The SWRHA Palliative Care service started as a volunteer-based initiative under Drs. Akenath Misir and Dylan Narinesingh in 2011, and continues today under Dr. Keshav Gyan as Consultant in the Oncology Outpatient Clinic at San Fernando Teaching Hospital. The clinic sees patients referred in-house from the Oncology Unit. The Medical and Surgical teams also avail themselves as needed for patients who require outpatient follow-up.