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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 Edinburgh Hospitals (Murrayfield and Shawfair) to referring clinicians and the amounts charged by Spire for those services are set out below:

  • Use of consulting rooms: £23 per hour
  • Medical secretarial services: £21 per hour for contracted services / £26 per hour for ad hoc use
  • Office rental: £300 per month

“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 Healthcare

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.

Spire Edinburgh Hospitals
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:
  • December 2018: 13 consultants and their families are attending the 1872 Edinburgh v Glasgow rugby match. There was no cost as these tickets are part of our Scottish Rugby sponsorship.
  • December 2018: Spire Edinburgh Hospitals’ Christmas Dance took place on 8 December. All staff and Consultants are invited with partners. The average cost per head was £55.
  • November 2018: Consultants were invited to the Scotland v South Africa Autumn test. 25 consultants and partners attended at an approximate cost of £40 a head.
  • November 2018: Consultants were invited to attend Scottish Love in Action fireworks displays. Twenty consultants and their families attended. There was no cost as tickets were given to Spire Edinburgh Hospitals as part of a sponsorship arrangement.
  • September 2018: Spire Edinburgh Hospitals’ Medical Advisory Committee (MAC) Annual general meeting took place. All consultants on our medical society are invited to attend along with their partners. Over 80 attended with the average cost of £68 a head.
  • August 2018: All Consultants were invited to attend the opening event of the 2018 Edinburgh Fringe Society Festival. Thirty-four consultants and partners attended and the total cost per head was approximately £43.
  • June 2018: Consultants were invited to attend the Royal Highland Show. Eight consultants and partners attend. There was no cost as tickets were given to Spire Edinburgh Hospitals as part of a sponsorship arrangement.
  • February 2018: Consultants were invited to attend Scotland v England six nations.  Twenty-five consultants and partners attended. The total cost per head was approximately £80.
  • August 2017: Spire Edinburgh Hospitals’ Medical Advisory Committee (MAC) is made up of a group of Consultants who meet quarterly and whose job is to advise the Hospital Director and Matron on medical matters and who provide expertise and oversight of the hospital’s clinical governance. This is an unpaid role and as a thank you the Hospital Director takes the Committee and their partners for dinner each year. The average cost per head for the 2017 dinner was £140.
  • August 2017: All Consultants were invited to attend the opening event of the 2017 Edinburgh Fringe Society Festival. Forty-two Consultants and partners attended and the total cost per head was approximately £41.
  • June 2017: Spire Edinburgh Hospitals’ Medical Advisory Committee (MAC) Annual general meeting took place. All consultants on our medical society are invited to attend along with their partners. Average cost per head was £94 a head.
  • January 2017: Spire Edinburgh Hospitals’ Christmas Dance took place on 21 January. All staff and Consultants are invited. The average cost per head was £65.
  • August 2016: Spire Edinburgh Hospitals’ Medical Advisory Committee (MAC) is made up of a group of Consultants who meet quarterly and whose job is to advise the Hospital Director and Matron on medical matters and who provide expertise and oversight of the hospital’s clinical governance. This is an unpaid role and as a thank you the Hospital Director takes the Committee and their partners for dinner each year. The average cost per head for the 2016 dinner was £148.
  • December 2015: Spire Edinburgh Hospitals’ Christmas Dance took place on 12 December. All staff and Consultants are invited. The average cost per head was £60.
  • September 2015: Spire Edinburgh Hospitals’ Medical Advisory Committee (MAC) is made up of a group of Consultants who meet quarterly and whose job is to advise the Hospital Director and Matron on medical matters and who provide expertise and oversight of the hospital’s clinical governance. This is an unpaid role and as a thank you the Hospital Director takes the Committee and their partners for dinner each year. The average cost per head for the 2015 dinner was £150.
  • August 2015: All Consultants were invited to attend the opening event of the 2015 Edinburgh Fringe Society Festival. Fifty Consultants and partners attended and the total cost per head was approximately £53.

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 Philip Roddam 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.