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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 Cardiff Hospital 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: staff costs recharged in full
  • Office rental: £50 per week

“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:
  • Ospreys end of season dinner: £90 per head (01/05/15)
  • Royal Glamorgan charity event for the breast care unit: £85 per head (14/11/15)
  • Ospreys vs Cardiff Blues rugby match: £15 per head (28/11/15)
  • Six Nations Rugby - Wales V Scotland: £328 per head (13/2/2016)
  • Six Nations Rugby - Wales V France: £328 per head (26/2/2016)
  • Six Nations Rugby - Wales V Italy: £328 per head (19/02/2016)
  • Cardiff Life Awards: £328 per head (17/03/2016)
  • Osprey’s end of season Dinner: £50 per head (April 2016)
  • Cookery School Team building event: £120 per head
  • Six Nations Rugby - Wales V England: £328 per head (11/02/2017)
  • Six Nations Rugby - Wales V Ireland: £328 per head (10/03/2017)
  • Osprey's End of Season Dinner: £150 per head (08/05/2017)
  • Cardiff Blues V Munster 04/03/2017 (£33.83)
  • Wales V Australia 11/11/2017 (£396 per head)
  • Wales V New Zealand 25/11/2017 (£396 per head)
  • Wales V Scotland 03/02/2018 (£396 per head)
  • Wales V Italy 11/02/2018 (£396 per head)
  • Wales V France 17/03/2018 (£396 per head)

Consultants and partners were invited to Spire Cardiff Hospital Christmas party where the tickets were subsidised in the order of £48.50 for consultants and £23.50 for partners. A £5 donation was requested from consultant which was donated to our annual Charity for 2018 Bobath - Cymru.

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 Aravindh Jayakumar holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr Michael Fardy holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr Mark Cooper holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Subramaniam Balachandran holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Professor Dhavendra Kumar holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr Roger McPherson holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr Daniel Morris holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr Michael Nutt holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Neeraj Saxena holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Zaheer Yousef holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Gareth Thomas holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Mabs Chowhury holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Ohan Uzun holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Richard Motley's wife holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Richard Wheeler holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Rizwan Hussain holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Miss Susan Hill holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr David Shewring holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr Hrishi Joshi holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr Jay Menon holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr Luke Anderson holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr Mohammed Muhtaseb holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mrs Orla Adams holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Professor Ernest Choy holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Robert Bleehan holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Dr Magid Rashid holds less than 0.1% of the shares in Spire Healthcare Group plc.
  • Mr Mark Sanby-Thomas 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 or as follows:

  • Dr Goringe - provides haematology and blood transfusion, attending meetings with pathology where required and advising on policies paid £8,000 per annum
  • Dr Al-Sabah – provides haematology and blood transfusion, attending meetings with pathology where required and advising on policies paid £16,000 per annum

  • Dr Datta – clinical chemistry advice , attending meetings  with pathology where required and advising on policies paid £7,800 per annum

  • Dr Gaur – microbiological advice, attending meetings with pathology where required and advising on policies paid £3,600 per annum

  • Dr Kubiak – microbiological advice, attending meetings with pathology where required and advising on policies paid £3,600 per annum

  • Dr Durai - for providing advice and polices for endoscopy JAG accreditation and attending meetings when required paid £7,500 per annum