Chain of Hope has been mobilising specialist cardiac surgeons, physicians, nurses to Jamaica to help treat children suffering from life threatening heart disease since 1996. Working with like-minded charities; the Jamaica Childrens Heart Fund and Gift of Life, Chain of hope has always placed a huge amount of focus on knowledge transfer over the years.

In 2010 Chain of Hope signed an MOU with the government of Jamaica and other partner charities to develop a dedicated cardiac unit on the grounds of BHC to help remove the bottleneck of intensive care space. After a lot of effort of fundraising by COH, Gift of Life and the Shaggy Foundation and many others, the first ever dedicated paediatric Cardiac Unit was opened at BHC in November 2017. Equipped with a new Paediatric Cardiac Intensive Care Unit, a BI-plane Cardiac Catheterisation laboratory and a cardiac operating theatre.

Chain of Hope intends to continue to provide teaching and training for the team at BHC as well as provision of equipment, as part of the aim of providing a free service for as many of the cardiac children of Jamaica as possible.