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.
Services
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

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Director
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.