CMA compliance

The services provided at Spire Dunedin Hospital and Spire Henley Clinic to referring clinicians and the amounts charged by Spire for those services are set out below:

• Use of consulting rooms: £15 per hour (non VAT)
• Medical secretarial services: £13.50 per hour (inc VAT)
• Office rental: £10 per session (non VAT)

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 (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
• General corporate hospitality, including the cost of providing any specific events

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

Corporate hospitality events held by Spire Dunedin Hospital at no charge to referring clinicians are set out below, together with the cost of providing such events:

• England v France Six Nations Rugby, Twickenham, February 2019: £399 per head
• Bearwood Lakes Golf Day, May 2019: £90 per head
• Wimbledon International Tennis, July 2019: £832 per head
• Reading Pathological Society Dinner, November 2019 - £3,000 sponsorship

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:

• Mr Vaughan Tanner owns 100% of the vitrectomy surgery equipment and 50% of the YAG laser equipment used at the hospital. The hospital pays a rental fee for the use of this equipment.

• Mr Peter Constable owns 50% (together with another referring clinician) of a YAG laser used at the hospital. The hospital pays a rental fee for the use of this equipment.

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.

• Dr Matthew Gibson is Chair of the Medical Advisory Committee at Spire Dunedin 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) £1,000 per annum for undertaking the role of governance lead in addition to MAC Chair; and (v) £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 Henri Grech provides Haematology and Transfusion Services to Spire Dunedin Hospital and was paid £8,400 per annum for this role up until June 2020
• Dr Jose Cabrerea-Abreu provides Clinical Chemistry Services to Spire Dunedin Hospital, and was paid per annum £14,880 in 2018 and in 2019. Dr David Sinclair provides Clinical Chemistry Services to Spire Dunedin in Dr Jose Cabrerea-Abreu’s absence and is paid a retainer of £4,000 per annum to do so
• Dr Shabnam Iyer provides Infection Specialist Services to Spire Dunedin Hospital, and was paid £16,464 per annum in 2018, 2019, 2021 and 2022
• Dr Veronica Garcia Arias provides Infection Control Services to Spire Dunedin Hospital, and was paid £6,000 per annum in 2018, 2019, 2021 and 2022
• Mr Alex Swanton provides gynaecological cytology services and fertility screening which includes advising on Pathology results and requesting further investigations when required. He was paid £1,700 per annum in 2019, 2021 and 2022 for this service
• Dr Pratap Neelakantan provides Haematology and Transfusion Services to Spire Dunedin Hospital and was paid £8,400 per annum for this in 2018, 2019 and 2020. From June 2020, Dr Neelakantan is being paid £16,800 per annum