The Nairobi Hospital/FILE

Revealed: The Letter Exposing Nairobi Hospital’s Governance Crisis

A group of senior doctors at Nairobi Hospital last year urged the complete disbandment of the facility’s Board of Management and the swift appointment of an interim team to guide the hospital through its ongoing crisis.

In a letter dated November 3, 2025, addressed to Health Cabinet Secretary Aden Duale, the medics outlined major reforms they believe are necessary to restore trust, accountability, and proper governance at the institution.

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They recommended setting up an interim Board of Directors to serve for six to ten months, with the task of implementing urgent corrective actions. Key among these would be conducting a forensic audit of the Kenya Hospital Association (KHA) membership to identify and remove individuals who were irregularly admitted.

The doctors also called for a thorough review of the hospital’s financial systems amid concerns over possible misuse of funds, proposing that any individuals found responsible face legal action and recovery measures.

Additionally, they pushed for amendments to the KHA’s Articles of Association to address ongoing conflicts of interest within the current leadership, and suggested that members vote on changes to strengthen governance.

The proposed interim board would also oversee the organisation of a general meeting to elect a new Board of Management and implement broader institutional reforms.

Beyond structural changes, the doctors advocated for the dismissal of the hospital’s Company Secretary and Chief Executive Officer, arguing that leadership changes are essential for stability.

They further urged the conclusion of investigations into alleged financial misconduct involving board members, recommending prosecution and civil recovery where wrongdoing is established.

Warning of serious consequences, the doctors cautioned that failure to act could lead to the collapse of one of Kenya’s top private hospitals.

The letter was signed by senior consultants David Silverstein, Martin Wanyoike, Stephen Muhudhia, and Florence Murila. Nairobi Hospital is owned by the Kenya Hospital Association, whose patron is the sitting President of Kenya, heightening the significance of the concerns raised.

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