CMA compliance

The services provided at Spire Hartswood Hospital to referring clinicians and the amounts charged by Spire for those services are set out below:

• Use of consulting rooms: £10 per 30 mins (£9 if paying by direct debit)
• Medical secretarial services: £19.70 per hour (including VAT)

The following “low-value” services are also provided to referring clinicians with practising privileges at this hospital:

• General services to ensure clinical safety (eg in-house training, chaperones)
• Operational services such as patient bookings/admissions (including online booking and payment for consultations), access to a virtual consultation solution, administrative services and billing, and insurance/indemnity cover in respect of NHS patients
• General marketing support, including production of consultant directories, promotional activities, web profiles etc
• Basic workplace amenities such as teas/coffees/refreshments, subsidised meals, car parking, stationery

Spire group Medical Advisory Committee (MAC) Chairs conferences

Spire group Medical Advisory Committee (MAC) Chairs conferences are held twice a year, focusing on clinical safety and governance issues. MAC Chairs from all of Spire’s hospitals are invited to attend, with their partners, and are joined by members of Spire’s senior management.

• In 2017, the conferences were held in Berlin and Aylesbury and the total cost of the events was approximately £85,000 and £25,000 respectively.
• In 2018, a conference was held in Berlin and the total cost of the event was approximately £88,000.
• In 2019, the conferences were held in Lisbon and Aylesbury and the total cost of the events was approximately £95,000 and £28,400. MAC Chairs were also invited to attend the Spire Healthcare Senior Management Conference in Birmingham in June 2019 (8 MAC Chairs attended at a cost of £845 per head).
• No conferences were held in 2020.
• In 2021, conferences were held virtually via Zoom as well as face to face in Aylesbury. The total cost of the events in 2021 was approximately £2,120 and £19,300 respectively. 
• In 2022, the conferences were held in May at Spire’s head office in London and in November at Oulton Hall, Leeds. The total cost of the events in 2022 were approximately £6,463 and £20,338 respectively.
• In 2023, the conferences were held in June at M Restaurant in London and in November at The Midland Hotel, Manchester. The total cost of the events in 2023 were approximately £2,931 and £20,389 respectively.

In 2019, Spire Healthcare held a series of 5 dinners with 70 consultants from across 5 Spire hospitals for the purpose of meeting various members of the Spire Executive team and listening to and engaging with consultants. The cost of the dinners ranged from £60 to £80 per head. No dinners were held in 2020, 2021, 2022 and 2023.

Corporate hospitality events

Corporate hospitality events held by the hospital at no charge to referring clinicians are set out below, together with the cost of providing such events:

• Hartswood Summer Party June 2018 attended by both Staff and Consultants total cost £17,452.13
• Spire Hartswood MAC Christmas dinner held at Spire Hartswood Hospital on 6 December 2018 at a total cost of £295.00 at a cost of £18.50 per head
• External GP seminars held at Holiday Inn Brentwood and Basildon in 2018 at the cost of £33 per head
• Spire Hartswood AGM was held at Spire Hartswood Hospital and attended by staff and consultants at a cost of £486.04 at a cost of £16.20 per head on 26 February 2019
• External GP seminars held at Holiday Inn Brentwood and Basildon in 2019 at the cost of £33.85 per head
• Dementia Friend Training held at Spire Hartswood Hospital for Consultants and GPs on 19 June at a total cost of £48.00. £4.80 per head
• In 2019, 18 meetings for GPs held at Lunch times for education at a cost of £3 per head
• One evening event for Physiotherapists held on 25 April 2019 at a cost of £3 per head
• One pensions evening 3 July 2019 held for GPs at a cost of £4.30 per head
• In 2019, 7 Basic Life support training sessions for GPs at a cost of £3.00 per head
• In 2020, one CPR training session for GPs held at Spire Hartswood Hospital on 23 January 2020 at a total cost of £139 and a cost of £12.63 per head
• Spire Hartswood MAC Q1 meeting held at Spire Hartswood Hospital on 27 January 2020 at a total cost of £125.60 and a cost of £7.85 per head
• One External GP Seminar held in the Holiday Inn Brentwood on 8 February 2020 at a total cost of £1,073.75 at a cost of £46.68 per head
• One pensions evening held at Spire Hartswood Hospital on 13 February 2020 held for GPs at a total cost of £65 and a cost of £2.60 per head
• One Stryker Orthopaedic equipment presentation held at Spire Hartwood Hospital on 17 February 2020 for Consultants at a total cost of £40.00 and a cost of £6 per head
• One CPR training session held at local doctors surgery on 14 February 2020 for GPs at a total cost of £37.00 and a cost of £2.05 per head
• One CPR training session held at Spire Hartswood Hospital on 27 February 2020 for GPs at a total cost of £146.60 and a cost of £8.14 per head
• Spire Hartswood MAC Q3 meeting held at Spire Hartswood Hospital on 27 July 2022 at a total cost of £535.60 and a cost of £41.20 per head
• Spire Hartswood MAC AGM held at De Rougemont Manor on 15 September 2022 at a total cost of £2,160.00 at a cost of £77.14 per head
• One External GP Seminar held in the Holiday Inn Brentwood on 12 November 2022 at a total cost of £2,742.54 at a cost of £50.78 per head
• Spire Hartswood Party November 2022 attended by both Staff and Consultants, total cost £18,970.41
• Essex Complex Hip Dinner attended by consultants at a price of £18 per head on 27 June 2022
• GP Head to toe health meeting held in the Holiday Inn Brentwood attended by GPs and consultants at a cost of £50 per head on 12 November 2022
• GP Spring education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £30.66 per head on 25 March 2023 
• GP Summer education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £35.58 per head on 10 June 2023 
• Lunch and learn held at local doctors surgery on 27 June 2023 attended by GPs at a cost of £3.64 per head 
• Spire Hartswood Party October 2023 attended by both Staff and Consultants, total cost £16,300
• GP Winter education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £41.25 per head on 18 November 2023
• Spire Hartswood MAC Christmas dinner held at Felix restaurant, Warley, on 29 November 2023 at a total cost of £1,436.61 at a cost of £89.78 per head
• Evening Ophthalmology education event held at Spire Hartswood Hospital attended by local Optometrists at a cost of £5.50 per head on 30 November 2023
• GP Oncology symposium held at Barleylands, Billericay attended by GPs and consultants at a cost of £27.61 per head on 27 January 2024
• GP Spring education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £29.27 per head on 23 March 2024  

Virtual events

Education seminars for GPs hosted by Spire Hartswood Hospital with one consultant speaker; these events were hosted virtually and there were no costs incurred by the hospital:

• 20 September 2022 - 37 attendees
• 28 September 2022 - 70 attendees
• 2 November 2022 - 84 attendees
• 23 November 2022 - 66 attendees
• 14 December 2022 - 42 attendees
• 11 January 2023 - 70 attendees
• 25 January 2023 - 41 attendees
• 31 January 2023 - 67 attendees
• 7 February 2023 - 57 attendees
• 22 February 2023 - 66 attendees
• 15 March 2023 - 59 attendees
• 4 April 2023 - 35 attendees
• 19 April 2023 - 45 attendees
• 26 April 2023 - 55 attendees
• 2 May 2023 - 45 attendees
• 10 May 2023 - 86 attendees
• 16 May 2023 - 65 attendees
• 31 May 2023 - 62 attendees
• 21 June 2023 - 53 attendees
• 28 June 2023- 9 attendees 
• 5 July 2023 - 64 attendees
• 12 July 2023 - 52 attendees
• 26 September 2023 - 85 attendees
• 17 October 2023 - 10 attendees
• 18 October 2023 - 81 attendees
• 25 October 2023 - 55 attendees
• 31 October 2023 - 67 attendees
• 8 November 2023 - 68 attendees
• 22 November 2023- 12 attendees
• 29 November 2023 - 64 attendees
• 14 December 2023- 10 attendees
• 17 January 2024 - 94 attendees
• 06 February 2024 - 42 attendees
• 14 February 2024 - 49 attendees
• 28 February 2024 - 89 attendees
• 12 March 2024 - 10 attendees
• 13 March 2024 - 55 attendees
• 26 March 2024 - 67 attendees

Private hospital operators are required to disclose details of referring clinicians practising at their facilities, who have a share or financial interest in those facilities or any equipment used there. Some clinicians may own shares in Spire Healthcare Group Plc, which were acquired either at the admission price or through trading on the main market of the London Stock Exchange. Where a referring clinician has an individual web page profile on this hospital website, relevant shares and/or financial interests are disclosed there. For referring clinicians who do not have an individual profile, their shares and/or financial interests are shown below:

• Mr Peter Acher: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Dr Dhafir Al-Okati: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Ali Al-Sabti: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Aman Bhargava: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Jagmohan Chawla: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Ms Jo Eastman: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Sandy Gujral: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Taleb Jeddy: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Dr Rehman Khan: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Harbhajan Singh Plaha: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Dr Debi Ray: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Dr Dinesh Sangtani: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Manu Sood: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mrs Vidya Thakur: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Anil Vohra: Holds less than 0.1% of the shares in Spire Healthcare Group Plc

Private hospital operators are required to disclose details of certain paid services provided by referring clinicians to private hospitals operators in addition to exercising practising privileges at that hospital. This information can be found on the referring clinician’s individual web page profile on this hospital website or as follows:

• Dr Parag Jasani: Dr Jasani provides laboratory advisory services to Spire Hartswood Hospital, including reviewing and auditing on-site pathology work and providing clinical interpretation, advice and clinical input in relation to the operation and management of the pathology service. Paid £6,000 per annum.
• Dr Catherine Street: Dr Catherine Street, Consultant Clinical Biochemist provides clinical chemistry services to Spire Hartswood Hospital. Catherine is paid £7,200 per annum.
• Dr Justin Edwards: Dr Justin Edwards, Consultant Microbiologist provides advisory service to Spire Hartswood Hospital. Paid £12,000 per annum.
• Professor Paul Chatrath: Professor Paul Chatrath is Chair of the Medical Advisory Committee at Spire Hartswood Hospital. Their role is to provide senior professional advice to the Hospital Director and Director of Clinical Services in order to support effective medical governance and oversight. They are paid £14,000 per annum for this role and are also entitled to receive the following fees for the provision of additional ad hoc services: (i) £750 for chairing a Professional Review Committee; (ii) £200 per hour for attendance at regulatory or other national body meeting (capped at £500); (iii) £500 for each annual medical appraisal undertaken for a doctor designating to Spire for the purposes of revalidation; (iv) £1,000 per annum for undertaking the role of governance lead in addition to MAC Chair; and (v) £200 per hour for the preparation of an independent report (up to a maximum of £500 per report unless otherwise agreed due to complexity) upon request by the Medical Director or Chief Medical Officer.
• Dr Paul Bawa: Dr Paul Bawa has been appointed as a pre-operative lead anaesthetist to run and improve pre-operative assessment clinics at the hospital. Duties include anaesthetic advisory services to Spire Hartswood Hospital and the pre-operative assessment team, including extended recovery admissions, escalation of patients requiring anaesthetic referral, facilitating face to face appointments for ASA 3 patients and clinical input in relation to the training and development of the pre-operative assessment team and Dr Paul Bawa is paid £150 per hour.