Smith Road Medical Centre is home to most of HSA's outpatient services, including the main pharmacy location & phlebotomy (lab) services, providing patients with a convenient location with modern amenities.

The Specialist Clinic hours of operation are Monday to Friday 8am to 4pm. To make, change, or cancel an appointment please call (345) 244-2530.

Specialist Services include: Anaesthesiology, Cardiology, Chiropractic, Ear, Nose & Throat (ENT), General Surgery, Internal Medicine, Neurosurgery, Neurology, Urology, Pain Management, Sports and Exercise Medicine (SEM) Clinic, Dermatology, Pulmonology, Rheumatology, Geriatrician.

Other services: HSA Main Pharmacy, Phlebotomy & Laboratory Services, Public Health, General Practice, Outpatient Behavioural and Mental Health Clinic

We do advise that you confirm where your HSA outpatient appointment is, as you may find it is at a different HSA location from the one you thought!

Anaesthesiology

Anaesthesiology is a specialised medical discipline that focuses on the administration of anesthesia and the management of pain during surgical procedures.

At HSA, the team of highly skilled anesthesiologists is dedicated to ensuring your safety, comfort, and well-being throughout your surgical experience.

Consultant Anaesthesiologist sand Intensivists:

• Dr. Karyna Davis-Irons

• Dr. Anthony Williams

• Dr. Rachel Gooden

• Dr. Takeyce Palmer

• Dr. Delano Barrett

• Dr. Carl Andrew Brown

• Dr. Gerald Smith

• Dr. Lorrise Williamson

• Dr. Delroy Jefferson

Pain Specialist:

• Dr. Judith Nicholls

Cardiology

HSA offers a multi-disciplinary approach to cardiac care incorporating other specialties into your treatment plan including dietary consultation, cardiac rehab, respiratory therapy and more. Our Cardiology team provides inpatient service for cardiac emergencies and conditions requiring hospitalisation and inpatient treatment.

Expert care and treatment for the following heart conditions:

• Coronary artery disease

• Heart failure

• Arrhythmias

• Syncopes

• Hypertension

• Structural heart diseases

• Valves problems

• Hyperlipidemia

• Congenital heart diseases

• Preoperative cardiac assessment

Diagnostic Testing for all ages including:

• Echocardiograms – Adult & Paediatrics

• ECGs

• Preventative cardiology/ cardiovascular risk assessment

• Holter ECG

• Ambulatory BP monitors (ABPM)

• Contrast ECHO/Bubble study

Cardiologists:

• Dr Joanna Kregiel

• Dr Brian Noronha

Chiropractic

The skilled Chiropractor at HSA utilise non-invasive techniques to promote natural healing and optimal physical function. The Chiropractic services has been voted Gold for the Best of Cayman Islands 2023.

HSA offer comprehensive Chiropractic services designed to restore balance, relieve pain, and enhance overall well-being.

Chiropractic Services include: spinal adjustment, soft tissue therapy, spinal decompression, corrective exercises

Conditions treated: back and neck pain, headaches and migraines, sports injuries, spinal decompression, postural correction.

• Dr Robert Bouliane

Patients interested in booking an appointment with Dr Bouliane do not require a referral (unless required by their health insurers).

HSA Chiropractic is open daily from 8 AM to 4 PM. Occasional weekend appointments may be available. Located at Smith Road Medical Centre, 3rd Floor Specialist Clinic.

To book an appointment call (345) 244-774 or (345) 244-2530 ext. 8004

Geriatrics

Dedicated to the specialized care and treatment of patients 60 years and over, the HSA offers Geriatric medical care at the Specialist Clinic at Smith Road Medical Centre.

Services include assessment, chronic disease and medication management, fall prevention and mobility enhancement, cognitive and memory care, palliative and end-of-life care, mental health services, and health promotion and preventive care.

Open Tuesday, Wednesday, Thursday

10am to 3pm

(345) 244-7774

• Dr Glaister Bell, Geriatrician

General Practice Clinic

The Health Services Authority offers a wide range of general family health services in a modern and welcoming environment. The clinic is staffed with trained physicians who can provide medical care for non-emergent conditions, preventive healthcare check-ups, medicals for insurance or employment purposes, and routine care for chronic diseases. The clinic provides routine care for chronic medical conditions such as diabetes, high blood pressure (hypertension), asthma, muscle and joint problems, and routine check-ups including medical exams, pap smears, prescription refills, laboratory tests, and dressing changes (Saturday clinic).

Services offered: diagnosis, investigation, and treatment of non-life-threatening illnesses.

HSA General Practice Clinic is located at the Smith Road Medical Centre. The clinic is by appointment only. Open: Monday to Friday 8.30am to 8pm; Saturday 8.30am to 12pm (Dressing Clinic only)

General Practice services are also accessible at all HSA District Health Centres.

• Dr. Eryka Simmons

• Dr. Imilla Barredo-Sedano

• Dr. Karlo Barredo Sedano

• Dr. Ricardo Clarke

• Dr. Orrett Thane

• Dr. Adiaris Williams-Rodriguez

• Dr. Gerard Christian

• Dr. Moses Gallow

• Dr. Lorna Jackson

• Dr. Anna Matthews

• Dr. Fiona Robertson

• Dr. Joy Wallace-Grant

• Dr. Grace Onah-Ezema

Laboratory (Phlebotomy) Services

The world-class Pathology Laboratories in Grand Cayman and Cayman Brac serve most of the population of the Cayman Islands. They are operated by a highly qualified and committed team of specialists and support staff. They conduct a wide variety of tests including microbiology (bacteriology, parasitology, and virology), histology, cytology, haematology, clinical chemistry and immunohaematology.

The Phlebotomy service at the George Town Hospital operates Monday to Friday 7am to 6.30pm and on Saturday from 7am to 12.30pm

They also offer on-site phlebotomy services at the Smith Road Medical Centre, 2nd Floor Monday to Friday 7am to 5pm

Neurology

To promote optimal brain and nervous system health, the Health Services Authority (HSA) offers comprehensive neurology services, including advanced diagnostics and treatment options.

• Computed Tomography (CT) Scan
• Electromyography (EMG) and Nerve Conduction Studies (NCS)
• Blood test
• Cerebrospinal Fluid Analysis
• Electroencephalogram (EEG)

Other tests including MRI and PET Scan may be required to diagnose and monitor various neurological conditions. These services can be used and offered by third party providers on island.

The experienced neurologist provides personalised care for a wide range of neurological conditions, including:

• Stroke
• Epilepsy
• Parkinson's disease
• Alzheimer's disease and other forms of dementia
• Headaches and migraines
• Peripheral neuropathy
• Multiple sclerosis
• Myasthenia
• Neurodevelopmental disorders (such as autism and attention deficit hyperactivity disorder)
• Sleep disorders (such as insomnia and sleep apnea)
• Brain tumors
• Muscular dystrophy
• ALS and more

HSA Neurology Clinic is located at Smith Road Medical Center, 3rd Floor, HSA Specialist Clinic. With hours of operation on the following days:

Neurology: Monday and Wednesday 9.30am to 1.30pm

EMG: Friday 1.30am to 1.30pm

NeuroHaematology Clinic on alternate Thursdays 1pm to 5pm at the Chemotherapy Unit.

• Dr. Tamas Cseh, Consultant Neurologist

Urology

HSA Urology offers comprehensive care services addressing a wide range of urological conditions to promote optimal urological health.

The Urology specialist is skilled in providing specialised care for conditions including: erectile dysfunction, male infertility, prostate diseases, benign prostatic hyperplasia, prostate cancer and male urinary incontinence

• Dr Rafal Krupiniewicz

HSA Urology is open Monday, Tuesday, and Thursday from 9am to 12pm. Located at Smith Road Medical Centre, 3rd Floor Specialist Clinic.

Sports & Exercise Medicine (SEM) Clinic

Whether you’re an elite athlete or exercise enthusiast, introducing sports medicine into your health care regimen can be a real game-changer.

The Sports Medicine Clinic will be able to diagnose and treat injuries including tendonitis, tennis elbow, golfers' elbow, arthritis, knee bursitis, rotator cuff tears, ligament tears (ACL, PCL), achilles tendon tear, ankle instability and a range of fractures, sprains and strains.

Located at the Smith Road Medical Centre (2^nd Floor), the SEM clinic is open Monday to Thursday, 8am to 12pm. To book an appointment please contact (345) 244-7739. No referrals are required.

• Dr Allan Larsen
  

The George Town Hospital page can be found HERE and the main Cayman Islands Health Services Authority page can be found HERE.