The Ministry of Health has outlined progress on an ongoing independent review of the Cayman Islands Health Services Authority (HSA), with a final report expected in June.
The diagnostic assessment, being carried out by KPMG, began in January and is aimed at identifying system-level improvements and supporting national health priorities.
According to a ministry press release, the review has now moved through key stages, including stakeholder engagement, data collection and preliminary analysis.
Over the past three months, the process has included a detailed examination of how the HSA operates, focusing on decision-making, organisational structure and oversight.
This involved a series of in-depth interviews conducted in February, which generated qualitative feedback from participants.
In March, surveys were distributed across Grand Cayman, Cayman Brac and Little Cayman to widen input.
A total of 686 people responded, including HSA staff, external partners and members of the public. The ministry said this exceeded its participation target and reflected strong stakeholder engagement.
Analysis of the feedback identified several recurring themes, including the need for clearer strategic direction, more defined roles and responsibilities, improved performance monitoring, and stronger communication.
Levels of engagement and trust were also highlighted as areas for consideration.
Preliminary findings were presented to the ministry in April to help determine priority areas for further review.
Health minister Katherine Ebanks-Wilks said the assessment was commissioned to ensure the HSA is operating effectively and in line with best practice, adding that the process would remain transparent.
“The findings will be shared publicly, and we will outline the actions to be taken to address the issues identified,” she said.
KPMG director Penny Barker said the firm was proud to be supporting the ministry in its diagnostic assessment of the HSA.
She added that “efforts have centered on grounding the assessment in stakeholder engagement to support buy-in and effective implementation, with participation to date highly encouraging”.
Chief officer Tamara Ebanks said the insights gathered provide a clearer understanding of both strengths and areas needing improvement, and would inform steps to strengthen governance, clarify roles and improve overall performance.
The ministry said the final report is currently being prepared, with a public press conference scheduled for June to present the findings and outline next steps.
