Tristan da Cunha is a group of islands in the South Atlantic Ocean situated 1350 miles to the south of St Helena. Tristan da Cunha is part of the British Overseas Territory of St Helena, Ascension and Tristan da Cunha. It is considered the most remote inhabited archipelago in the world. The territory consists of the main island, Tristan da Cunha, an active volcanic island and home to approximately 275 British Citizens, and several uninhabited islands. Financially self-sustaining, the island’s economy is based on traditional subsistence farming and fishing. UK Government annual bilateral funding is modest and provides international expertise not available on the island such as in the provision of medical care, assistance with education, public works and government reform. In addition the UK is working with the Tristan da Cunha Government in looking at future options for the hospital and a longer term plan for the harbour.