Secondary Health Care

Overview of Department:

Secondary care refers to the practice of being taken care of by someone who has particular expertise in whatever problem a patient is having.  It is where most people go when they have a health problem that cannot be dealt with in primary care, because it requires more specialised knowledge, skills or equipment than the community/district clinics have.

Secondary care services are usually based in a hospital rather than the community. Sometimes ‘secondary care’ is used to mean ‘hospital care’ but not all secondary care professionals work in hospitals, such as psychiatrists and some clinical psychologists and occupational therapists.

Montserrat’s main secondary care facility is the Glendon Hospital.


Secondary care includes treatment for illness, injury or other health problem in hospital or in an outpatients’ clinic. It also includes tests and care for serious conditions.

Anyone can use the Casualty Department /Accident and Emergency (A&E) for a serious, urgent problem – but many problems can be dealt with by the community services district clinics.

Services provided at the hospital are generally accessed via referrals from primary health care, private doctors’ offices, or from casualty.

Patients from Primary Health Care attending the district clinics may also attend the hospital for laboratory, pharmacy, X-ray and physiotherapy when those services are required for their condition.

Some of the core services within the secondary care services are:

  • Laboratory
  • Pharmacy
  • Radiology: x-ray, ultrasound
  • Physiotherapy
  • Obstetrics
  • General Surgery
  • Geriatric Care
  • General medicine
  • Casualty
  • Electrocardiogram
  • Visiting Specialist Programme: Urology, Cardiology, Gynaecology, Orthopaedics


Department News

Alert: Chickenpox Identified on Island

Tuesday, 2April 2024– The Ministry of Health and Social Services is issuing a public health advisory in response to a recent increase in cases of


Mrs. Arlene Ponteen

Main Contact Details

Glendon Hospital, St. John’s, Montserrat

Tel: 664-491-2552/2836/2843

Fax: 664-491-6413


Departments/Unit Contact Information

Emergencies Only: 664-491-2802

Th A&E (Casualty) department is located at the Glendon Hospital. It is open 24 hours a day and is staffed by nurses, with a doctor on duty during the day, and on call at night, weekends and public holidays.

Please note that this department is for persons requiring emergency care. All others should access care at the district clinics. 

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