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

Spire Cambridge Lea Hospital and the Progress centre provide referring clinicians with the following services at the amounts given below:

  • Use of consulting rooms: £18.75 per hour
  • Office rental: £39 per sq metre per month

“Low value” services

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

  • 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

Corporate hospitality events for referring clinicians

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 Oulten Hall, Leeds. The total cost of the events in 2022 were approximately £6,463 and £20,338 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 and 2022.

Corporate hospitality events

The corporate hospitality events held by the hospital or the Progress center are set out below, together with the cost of providing such events:

  • February 2017 - Corporate Hospitality England v France (Rugby) x 10: £1,226 pp
  • March 2017 - Medical Society AGM and dinner x 34: £95 pp
  • December 2017 - Consultant Christmas dinner x 107: £94 pp
  • February 2018 - Corporate Hospitality England v Wales (Rugby) x 10: £1,226 pp
  • July 2018 - Corporate Hospitality Wimbledon (Tennis) x 10: £1,226 pp
  • June 2018 - Medical Society AGM and dinner x 51: £80 pp
  • November 2018 - MAC Dinner x 13: £97 pp
  • December 2018 – Consultant Christmas dinner x 115: £83 pp
  • July 2019 – Consultant Medical Secretaries afternoon tea x 14: £37 pp
  • September 2019 – Medical Society AGM and dinner x 43: £86 pp
  • December 2019 – Consultants’ Partners afternoon tea + Transport x 10: £132 pp
  • January 2020 - Consultant Dinner x 65: £125 pp
  • December 2022 – MAC meeting and dinner x 10: £86 pp
  • May 2023 - Medical Society AGM and dinner x 46: £85 pp

These are at no charge to referring clinicians.

Clinical financial interests in Spire Healthcare

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:

  • Eldre Beukes, Audiologist owns 100% of a portable Callisto Audiometer and Titan Tympanometer
  • Ms Val Parker, Orthoptist holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Dr Clodagh Dugdale, Consultant in Sport and Exercise Medicine owns 100% of a Shockwave machine used at Spire Cambridge Lea Hospital

Clinician advisory services to Spire Healthcare

Private hospital operators are required to disclose details of certain paid services provided by referring clinicians to private hospitals, in addition to exercising practising privileges at their facilities.

Mr Michael Irwin is Chair of the Medical Advisory Committee at Spire Cambridge Lea 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)  £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 Andrew Klein is paid £150 per hour for meetings related to his role of Governance Lead Consultant.

Those listed below have been appointed as a pre-operative lead anaesthetist to run and improve pre-operative assessment clinics at the hospital. Duties include the medical assessment of the patient against Spire Healthcare admission criteria and determination of the patient’s fitness for surgery and they are paid £500 per 4 hour session.

  • Dr Andrew Klein
  • Dr Florian Falter
  • Dr Guillermo Martinez
  • Dr Ganesh Ramalingam
  • Dr Antonio Rubino
  • Dr Kiran Salaunkey
  • Dr Amit Prakash
  • Dr Vaithianadan Mani
  • Dr Svet Petkov
  • Dr Rebecca Owen
  • Dr Christiana Burt