the Turks and Caicos Islands Hospital. “Our responsibility is to design and sustain environments where teams are supported, patients are heard, and risks are proactively managed. Through sustained engagement beyond this month, we are advancing a culture of high reliability, where safety is consistently delivered, measured, and continuously improved.”

Dr. Denise Braithwaite-Tennant, Chief Executive Officer of the Turks and Caicos Islands Hospital, reaffirmed the organization’s commitment, noting that patient safety remains central to the hospital’s mission and strategic direction. “Patient safety is at the heart of everything we do. This year’s theme, ‘Team Up for Patient Safety,’ reinforces a simple but powerful truth, safe care is achieved when we work together. At the Turks and Caicos Islands Hospital, we are committed to fostering a culture where collaboration, communication, and accountability guide every interaction. I am proud of our teams for their dedication throughout this month and beyond, as we continue to strengthen systems, empower our staff and patients, and deliver care that is consistently safe, reliable, and of high quality.”

The Turks and Caicos Islands Hospital remains dedicated to fostering a culture where safety is prioritized, communication is strengthened, and every voice, staff, patient, and family, is valued.

Healthcare professionals, community partners, patients, and families are encouraged to continue supporting patient safety by speaking up, staying informed, and working collaboratively to improve care outcomes.

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Turks and Caicos Islands Medical Association (TCIMA) Elects New Executive

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Turks and Caicos, March 23, 2026 – The Turks and Caicos Islands Medical Association (TCIMA) held its 2026 General Meeting and Elections on Saturday March 21st 2026 at the Hamilton Education Foundation Conference Center in Grace Bay, Providenciales.

Outgoing Acting President Dr. Jameiko Harvey, welcomed physician and dental attendees present both in person and virtually from across the Turks and Caicos Islands to the gathering.  Following introductions of the outgoing executives: Dr. Dawn Perry-Ewing(Secretary), Dr. Marcella Malcolm (Treasurer), Dr. Denise Braithwaite Tennant (Public Relations and Training Officer); Dr. Darren Hall (Immediate Past President) was invited to address the gathering and spoke of the significant role the organization played in the development of healthcare in the Turks and Caicos Islands over the years.  In his delivery, Dr. Hall recognized the contributions of Dr. Ken Peterson, TCIMA’s first President and founding member, who held the office for several years.  Hon. Dr. Rufus Ewing, also a founding member of the Association, addressed the group, sharing the history of the organization and issued the charge for members to actively participate in the organization to the betterment, not only of its membership, but also to the greater good of the community.

The Turks And Caicos Islands Medical Association (TCIMA), is registered as a Non-Profit Organization company under the Turks and Caicos Islands Companies Ordinance with membership consisting of Physicians and Dentists permanently resident and registered in the Turks and Caicos Islands. Included amongst the objects of the Association are:

  • The promotion of the health sciences and the better health of individuals and the communities in which they live.
  • The promotion of the interests of the medical profession and especially to secure the conditions which will make it possible for them to render to their society the best professional services possible.
  • To obtain for the medical profession the opportunity to participate actively at all levels in the formulation of national medical health policies in The Turks and Caicos Islands.

Following the election, the members of the Association welcomed the new executive team consisting of: Dr. Francois Bourne as President, Dr. Susan Delpeche as Vice President, Dr. Dawn Perry-Ewing as Secretary, Dr. Marcela Malcolm as Treasurer, Dr. Karlansia Mills as Public Relations Officer and Dr. Joanna Bowden as Education Officer, who will serve in these positions for a period of two years.

Incoming President Dr. Francois Bourne addressed the gathering outlining plans to engage with the membership across all islands, establish transparent processes and urged members to build an organization that they are proud of and that represents them.  Medical practitioners ordinarily resident in The Turks and Caicos Islands and registered and licensed under the Turks and Caicos Islands Health Professions Ordinance 2016 are eligible to become a Member of the Association.  Applications are accepted via the Association’s website – https://www.tcimedicalassociation.org/membership

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

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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.

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