In SKN Health & Social Security


The Joseph N. France General in St. Kitts and the Alexandra Hospital in Nevis provide medical care. They are able to cope with many types of treatment, but serious cases will mean emergency evacuation, usually to the USA. There are also a number of private hospitals and clinics. Make sure you have adequate health insurance and accessible funds to cover the cost of any medical treatment abroad and repatriation.



The St. Christopher (St. Kitts) and Nevis Social Security program began in 1978 when The Social Security Act, No. 13 of 1977 was given effect. From February 1, 1978 a new system of social insurance was brought into being replacing the National Provident Fund which had been in operation for ten years. The Act established the Social Security Board as a statutory corporation with all powers necessary for the operation of the Social Security Fund.

Government Role

The Government has administrative oversight and political and legislative responsibility for Social Security. Accordingly, a Minister in the Cabinet of the Government of St. Kitts and Nevis has relevant powers and functions in keeping with provisions of the law. However, the scheme can best be described as being in the ownership of its basic stakeholder groups. These can be categorized as (but may not be limited to) employers, insured persons and government.

Who Benefits

While the National Provident Fund was simply a retirement savings fund catering only to certain categories of workers, Social Security was designed to offer a wide range of cash benefits providing income insurance in a number of contingency situations. It was designed to include short term benefits and long term benefits. Importantly, it also provided for the inclusion of all workers.

The system operates on the basis of building a pool of funds from compulsory contribution income and other income, which will be utilized for the payment of benefits and for meeting administrative expenses. Accordingly, the Act makes provision for registration of employers and for the insurability of employees, self-employed persons and voluntarily-insured persons. Contributions are payable into the fund by all concerned.

Head Offices

There are two Head Office locations: in St. Kitts, The Robert Llewellyn Bradshaw Building is on Bay Road in Basseterre and in Nevis, The Ivor Stevens Building is found on Chapel Street in Charlestown.