In a congratulatory letter dispatched to Dr. Douglas Tuesday, Premier O'Neal told Prime Minister Douglas that his St. Kitts-Nevis Labour Party's unprecedented win at the polls of an historic fourth consecutive term is laudable given the political winds of change in the Caribbean which have adversely affected long serving leaders and parties. He added, "As I closely followed the media coverage leading up to Monday's general elections, I realised that your record of achievement was a tough fight for any opponent. Your determination and strong resolve to continue to work on behalf of the people of St. Kitts and Nevis were evident, and the voters have reaffirmed their confidence in your leadership."

Premier O'Neal, who visited St. Kitts recently to look at the National Housing Corporation (NHC) home ownership programme also noted that Dr. Douglas has demonstrated "strong interest and concern" for the Organisation of Eastern Caribbean States (OECS), the Caribbean Community (CARICOM) and the Caribbean in general and he expressed certainty that "this will continue during the fourth consecutive term of your Government."

Extending best wishes to the victorious Prime Minister for another successful term, Premier O'Neal said gave his assurance of the support of the BVI Government and hoped to offer his personal congratulations to they next meet at an OECS Heads of Government meeting.

The Governments of the Virgin Islands and the St. Kitts and Nevis have enjoyed years of cordial relations as members of regional organisations including the OECS. Premier Ralph Telford O'Neal, OBE was the first person to be appointed to the newly titled office by the Governor on 22 August 2007 under the British Virgin Islands Constitution adopted in 2007 after leading the Virgin Islands Party to a landslide victory in the 2007 general election two days earlier.

Ralph O'Neal also served a previous term as Chief Minister of the British Virgin Islands (as the office was referred to under the old constitution) from 1995 (on the death of Lavity Stoutt). He won the next election in 1999, but then subsequently lost power to National Democratic Party led by Orlando Smith in the 2003 general election, although he remained the elected representative for the 9th Electoral district (Virgin Gorda and Anegada), a seat in the Legislative Council that he has held continuously since 1971, and leader of the opposition.