CMA compliance

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 CMA web page. The information provided by Spire Healthcare below is required by the Order.

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
Medical secretarial services: £12 per hour
Office rental: £10 per session

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.

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, a conference was held in Berlin and the total cost of the event was approximately £88,000.

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 Scotland Six Nations Rugby, March 2017: £503.40 per head
Premier League Football, Chelsea v Manchester City, March 2017: £495 per head
Bearwood Lakes Golf Day, June 2017: £78.49 per head
Wimbleden International Tennis, July 2017: £745 per head
Reading Pathologial Society Dinner, November 2017: Sponsorship
England v Wales Six Nations Rugby, February 2018: £721.50 per head

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 T Sheth holds less than 0.1% of the shares in Spire Healthcare Group plc.
Dr K Bailey owns 100% of one of the Hand Arm Vibration Syndrome Equipment used at Spire Dunedin Hospital.
Dr Jose Cabrerea-Abreuprovides Clinical Chemistry Services to Spire Dunedin Hospital.
Dr Shabnam Iyer Provides Infection Specialist services to Spire Dunedin Hospital.
Dr Veronica Garcia Arias Provides Infection Control services to Spire Dunedin Hospital.

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.