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: £15 per hour
  • office rental: £37 per sq metre per month
  • website hosting/support: £300 per year.

“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, 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. In 2018, the conferences were held in Barcelona and Aylesbury and the total cost of the events was approximately £101,000 and £28,000 respectively.

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 & 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

These are at no charge to referring clinicians.

Clinician advisory services to Spire

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.

Professor Speed delivers a customised training programme for the physiotherapists practising at Spire Cambridge Lea Hospital for a fee of £250 per hour. This is an adhoc arrangement and fits in with her busy schedule.