The Barbados Prison Service (BPS) is implementing significant changes to its healthcare delivery system for inmates following security breaches that prompted tightened protocols. This strategic shift toward expanded in-house medical services comes as a direct response to last year’s incident involving an inmate escape from Queen Elizabeth Hospital during external treatment.
Prison Superintendent DeCarlo Payne confirmed that numerous medical assessments and procedures previously conducted at external hospitals are now being performed within the prison facility. This adjustment particularly affects treatments requiring the removal of restraints, which previously created security vulnerabilities during transport and off-site medical visits.
Despite these security-driven changes, prominent human rights attorney King’s Counsel Andrew Pilgrim emphasizes the government’s non-negotiable obligation to maintain proper healthcare standards for incarcerated individuals. Pilgrim asserts that while the location of service delivery is administratively flexible, the quality of care must align with civilized societal standards.
“The Government of Barbados, through the prison service, bears ultimate responsibility for ensuring prisoner safety and adequate healthcare provision,” Pilgrim told Barbados TODAY. “Whether treatment occurs at the prison or hospital remains an operational decision—what matters is that care meets proper medical standards, even for complex procedures like open heart surgery.”
Regarding potential legal implications, Pilgrim acknowledged that the prison administration could face liability for medical complications arising within the facility, though establishing fault might present evidentiary challenges. The legal expert clarified that while the government maintains discretion in determining treatment venues, its fundamental duty to provide appropriate healthcare remains unequivocal under Barbadian law.