The expectations of the General Nursing Council, Colonial Office and Colonial Governors were that Caribbean women, trained to the highest level in Britain, would return to take up responsible nursing posts in the Caribbean. In the 1950s and 1960s, such posts were almost exclusively held by expatriate staff (British women).
General hospitals and teaching hospitals were already relatively well staffed, but there were major shortages in hospitals caring for the chronically sick, disabled and the elderly. Post-war trauma had also greatly increased the numbers of people admitted to psychiatric hospitals. It was in these hospitals that the great majority of young Caribbean women found themselves placed as resident trainees.