Important information about outpatient appointments

Spire Edinburgh Hospitals are pleased to advise that we are now accepting GP and medical referrals only for outpatient appointments. Unfortunately, at this time, we are unable to accommodate those wishing to self-refer.

When you come in for your outpatient appointment, please do not arrive more than five minutes before your appointment time. This is to minimise the number of people in our waiting areas.

On arrival, before entering either of our hospitals, you will be asked a few quick questions, have your temperature checked and given a mask which must be worn at all times while inside the hospital. Please be advised that we ask that only you attend the outpatient appointment.

Follow-up appointments, where possible, will be conducted via telephone.

Spire Edinburgh Hospitals currently has a no visitor policy.

Please note that Spire Edinburgh Hospitals no longer accepts cash.

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: £23.50 per hour
  • Medical secretarial services: £21.50 per hour for contracted services / £25 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 (including online booking and payment for consultations), 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. 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).

In 2019, Spire Healthcare held a series of five dinners with 70 consultants from across five 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.

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:

  • March 2020: 25 consultants were taken to a Six Nations match on Saturday 8 March at a cost of £13 per head for hospitality plus tickets. Tickets were no cost to Spire as they are part of sponsorship deal, but valued at approx £100 each.
  • February 2020: 16 consultants were taken to a Six Nations match on Saturday 8 February at a cost of £13 per head for hospitality plus tickets. Tickets were no cost to Spire as they are part of sponsorship deal, but valued at approx £100 each.
  • December 2019: Spire Edinburgh Hospitals' Christmas Dance took place on 7 December. All staff and consultants are invited with partners. Fifty-four consultants attended with 25 bringing a partner. The average cost per head was £100.
  • September 2019: 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 70 attended with the average cost of £65 a head.
  • August 2019: All Consultants were invited to attend the opening event of the 2019 Edinburgh Fringe Society Festival. Twenty-four consultants plus partners attended and the total cost per head was approximately £67.
  • July 2019: The Medical Advisory Committee (MAC) Chair and MAC Clinical Governance Lead were invited together with their partners to Wimbledon. The average cost per person was £1,225.
  • June 2019: Consultants were invited to attend the Royal Highland Show. Four consultants and partners attend. There was no cost as tickets were given to Spire Edinburgh Hospitals as part of a sponsorship arrangement.
  • March 2019: 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 to a retiring member of the MAC the Hospital Director took the Consultant and partner to dinner and a theatre show. The average cost per head was £80.
  • February 2019: 19 consultants were taken to a Six Nations match on Saturday 9 February at a cost of £13 per head for hospitality plus tickets.  Tickets were no cost to Spire as they are part of sponsorship deal, but valued at approx £100 each.
  • December 2018: 13 consultants and their families attended 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. Thirty-nine consultants attended with 13 bringing a partner. 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.

  • Mr James (Sam) Patton is Chair of the Medical Advisory Committee at Spire Edinburgh Hospitals. As such, his 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. He is paid £12,000 per annum for this role and is also entitled to receive the following fees for the provision of additional ad hoc services:  (i) £750 for chairing a Professional Review Committee; (ii) £500 for each annual medical appraisal undertaken for a doctor designating to Spire for the purposes of revalidation; and (iii) £200 per hour for the preparation of an independent report (up to a maximum of £500 per report) upon request by the Medical Director or Chief Medical Officer.

  • Dr Alistair Lee (Consultant Anaesthetist) has been appointed as pre-operative lead to facilitate and support the improvement and development of the pre-operative assessment service at Spire Edinburgh Hospitals. Dr Lee is remunerated at £300 per session which is variable and dependent upon the needs of the service.