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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 Hartswood Hospital to referring clinicians and the amounts charged by Spire for those services are set out below:

  • Use of consulting rooms: £10 per 30 mins
  • Medical secretarial services: Staff costs recharged in full

“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. In 2018, a conference was held in Berlin and the total cost of the event was approximately £88,000.

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:

Cricket hospitality at the Cloud FM cricket ground in Chelmsford was attended by consultants and GPs at a cost of £3,400 on July 16 2017.

Spire Hartswood AGM was held at Orsett Hall Hotel and attended by staff and consultants at a cost of £2,720 on 5 October 2017.

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:

  • Mr Peter Acher: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Dr Dhafir Al-Okati: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Mr Ali Al-Sabti: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Dr Sam Banyikiddie: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Mr Shiv Bhanot: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Mr Aman Bhargava: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Ms Jo Eastman: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Dr Nagui Gendi: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Mr Sandy Gujral: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Dr Fawad Hussain: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Dr Satish Kapoor: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Dr Rehman Khan: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Mr Akobundu Nnochiri: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Mr Harbhajan Singh Plaha: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Dr Debi Ray: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Mr Manu Sood: Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Mr Anil Vohra: 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 Parag Jasani: Dr Jasani provides laboratory advisory services to Spire Hartswood Hospital, including reviewing and auditing on-site pathology work and providing clinical interpretation, advice and clinical input in relation to the operation and management of the pathology service. Paid £6,000 per annum
  • Dr Catherine Street: Dr Catherine Street, Consultant Clinical Biochemist provides clinical chemistry services to Spire Hartswood Hospital.   Catherine is paid £6600 per annum
  • Dr Justin Edwards: Dr Justin Edwards, Consultant Microbiologist provides advisory service to Spire Hartswood Hospital. Paid £8000 per annum