The Ministry of Health is inviting patients and caregivers to take part in a community survey as part of an assessment of the Health Services Authority.
The survey is part of an ongoing 10-week independent review, being done by KPMG, into how the Health Services Authority is governed and managed. The review aims to provide a clear picture of what is working within the authority, where gaps exist and what changes are required.
The “diagnostic assessment” by KPMG includes an evaluation of “governance frameworks, organisational processes and operational effectiveness, while identifying opportunities to enhance performance and strengthen strategic alignment between the Ministry and the HSA”, according to a press release about the new survey.
Health Minister Katherine Ebanks-Wilks announced that the review would be carried out at a press briefing in late January, following concerns raised about the management and operation of the authority.
The Cayman Compass had previously reported that the Health Services Authority board of directors met 190 times between the start of 2024 and June 2025 – more than 10 meetings a month – at a cost to the authority of more than half a million dollars in total under the per-meeting remuneration structure.
Four members of the board subsequently resigned, and a new board has been appointed.
Direct public feedback invited
The public survey was launched on 2 March and marks the first time the government has invited direct public feedback on the Health Services Authority’s performance.
Members of the public who have used authority services at any time are invited to take part, with caregivers and parents being able to complete the survey on behalf of patients where appropriate.
“Feedback gathered will provide deeper insight of the HSA,” the release noted. “This will inform patient future planning, service improvements, and decision making to ensure healthcare services continue to meet the evolving needs of the Cayman Islands community.”
The survey takes approximately 15 minutes to complete, and responses will remain strictly confidential, the ministry said, adding that individual responses will not be attributed to any participant, and findings will be synthesised and analysed in aggregate form to inform evidence-based recommendations for improvement.
“The Ministry has been working diligently behind the scenes on this important initiative. The launch of this survey provides a meaningful opportunity for community engagement,” Ebanks-Wilks said in the release.
“Every Caymanian and resident who uses and relies on the HSA now has an opportunity to share their experiences and help guide meaningful improvements across our health services. To achieve lasting change in Cayman’s healthcare system, we need to hear from those who have had both positive and negative experiences.”
Authority staff, as well as vendors and suppliers, healthcare partners, external agencies and other government entities, will be invited to participate in a separate survey circulated internally and directly to those groups, the release stated.
The survey will run until 16 March.
“This diagnostic survey is a critical step in understanding how our health services are experienced by those who use them,” said the Ministry of Health Chief Officer Tamara Ebanks. “By listening directly to the community, we can better identify what is working well and where improvements are needed to build a more responsive, effective and patient-centred healthcare system.”
The survey can be accessed online at gov.ky/mhes. Printed copies are also available at the Anthony S. Eden Hospital and district health clinics. Participants can also access it by scanning QR codes displayed on screens at Health Services Authority facilities and the Government Administration Building, as well as via the government, ministry and Health Services Authority websites, and official social media platforms.
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