Historical Background

Original Hospital
Original Hospital

In 1904, Thomas Liburd, one of the two nominated members of the Government of St. Kitts-Nevis spoke in the Legislative Council meeting, bitterly criticizing the fact that the hospital in Nevis was destroyed in the 1899 hurricane and all patients had to be moved into the islands’ jail as temporary quarters.  After five (5) years they were still there and no measures had been taken to rebuild the hospital.  Mr. Liburd also declared that the Charlestown jail was not a fit place for patients recovering from illness as it was next to a tannery and the smells emanating from it were very unpleasant and the town noise disturbed them as well.

Hospital Development

In 1909, the old Government House that was also sometimes the temporary residence of the Magistrates and referred to as Queens House was converted into a hospital and named for Queen Alexandra, wife of King Edward.  Ten years had passed between the destruction of the Old Hospital (located on Old Hospital Road near the cemetery north of town.  It was originally constructed in the 17th Century on land donated to the Government by Mr. James Ling, a Planter) and the completion of the “new one.”  Had it not been for Thomas Liburd’s persistence, the time span would probably have been considerably longer.  Again in 1950 and 1951, earthquakes severely damaged the Hospital.  It was reconstructed by means of a generous grant from the Government of the United Kingdom.

Modern Facilities

Hospital Development
Hospital Development

In 2001, with a grant from the European Union, a new building was erected to accommodate the Accident/Emergency/Outpatient and Radiology Departments.  The existing structure was also completely refurbished.

Today this 52 bed Hospital serves a population of approximately 10 000 people providing a wide rangeof services including Medicine, Obstetrics and Gynaecology, Paediatrics, Gerontology, General Surgery and Urology.

There are many surgical procedures except Cardiothoracic and Neurosurgery performed by competentU.S. and U.K. trained consultants.

Special mention should be made of our Laparoscopic Diagnostic and Surgical services including Laparoscopic Cholecystectomies.  Our endoscopic service also offers Gastro-duodenoscopy, Colonoscopy and Genito-urinary Endoscopy.

As part of our emergency service, there is a fully equipped ambulance with a cadre of recently trained Emergency Medical Technicians.  There are also such facilities as Ventilators, Defibrillators and other cardio-thoracic resuscitation equipment.

*There is a fee attached to ALL services provided.


Maternity Ward
Maternity Ward

Mother and child receive excellent care from our on staff Gynaecologist/Obstetrician and our well-trained midwives.

Preparing for your Hospital Stay

Hospitalization can be a difficult time, and the staff of the Alexandra Hospital is eager to make your stay as pleasant and as comfortable as possible. Whether you will be with us for the day, overnight, for surgery or treatment, we want you to feel at home therefore we encourage you to ask questions of your physician and our staff to help you prepare for your stay.

Our aim is to satisfy you. We are committed to helping you to recover quickly so your life can return to normalcy.

What to Bring

  • Sleepwear (pajamas, night gown etc)
  • Towels
  • Wash Cloths
  • Toothbrush and toothpaste
  • Lotion and comb
  • Roll on (under arm deodorant)
  • Sanitary Napkins (females)
  • Warm socks or slippers
  • No phones are allowed for children
  • A small battery operated radio (optional)
  • All medication/or drugs that you are currently taking

For Baby

  • Cloth diapers or pampers
  • Baby wipes
  • Baby body wash or mild soap
  • Baby shampoo
  • Baby Powder
  • Vaseline/Petroleum Jelly
  • Sleepers (4)
  • Vests (5) Shirts/Top (4)
  • Socks (5 pairs)
  • Baby Hats (5)
  • Towels (4), Rags
  • Blankets (4)
  • Baby Comb

Admissions Procedure

Admission of patients to Alexandra Hospital shall be done in three methods:

  • Emergencies brought by the Emergency Medicals Services, relatives or any other persons or agency.
  • Patients referred by medical or dental practitioners.
  • Walk-in

All admissions to the Alexandra Hospital are done via the Out-patients Department. Only maternity cases that are in active labor can go directly to our Maternity Ward.

It is the patient’s responsibility to provide the hospital with accurate information. Therefore ALL patients seeking medical attention at the Alexandra Hospital are required to give the following information on admission:

  • Proof of Identification in the form of a valid passport, national ID card, Social Security Card or driver’s license.
  • Date of Birth
  • Telephone number
  • Proof of Address in the form of a telephone bill or electricity bill
  • Name, address and telephone number of employer
  • Occupation
  • Emergency contact information, or the names and telephone numbers of those individuals the hospital should contact if the person being admitted needs emergency care or their condition worsens significantly.
  • Insurance card
  • Reason for hospitalization
  • Allergies to medications or foods

All Medical and Surgical patients between the ages of 18 and 62 who are admitted to the hospital are kindly asked to make a down-payment of EC$200.00 which will be credited to your final bill.

All Private Maternity patients who are admitted to the hospital regardless of their age are also asked to make a $60.00 down-payment which will also be credited to your final bill.

During your Stay

  • All valuables which include money and jewelry shall be checked and given to the nurse for safe keeping or left at home.
  • Suitable clothing must be worn by all patients these include night gowns, pajamas, T-shirts, boxer shorts and dusters.
  • If the patient does not have the appropriate attire, then a patient’s gown will be provided.
  • Patients are not allowed to lie in bed in street clothing.
  • No cooked meals or alcoholic beverages are to be delivered for patients who are in our care.
  • Meals will be supplied by our kitchen under the guidance of our dietician. If you have any personal dietary needs please inform the nurse on admission.
  • Fruits Juices, fruits and crackers are allowed. Any other addition will be allowed at the discretion of the Nurse in-charge.
  • Patients are not allowed to leave the wards without permission from the doctor or nursing staff.
  • Bed linen will be provided by the hospital.
  • Our Housekeeping Service Staff will clean the wards/rooms on a daily basis. If there is anything in the ward that needs immediate attention please let us know.
  • Patients can make arrangements to have their laundry done by their family member or friends.
  • Absolutely No Smoking is allowed.
  • No weapons or illegal drugs are allowed in the facility at any time.
  • The use of cellular phones is not allowed during the time that the doctors are making rounds.
  • All radios should also be turned off during doctor rounds as well.
  • Patients are allowed to have a small battery operated radio during their stay.
  • All light and television will be turned off at 10.00pm to ensure that our patients get adequate rest.
  • Your priest/minister is allowed special visiting rights in accordance with the rules/regulations of the hospital.

Discharge Procedures

Your physician will determine when you may be discharged. To complete the discharge process, please observe the following procedures:

  • While discharge times vary from patient to patient please be aware that it may occur as early as 10 a.m. We advise patients to make transportation arrangements accordingly. In addition, due to the nature of the process, your discharge time may be significantly later in the day and we appreciate you and your family’s flexibility regarding scheduling transportation.
  • Before you leave, be sure you understand ALL instructions regarding medications or follow-up visits.
  • Don’t forget to check all drawers, cabinets and night stands before leaving to make sure you have all your belongings.
  • Do not forget to claim any valuables that were kept in the hospital safe for safe keeping.
  • The hospital will not be responsible for personal property left behind.
  • On the day you are discharged, you will be given a bill indicating the charges incurred while in our care. You or a member of your family should go to the Cashiers located in the Out-Patients Department to make payment. This office is open 8:00 a.m. to 9:00 p.m., Monday through Friday.
  • The cashier will issue a receipt indicating that financial obligations have been made.
  • If you are not in a position to pay at the time of discharge, then you or a member of you family can meet with an officer of the accounting unit who will guide you as to your payment options.


Payment for hospital fees are your responsibility. You may have insurance(s) which will cover added costs. Therefore you are encouraged to review your insurance coverage prior to admission.

  • Payment for services rendered is accepted by cash, cheques, credit and debit cards.
  • The balance of monies due for services rendered should be paid at the time when you are being discharged.
  • However, if it is not possible for you to make payment when discharged, then payment should be made within 30 days of the service.
  • If you still cannot settle the bill within the stipulated time, 30 days a payment agreement plan can be entered into where you will be required to pay not less than fifty dollars $50.00 per month for balances that are less than $500.00 and ten percent (10%) per month for balances in excess of $501.00.
  • All payment agreements should be paid by the 28th day of each month. Until the balances is paid in full.
  • If a patient is on a payment plan and he or she anticipates missing a payment, the patient must send a written notice to the Credit and Collection Department. Payment should be made up by the following month.

“Caring is our Commitment.”

The Alexandra Hospital provides this price list to inform the general public of the various charges for room and board and all other services that are offered to our patients.

The general public is also asked to take note of the following:

All Medical and Surgical patients between the ages of 18 and 62 who are admitted to the hospital are kindly asked to make a down-payment of EC$200.00 which will be credited to their final bill.

All Maternity patients who are admitted to the hospital regardless of their age are also asked to make a EC $200.00 down-payment which will also be credited to their final bill.

Payment for all servies can be made by cash, cheques, credit or debit cards.

The Management and staff of the Alexandra Hospital seek the compliance of all in this matter as we endeavor to improve the services that we provide.

Rental Items
Pediatrician $30.00 Cane $50.00
Walker $50.00
Adults $60.00 Clavicle Strap $50.00
Children $30.00 Shoulder Immobilizer $50.00
Medical Doctor
Crutches $50.00
Adults $40.00 Pouch Sling $50.00
Children $25.00
Extremity $30.00
Glucometer Testing $20.00 Skull, Chest $50.00
EKG/ECG $50.00 Spine Pelvis $50.00
Blood Pressure Check $10.00 Ultas sound $150.00
Ear Syringing $25.00 Barium Meals $100.00
Minor Bandaging $20.00 IVP, HSG $100.00
Major Bandaging $40.00
Catheter Changing $20.00 Each examination required will charged for individually.
Enemas $40.00 Prices are subject to change because of supplementary (additional) views
Nebulizing Adults $25.00
Nubulizing Children $10.00 Patients who die while in the hospital are allowed 24 hours free in the morgue, thereafter a charge of EC$100.00 per night will apply.
Suturing $40.00
Triangular Bandage $20.00
Soft Collar $75.00 CBC $15.00
Manual Diff $5.00
Home to Airport $150.00 Sickle Cell $10.00
Hospital to Airport $100.00 Bleeding & Clotting Time $5.00
Hospital to Home $150.00 Prothrombin Time $10.00
Home to Hospital $75.00 Partial Tromboplastin Time $10.00
All other Ambulance calls $50.00 ESR $5.00
General Ward (Medical, nursing care BloodType $10.00
3 meals, maids and laundry serv. $25.00 DCT, ICT $5.00
Semi Private Ward $50.00
Clinical Chemistry
Private Ward $75.00 Renal Profile $45.00
Glucose/Creatine/Bun $10.00
Booking Fee $100.00 Electrolytes Profile $25.00
Delivery Room/Nursing Care $100.00
Cardiac Profile
Beds (Medical, nursing care AST, LDH Creatine Kinase $20.00
3 meals, maids and laundry serv. $25.00
Lipid Profile
Semi Private Ward $50.00 HDL, LDL, VLDL, TG $25.00
Nursery Service $25.00 Cholesterol $10.00
Liver Profile $35.00
Minor Surgery $100.00 HBAIC $55.00
Major Surgery $200.00 CKMB $130.00
Theatre Fees does not inclue, anesthesia, medications, pre-admission testing, or any professional services provided.
HIV $75.00
Rehabilitation Treatment Hepatitis $10.00
Ultrasound Therapy $20.00 RPR $10.00
Interferential/Russian Stimulation $20.00 OCP, FOB, $10.00
Neuro-Muscular Elec. Stimulation $20.00 RA, SLE latex $15.00
Micro Current Therapy $20.00 Sperm Count $20.00
LLL Therapy $20.00 Sperm Analysis $20.00
Transcutaneous Electrical Stimulation $20.00 Pregnancy Test $15.00
Lumbar/Cervical Traction $20.00 Urinalysis $10.00
Paraffin Wax Treatment $20.00 Handling Fees $10.00
Moist Heat $20.00 Please enquire about tests not listed, as we also send samples to Reference Laboratories for testing.
Therapeutic Exercises $20.00
Supportive Items
Antihistamines $10.00
Neo-Knee support $110.00 Antibiotics & Antifungals $20.00
Sport-Hinged Knee Support $180.00 Sulphonamides $20.00
Gel Band Patella Strap $80.00 Cholinergic Agents $10.00
Ankle Stablizer $80.00 Anti-trichomal Agent $10.00
Theraband (1 piece) $10.00 Adrenergic Agent $15.00
Wrist splint $60.00 Anticoagulants & Coagulants $20.00
Universall Thumb Splint $60.00 Hematopoietic Agents $100.00
Elastic Bandage $25.00
Theraball $10.00
Frog Splint $15.00


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“Caring is our commitment”

Visitors are an important part of your treatment. However, to make sure that you receive the rest and care you need, visitors are asked to observe the following visiting guidelines.

  • All visitors should obtain visitor passes from the information desk at the Gate House.
  • These passes are to be returned to the desk when the visitors leave the hospital.
  • Visitors are required to wear shirts and shoes and conduct themselves in a quiet and considerate manner.
  • Absolutely No bare feet will be allowed.
  • All visitors are expected to respect established visiting hours of Alexandra Hospital.
  • Visitors who have contagious diseases such as cold, chicken pox etc. they should not come to visit patients.
  • Visitors should observe the NO SMOKING sign posted at the hospital.
  • Due to space limitations, we ask that families limit the number of guests present at bedside to two at a time.
  • Children under the age of twelve years of age are not allowed to visit.
  • Visitors are not allowed to sit on the patient’s bed.
  • Visitors should check with the nurse before bringing gifts of food or drink to a patient, as the patient may be on a special diet.
  • No weapons or illegal drugs are allowed in the facility at any time.
  • Cell phones can affect patient care equipment, ventilators, IV pumps. For the safety and comfort of our patients, please limit your cell phone usage while visiting.
  • The back corridor is totally off limit to visitors.
  • All visitors are asked to sit in the chairs provided not on the walls.
  • Visitors are also asked to refrain from eating and drinking while visiting patients.
  • Visitors who do not follow our visitation rules may be removed from Hospital compound by Hospital Orderlies.

emergency outpatient

  • Ambulance Service
  • Emergency Medical & Nursing Care
  • Out-Patient Consultants
    • Surgical
    • OB/GYN
    • Internal
Nutrition and Housekeeping


  • Food Preparation
  • Dietary counselling
Nutrition & Housekeeping staff
  • Dietitian
  • Cooks
  • Seamstresses
  • Housekeepers
  • Maids
  • Laundresses


  • Prescriptions service for in-patients and out-patients.
  • Compounding of varius medications.
Pharmacy Staff
  • Pharmacists
Medical and Surgical Staff
  • Surgeons
  • Anaesthesiologist
  • Gynaecologist/Obstetrician
  • Internist
  • Medical Officers

All the basic tests in Chemistry, Hematology and some sections of Microbiology are done

Laboratroy Staff
  • Medical Technologists
  • Assistant Medical Technologists
  • Laboratory Assistant
Radiology (Ultrasound and X-ray)

A wide range of X-ray and Ultrasound Services

Radiology Staff
  • Radiographers
Surgical Staff
  • Registered Nurses (All certified midwives)
  • Nurse Anaesthetists/Nursing Assistant
  • Theatre/Operating Room Nurses
  • Intensive Care Unit Nurse
Medical Records

Admissions and discharges of patients, processing, assembling, storing and retrieval of medical records.

Medical Records Staff
  • Medical Records Clerk
Physical Therapy

physical therapist
Included in the various services are treatments using ultra-sound, laser, hear, cold exercises and electrical stimulation.

Thysical Therapy Staff
  • Physical Therapist

The Flamboyant Nursing Home is a 38 bed facility attached to Alexandra Hospital. It houses accommodation that is private, semi private and shared.

Within the confined of the Home you will find a Physiotherapist, Recreational Therapist and Dietitian all geared to make the residents stay as comfortable as possible. The Nursing staff is headed by the Nursing Manager who leads a team of qualified nurses and care attendants.

The Nursing Home offers:-

  • Full Residential Care
  • Respite Care
  • Day Care

Family are encourage to visit as often as possible.

Criteria for Admission:

  • Age 70 and above
  • Individuals who can no longer live alone and are in need of continuous nursing care.
  • Individuals suffering from Alzheimer’s; Dementia; Parkinson’s or any neurological disease and can no longer be cared for at home.
  • Individuals who are physically disabled due to degenerative conditions (may include Stroke victims)


  • Private with A/C – EC $2,000.00 per month
  • Private without A/C – EC$1,800.00 per month
  • Semi Private – EC$1,500.00
  • *Four Beds -EC$500.00 ~ $1,300.00

NB:* This will be means tested

Day Care Service
7:30am ~ 4:30pm

  • Monthly: EC$1,000.00
  • Weekly: EC$250.00 (days only)
  • Weekly: EC$350.00 (includes nights)
  • Daily: EC$50.00
  • Daily: EC$75.00 (included night)
  • NB: A penalty of an extra EC$50.00 will be charged if pick up time of 12 noon (for weekends and overnight stays) and ever hour (part of or full) there after, is not adhered to.

There is also a penalty for pick up time after 4:30pm.

  • If after 4:30pm (16:30 hrs) the penalty increased to EC$ 75.00 per hour (part of or full).


The information included is for guidance only, both the criteria and prices are subject to change.

There is an active waiting list and each case will be assessed based soley on individual circumstances and need.

The panel will assess the application form and any additional information before making a decision.

For further details please contact;

Hospital Administrator
Alexandra Hospital
Government Road
Telephone: (869)469-5473

New fee structure for health services, new hospital pharmacy policy to take effect in Nevis on April 15

Effective April 15, 2024 the Ministry of Health in the Nevis Island Administration (NIA) will be implementing a new fee structure at the Alexandra Hospital and other government health facilities, as well as a new policy relating to the hospital pharmacy.

Nevis’ Alexandra Hospital enhances its diagnostic capabilities with the installation of an EvoView PAC System

The Ministry of Health in the Nevis Island Administration (NIA) has significantly enhanced the diagnostic capabilities at the Alexandra Hospital with the installation of an EvoView Picture Archiving and Communications System (PACS).

NIA providing free mammogram services at the Alexandra Hospital

A start-of-the art- mammography unit is now in operation at the Alexandra Hospital, and the Cabinet of the Nevis Island Administration (NIA) has taken a decision to waive the fee for the service for the next six months.

NEVDC donates to health care on Nevis, NIA grateful for gesture

The people of Nevis continue to receive donations from the Nevisian Association of Washington DC (NEVDC). The most recent presented on April 06, 2023, comprised of medical equipment and supplies.

Prostate cancer screening clinics return to Nevis January 14

The free annual prostate cancer screening clinics held on Nevis by Urologist Associates, headed by Dr. Dwayne Thwaites will resume on Saturday, January 14, 2023, at the Occasions Conference Centre at the Pinney’s Industrial Site, after a three-year hiatus due to the COVID-19 pandemic.

Top-of-the-line CT scan installed at Alexandra Hospital, a first for Nevis health care service

The Radiology Department at the Alexandra Hospital now has a brand-new Philips multislice computerized tomography (CT) scan. The top-of-the-line equipment was commissioned on December 01, 2022 and it is described as a historic moment for healthcare on Nevis.

New CT Scanner will take healthcare on Nevis to the next level, says Premier Brantley

The installation of a new computed tomography (CT) scanner is currently underway at the Alexandra Hospital, propelling the delivery of healthcare on Nevis to the next level.

Taiwanese company donates facial recognition thermal scanners to Ministry of Health on Nevis

VIVOTEK, a Taiwan-based manufacturer of ICT products, has gifted 17 facial recognition temperature scanners to the Ministry of Health and Gender Affairs in the Nevis Island Administration (NIA).

Pregnant mothers on Nevis urged to use free antenatal services offered at health centres

A key official in the Nevis Island Administration’s (NIA) Ministry of Health is encouraging pregnant women to take advantage of the free antenatal services offered at the island’s six health centres.

[ucaddon_uc_material_team_member image=”32745″ heading=”Gary Pemberton” designation=”Hospital Administrator” uc_items_data=”JTVCJTVE”]

Alexandra Hospital
Government Road Charlestown
Charlestown , Nevis
Tel: (869) 469-5473 / (ext) 2104
Fax: (869) 469-5956

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