A routine Tuesday meeting of Jamaica’s Public Accounts Committee (PAC) devolved into a fiery, courtroom-style interrogation Tuesday, as two ruling-party Members of Parliament pressed former University Hospital of the West Indies (UHWI) Board Chairman Wayne Chai Chong over the institution’s controversial 2023 international chief executive officer search that ultimately led to the board’s dissolution.
Government MPs Zavia Mayne, who also serves as a State Minister in the Ministry of Finance, and Heroy Clarke spent hours challenging Chai Chong’s version of events, casting doubt on whether the full dissolved board had actually signed off on critical steps of the hiring process. The interrogation revisited the governance tensions that roiled the prominent public hospital last year, reopening one of the most divisive episodes in the institution’s recent history.
The failed permanent CEO search, which concluded in the collapse of Chai Chong’s board in late 2023, sparked widespread accusations of ministerial interference, systemic dysfunction, and a total breakdown of institutional governance at the facility. Throughout the tense sitting, the two lawmakers repeatedly pushed back on Chai Chong’s claims, particularly surrounding the level of unified board support for the top overseas candidate and key decisions made during the hiring process.
Clarke led the aggressive line of questioning around travel costs for the preferred candidate, repeatedly demanding clarity on whether the board had formally approved the airfare and associated expenses to bring the applicant to Jamaica for final interviews. “Did you authorise, did you instruct, did you ask, did you recommend anyone on the board to pay the travelling amount to the person that came from wherever you said she came from?” Clarke asked.
Chai Chong pushed back against claims of unilateral decision-making, insisting every step of the process had received full board approval. He explained that the board had made the final in-person due diligence a mandatory step for the candidate, who resided outside Jamaica, making the travel arrangement a necessary part of the process. “The board indicated that it wanted to see the individual and complete final due diligence with that individual, and that individual lives overseas so that final due diligence is necessary to be conducted,” Chai Chong said.
Tensions rose further when Clarke questioned whether the full board was actually aligned behind the international recruitment effort. Chai Chong rejected suggestions he had acted outside of board authority, stressing that the entire search followed formal protocols and was managed by a professional third-party recruitment firm with deep experience in Jamaican public sector hiring.
He told the committee that the board had identified hiring a permanent CEO as an immediate top priority when it took office, responding to ongoing operational and governance challenges that had left the hospital without stable leadership. “Certainly, as a board, the person that is most important to us is the CEO who we will hold accountable for the performance of the institution. You needed to have someone in place who is permanent, who is conducting the activities and the goals of the institution,” Chai Chong said.
The board determined the critical leadership role could not be filled through internal promotions, Chai Chong explained, leading it to greenlight an international search conducted by a well-regarded recruitment firm with a track record of work for the Jamaican government and other major national institutions. According to Chai Chong, the process drew more than 90 applicants from across Jamaica and abroad, including candidates from the United Kingdom, Australia, the United States, and other Caribbean nations.
He also disclosed that the board secured private sector support to top up the successful candidate’s salary, after receiving advice that existing public sector compensation caps would not attract a high-caliber executive capable of turning around the struggling hospital.
Confrontation flared again when Clarke pressed Chai Chong to recall the exact amount spent on the preferred candidate’s travel, pressing the former chairman after he repeatedly stated he could not remember the specific figure. “You can’t recall? But you know it’s a she, and you can’t recall the money that was paid over to the she, and you were a part of the board at that time, and you were the chairman?” Clarke asked pointedly. After Chai Chong stuck by his claim of not recalling the amount, Clarke openly questioned his credibility, saying, “You know, I came in here this morning and I looked at your face and I said, ‘Here is an honest man’. But then you take all that away from me just now.”
Mayne also raised questions about the board’s decision to shortlist an overseas candidate who had already reached the standard retirement age, an issue that emerged during the hearing. Chai Chong responded that the retirement age question was not raised during the early stages of the search, but after the board sought clarification, members concluded it was not a barrier to moving forward with the candidate.
The PAC sitting also revealed new details about why the recruitment ultimately failed. Chai Chong disclosed that the preferred candidate ultimately refused to sign the employment contract over concerns about the hospital’s existing internal reporting structure. The candidate demanded a guarantee that the senior director of clinical services would report directly to the CEO, a condition the board could not resolve before the contract was finalized. “The candidate indicated that the most important person for them to be able to achieve the objectives of the institution was the senior director of clinical services and in their experience in the other organisations that she was in charge of, that person needed to report to the CEO position. So she felt that unless she could be guaranteed by the board that we were able to resolve that position and that situation, she would not be able to effect her duties,” Chai Chong said.
The hearing then shifted to the dispute that led to the board’s collapse, with opposition MP Christopher Brown, who represents St Mary South Eastern, asking Chai Chong about claims that the Minister of Health intervened to overrule the board’s decision on an acting CEO appointment after the international search fell through.
Chai Chong confirmed that he resigned from his post because he believed the board’s institutional authority had been irreparably undermined. “Well, I felt that if the board had taken a decision, which is one of the most critical decisions that a board has to make as to the position of the CEO, and if that decision was being overturned, then in essence the board was being told that it had no power, and I was not willing to continue serving where decisions of the board could be overturned without any kind of consultation with the board,” he said.
Mayne pushed back directly on Chai Chong’s account, denying that the minister had interfered in the process and suggesting the former chairman resigned only after the minister publicly labeled the board dysfunctional. “It is very unusual. I want to put it to you, Mr Chong, that the minister did no such thing and that you are upset because the minister described you as being dysfunctional,” Mayne argued.
Chai Chong rejected that claim, noting that the description of the board as dysfunctional came after his resignation, so it could not have been the motivation for his departure. “Well, I believe the description of dysfunction took place long after I resigned. So, in that situation, your assertion that I did so because my board was being described as dysfunctional would not be correct,” he said.
