A hospital was established at Funafuti in 1913 at the direction of G.B.W. Smith-Rewse, during his tenure as the District Officer at Funafuti from 1909 to 1915. At this time Tuvalu was known as the Ellice Islands and was administered as a British protectorate as part of the British Western Pacific Territories. In 1916 the Gilbert and Ellice Islands Colony was established. From 1916 to 1919 the hospital was under the supervision of Dr J. G. McNaughton, when he resigned the position remained vacant until 1930, when Dr D. C. Macpherson was appointed the medical doctor at the hospital. He remain in the position until 1933, when he was appointed to a position in Suva, Fiji.