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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, Spire Bushey Diagnostic Centre 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

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 39 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.

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

2 February 2017 – AGM 93 attendees

£77

4 February 2017 - England V France Rugby x 10

£929

21 April 2017 – Battlefield tour – France x15

£137

15 September 2017 – Micky Flannigan Comedy x 20

£195

1 February 2018 – AGM/ Launch event – 83 attendees

£60

17 March 2018 - England V Ireland Rugby x 10

£899

17 May 2018 - Jason Manford Comedy x 17

£29

10 November 2018 - England V New Zealand Rugby x 8

£1,150

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.
  • Dr Ruby Sharma 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.