Dr. Sara Watkin

MB ChB, MRCP (paeds), FRCPCH, MD
Consultant Paediatrician Cayman Islands

A woman with short, blond hair and glasses is smiling. She is wearing a white top with pink floral patterns. The background is plain white, suggesting a serene environment often associated with Newborn Care in Cayman.

Introduction to Dr Sara Watkin
Consultant Paediatrician Cayman Islands

I have been a consultant paediatrician for 30 years, including 8 years here in the Cayman Islands. I’m truly passionate about helping our children thrive from their earliest moments.  I am a mother, including to a child with ADHD, and have recently become a grandmother too. Additionally, I am qualified both as a paediatrician and as a neonatologist (specialist newborn doctor), with training and experience from some of the United Kingdom’s foremost tertiary paediatric services, including as Chief of Service. I pride myself on practising the very best, up-to-date evidence-based medicine, with unwavering compassion.

Quick Page Guide & Navigation

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Dr Sara Watkin’s Paediatric Services

Find out what paediatric services Dr Watkin provides here in Cayman

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School Health Check Service

Discover what Dr Sara’s School Health Check covers and book

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Clinical Training & Experience

Extensive information on Dr Watkin’s qualifications, training and experience

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Awards, Testimonials & Feedback

See what people are saying about Dr Sara and how she is reviewed

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Ask Dr Sara a Question

Please do submit whatever question is on your mind

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Frequently Asked Questions

Commonly asked practical questions about clinic & service

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Articles & Resources from Dr Sara

When Dr Watkin produces clinical information and guidance, find it here

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Clinic Information, Hours & Visiting

Besides location and hours, you’ll also find a map too

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Paediatric Urgent Care & Out-of-Hours

Evenings & weekends, hotel & condo cover, urgent paediatrics

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Booking an Appointment

Book online with live availability, submit a request form, and more

Dr Sara Watkin’s Paediatric Services

I provide a very comprehensive range of paediatric services in Cayman, across general paediatrics, development and well-child checks, as well as autism, ADHD and neurodiversity, complex care, immunology and acute care, including urgent paediatrics and admitting to hospital.

Baby receiving neonatal care in an incubator

Newborn & Neonatal Care

I am one of very few individuals in the Cayman Islands with a full formal accreditation in neonatal care i.e. specialist training.

Attending Deliveries
Newborn Baby Checks
Resuscitation & Emergencies
Neonatal Intensive Care
Congenital & Complex Care

Young baby enjoying some tummy time

Early Life Care (1st Year Care)

The first year is an important one and I am passionate about helping my littlest patients get the greatest start in life.

Early Development
Optimal Feeding & Nutrition
Healthy Sleep
Parent Advice & Support
Growth & Milestones

Young girl undergoing an examination by a  paediatrician using an otoscope

General Paediatrics (to 18 Years)

I deliver a comprehensive general paediatric service covering the full range of paediatric conditions.

Coughs, Colds & Rhinitis
Asthma & Respiratory Issues
Eating Disorders & Nutrition
Skin Conditions & Rashes
Neurological Issues

Boy receives his vaccination as part of his well-child appointment

Development & Well Child Services

I am passionate about ensuring every child thrives and my development and well child service is the backbone.

Well Child Programme
Immunisations
Growth Concerns
Learning & Speech Issues
Emotional & Socialisation

Young body with autism showing disinterest

Neurodiversity & Behaviour

I have a particular interest in paediatric neurodiversity, autistic spectrum and ADHD, with personal experience too!

ADHD
Dyslexia, Dyscalculia & Dysgraphia
Anxiety & Depression
Behavioural Concerns

Young girl with Down Syndrome enjoying playing

Complex Medical Care & Conditions

I’m very respected for my care of complex conditions, coming from many years in tertiary paediatrics & newborn.

Celiac & Crohns Disease
Paediatric Diabetes
Unexplained Symtoms
Down Syndrome Care
Hormone Deficiencies

Girl with an allergic condition using a nebulizer

⁠Immunology, Allergies & Infections

Immunology is area of where I have advanced training & special interest, including as an advisor to industry.

Ear, Eye & Skin Infections
Chest, Throat & Pneumonia
Food Allergies & Intolerance
FPIES
Asthma & Respiratory

Girl admitted to hospital for observation

Hospital Admissions & Urgent Care

Available for out-of-hours advice, urgent paediatric care when necessary, and admission to George Town Hospital.

Urgent Paediatric Care
Out-of-Hours Advice & Teleconsultation
Rapid Assessment & Diagnosis
Admissions & Referrals

School Health Checks

All year, I provide a very comprehensive and thorough Cayman Islands school medical in complete compliance with the requirements for entering either the public school system or a private school. School health Checks in Cayman MANDATORY  for all children entering school for the first time. However, as a passionate advocate for optimal child health and wellbeing, including early identification of health issues that may need attention, you can be assured of far more than a tick-box exercise, even though my charges are standard.

Why Use Dr Sara Watkin as your Cayman Paediatrician?

I’d like to highlight just a few of the key reasons, including some of the lovely things my parents say about my care.

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30 Years Paediatric Experience

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Tertiary Trained & Experienced

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Full GMC Registration July 1987

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Trained in Great Ormond Street

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Specialist Register Paediatrics

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Caring & Compassionate

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Extremely Thorough

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Calm, Calming & Reassuring

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Available Out of Hours

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Really Takes Time

Training & Experience as Paediatrician Cayman Islands

I am delighted to share more about my training, background a range of experiences as a Consultant Paediatrician, both in the United Kingdom and then latterly here in Cayman Islands.

A baby lies on a white blanket while a person uses a stethoscope to examine the baby's chest.

Qualifications & Paediatric Training

I was awarded a Bachelor of Medicine and Surgery with Honours from Manchester University in United Kingdom in 1986 and then went on to obtain the following:

1987 GMC Full Registration
1989 Member Royal College of Physicians (UK) (MRCP)
1994 Advanced Paediatric Life Support Instructor
1996 MD, Keele University (blood flow in the preterm brain)
1996 GMC Specialist Register for Paediatrics
1996 Fellow of Royal College of Paediatrics & Child Health
1997 Newborn Life Support Instructor and Course Director
2016 Local (Cayman) Paediatric Advanced Life Support
2016 Local (Cayman) Neonatal Resuscitation Programme

I went through a full UK medical training including both Medicine and Surgical training at Manchester Royal Infirmary and University Hospital of South Manchester, both tertiary hospitals, before commencing my paediatric training in Stoke on Trent. I then went on to undertake multiple placements in world renowned Birmingham Children’s Hospital, including paediatric cardiology training.

Some of my more complex paediatrics training was then undertaken at the World famous Great Ormond Street Children’s Hospital. After this, I moved to the Midlands, with rotations in Derbyshire Children’s Hospital and then into Nottingham City Hospital.

Finally, I undertook an academic role as Lecturer in Child Health at Queen’s Medical Centre in Nottingham, before become a Consultant back at Nottingham City Hospital.

So how many years paediatric training?

After my basic medical and surgical training, I spent 8 years undertaking paediatric training, including in newborn paediatrics and neonatal medicine. This is the period of hands on practical care under a structured training programme. I was fortunate to gain virtually my whole training in some of the UK’s most prestigious tartiary centres.

What aspects of paediatric care are covered?

A UK paediatric training is designed to be extremely comprehensive, covering the full spectrum of general paediatrics care, including routine, complex paediatrics and developmental follow up. During rotations, you get further experience by being part of the paediatric on-call rota, during which you gain exposure to a very wide variety of paediatric conditions. I have a real depth of training in paediatric respiratory medicine, thanks to my time in Great Ormond Street.

Do you have Paediatric Nutrition expertise?

I actually have a great deal. For many years I ran a specialist feeding clinic in UCLH. I am very familiar with feeding difficulties, advising on problems such as cow’s milk intolerance, as well as addressing paediatric diabetes and weight management problems.

A parent holding a newborn baby with medical tubes attached, providing skin-to-skin contact for comfort and care, even during out-of-hours at Watkin Medical.

Paediatric Experience

I moved to Grand Cayman in 2016, after already amassing 22 years experience as a consultant paediatrician (and neonatologist). I have now added a further 8 years experience here too with what has been lovely, thriving and busy childrens clinic, newborn and neonatal service.

My practice is somewhat unusual because of my formal training and accreditation in both paediatrics and neonatal medicine, as well as a career lifetime of experience in tertiary medicine, exposing me to far more complex paediatric problems. Consequently, as ‘Paediatrician Cayman’ and besides my deliveries, neonatal and hospital care, I have a very varied children’s population, including more than my fair share of more complex care.

Complex Paediatric Care

The more complex conditions I manage include respiratory disease (for which I have a special interest and training from Great Ormond Street, not to mention a heavy respiratory caseload for the whole of my career), failure to thrive, short stature, diabetes, duchennes muscular dystrophy, complex cardiac disease (for which I have a specific training too) and immune deficiency.

Neurodiversity & ADHD

I have an additional special interest in neurodiversity, ADHD and autistic spectrum disorders, seeing children from early in their lives through to 18 years, with challenges from the very minor to complex health and developmental problems. Over my career, I have amassed very significant experience in assessing for, addressing and managing referrals for development issues, including learning and behavioural issues, as they tend to be more prevalent in ex-preterm infants. I’ve now been doing that for more than 30 years.

One of my own children has ADHD and is on the autistic spectrum, providing a very unique insight, including just how tough it can be for parents too. I am a passionate advocate for ensuring children with ADHD and/or neurodiversity-related challenges really thrive.

Paediatric Immunology

I also have a particular expertise in paediatric and newborn immunological problems, spanning both allergic issues and intolerances,  to viral and bacterial infections. I am helping (in an advisory capacity) to develop better tests to ensure children do not have bacterial infections late diagnosed, given the severe consequences that can have.

You never stop learning or gaining experience. I estimate that I have conducted more than 15,000 well child checks, attended more than 500 deliveries, delivered 2,000+ days of neonatal care and so much more in the 8 years I have been Paediatrician Cayman! That means I am becoming a more experienced paediatrician every day!

So how many years experience?

In paediatrics, including in newborn paediatrics and neonatal medicine, I have 37 years experience. However, that includes my training roles too and so a better question when asking a paediatrician, is how many years as a fully qualified consultant. I became a consultant in 1994 and so the answer to that is 30 years!

What sort of complex cases do you see?

Across 30 years as a consultant, especially with so many at tertiary level, I have treated a huge number of complex cases, from supporting children with severe developmental issues following prematuyrity or borth events, to very rare paediatric conditions or genetic disroders, such as Duchennes Muscular Dystrophy or complex paediatric cardiology.

Awards, Testimonials & Feedback

I am obviously very proud of what I have managed to achieve across both my training and career as a paediatrician. However, I never rest for a moment in my mission to help each and every child thrive.

Scholarships, Awards & Prizes

1981 Brotherton Science Scholarship
1983 Pawel Koprowski Memorial Award for Travel
1985 Katherine Kingswell Award for Travel
1985 Manchester Medical School Elective Bursary
1986 Louise Aronovitch Prize for Community Medicine

Clinical Excellence Awards

I am especially proud of my Clinical Excellence Awards. The National Clinical Impact Award (NCIA) scheme in England and Wales – formerly the National Clinical Excellence Awards (NCEA) scheme – aims to reward the consultants who contribute most to the delivery of safe and high-quality care and the improvement of NHS services. These are areas I am passionate about.

Before moving to the Cayman Islands in 2016, I had been awarded 9 Clinical Excellence Award points, which is actually the maximum possible under the scheme.

What Optimal’s Patients are Saying About Dr Sara Watkin

Dr Sara Watkin’s Feedback Scores

All patients are sent a request for feedback immediately on conclusion of their visit. It’s sent automatically by our electronic patient record and so there is no personal selection. The results you see below are for everybody that completed feedback, with no deletions or alterations.

  • On a scale of 0 (terrible) to 10 (fantastic), how did your doctor do? 95% 95%
  • On a scale of 0 (not at all likely) to 10 (extremely likely), how likely are you to recommend us to family, a friend or colleague? 97% 97%
A woman with short, blond hair and glasses is smiling. She is wearing a white top with pink floral patterns. The background is plain white, suggesting a serene environment often associated with Newborn Care in Cayman.

Ask Dr Sara

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Frequently Asked Questions

Here are some of the more common questions I get asked about my paediatric care and services.

Just how available are you?

If you asked my parents they’d say “Dr Sara is always available when we need her” and that comes from the fact that if I am here (and I travel very little), I am almost always available by phone or WhatsApp and usually within minutes unless I am already seeing a patient.

Do you see hotel & condo guests?

I do. I prefer to see them at my clinic (which is typically 10 minutes from most of Seven Mile) where I have all of my facilites and equipment. However, where medically prudent, I can see children at hotels or condos too. In the first instance please call me on +1 345 326 7827 or in clinic hours on +1 345 745 7070

What are your charges for hotel and condo guests?

I charge the exact same as I would for one of my registered patients permanently here. It’s based on somethign called the Standard Health Insurance Fees schedule. I do not charge higher rates just because someone is visiting.

Are you more expensive given your experience?

No. I charge what we refer to as Cayman Standard Fees based on the Standard Health Insurance Fees (SHIF) schedule. However, my approach to care is to not over-investigate e.g. by ordering 5 tests when 2 will give the answer, nor over treat. Parents frequently find themselves surprised at how low my overall charges are when compared to their experiences elsewhere. Some of this is a benefit of experience too, of course.

Do you charge for vaccines & immunisations?

Well, the first thing I always tell my parents is that they can always go to HSA for free vaccine services according to the Cayman Islands Immunisation Schedule. However, I also administer a great many vaccines as it allows parents to schedule and avoid waits. I make a small standard charge for the actual giving of the vaccine. Where I am giving vaccines that I can obtain from HSA, I make no charge for those. The only ones where I am charging are where we have to purchase them. 

Where is your old page?

OK, so not exactly an FAQ but for want of a better place to answer this question, I have recently adopted a much more comprehensive format but if you want to visit the older page, it’s here.

Can you help with behavioural, learning and ADHD issues?

I have a very large practice in this area and I bring the experience and empathy that comes from raising a son on the autistic spectrum with ADHD, who graduated university with a 2.1 in Mathematics and now works here in Cayman for a Big 4 firm. I am passionate about helping neurodiverse children thrive, through the right diagnosis, care and support, and that includes advising and supporting parents because neurodiversity can come with a complex set of challenges at a family level too, not just school.

Are you the best children's doctor in Cayman?

We are blessed with many fine paediatricians here and I’d encourage you to be wary of anyone who says they are the best, because nobody is the best at everything and they aren’t always the best for your specific child. It’s important to think about what you want or need and then find out which is the best paediatrician for you, by asking for recommendations or visiting them. You are always welcome to visit me prior to registering. It can also be worth looking at testimonials and things like Google Reviews, or asking in Facebook Groups. I am certainly proud of the ratings I get and the lovely things my parents say.

Do you offer telehealth or teleconsultations?

Yes, I do. And I was offering them before Covid too. Much depends on the nature of care required. Some things don’t lend themselves to terleconsultation and all good paediatricians value their direct interaction with the child, which helps for a more holistic health view. However, there are also many scenarios where it is better to have a teleconsult with your known paediatrician than finding a new one who does not know your child.

Can you help our child if we are travelling?

Absolutely. Cayman is a nation of travellers and many of my families travel for extended periods in the summer and at Christmas. I spend a fair bit of time providing advice and having teleconsults with my patients and parents. The one limitation is that paediatricians are generally tied to a jurisdiction for prescribing. So, if you child needs a prescription whilst away, that may necessity goign to a local GP or Paediatrician for that aspect.

Paediatrician or Pediatrician - what's the difference?

Well, the simplest answer is that there is no differences beyond the UK versus US spelling. However, that’s not 100% true. As a ‘Paediatrician Cayman’, we can come from either system and another 5 key jurisdictions too, so it is helpful to understand how the terms are used back home.

In the US, a pediatrician can be office based only, hospital-based for purely pediatrics, and can be specialised in neonatal medicine. It’s all lumped under ‘pediatrician’, meaning to find out someone’s real specialist training, you have to ask.

In the United Kingdom, we use Paediatrician for children and Neonatologist for newborn and neonatal problems. So, someone who trained in the UK would use paediatrician when their expertise is general or specialist paediatrics, and neonatologist if they held formal accreditation in neonatal medicine. I am both, with formal accreditation as a neonatologist.

Our Clinic’s Opening Hours

Opening hours for Optimal Healthcare clinic at Dr Galtz’s Office – 2 Alexander Place, Dorcy Dr, GT, Grand Cayman

Dr Sara Watkin is available for urgent matters out of hours (for more information view the details below).

Monday

8:30 am – 5 pm

Tuesday

8:30 am – 5 pm

Wednesday

8:30 am – 5 pm

Thursday

8:30 am – 5 pm

Friday

8:30 am – 5 pm

Saturday

9:30 am – 1 pm

Urgent Paediatric Care

Paediatric urgent care takes many forms, from simple advice to a an emergency hospital admission. I am extremely available for urgent paediatric care, and for the more serious issues, I have up-to-date paediatric and newborn resuscitation skills, and full admitting rights to the Cayman Islands Hospital.

Out-of-hours Access

I pride myself on my availability for urgent or out-of-hours paediatric care and ‘always available’ is one of the things my parents love most. I live permanently in Grand Cayman and only a short drive to the clinic. Whilst on island, I  am permanently on call for deliveries and neonatal patients, 24 hours per day, 7 days per week. However, you’ll also find me extremely accessible out of hours for paediatric urgent care. You can phone on 326-7827.

Hotel Visits

Are you on holiday but in urgent need of a paediatrician? I can provide urgent paediatric care for hotel and condo families, at the exact same charges as my local population (child holiday illness is stressful enough). It’s important to remember that nowhere is very far in Cayman and so often it is better to attend the clinic, where I have more extensive equipment, but this dependent on each case. Please call me or WhatsApp on +1 345 326 7827

Hospital Admissions

I carry admitting rights to Cayman Islands Hospital (HSA) in George Town (both for newborns and for the paediatric wards). I work closely with the HSA nursing teams, ER and ward staff to ensure efficient admission and coordinated care, whether it is simply for observation and monitoring or whether it is something more serious. If you feel your child may be sufficiently unwell that a hospital admission is warranted, in the first instance please call me on 326-7827. However, in ALL paediatric emergencies, please head straight to the Emergency Room at HSA, as it is better to set off and call me on the way.

Guide to Booking an Appointment

We like to make life easy, so you have many ways, depending on your preference.

Use the Virtual Assistant in the bottom right corner, on any page

Use the Book Appointment button anywhere on the site

Go to a Physician page and use the Book Appointment button

Submit an Appointment Request Form on a Physician’s page and let us do the rest

Call us on
(345) 745 7070 in working hours

Email us on team@optimal.ky

Book an Appointment Online

The easiest way, with instant confirmation, is to book online, below. You can also book an appointment with Dr Watkin by phone, at our Dorcy Drive clinic by calling (345) 745 7070 in office hours.

Our current clinic address is: Optimal Healthcare Ltd at Dr Glatz Office, 2 Alexander Place, Dorcy Drive, George Town, Grand Cayman. We have extensive new premises nearby undergoing fit out, and in the meantime, the wonderful Dr Glatz has so kindly provided us with a new home.

Important Instructions

Please simply work through the steps on screen. If you are using a smartphone, it helps to turn your screen sideways (landscape). If you have booked an appointment and seen Dr Watkin previously at Optimal Healthcare only, it is likely we have your child’s details in the system.

Please use the following information when prompted to do so:

  • Your Own Email (if yours isn’t found, try your spouse’s)
  • Your Child’s Name
  • Child’s Date of Birth (mm/dd/yyyy)
  • Child’s Gender

PLEASE NOTE: Regardless of whether you have seen Dr Watkin at previous practices, you will be a NEW PATIENT the first time you see her at Optimal Healthcare Ltd.

Request an Appointment with Dr Sara Watkin

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