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Preheat the oven to 350°F with the rack in the middle position.
Grease an 8-by-8-inch baking dish.
To make bread pudding: Whisk together pumpkin, eggs, milk, cream, sugar, butter, cinnamon, pecans, vanilla, salt, ginger, and nutmeg in a bowl until smooth. Fold in cubed bread. Make sure all the bread is coated.
Let stand for 30 minutes. Transfer to a prepared baking dish and bake until set, 30 to 35 minutes.
In a medium saucepan, add water to granulated sugar.Let sugar water come to a boil and let simmer for 10 minutes without stirring. After 10 minutes, add butter to sugar water mixture and whisk until melted. Off the heat, add the heavy cream a little at a time. Keep whisking until thick and incorporated. Add vanilla and salt while you continue to whisk until incorporated.
When pudding is ready to serve, drizzle with caramel sauce and cut into squares.