Compliance with CMA Order 2014

In October 2014, the Competition and Markets Authority (the "CMA") published the Private Healthcare Market Investigation Order 2014 (the "Order") following its investigation into the private healthcare industry. The Order imposed requirements on private hospital operators to disclose certain information in relation to referring clinicians (as defined by the Order) for the benefit of patients. Full details about the investigation and the Order can be found on the CMA web page. The information provided by Spire Healthcare below is required by the Order.

"Higher Value" Services

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

  • Use of consulting rooms £20 per hour
  • Medical secretarial services £16 per hour
  • Use of consulting rooms at Elstree Cancer Centre £10 per hour

“Low Value” Services

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, 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.

Corporate Hospitality events for referring clinicians

A Spire group Medical Advisory Committee (MAC) Chairs conference was held in February 2016 in Budapest, focusing on clinical safety and governance issues. MAC Chairs from all of Spire’s 38 hospitals were invited to attend, with their partners, and were joined by members of Spire’s senior management. The total cost of the event was approximately £83,800.

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:

Corporate Hospitality Event

Cost (£) per head

27 February 2016 England v Ireland
Rugby x10


12 March 2016 England v Wales Rugby x10


16 June 2016 Cricket Middx v Sussex x18


7 July 2016 Go Karting x25


4 February 2017 England v France Rugby


2 February 2017 AGM x96


3 December England v Australia Rugby x10


Clinician Financial Interests in Spire

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:

  • Dr Ahmed Chekairi holds less than 0.1% of the shares in Spire Healthcare Group plc.

Clinician Advisory services to Spire

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.

Consultants providing advisory services to the Hospital under part-time positions are paid at the rate of £2,000 per day. Details of part-time positions held are set out in relevant consultants’ web profiles on this hospital's website.