Dr. Lewis served as a Surgeon Specialist and Director of Health Services Montserrat from 1984 to 1991. In 1990, he was awarded the Montserrat Certificate and Medal of Honour for services rendered during the disaster of Hurricane Hugo.
Dr Lewis first entered electoral politics in 1991 as an independent candidate, and since then has worked overseas, returning at regular intervals to consult and operate on patients, and provide locum cover for surgeons.
Whilst Lecturer in Surgery for UWI Barbados Campus, he visited Montserrat twice every month and provided all surgical services in Montserrat for a 2 year period, when there was no resident surgeon or anaesthetist on island, following the eruption of the volcano.
In the General election of 2001, he was top of the polls with 65%, and served as Minister of Communication and Works and Deputy Chief Minister in the New PLM government for 2 years. He guided the implementation of over 70 infrastructure projects, started the development of the Little Bay playing field, Blake’s football field, and the reopening of roads into the Silver Hills.
In March 2003, he left the NPLM government which had abandoned key policies and election promises, which included a commitment to placing an airport in the Silver Hills area, acquisition of a ferry and twin otter aircraft for the exclusive use of the people of Montserrat, construction of a port and tourism destinations to make possible cruise tourism on a scale similar to neighboring islands, the development of geothermal electricity production, and modernization of our constitution for more self governance.
He then continued as an independent opposition member of the Legislative Council, but also resumed work as a consultant general and specialist surgeon in the United Kingdom. He made 25 Atlantic crossings during a 3 year period, in order to fulfill commitments as a legislator and visiting medical practitioner and specialist surgeon in Montserrat.
An active lobbyist for Montserratian interests for over 30 years, he played critical roles in gaining the allocation of housing for volcano evacuees by the Birmingham City Council, the one million pound refugee fund grant from the UK government for volcano evacuees to UK, and increased funding of tertiary education for Montserratians in the United Kingdom.
In 2006, he co-founded and became political leader of the Montserrat Democratic Party, whose guiding principles were vision, action, trust and integrity. A party committed to good governance, democratic practices and the restoration and preservation of the heritage of the people of Montserrat.
He was again top of the polls in the 2006 general elections with 51%, but the only successful candidate of his party. He was invited to lead a coalition with the New People’s Liberation Movement and independent legislator Hon David Brandt, thus becoming the 7th Chief Minister of Montserrat.
During his 3 years as Chief Minister, the economy of Montserrat grew by 8% and the annual budget went from EC$92million in 2006 to EC$98m in 2009. In addition to securing additional EC$60 million from the European Union for infrastructure developments at Little Bay Port and Town Centre, he gained extra budgetary aid funds from CARICOM partners for variety of projects.
These included the Small Business Grant program, Drummond’s housing development , Agricultural feeder roads to the Silver Hills and Dick Hill area, an MVO, Hope to Runaway Ghaut bypass road , Isles Bay to Foxes Bay access road and Foxes Bay barge ramp/jetty, Second floor extension of the Public Market at Little Bay, an OECS Climate Change Centre at the Silver Hills, a Pilot project for a Disaster Research and Management Institute and a Search and Rescue training program for the region in Montserrat. During this time he ensured the completion of the Montserrat Cultural Center, and the Little Bay Playing Field team and commentary facilities.
In order to advance a priority policy of retaining full membership of CARICOM and the OECS, he reshuffled government in March 2008 to form a new coalition.
Dr Lewis lost majority support of his new coalition in 2009 over a financial policy issue and contested the subsequent 2009 elections as an independent candidate. He was re-elected and has once again served as an opposition legislator.
He currently works as a consultant general and specialist surgeon in Antigua, providing elective and emergency general surgical services to the people of Antigua and Barbuda. He commutes to Montserrat to fulfill parliamentary and medical practitioner duties and is also actively involved in the promotion and facilitation of inter island sporting activities.