The Premier of the Turks and Caicos Islands is the political leader and head of government.

The premier and Cabinet (consisting of all the most senior ministers) are collectively accountable for their policies and actions to King Charles III, to the Parliament , to their political party and ultimately to the electorate.

A new constitution, after being laid in the Turks and Caicos Legislative Council and receiving Queen Elizabeth II's signature, entered into force on 9 August 2006.

On 14 August 2009, the United Kingdom suspended the Turks and Caicos' self-government after allegations of ministerial corruption.

The prerogative of the ministerial government and the House of Assembly are vested in the islands' incumbent governor for a period of up to two years, with possible extensions.