Deandrea Hamilton

Editor

Turks and Caicos, February 3, 2025 – The PDM, if elected government, will create a treatment policy which focuses on getting residents the best possible care and ensure proper funding for treatment abroad travel, said Edwin Astwood during the live-streamed National Debate on Thursday January 30.

“On day one, I will bring a treatment abroad policy to Cabinet, to reverse what is there now.  We will ensure wherever you can get the top treatment you will be sent to.  Whether it is the USA, whether it is Canada, we will not say that you can only go into the Caribbean region.  We want the best for our people, we will put the money there in the treatment abroad policy that we can send you to places where we believe and where the data shows you can get the best treatment possible for you to fully recover and fully be healed, that is what the PDM is about.”

Astwood, who has led the PDM since 2021 and is a former Minister of Health for the TCI said medical centers will not be selected based on a limited budget and a common complaint will be no more.

“We will not send people abroad without having money in their pocket.  We will not send people abroad to be put out of hotels. We will not send people abroad to be put out of hospitals.  We will ensure that whatever allowance you need, you will get that before you go.”

In July 2022, a National Insurance Board Appeals Tribunal was established to field concerns and respond directly to contributor’s complaints, however, in the years following its set up little has been said about the effectiveness or impact of that body.

Additionally, Astwood addressed the quality of healthcare generally in the islands.

“Our people were healthier 15 years ago.  The records can show that; if you look at the birth rate compared to the death rate you will see that that ratio is higher now in ‘23-’24 than what it was in 2017, in 2015 and before.  On day one, I myself is going to push through the Cabinet a bill to ensure that primary health care is rejuvenated in all of our communities.

We know that in order to keep our people healthy, we have to look at prevention. Prevention is always better than cure, the honourable premier’s style is always to put the bandaid on the bleed.  But we (PDM) always want to go in there and stop the bleeding so that you don’t need the bandaid.  So that is what we are going to do, we are going address healthcare at its root cause and put the primary health care clinics back in every community.

He said the goal is for there to be early detection through early screenings.  Astwood said the country’s profits in recent years meant it could afford to set up an Intensive Care Unit.

“They also messed up the entire NHIP system.  Now our people cannot even get an air ambulance to come to the Turks and Caicos islands because they bankrupted the NHIP.  They made it where people are at a critical state.”

The PDM leaders shared that during a recent House of Assembly sitting, members approved $10 million dollars to pay outstanding medical bills.

Also on the PDM agenda is attention to oncology and all aspects of neonatal care due to a raised standard at the Cheshire Hall and Cockburn Town Medical Centers.

“We will get those health professionals in the hospitals.  No more will you see persons googling, to find out what your diagnosis is, we will get the proper machines for scanning.  No longer will you have those misdiagnosis and wrong diagnosis like under the honourable premier and no more will you be sent to places without money.”

He said the PDM has all of the plans to fix healthcare in the Turks and Caicos.

Deandrea Hamilton

Editor

Turks and Caicos, February 3, 2025 – The Progressive National Party established  the National Health Insurance Board and the TCI Hospitals, so if there is something wrong with either of them, the PNP will fix it, explained Washington Misick during the Thursday January 30 National Debate, viewed by 38,000 people.

“We have a good infrastructure, yes we have some management issues and we are in the process of establishing a National Health Authority to deal with the whole healthcare system.  Including building poly-clinics within the various communities to take the strain off the hospitals.  We will be opening up to 10 beds in Providenciales at the hospital here, and putting in two ICU units.  We will be expanding the facilities in Grand Turk.”

April 2025 will mark 15 years since the hospitals were opened in Providenciales and Grand Turk with clinical care managed by InterHealth Canada on a contract to the tune of nearly $5 million per month.

A recent report posted on the hospital’s website explains, “Patient volumes for certain services have reached peaks 17 years earlier than expected. For example, the number of outpatient visits recorded in 2015 has surpassed the volume projected at 2033 by nearly 15,000 visits. This means a large number of persons are accessing the services far beyond what was predicted.”

Government in December informed the public that, “Under the original contract, the services delivered were to be best in class. However, for some time there have been concerns that TCIG was not receiving good value for money or the quality services it was paying for.

The Turks and Caicos Islands Government (TCIG) has redoubled efforts to hold IHC to account, including the retention of specialist PPP advisers. As a result, TCIG believes it has established areas of non-compliance that could result in TCIG being able to pursue various remedies under the contract. Whilst IHC have disputed this, the last few months have seen greater dialogue in which a settlement of outstanding issues was sought.”

The Premier was adamant that his government is a caring one and would iron out the myriad of issues, which have been well publicised, on the state of health care in the country.  That includes being more supportive of terminally ill patients, building medical professionals capacity at home and making adjustments at the NIB.

Here’s what he said during the debate:

“And we will build for those persons who need palliative care because they are terminally ill and staying in hospitals beds, restrictive visiting ability; to build a hospice first in Providenciales so that they can live out the rest of their lives in comfort with palliative medication where their relatives can visit them and spend time with them.”

Another plan was laid out.

“We will be focusing on developing expertise and competency in the country so that the level of referral abroad will be reduced and we wouldn’t be sending our patients in future to just any place, we will be sending them to centres of excellence and that doesn’t mean they will be going necessarily to the United States because there are centers of excellence all over the world some of them in our own region, so we have thought this thing through.”

Premier Washington Misick, who is leader of the Progressive National Party (PNP) and Minister of Finance, Investment and Trade said there is reform on the horizon for the National Health Insurance Plan.

“That program is being reformed so that we get value for money, “ he added, “ We are building a healthcare system where we can reduce the number of patients that are referred abroad.  We need to upskill our medical professionals here, to develop specialties and the level of referrals abroad will then come down.”

But that could take years and currently he NHIP is falling short on funding regularly, as the medical needs of contributors surge well ahead of projections, as pointed out in the TCI Hospitals report online.

“Whatever is wrong with NHIP; we are fully cognizant of it.  We have a full team working on transitioning the Hospital to the system to the public Health authority and fixing the NHIB.  Yes, we have issues with the NHIB, we established it, we appreciate that the healthcare of people is important to us so we fixed it and we will fix it again. That’s what we do.”

Montego Bay, Jamaica, February 3, 2025 – Six state- of- the- art digital X-ray units valued at $340 million, are currently being installed at hospitals by the Western Regional Health Authority (WRHA).

The new units are being placed at the Cornwall Regional Hospital (CRH) in St. James, (two units); Falmouth Public General Hospital in Trelawny (two units); Savanna-la-mar Public General Hospital in Westmoreland (one unit) and the Noel Holmes Hospital in Hanover (one unit).

In an interview with JIS News, Clinical Coordinator at CRH, Dr. Delroy Fray welcomed the acquisitions, noting that they will vastly improve the delivery of service at the facility.

“We are working towards zero downtime in terms of these services, so we are one step ahead. For some time, we have been having some problems, we have had breakdowns, and so forth. We are aiming to minimize all the outsourcing that we have been doing,” Dr. Fray said.

He informed that the new machines will be in place in the next two to three weeks, and that a 160 slice CT (computed tomography) machine will also be installed at the facility.

For his part, Manager of Radiology at CRH, Stewart Lawrence, outlined that the X-ray machines will be “the highest specification of machines you can get.”

“They are not the first of their kind, but this is the first area where we are putting in two at the same time and doing a mammography imaging suite with a mammogram machine, and we will be doing biopsies there. [We] also plan to commission a CT machine very soon,” he said.

“We will be moving away from the outsourcing; we are hoping to have everything done here. So, we don’t want to give patients any far appointments, which is a thing of the past. We want patients to come in and get through in reasonable time, so they can go back to their clinics and get their diagnosis, so we have better patient management,” Mr. Lawrence stated.

The manager also outlined that the machines would come with service contracts to ensure that they are properly serviced and maintained.

“I will be following up and ensuring that everything works to the best that they can. We will ensure that one person is in charge of each machine. They should do all the scheduled servicing, follow up everything on the machine, all the error logs will be reported on, so we will keep a good audit trail of each machine to ensure that the government’s money is well spent,” Mr. Lawrence assured.

Release: JIS

Contact: Serena Grant