[2] He has 7 children: Michael, Georgina, Nicola, Philippa, Patrick, Timothy, and James (who was voted to become his father's party's executive member in 2018).

One year later, he became leader of the party and in May 1991 gained a seat in the House of Assembly by winning Gibraltar's first contested by-election.

In December 2004, the principle of tripartite talks, with the Government of Gibraltar as an equal party with the UK and Spain, was finally recognised, largely as a result of his involvement.

On 9 January 2013, Caruana made it public that he would stand down from the party leadership and as Leader of the Opposition at the end of the month.

[1] In 2003, he was appointed Knight Grand Cross of Merit of the Sacred Military Constantinian Order of Saint George by Prince Carlo, Duke of Castro.