Direct service provision for dementia in the public sector appears to be limited to one weekly dementia clinic at the University Hospital of the West Indies, in the country’s capital of Kingston. Based on the limited data gleaned for this desk review, it appears that there is no clear care pathway enacted for dementia in the public sector. This has implications for timely diagnosis; adequate treatment, social support and the ability of families to manage care; considering the lack of a public long-term care system.