[3] During World War II he was evacuated with his family to London where he spent six months in Notting Hill Gate tube station seeking shelter from the bombings.
He was ordained on 24 May 1959 starting work in the Cathedral of St. Mary the Crowned and later at the Sacred Heart Church, where he remained parish priest for 12 years.
[3] On 14 February 1999, Father Caruana was the second Gibraltarian to have been appointed Roman Catholic Bishop of Gibraltar by Pope John Paul II.
[5] Bishop Caruana was appointed Commander of the Order of the British Empire in 2008, receiving the award from Her Majesty Queen Elizabeth II in March 2008.
[3] He was also invested in 2003 by HRH Prince Carlo, Duke of Castro, as a Knight Commander of Grace of the Sacred Military Constantinian Order of Saint George.
In December 2011 Polish President Bronisław Komorowski posthumously awarded him the Knight's Cross of the Order of Merit of the Republic of Poland.
His body, robed in his full pontificals, lay in state at the Chapel of Our Lady of Lourdes in the Cathedral of St. Mary the Crowned until his funeral, allowing the public to file past the catafalque to pay their respects.