The Anglican Province of the West Indies was created in 1884 and held its first provincial synod in Jamaica in October in that year. Nuttall played a leading role in drawing up a constitution for the province. Bishop William Piercy Austin of Guyana was elected the first primate. Nuttall succeeded Bishop Austin as primate in 1892. His title was changed from primate to archbishop in 1897. He died on 31 May 1916.