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Turks and Caicos Islands Hospital Celebrates 16 Years of Advancing Quality Care and Innovation

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PROVIDENCIALES, Turks and Caicos Islands – April 9, 2026 – Turks and Caicos Islands Hospital (TCIH), operated by InterHealth Canada, proudly marks 16 years of service to the people of the Turks and Caicos Islands, celebrating a legacy of delivering safe, high-quality, and evidence-based care since opening its doors 10th April 2010.

Background: Public-Private Partnership Model
Turks and Caicos Islands Hospital is delivered through a public-private partnership (PPP) between the Government of the Turks and Caicos Islands and InterHealth Canada Limited (ICL). In January 2008, InterHealth Canada entered into an agreement with the Government to design, build, finance and operate the country’s acute secondary healthcare facilities. This partnership was established almost two decades ago aimed to modernize healthcare infrastructure, improve access to services and ensure the delivery of high-quality care aligned with international standards.

Under this model, hospital operations are delivered through two specialized entities operating within the InterHealth Canada framework:

A clinical services company, responsible for the delivery of all medical and clinical care
A facilities management company, responsible for infrastructure, maintenance and non-clinical support services

Both entities operate under InterHealth Canada Limited, have distinct management structures and provide services in accordance with the terms outlined in the Project Agreement with the Government.

The hospital services were officially commissioned on April 10, 2010, with:
20 inpatient beds at Cheshire Hall Medical Centre
10 inpatient beds at Cockburn Town Medical Centre

Importantly, both facilities collectively called the Turks & Caicos Islands Hospital (TCIH) were designed with built-in expansion capacity, including “shelled” spaces that can be retrofitted to increase inpatient bed capacity as demand grows. This forward-looking design on the part of the Turks & Caicos Islands Government aimed to support long-term scalability and enables the health system to respond to the evolving needs of the population.

Since its establishment, TCIH has transformed healthcare delivery across the islands through infrastructure development, international partnerships and a steadfast commitment to clinical excellence. The hospital system, comprising facilities in Providenciales and Grand Turk, introduced a new era of accessible, comprehensive care for residents and visitors alike.

A Legacy of Quality and International Recognition
Since its establishment, TCIH has maintained a strong focus on quality improvement and patient safety. Turks and Caicos Islands Hospital continues to distinguish itself as one of the few internationally accredited hospitals systems in the Caribbean, reflecting a sustained commitment to quality, safety and accountability. TCIH has maintained Accreditation Canada International accreditation at the Diamond level since 2012, the highest level achievable under the program, demonstrating consistent compliance with rigorous global standards in patient safety, governance and clinical care. Accreditation Canada’s Qmentum Global program is an internationally recognized framework used in more than 40 countries to drive continuous quality improvement, strengthen safety culture and ensure evidence-based care delivery across health systems. Within the Caribbean, hospitals achieving full international accreditation remain relatively limited, underscoring the significance of TCIH’s achievement.

As a growing centre for education and workforce development, TCIH has played a pivotal role in building local capacity within the healthcare sector. In 2019, the hospital achieved accreditation through the University of the West Indies accreditation body to support physician internship training, marking a major step toward developing a sustainable, homegrown medical workforce.
The hospital has also delivered a robust institutional training program since inception, supporting several health professionals across the Turks and Caicos Islands. Through collaborations with the Ministry of Education, TCIH has hosted one of their largest cohorts of interns and apprentices, while partnerships with the Turks and Caicos Islands Community College have enabled the introduction of the first clinical nursing rotations on-island.

Advancing Evidence-Based Care: Best Practice Spotlight Organization(r)
Turks and Caicos Islands Hospital has further strengthened its commitment to quality care through its designation as a Best Practice Spotlight Organization(r) (BPSO(r)) by the Registered Nurses’ Association of Ontario in 2025. The BPSO(r) programme is an internationally recognized initiative that supports healthcare organizations in implementing and sustaining evidence-based clinical practices. Through this designation, TCIH has demonstrated its ability to integrate best practice guidelines into everyday care, improving outcomes in key areas such as patient safety, person- and family-centred care, falls prevention and pressure injury prevention. For the community, it means greater confidence that care delivered at TCIH is safe, consistent and aligned with internationally recognized standards, ultimately contributing to better patient experiences and improved health outcomes across the Turks and Caicos Islands.

Advancing Surgical Safety: AORN Go Clear(tm) Award
Turks and Caicos Islands Hospital has also demonstrated leadership in surgical safety through its achievement of the AORN Go Clear(tm) Award in 2020, an international recognition granted by the Association of Perioperative Registered Nurses. The Go Clear(tm) Award recognizes healthcare facilities that have successfully implemented a comprehensive surgical smoke evacuation program, ensuring that operating theatres are effectively “smoke-free.” Surgical smoke-produced during procedures using lasers or electrosurgical devices-can contain harmful chemicals, toxic gases, and biological particles that pose risks to both patients and healthcare professionals. By meeting AORN’s stringent criteria, TCIH demonstrated that it has:

Adopted standardized protocols for smoke evacuation in surgical procedures
Equipped operating rooms with appropriate smoke evacuation technology
Trained clinical teams in safe surgical practices
Embedded a culture of safety within perioperative care

At the time of receiving this recognition in 2020, Turks and Caicos Islands Hospital was recognized as the first hospital in the Caribbean to achieve the AORN Go Clear(tm) Award, marking a significant milestone for patient safety and clinical excellence in the region. For patients, this achievement translates into safer surgical environments, reduced exposure to harmful airborne contaminants, and alignment with international best practices in operating room care. For healthcare professionals, it reflects a workplace that prioritizes occupational health and safety, reducing long-term exposure to surgical smoke and supporting a safer, more sustainable clinical environment.

Investing in the Next Generation of Healthcare Professionals
Turks and Caicos Islands Hospital is committed to building a sustainable healthcare workforce by inspiring and developing the next generation of health professionals. Through its READY Programme, TCIH provides high school students across the Turks and Caicos Islands with early exposure to careers in healthcare. The programme introduces students to a wide range of clinical and non-clinical roles, helping them better understand the pathways into the health sector and equipping them with foundational knowledge and career guidance. Complementing this initiative is the hospital’s Clinical Observership Programme, which offers students currently pursuing tertiary education in health sciences the opportunity to spend their summer months immersed in the hospital environment. Participants gain valuable hands-on exposure by shadowing experienced healthcare professionals, while also benefiting from structured mentorship and professional development support. Together, these programmes reflect TCIH’s commitment to nurturing local talent, strengthening workforce capacity and supporting long-term sustainability within the health system-ensuring that future generations are equipped to meet the evolving healthcare needs of the Turks and Caicos Islands.

The hospital has also contributed to workforce development in the Turks and Caicos Islands. Through partnerships with the Ministry of Education National Internship and Apprentice program and the Turks and Caicos Islands Community College. Further strengthening professional development, TCIH has worked closely with the Health Professionals Authority to introduce nurse clinical examinations locally. In collaboration with international partners, including the Hamilton Education Foundation, Massachusetts General Hospital and Harvard Medical School, TCIH has supported the introduction of Advanced Trauma Life Support (ATLS) training within the islands-enhancing emergency care capacity and preparedness.

Building Life-Saving Skills in the Community
Turks and Caicos Islands Hospital has also played a leading role in strengthening emergency response capacity across the islands through education and training. TCIH is recognized as the first fully accredited training centre in the Turks and Caicos Islands under the American Heart Association, delivering a comprehensive suite of internationally recognized resuscitation programmes. Through this initiative, the hospital provides annual training to more than 300 participants, including healthcare professionals, first responders and members of the wider community. These programmes focus on essential life-saving skills such as cardiopulmonary resuscitation (CPR), first aid, and advanced resuscitation techniques. By expanding access to this training, TCIH is helping to build a more resilient community, equipping individuals with the knowledge and confidence to respond effectively in emergencies and improving outcomes in critical situations. This achievement reflects the hospital’s broader commitment not only to delivering high-quality clinical care, but also to empowering the community with the skills needed to save lives.

Rising Utilization Reflects Growing Demand for Hospital Services
TCIH’s milestone comes at a time of rapid national growth, placing increasing demand on healthcare services. According to the Turks and Caicos Islands Statistics Authority, the population has grown significantly-from 18,491 in 2000 to 50,828 in 2024-while total visitor arrivals reached approximately 1.81 million in 2024, driven largely by continued expansion in the tourism sector. This growth trajectory is expected to continue. The Government’s National Tourism Development Strategy projects an increase in registered accommodation rooms to over 6,000 by 2032, reflecting sustained expansion in the hospitality sector and further growth in visitor and migrant workforce numbers. This demand is further intensified by the rising prevalence of chronic non-communicable diseases, which is contributing to greater complexity in care delivery and placing sustained pressure on both critical care services, outpatient visits and overseas referrals. At the same time, the hospital is closely monitoring an increase in trauma-related cases, adding another layer of demand on emergency and acute care services.

Over the past fourteen years, Turks and Caicos Islands Hospital has experienced a significant increase in patient activity, reflecting both national population growth and rising demand for healthcare services. Between February 2012 and February 2026, total patient encounters across the hospital system increased from 5,841 to 9,050, representing a substantial rise in overall service utilization. This growth has been particularly pronounced in outpatient care, where on-island clinic visits more than doubled, increasing from 2,617 to 6,439 encounters over the same period.

At Cheshire Hall Medical Centre, the impact of this demand is most evident in inpatient services. Bed occupancy levels have risen from an already high 85.34% in February 2012 to 115.71% in February 2026, indicating sustained periods where demand has exceeded available bed capacity.

These trends are creating capacity challenges across several key areas:
Inpatient beds – High occupancy driven by medical complexity and longer lengths of stay
Emergency Department – Increased patient volumes, acuity and trauma presentations
Outpatient Clinics – Growing demand for both on-island and visiting specialist services
Laboratory Services – Expanded testing needs to support chronic disease management and acute care
Diagnostic Imaging – Increased reliance on ultrasound, CT, MRI and other imaging to support timely diagnosis and treatment

These trends underscore the critical need for greater investment in expanding services at TCIH to support reliable, high-quality healthcare services to both residents and the millions of visitors who travel to the islands each year and reduce the need the overseas care.

Recognising the Strength of Our People
At the heart of Turks and Caicos Islands Hospital’s success over the past 16 years is the dedication, professionalism and compassion of our naturally excellent team. TCIH recognizes that the strength of its services lies in its people-highly skilled and committed healthcare professionals and support teams who work every day to deliver safe, high-quality care to the community. Across both Cheshire Hall Medical Centre and Cockburn Town Medical Centre, our team continue to demonstrate resilience, teamwork and an unwavering focus on patient-centred care, even as demand for services continues to grow.

The Board of Directors of InterHealth Canada extends its sincere appreciation to all members of the TCIH team for their outstanding contributions over the years.

“We recognize and deeply value the commitment of our facilities management and clinical services team, whose daily efforts make a meaningful difference in the lives of patients and families across the Turks and Caicos Islands. Their dedication, expertise and compassion are the foundation of the hospital’s success. As we celebrate this milestone, we thank them for their continued service and for the vital role they play in supporting the health and wellbeing of the community.”

Dr. Denise Brathwaite-Tennant, CEO, highlighted the importance of forward planning and partnership: “As we celebrate 16 years of service, we are proud of how far we have come in transforming healthcare in the Turks and Caicos Islands. Our achievements reflect the dedication, expertise and compassion of our entire team, who continue to place patients and families at the centre of everything we do. As demand for healthcare continues to grow, driven by population increases, chronic disease and evolving patient needs, we are seeing sustained pressure across all areas of the hospital, including critical care, outpatient services and emergency care. We are also closely monitoring the rise in trauma cases, which further underscores the need for responsive and resilient systems. In collaboration with our partners, we continue to advocate for the additional resources and investments required to meet this rising demand and to ensure we maintain safe, high-quality care for our community. We remain committed to working collaboratively with our key partners the Ministry of Health and the National Health Insurance Board to strengthen capacity, enhance service delivery and plan strategically for the future, ensuring that the health system continues to meet the needs of the Turks and Caicos Islands.

Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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Turks & Caicos Hotel and Tourism Association Secures Landmark Health Insurance Partnership for Tourism Workforce  

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Providenciales, Turks and Caicos Islands, June 30, 2026 – The Turks & Caicos Hotel and Tourism Association (TCHTA) has secured a landmark partnership with Caribbean Health Insurance (CHI), a product of Bee Insurance Corp, giving tourism businesses across the destination access to health coverage of up to USD 500,000 per employee.

The official signing ceremony, hosted by Beaches Turks and Caicos, capped months of work led by the TCHTA Membership Committee to identify a reputable provider capable of helping to fill a critical coverage gap in the hospitality sector.

The launch also marks a timely and significant private-sector solution to a growing healthcare coverage concern following the Government’s recent announcement that work permit holders would no longer have access to the NHIB Treatment Abroad Program – a change that left many employees across the tourism sector, and beyond it, without the usual pathway to specialized medical care outside the Turks and Caicos Islands.

TCHTA President James McAnally said the agreement is a critical step in supporting the people who power the country’s leading industry.

“Our industry depends on people, and when something as important as access to care is affected, we have a responsibility to seek practical solutions,” said McAnally. “This partnership with Caribbean Health Insurance gives our members a comprehensive and affordable option for their teams. It is also an example of the role the TCHTA plays in advocating, responding, and creating avenues that support the sustainability of our sector.”

The Caribbean Health Insurance plan offers two tiers, CORAL and PEARL Elite, providing coverage of USD 300,000 and USD 500,000 respectively, with the PEARL plan including air ambulance service. Both grant policyholders access to a growing network of hospitals and specialists in the Dominican Republic and Colombia, with Jamaica expected to join the network later this year. Coverage includes telemedicine, bilingual patient support, and features a zero-deductible structure.

“We have developed Caribbean Health Insurance specifically for our region. At Caribbean Health Holdings, we are deeply committed to supporting the people and businesses of the Turks and Caicos Islands by expanding access to high-quality and affordable healthcare solutions,” said Sergio Madinabeitia Arango, Executive Director of CHI.

“Our medical network connects members to trusted centers of medical excellence across the Caribbean and Latin America, including leading providers in the Dominican Republic, Colombia, Jamaica, and we keep expanding. This regional approach ensures that world-class care is more accessible, more efficient, and closer to home.”

On the partnership with the TCHTA, Arango shared, “Our partnership with the TCHTA represents an important step in advancing health security for one of the country’s most vital industries. Together, we are helping create stronger healthcare access for employers, employees, and their families, while supporting the long-term wellbeing of the Turks and Caicos community.”

The initiative was spearheaded by the TCHTA Membership Committee, chaired by Snjezana Andrews. Ahead of the signing, the Committee hosted a public virtual presentation, connecting employers and employees to CHI representatives to learn more about the coverage options, ask questions, and better understand the enrollment process.

“This initiative speaks directly to the purpose of the Membership Committee,” said Andrews. “Our role is to listen to our members, understand where the gaps exist, and help identify practical solutions that bring real value. We are proud to offer members an option that responds to a clear need and allows them to better support their teams.”

In 2025, the Membership Committee identified health insurance options as a priority member benefit and key goal for the Association’s current term, noting that smaller tourism providers were often challenged to access traditional group coverage on their own. The Government’s announcement regarding changes to treatment abroad access added urgency to that work and broadened its relevance across the sector.

Andrews says the partnership is not just a win for TCHTA members, but for any organization in the Turks and Caicos Islands that values its employees and wants to strengthen the benefits available to them, adding, “In a competitive labour market, access to meaningful health coverage is key to attracting, supporting, and retaining good talent.”

Honourable Kyle Knowles, Minister of Health and Human Services, attended the signing ceremony and welcomed the opportunity for continued collaboration around healthcare access and coverage options for residents and workers in the Turks and Caicos Islands.

“This new program provides an additional layer of security for employees in the tourism and hospitality sector by expanding access to private health insurance coverage, including the opportunity for eligible migrant workers and their families to access overseas medical treatment when needed. That is a powerful and compassionate development. It recognizes that while our local healthcare system offers quality care and continues to improve, there are times when specialized treatment abroad may be necessary.

This initiative is a significant advancement that complements the healthcare services already available locally, while strengthening the safety net for those who serve in one of our most vital economic sectors. It reflects a practical and forward-looking approach to expanding healthcare access, enhancing employee welfare, and supporting the long-term sustainability of our tourism and hospitality industry.”

As part of its commitment to the Turks and Caicos Islands, Caribbean Health Insurance will establish a local office at The Hub in Grace Bay. Led by veteran local insurance executive Craig Archibald, the office will provide the public with an in-country point of contact for information, assistance and service.

The TCHTA also confirmed that a second coverage option, offering access to care within the United States, is being finalized with local provider, CSC Insurance Brokers Ltd. Further details will be shared once that agreement is complete.

“This is bigger than a single agreement. It’s about making sure our members and their teams have real options when it comes to something as fundamental as healthcare,” said Stacy Cox, TCHTA CEO. “We encourage every local organization, member or not, to reach out and explore what this partnership can offer their teams and families.”

Interested businesses can contact the Turks & Caicos Hotel and Tourism Association at info@turksandcaicoshta.com or 649.332.5787 to learn more about TCHTA membership and the CHI health insurance option.

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TCHTA Swoops In After Policy Change, Restores Access to Overseas Medical Care  

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PROVIDENCIALES, Turks and Caicos Islands — When the need arose to protect hundreds—more likely thousands—of the workers who power the Turks and Caicos Islands’ leading industry, the Turks and Caicos Hotel and Tourism Association (TCHTA) again demonstrated that its role extends well beyond promoting tourism or enhancing the visitor experience. It is also about advocating for, and responding to, the needs of the people behind the industry.

Four months after the Turks and Caicos Islands Government revised eligibility for the Overseas Medical Treatment Programme, leaving work permit holders outside the publicly funded treatment abroad system, the Association has stepped in with a solution —a practical alternative that restores access to overseas medical care.

The Government announced in February that only Turks and Caicos Islands British Overseas Territory Citizens and Status Card holders residing in the territory would remain eligible for Government-funded overseas treatment. At the time, officials also said continued investments in specialist services, diagnostic capacity and clinical infrastructure would reduce the need for overseas referrals and improve access to care at home.

Recognizing the implications of the policy change for tourism employers and employees alike, the TCHTA spent months working to secure another pathway to overseas medical care.  In a media release, which Magnetic Media has published in full, the Association announced the commendable remedy.

We know that those efforts culminated last week in a landmark partnership with Caribbean Health Insurance (CHI), providing member businesses with two coverage options—CORAL, offering benefits of up to US$300,000, and PEARL Elite, providing up to US$500,000, including air ambulance services. A signing ceremony was held at Beaches Turks and Caicos Resort.

The plans connect employees with hospitals and specialists in the Dominican Republic and Colombia, with Jamaica expected to join the provider network later this year.

The Association says its work is not finished. A second insurance partnership with CSC Insurance Brokers Ltd. is nearing completion and will give participating employers and employees access to healthcare providers in the United States.

For an industry built on people, the initiative represents far more than another insurance product. It restores a pathway to overseas medical care for a workforce whose access to Government-funded treatment abroad changed earlier this year, reinforcing the TCHTA’s reputation for finding practical solutions when its members need them most.

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