Research and Reports

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Research & Reports

We publish brief summaries about health system issues and health system hot topics.

2018 Issue Brief: Dialysis

2017 Employers’ Compliance Summary

Understanding Standard Health Benefit

Update Brief: 2018/19 Standard Premium Rate

2018 Standard Premium Rate (SPR) Recommendation Brief

2018 Issue Brief: Patient Subsidies

Exploring Alternative Payment Mechanisms

Bermuda’s Health Care Cost Curve

Innovation in Hospital Financing

2019/20 Standard Premium Rate

Standard Premium Rates – 2016 to Present

The Health Council collects valuable heath system data and will publish ad-hoc reports on system trends.

2024 Residential Care Facilities

July 2024

2009 Health System Profile

March 2010

2011 Health Survey of Adults

October 1, 2011

2011 Pharmaceuticals Policy Options Report

September 1, 2011

2011 Health In Review

January 1, 2011

Report on a Health Financing Structure in

December 1, 2012

2015-16 Claims Regulations Summary Report

August 2016

2017 Overseas Care Synopsis

March 1, 2017

2014-2016 Road Traffic Crashes

May 2017

On Island Live Donor Kidney Transplantation Services

November 2017

Order Rates (2018 Report)

June 2018

2013 Health Disparities

March 25, 2022

Diagnostic Imaging & Laboratory Consultation Summary

March 16, 2022

The Health Council collects valuable heath system data and will publish ad-hoc reports on system trends.

2019-2020 Annual Report


2018-2019 Annual Report


2017-2018 Annual Report


2016-2017 Annual Report


2015-2016 Annual Report


2014-2015 Annual Report


2013-2014 Annual Report


2012-2013 Annual Report


2011-2012 Annual Report


2010-2011 Annual Report

2011 Annual Report

2009-2010 Annual Report


2008-2009 Annual Report


2007-2008 Annual Report


2006-2007 Annual Report

2007 Annual Report

We monitor the performance of regulated health professionals by asking the statutory boards to submit annual self-assessments on their complaints and disciplinary procedures. Having the statutory bodies evaluate themselves encourages transparency and accountability, and helps to ensure that Bermuda has well-trained and qualified health professionals to deliver quality care.

2015 Statutory Boards Self-Assessment Report


2016 Statutory Boards Self-Assessment Report


2017 Statutory Boards Self-Assessment Report


The 2018 Statutory Boards Self-Assessment Report


The 2019 Statutory Boards Self-Assessment Report

March 25, 2022

We prepare an annual Actuarial Report to review the set of base benefits included in every insurance package, the Standard Health Benefit (SHB), and the cost of that package, the Standard Premium Rate (SPR).

2009 Actuarial Report


2010 Actuarial Report


2011 Actuarial Report


2012 Actuarial Report


2013 Actuarial Report


2014 Actuarial Report


2015 Actuarial Report


2016 Actuarial Report


2017 Actuarial Report


2018 Actuarial Report

March 11, 2022

Annually we publish National Health Accounts (NHA) which tracks how much money flows into and around the health system. The data used to develop NHA is collected from various external stakeholders and is analysed using a standard framework for tracking resources which allows us to compare ourselves with OECD countries.

Prior to compiling the full NHA, the initial data collection and analysis can be found here.

2020 National Health Accounts Data

The data represents finance and expenditure for the fiscal year ending 31st March 2019 (FYE19).


2019 National Health Accounts Data

The data represents finance and expenditure for the fiscal year ending 31st March 2018 (FYE18).


2018 National Health Accounts Data

The data represents finance and expenditure for the fiscal year ending 31st March 2017 (FYE17).


National Health Account Reports

2019 National Health Accounts


2018 National Health Accounts


2017 National Health Accounts


2016 National Health Accounts


2015 National Health Accounts


2014 National Health Accounts


2013 National Health Accounts


2012 National Health Accounts


2011 National Health Accounts


2010 National Health Accounts


Health & Technology Review (HTR)

A Health Technology Review (HTR) is a systematic multidisciplinary evaluation of the effect and impact a health technology or service will have on the island’s health system. The Health Council conducts HTR evaluations as requested by external stakeholders, i.e. insurance companies, health service providers, and government bodies. The Health Council researches information on other jurisdictions, analyzes local data, and convenes a committee of subject matter experts to opine on the topic selected. A guidance document is produced that highlights the findings and recommendations made. This report is written with the intent to inform decision making and educating the public on the services and technologies operating within their community.

For any clarification or requests for HTRs, please email

Topic and Service TypeRequesting BodySubmission DateOutcomeDescription
Phycology and Psychiatry GOV25 September 2017 SupportedIntegrated mental health practice
AnaesthesiologyGOV19 September 2017 SupportedOutpatient pain management
Dialysis SHB Approval29 September 2017 Supported with ConditionsOutpatient peritoneal and hemodialysis
Ultrasound SHB Approval24 October 2017 Not SupportedDiagnostic sonic imaging
Tele-Medicine Insurer 26 September 2017 Not SupportedPrimary care provided remotely
Ortho/Rehab/DMD HSP24 October 2017 SupportedCold compression device
Nutrition SHB Approval27 October 2017SupportedCommunity based dietitian service
LaboratorySHB Approval27 October 2017Supported with ConditionsClinical diagnostic laboratory services
Diabetic Devices HSP24 October 2017 Not SupportedWearable device clinical trial
PhysioTherapyGOV9 November 2017 SupportedOutpatient rehabilitation
Palliative Care HSP1 January 2018SupportedPhysician provided community palliative care
Urology & Ultrasound GOV1 February 2018SupportedUrology imaging and practice
Therapeutic Massage GOV6 March 2018Supported with ConditionsMedically prescribed massage
Dental GOV1 January 2018SupportedFull service dental practice
Plethysmograph Insurers28 March 2018SupportedDevices that measure the capacity of the lungs
Cardiac Rehab Insurers16 May 2018SupportedAdvanced practice physiotherapy specialty
Sleep Studies Insurers28 March 2018Supported with ConditionsDiagnostic testing for sleep pathologies
Specialty Medicine Insurers28 March 2018SupportedReview of medical specialties operating on the island
Diabetic Devices Insurers28 March 2018Supported with ConditionsWearable device clinical trial
After hours Urgent Care Center Insurers28 March 2018Not SupportedOutpatient emergency care
Fiberoptic Endoscopic EvaluationHSP5 August 2018Supported with ConditionsEvaluation of swallow
General Practicioner Offices GOV16 July 2018SupportedPrimary care provided by physicians

Data Briefs

Have suggestions on publications? Submit your suggestion below.

The Health Council regularly receives and analyzes data from health system stakeholders as part of a particular request or as part of our routine system review processes.  In support of our mandate to educate the public on health system matters, we occasionally publish data analyses and reports on system trends, the links for which can be found below. Suggestions for data analysis may be submitted using the online Data Analytics Suggestion Form.


Please note, submissions will not be acknowledged individually and suggestions are not guaranteed to be acted on.  Selected analyses will be published in the table below.

If you have any questions or wish clarification, please email

Request TopicsData Year(s)Date CompletedUtilisationExpenditureSpecialty AreaOther
Paediatric Cancer 2017-202025 June 21xxDiagnoses
Paediatric Cancer 2017-201930 April 20xDiagnoses
Podiatry HTA2017-201816 Oct 18xxProvider Type
Paediatric Dental20177 Aug 18xx
Cardio Rehab2017 - 201816 Oct 18xx
Plethysmography2017-201816 Oct 18xx
XRT Brachytherapy 2014-201816 Oct 18xDiagnoses
XRT Brachytherapy2014-201816 Oct 18x
Pulmonology2017-201816 Oct 18xxxProvider Type
Emergency Room 2017 -201816 Oct 18xx
CGM & CSII2017 - 201816 Oct 18xx
Rheumatology2017-201816 Oct 18xxxPharmaceuticals
Asthma201713 Dec 17xxPharmaceuticals
Chiropractic2017 - 201816 Oct 18xx
Colostomy201816 Oct 18
Massage Therapy 2017-201816 Oct 18xx
Birth/Delivery2014-201816 Oct 18xx
5 Domains of Care201719 Feb 18xx
Laboratory Claims2014-20177 Nov 17x
Dental Data201816 Oct 18Market Research
Palliative Care2017-201816 Oct 18xx
Physiotherapy2017-201816 Oct 18xx
Urology20178 Feb 18xx
Pain Management201717 Nov 17xx
Telemedicine2017-201816 Oct 18x
Cryotherapy2017-201816 Oct 18x
Psychotherapy201715 Nov 17xx
Medical Nutrition201715 Nov 17xx
Massage Therapy201715 Nov 17xx
Dysphagia201816 Oct 18xx
Mammography201816 Oct 18xx
Allied Health2017- 20214 Aug 21x
Cancer Expenditure2014-20204 Aug 21xx
Commonly Prescribed Drugs2020-20214 Aug 21Pharmaceuticals
Stroke2018-20214 Aug 21x
Telehealth20207 Sept 21xDiagnoses
Expenditure for General Practice (GP)20211 April 21x
Common Health Conditions202231 January 1 x
Data Suggestion - Coronary Angiograms20211 April to 31Marchxxx
Data Analytics on outpatient total knee and hip replacement2020-202231 January 2022x
Additional cost related to overseas treatments2020-202226 September 2022xx
Data Analytics on outpatient selected mental health conditions2020-202226 September 2022xx
Data Analytics on mental health in the community2020-202113 January 2021xx
Data Analytics on Premiums 2023 1st April - 31st March 2023x
Data Analytics on Premiums 202426 February 2024x
Data Analytics on expenditure for chronic conditions202420 March 2024x
Data request on Cataract procedures202430 April 2024x
Data Analytics on cardiovascular diseases20241 July 2024

Data Tables

The following tables provide statistical information about health services, people or programmes in Bermuda. These tables relate to specific time frames as listed in the description of the table. Relevant tables will be updated as data is received by the Council. Data not sourced by the Health Council but relevant for Health System research and reporting can be found in the useful links section of this page.