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

  • Use of consulting rooms: £24.40 per hour
  • 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 (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 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, a conference was held in Lisbon and the total cost of the event was approximately £95,000. MAC Chairs were also invited to attend the Spire Healthcare Senior Management Conference in Birmingham in June 2018 (8 MAC Chairs attended at a cost of £845 per head).

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:

  • Consultant wine tasting attended by 12 consultants at a cost of £600 on 14 June 2018.
  • Consultant rugby game and hospitality including meal and drinks attended by 5 consultants at a cost of £325 on 1st February 2019.
  • Consultant Medical Society (MAC) Annual General Meeting and party (AGM) held at the hospital on 6th April 2019 and attended by 57 consultants at a cost of £50 per head.
  • Medical Advisory Committee (MAC) dinner on 14th June 2019 at Tapasya restaurant attended by 10 consultants at a cost of £50 per head.
  • Primary care education event - Skin cancer and kidney disease event at Lazaat Hotel, Hull attended by 22 primary care practitioners at a cost of £14.95 per head in January 2019.
  • Primary care education event - Paediatrics at The Village Hotel, Hull attended by 18 primary care practitioners at a cost of £17.95 per head in February 2019.
  • Primary care education event - Urology at Lazaat Hotel, Hull attended by 28 primary care practitioners at a cost of £14.95 per head in February 2019.
  • Primary care education event - Cardiology and respiratory at The Village Hotel, Hull attended by 26 primary care practitioners at a cost of £17.95 per head in April 2019.
  • Primary care education event - Pension seminar at Spire Hull and East Riding Hospital attended by 16 consultants at a cost of £3 per head in May 2019.

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 Rod Johnson holds less than 0.1% of the shares in Spire Healthcare Group Plc
  • Dr Ree Nee Tiam holds less than 0.1% of the shares in Spire Healthcare Group Plc
  • Dr Chaitanya Gupta 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.

  • We pay a retainer of £442 per month for the Physician in Charge (PIC) position for Bupa Health Assessment Centre. Dr Raj Kasivel held the position of PIC from January 2017 to Jan 2018. Dr Sarah Coope was PIC from Feb 2018 to March 2019. Dr Martin Whiting from has held the position of PIC from April 2019 and is ongoing. The PIC role involves leading the team and providing advice, clinical coaching and guidance in clinical matters to all staff working in the Bupa Health Assessment Centre.
  • Mr Kevin Phillips is Chair of the Medical Advisory Committee at Spire Hull and East Riding 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 £12,000 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) £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.