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BHB response to 27 November Royal Gazette article

Friday 27 November 2020: BHB’s CEO & President, Dr Michael Richmond, wishes to strongly refute the headline in The Royal Gazette on Friday 27 November, and reassure the public that its hospitalist programme, which employs fully trained doctors who have been working on the frontlines of the pandemic this year, has been appropriately directed and managed. It has, in fact, achieved a 3% cost improvement compared to the same period last year.

Dr Richmond comments: “The Royal Gazette article that ran today includes grave and untrue allegations. Additionally, The Royal Gazette omitted from its published story parts of BHB’s response, which makes it seem as if issues raised were not responded to.

“The allegation in the headline that this is a ‘scam’ is both misleading and malicious, and is not a full representation of the hospital’s response.  The omission of parts of our response from the article that addressed the allegations makes this feel like an unjustified attack not only on the hospital but on our frontline professional medical staff.

“This year we experienced the first global pandemic in 100 years that has claimed nine lives and infected well over 200 people in Bermuda. The hospital and all its staff have been working under extreme duress and yet, despite this, BHB’s inpatient medical service – which includes the hospitalists and medical officers overseeing care for all inpatients – incredibly only went over the planned budget for this period by 2.74%. This budget was set before we knew there would be a pandemic. Furthermore, this is $86,000 less or a 3% improvement on the same period in 2019. This highlights that the new scheduling approaches that we were trialling this year, which had hospitalists undertaking more 12 hour shifts, is working.

“I would add that, after a further review today, since March there have been ten instances when there have been authorised variations to the planned schedule to ensure the highest level of patient care and safety were maintained. This is not something that happens frequently – certainly not an ongoing ‘scam’ that The Royal Gazette alleges. The dates in July were scheduled 12 hour shifts planned due to the workload and the pressure in this month was explained in our statement to The Royal Gazette, but was not included in the story.

“It was also inferred that concerns were reported to the Deputy CEO and CFO but went unaddressed. The complaint about hospitalist scheduling was made to them originally in a meeting with the BPSU in July. A review of schedules for hospitalists and medical officers was added to the workplan for cost savings and this review was explained in our original statements to The Royal Gazette.

“I am disappointed that two anonymous sources are quoted as making unfounded allegations, but we continue to look at improvements to our efficiency, and welcome all ideas on this.  I have full confidence in how this service is run, and furthermore great appreciation and gratitude for the workload managed by the management and team this year given the extreme challenges we have faced.”

Responses from BHB The Royal Gazette did not publish:

BHB did respond to questions about the times hospitalists filled in when a medical officer was not able to carry out the overnight shift. We explained that the schedules do not give the full picture about the issues the hospital was facing during the pandemic. As a department that has been short-staffed during this intense and challenging time, the team managed amazingly to ensure we could care for our patients. The following response was sent to The Royal Gazette, but was not included in the article regarding dates from 3 April to 15 July that the journalist had asked BHB to look into:

“Through April and May we were seeing an increasing number of COVID-19 patients in the hospital, and from June through to July we experienced a significant surge in demand following the relaxation of lockdown. These patients were very unwell, some of them having delayed seeking care due to the lockdown and fears about being in hospital during the pandemic. Comparing the full month of June to July, we saw an increase from 350 admissions to 450, a month on month increase of about 100 people, or 29%.”

We would add, that in March, the hospital was in full response mode to the pandemic as we began to see COVID-19 patients in Emergency and inpatients who tested positive and had to scale up our capacity significantly and prepare for infectious and potentially very sick patients. Our physicians were in the vanguard of these preparations.

Allegations about hospitalists leaving their post were reviewed. The Royal Gazette went ahead and quoted allegations extensively, but did not print the response we sent to them:

“There is no evidence of the misconduct alleged by the anonymous source in the hospitalist group. Our hospitalists have specific duties of care for their cohort of patients which must be met as part of their contracts. There is professional discretion to allow hospitalists to work remotely in certain circumstances once all on-site and direct patient care duties are attended to, though they still must respond within time frames established by the medical staff for emergent, urgent and routine requests.”

Furthermore, we sent detailed information to The Royal Gazette about the scheduling review that is already underway. We were disturbed by the journalist in his editorial comments claiming “Concerns about the practice were raised with BHB management in July, but have yet to be tackled.” We did provide details of the review that is underway. Here is the full response that was sent to The Royal Gazette:

“BHB regularly reviews use of overtime throughout the organisation and has started work on reviewing hospitalist and medical officer schedules. This work is being undertaken in partnership with KPMG, who provide benchmarking and experience from overseas hospitals to help us find the most efficient way to provide the most effective service. Work already is well advanced for reviewing and updating schedules for nursing – our biggest professional group. Meetings started this month on schedules for medical staff, including hospitalists and medical officers.

“While this is recent work, the cost of staffing and use of overtime is a constant area of focus for BHB, even more so as we try to respond to the financial impact of the COVID-19 pandemic. Changes to the hospitalist and medical officer schedules had been made this year as a first step to improved patient care as well as reduce double-time/overtime expenditures. This included more scheduled 12 hour shifts for the hospitalists.”

Finally, as had been included in an official response to the journalist, there is at least one on-site hospitalist at KEMH 24 hours a day. This was explained in more detail to the journalist – that there is a hospitalist on-site overnight who oversees admissions in ED and covers all the inpatient wards. It is highly questionable therefore why the journalist repeats misinformation that they are only ‘on call’ and medical officers are on their own.

We remain, as noted in the BHB quote to The Royal Gazette, open to improving all our processes, including scheduling to ensure we running as efficiently as possible. It is upsetting and damaging for healthcare professionals when a published story in The Royal Gazette is so unbalanced, and attacks the professionalism and integrity of those who have been working tirelessly on the frontlines of care to ensure BHB could prepare to safely care for all those in need through the pandemic.

27 November 2020 News

Dr Christopher Fosker Appointed Director of Oncology at BHB

Wednesday 28 October 2020: Bermuda Hospitals Board (BHB) today announces that Dr Christopher Fosker has been appointed to the position of Director of Oncology at BHB, taking over from Dr Sein Aung. Dr Aung will continue at BHB as a Consultant Oncologist.

As Director of Oncology, Dr Fosker will be the medical lead for cancer services at BHB. His responsibilities will include consulting with cancer patients in Bermuda and managing their care, working with healthcare partners here and overseas and developing cancer services on-island. He reports to the Chief of Medicine, Dr Michael Ashton.

Dr Chris Fosker joined Bermuda Hospitals Board as an Oncologist in May 2015, tasked with treating cancer patients with radiation therapy, chemotherapy and molecular therapy. Dr Fosker works also with Bermuda Cancer and Health Centre as their medical director overseeing the radiation programme. He is an affiliate medical staff member at Dana-Farber Cancer Institute and a consultant at Brigham and Women’s hospital in Boston. Prior to his arrival in Bermuda, Dr Fosker worked at St James’ Institute of Oncology in Leeds, UK. Dr Fosker has a Bachelor of Science in Genetics and graduated from Leeds Medical School in 2003. He completed a Fellowship at Princess Margaret Hospital in Toronto, where he received the RS Bush Award for academic excellence. He was also this year awarded a fellowship by the Royal College of Physicians in the UK in recognition of his excellence and commitment in the field of oncology care.

Dr Ashton comments: “I would like to congratulate Dr Fosker on his appointment. Oncology services at BHB provide a critical service to patients with cancer in Bermuda, and it is a busy department. Chemotherapy treatments increased from 3,260 in fiscal year 2016-17 to 3, 943 in 2019-20 and the service is very highly rated in our regular patient satisfaction surveys. Dr Fosker’s relationships with patients and providers in Bermuda and overseas will be of great benefit in leading this ever-evolving department. A special thank you must go to Dr Aung who has led the department for the last six years, and we are very fortunate that he is continuing with us.”

Dr Fosker adds: “I am looking forward to building on the great work in Oncology in this role. We have a great team at KEMH and we remain committed to providing the best service possible for people in our community with cancer. Although this is a new role for me, I would like to reassure my patients that I will continue to be there for them.”

28 October 2020 Home Page, News

BHB doubles oxygen supply with $1m donation from Bermuda Hospitals Charitable Foundation

Thursday 6 August 2020: BHB today officially ‘switched on’ its new oxygenator and thanked the Bermuda Hospitals Charitable Foundation for donating the $1 million needed for the equipment, which doubles the oxygen capacity of the hospitals and prepares it should there be a second surge of COVID-19 patients in the hospital.


The oxygenator arrived on island at the end of July and following installation, BHB Facilities staff have been trained in its use and basic maintenance. The equipment takes in air and condenses the oxygen from the air supply into a filling station. From there it can supply critical care or acute care beds in both the Acute Care Wing and General Wing of KEMH, or fill oxygen tanks.

Chief Executive Officer of BHB Dr Michael Richmond comments: “We are very grateful for this generous donation. There is no cure for COVID-19 and people hospitalised with this virus frequently need oxygen treatment, including ventilators and high flow oxygen treatments. We hope Bermuda does not experience a second surge in cases, but if we do, this equipment will help us save lives. We have the ability to expand the number of critical care and acute care beds, we have ventilators and other oxygen supplying equipment – and the oxygenator ensures we have the oxygen.

“Some hospitals overseas have run out of onsite oxygen due to the needs of COVID-19 patients. As Bermuda’s only hospital, with no other oxygen supplier on island, we could not afford for that to happen. The benefit beyond COVID-19 is that the island now has two pieces of equipment supplying oxygen, which adds redundancy into the system for our more routine treatments.”

Deputy Chief Executive Officer Mr R Scott Pearman adds: “BHCF’s donation in April meant we could go ahead and place our order early. This has been absolutely critical. We bought the last available piece of equipment from the vendor and reports now indicate a shortage of oxygenators available for purchase globally. If we had not been able to move quickly, we would not be as prepared as we now are. We would like to thank the BHCF for the donation, and also the BHB Facilities and Procurement teams for their work in purchasing and running the new equipment.”

Chair of the Bermuda Hospitals Charitable Foundation Ms Penny MacIntyre comments: “No one wants to imagine struggling to breathe for any reason. COVID-19 means all of us are at risk and we want the assurances our hospital has what it takes to take care of us. Our thanks to BHB and Dr Richmond for identifying the urgent need for the oxygenator. Our ability to act quickly is as a result of the generosity of every individual, family and corporate donor who entrust the Bermuda Hospital Charitable Foundation to make key funding decisions that better our health, safety and wellness now more than ever. What a huge relief to know we have the resources to breathe when we need it the most.”

6 August 2020 Home Page, News

Agape House maintenance In August

Wednesday 5 August 2020: BHB today announces that Agape House patients have been temporarily relocated to Curtis Ward in the KEMH General Wing for about a month, while work is undertaken at the Agape House facility. Work will include some basic maintenance and the building will be tented for fumigation nearer the end of August. During this time the service will be closed to new inpatient admissions, but Dr Debbie Benson, BHB’s Palliative Care lead physician, will continue to offer palliative care consults by referral.

Granville Russell, Director for the service, comments: “This is essential work for us to maintain services over the longer term. We apologise for any inconvenience to our patients, but the relocation is essential for the work to be completed.”

During this time, the fax for referrals has changed to 239-2208, but emails and phone numbers for staff remain the same.

5 August 2020 Home Page, News

Increased visitation for KEMH acute care patients from 4 August

Monday 3 August 2020: Bermuda Hospitals Board (BHB) today announces that, given the sustained low prevalence of COVID-19 in Bermuda, that it will allow more visitation over increased hours for acute care patients at KEMH from Tuesday 4 August 2020.

Acute care patients in the Acute Care Wing units (Ace Barber, Ascendent Partner Re, Catlin Lindo): patients who are not on isolation can have up to two visitors in their room at any one time between noon and 6pm.

Acute care patients in the General Wing (Curtis Ward): as these rooms are smaller and have other patients in, acute care patients in the General Wing (Curtis Ward) can have one visitor in their room at any one time between noon and 6pm.

Isolation patients: For patients on isolation due to a known infection of any kind, or in the first 24 hours of admission while waiting for results of the required COVID-19 test, two designated support people pre-identified by the patient will be able to visit for up to two hours per day.

The following requirements must be followed when visiting any BHB services:

  • Visitors must be masked at all times, including in patient rooms
  • Visitors must maintain physical distancing at all times, including in patient rooms
  • People who have symptoms of COVID-19 or any other infection will not be allowed to visit
  • For infection control purposes, visitors will not be allowed to use patient bathrooms and will need to use public restrooms on each floor
  • Overnight stays are not allowed at this time, other than in exceptional circumstances

Norma Smith, Vice President, Clinical Operations (Acute and Ambulatory) comments: “We are encouraged by the sustained low prevalence of COVID-19 in Bermuda at this time and feel it is currently safe to allow visitation so our patients benefit from the love and support of their families and close friends. As front line carers, we see the difference it makes. We remain on alert, however. Our ability to increase visitation may change if there is evidence of second wave of infections in Bermuda. However, while it is safe to do so, we look forward to welcoming more visitors.

The following departments have also increased visiting hours:

Intensive Care Unit

  • Designated support people now allowed to visit for two hours between 10am and 2pm, or 4pm and 8pm
  • Visitors must be on the ICU visitors list


  • One designated support person may stay up to 8 hours after the birth
  • If the mother is not discharged within 24 hours, the support person will now be allowed to visit up to 4 hours a day between 10am and 6pm
  • If the support person leaves the hospital during visiting hours they will not be permitted back on the unit

Visitation in other BHB areas remains unchanged at this time during the pandemic:

Acute Inpatient Care for Mid-Atlantic Wellness Institute services (adult, child and adolescent services):

  • Pre-identified support people can visit for 30 minutes each day between 12 noon and 6pm
  • Support people should check in at the front desk
  • One person can visit at any one time and visitation will be in a public space, such as a family conference room

Long Term Care (KEMH and MWI), including Group Homes

  • One designated support person can visit for one hour each day between 12 noon and 6pm

Emergency Department and Lamb Foggo Urgent Care Centre

  • Patients should come to emergency on their own, to minimise numbers in the ED waiting room and ensure physical distancing is possible
  • Exceptions for one visitor will be made in the following circumstances:
    • Vulnerable individuals and children (1 parent/support person)
    • Combative individuals
    • End of life cases
    • Deaths (prior to or within the ED)
3 August 2020 Home Page, News

Consultation on draft Mental Health Act Code of Practice launched

Tuesday 28 July 2020: Bermuda Hospitals Board (BHB) today announces that a consultation has been launched on a draft Code of Practice (the Code) relating to the Mental Health Act 1968 and subsequent amendments. As allowed by the Act, the Minister of Health has delegated the responsibility of completing the consultation on the draft Code to BHB on her behalf. The consultation opens today and will run until 4 September 2020.

The Code can be downloaded from here: Mental Health Act Code of Conduct_CONSULTATION DRAFT-July2020

Feedback should be provided by clicking on the following link: https://www.surveymonkey.com/r/Code-of-Conduct

The Code provides guidance to medical practitioners, BHB staff and approved mental health professionals on how they should carry out their responsibilities under the Mental Health Act when providing psychiatric treatment and care for persons suffering from mental disorder. The Code will also help patients and their families to understand what they can expect from health professionals who are assisting with their loved ones’ treatment.

This is the first time in Bermuda that a Code of Practice will be available to support the implementation of the Mental Health Act, and it will come into effect on 31 October 2020. It is intended that the Code will:

  • Ensure that all patients receive high-quality, safe care
  • Provide straightforward and accessible information about how the Mental Health Act is to be used
  • Clarify how decisions should be made about people’s treatment and support when it is suspected they may not have the capacity to make such decisions
  • Set out the over-arching principles that should guide the care of people who have mental health needs
  • Ensure compliance with the law
  • Protect patient rights

The Minister of Health, Hon. Kim Wilson, JP MP, comments: “I am pleased that BHB, on behalf of the Ministry, is sharing a draft of Bermuda’s first Code of Practice for all practitioners in the mental health field for feedback. We are looking for input from as wide a range of individuals and organisations as possible. We are particularly keen to have comments about the clarity and detail of the Code. We will review all feedback before finalising the drafting of the Code.”

If people who would like to participate in the consultation have any questions, please email Alick Bush at alick.bush@bhb.bm.

27 July 2020 Home Page, News

Dr Michael Richmond appointed as BHB CEO

Tuesday 21 July 2020: Bermuda Hospitals Board (BHB) today announces that Dr Michael Richmond has been appointed as the new Chief Executive Officer (CEO) & President, and will take over the position when Mrs Venetta Symonds, takes early retirement in July 2020 after eight years as CEO & President. At the same time the Board is recreating the role of deputy CEO which will be filled by Mr R Scott Pearman, who is on a developmental pathway to be a potential candidate to compete for the CEO position in 2023.

Dr Richmond is currently the Chief of Staff at BHB. Having joined BHB in 2017, he also spent three months as Acting CEO during Mrs Symond’s leave last year. Dr Richmond has extensive experience in healthcare and hospital management in the UK and overseas. Immediately prior to joining BHB, he served in the dual role as Chief Medical Officer at Hamad Medical Corporation and Chief Executive Officer of Hamad Medical Corporation’s Women’s Hospital in Qatar.

Originally from the UK, Dr Richmond is an anaesthetist with 25 years’ experience. He has worked extensively on major change programmes both in the UK and internationally. He has developed a strong professional network that includes major medical institutions in the UK, Ireland, United States of America, Canada and Qatar. Dr Richmond obtained his medical degree from the University of Aberdeen and specialised in anaesthetics at the Royal College of Anaesthetists in the UK and College of Anaesthetists Ireland.

William Madeiros, Chairman of the BHB Board, comments: “We would first like to pay tribute to Mrs Venetta Symonds for her leadership and vision over the last eight years as CEO and for her dedication to care over her 40 year career at BHB. To ensure we appointed an equally high calibre CEO who could continue to improve quality and value at BHB, the Board established a subcommittee last year after Mrs Symonds announced her intention to take early retirement. Dr Richmond is an experienced and skilled candidate, with extensive experience as a hospital executive, who is ready to take on this critical role. While we currently face an unprecedented challenge with the COVID-19 pandemic, Dr Richmond’s leadership of the BHB pandemic response has only highlighted what we already knew – that we have someone with the skills, experience and strategic abilities to navigate hospital services through major challenges and help them become stronger. This appointment supports the current succession plan approved by the Board in 2018. This plan identified Mr Pearman as being on a development pathway to be a potential candidate to compete for this position by 2023, and this development will continue with him in the role of Deputy CEO.”

Minister of Health, Kim Wilson, JP MP, comments: “We remain very grateful for the achievement of Mrs Symonds as CEO and wish her the very best in her early retirement. I am very pleased for BHB and Bermuda that Dr Richmond has agreed to take on the role. COVID-19 remains a potent threat in Bermuda and overseas, but Dr Richmond’s advice and strategic approach to managing the pandemic and looking beyond at how quality and service improvements can be made once the pandemic is over give me great optimism for the future of BHB and hospital services, and their ability to meet the needs of people in Bermuda.”

In addition, “Looking to the future, it is critical that Bermudians continue to be equipped and made ready with the tools for successful leadership. BHB shares this Government’s goal of securing and retaining qualified, professional Bermudians who can lead the organisation. Therefore, I am pleased to see the appointment of Bermudian, Mr R Scott Pearman, to the position of Deputy CEO. The Ministry of Health along with countless Bermudian families invests heavily in the education of Bermudians in healthcare professions and beyond. We are renewing our commitment to realising the best possible return on those investments by ensuring a depth of leadership talent on the proper path to success”.

Dr Richmond comments: “I have spent three years at BHB as Chief of Staff and have experienced first hand the BHB staff dedication and desire for quality. I look forward to building on the awesome work already achieved with my colleagues, and working more closely with staff in support and administrative as well as clinical areas. The pandemic has only highlighted the phenomenal ability of BHB staff to do what is needed to care for the Bermuda community. I remain committed to the key values of quality, patient safety and equity. While we know there are challenges ahead, I have great faith we will navigate through them, be stronger and make Bermuda proud.”

The new CEO’s contract will be for three years with a salary of $485,000. The first effective date of the contract is 1 August 2020.

21 July 2020 Home Page, News

Hyperbaric chamber service to resume from 1 July 2020

Friday 26 June 2020: Bermuda Hospital Board is pleased to inform referring physicians and the diving community that its hyperbaric chamber services will resume on 1 July 2020 for elective and emergency service.

The hyperbaric chamber is a treatment chamber used for certain medical (specific types of ulcers) and certain surgical conditions likely to benefit from hyperbaric oxygen treatment. It is also used for diving accidents such as arterial gas embolism, and decompression sickness (‘the bends’). The chamber was closed earlier this year in response to the pandemic and increasing COVID-19 infections in Bermuda. The chamber oxygen was diverted in anticipation of a surge of seriously ill COVID-19 patients who would need all available oxygen in the hospital. Additionally, staff members from the department were seconded to and supported the critical care units in the management of the COVID-19 patients.

Dr Chikezie Dean Okereke, Chief of Emergency & Hyperbaric Services, comments: “BHB prepared early in case Bermuda experienced a surge of seriously unwell patients. To support a threefold increase in critical care beds and ventilator capacity, we had to preserve oxygen and redeploy some of the hyperbaric and wound care staff. We have been closely monitoring the COVID-19 infections, and the continued low prevalence in Bermuda suggests it is safe to resume the service.”

Dr Okereke adds: “Recognising that COVID-19 remains a threat and to ensure the safety of the patients and the staff, all the necessary infection control precautions will be followed for all patients and staff. We will continue to monitor the situation closely in case the situation changes. We would like to thank the community for their patience and for understanding of the need to temporarily suspend this service.”

26 June 2020 Home Page, News

Freisenbruch Meyer wins the 2019-2020 Corporate Blood Drive Competition

Tuesday 16 June 2020: Bermuda Hospitals Board and the Ministry of Health today announce that Freisenbruch Meyer has won the 2019-2020 Corporate Blood Drive Competition.

Click here for a short video announcing the winner.

The annual competition, now in its seventh year, saw 16 businesses compete by having employees and their friends and families donate blood on their behalf. This year 371 donations were made as part of the competition, which comprises about 20% of all donations made during the year.

Minister of Health, the Hon. Kim Wilson JP MP, comments: “Congratulations, Freisenbruch Meyer! This competition continues to be a driving force to encourage blood donation in Bermuda. Thank you to all 16 competing companies. While there can only be one winner, every company who supports the competition is helping save lives in Bermuda.”

Other competing companies in 2019/2020 were: Argo/Ariel Re, Aspen, Butterfield Bank, Bermuda Police Service, Butterfield & Vallis, Chubb, Dept of Corrections, Fidelity, Hamilton Insurance Group, Hamilton Princess & Beach Cub, Kitson Group of Companies, Lancashire Insurance Services, Renaissance Re, Sirius, Sampo International.

Dr Clyde Wilson, Chief of Pathology at the BHB, adds: “We are grateful to all the competing companies, but Freisenbruch Meyer earned the trophy with regular blood drives throughout the year. It is so important for people to donate blood. We rely on a wonderful group of regular donors, and this competition helps encourage more people to donate, which we desperately need. So thank you to all the competing companies this year! We hope more companies join in the coming year and grow the donor pool further. This friendly competition can be a way of generating engagement and raising morale, as well as supporting a critical service that saves lives in our community everyday.”

Companies are urged to email the Blood Donor Centre at blood.donor@bhb.bm if they are interested in competing in the next competition.

16 June 2020 Home Page, News

Lamb Foggo UCC services resume with revised hours

Friday 12 June 2020: Bermuda Hospitals Board today is pleased to announce the re-opening of the Lamb Foggo Urgent Care Centre (UCC) with revised hours from Tuesday 16 June 2020.

The UCC will open with a physician and a nurse on duty from noon to 8pm on weekdays, and 9am to 9pm on weekends. X-ray services will initially be limited to Monday, Wednesday, Friday and Sunday. COVID-19 testing will not be available at the UCC. People should book a COVID-19 test at the Molecular Diagnostic Laboratory at Southside, and if they are experiencing symptoms call their GP for advice and guidance.

In the UCC, masks must be worn at all time and a maximum of three people will be allowed in the waiting area at any given time. Physical distancing markers are on the floor inside and outside the facility. People seeking care should come into the building alone as the waiting room cannot accommodate additional visitors. The only exception will be for parents bringing a child for care, or carers with vulnerable or combative patients. Visitors who accompany a patient should otherwise wait in their car or away from the facility.

Dr Chikezie Dean Okereke, Chief of Emergency & Hyperbaric Services, comments: “We had to temporarily suspend UCC services due to our concern that the pandemic would create pressures in the Emergency Department that would require all staff. We are very pleased to see the continued low prevalence of COVID-19 and, while this continues, we will resume UCC services. We remain cautious at this stage and have factored the curfew hours into our initial opening. As before, the services remain for minor injuries and illnesses only. People with serious or life-threatening conditions that may require diagnostics, surgery or specialist attention should go directly to the Emergency Department or call 911.”

12 June 2020 Home Page, News