Board Resigns. Word came to me today that the entire Board of the Health Authority of Anguilla has resigned. I have got a copy of the letter to the Minister. It is dated 25 June, and is copied to various persons. It is not a confidential document. It paints a very sad picture of a breakdown in communication and trust between the Minister and this Board. And, it raises serious questions about the direction the Minister intends to take the Health Authority. The letter accuses the Minister of:
1. intending to reconfigure and re-constitute the Board outside of the existing legal framework;
2. procrastinating and failing to replace the three directors who had completed their terms since 31 December 2006;
3. demonstrating a reckless lack of commitment to the functioning of the health services;
4. a disregard for the four remaining members who were required to devote extra energy and time to the functioning of the Authority;
5. diverging from Government’s established plan for health without any communication with the Board and other stakeholders;
6. disregarding the legislation which governs the Health Authority of Anguilla;
7. deliberately undermining and sabotaging the effectiveness of the Board;
8. destabilizing the Authority;
9. needlessly putting the achievements of the past three and a half years at risk;
10. negating the hard work and efforts of the Ministry in advancing reform in the health sector in prior years;
11. diverging from the concept of health sector reform, which was, according to the 2000 Manifesto of the Anguilla United Front, the governing political party of which the Minister is a member, “intended to create an autonomous mechanism of health services provision, to ensure that they are as free as possible from political interference”; and
12. regressing to a body which would implement policy under the direction of the Minister and where the independence of the Board is not respected.
This is quite a litany of accusations. Any one of them would be scandalous if true. Taken together, they suggest a Ministry out of balance, losing its focus, if not its mind. And, in something as important as health! No wonder the Board resigned en masse. And, who can blame them for doing so “with immediate effect”?