The main building was once a Colonial hospital that began construction in 1854,[2] using local stone and imported brick facing to provide a Classical style facade.

[2] The exterior has been maintained while the interior has been adapted for modern medical practice, mostly in work around 1960 directed by the UK architects Devereux and Davies and including murals by the Trinidadian artist Althea McNish.

It also serves as a teaching hospital to medical students from the University of the West Indies, St. Augustine campus.

This Institution falls under the North West Regional Health Authority (NWRHA).

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