CMA compliance

The services provided at Spire Hull Hospital, Spire Hesslewood Clinic and Spire Lowfield Clinic to referring clinicians and the amounts charged by Spire for those services are set out below:

• Use of consulting rooms: £25 per hour
• Medical secretarial services: £17 per hour

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), access to a virtual consultation solution, 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

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 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).
• No conferences were held in 2020.
• In 2021, conferences were held virtually via Zoom as well as face to face in Aylesbury. The total cost of the events in 2021 was approximately £2,120 and £19,300 respectively. 
• In 2022, the conferences were held in May at Spire’s head office in London and in November at Oulten Hall, Leeds. The total cost of the events in 2022 were approximately £6,463 and £20,338 respectively.

In 2019, Spire Healthcare held a series of 5 dinners with 70 consultants from across 5 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. No dinners were held in 2020, 2021 and 2022.

Corporate hospitality events

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 1 February 2019
• Consultant Medical Society (MAC) Annual General Meeting and party (AGM) held at the hospital on 6 April 2019 and attended by 57 consultants at a cost of £50 per head
• Medical Advisory Committee (MAC) dinner on 14 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
• Primary care education event - Gynaecology at The Park Surgery attended by 8 primary care practitioners at a cost of £3 per head in May 2019
• Primary care education event - Gynaecology at Lazaat Hotel attended by 16 primary care practitioners at a cost of £14.95 per head in June 2019
• Primary care education event - Orthopaedics and Physiotherapy at The Village Hotel attended by 15 primary care practitioners and physiotherapists at a cost of £17.95 per head in July 2019
• Primary care education event - Cardiology at The Park Surgery attended by 10 primary care practitioners at a cost of £3 per head in July 2019
• Primary care education event - Medical Statistics at Lazaat Hotel attended by 26 primary care practitioners and consultants at a cost of £14.95 per head in September 2019
• Primary care education event - Orthopaedics at The Village Hotel attended by 29 primary care practitioners and physiotherapists at a cost of £17.95 per head in October 2019
• Primary care education event - Urology at The Park Surgery attended by 6 primary care practitioners at a cost of £3 per head in November 2019
• Primary care education event - Cardiology and paediatrics at Holiday Inn Hull Marina attended by 25 primary care practitioners at a cost of £16.50 per per head in November 2019
• Primary care education event - Ophthalmology at Spire Hesslewood attended by 23 opticians at a cost of £3 per head in November 2019
• Primary care education event - Dental at Spire Lowfield attended by 10 dentists at a cost of £3 per head in November 2019
• Primary care education event - Ophthalmology at The Winterton Surgery attended by 6 primary care practitioners at a cost of £3 per head in November 2019
• Primary care education event - General Surgery and Gastroenterology at Lazaat Hotel attended by 16 primary care practitioners at a cost of £14.95 per person in December 2019
• Primary care education event - Neurosurgery at The Park Practice, Driffield attended by 7 primary care staff at a cost of £3 per head held in January 2020
• Primary care education event - Gynaecology at the Village Hotel attended by 30 primary care practitioners at a cost of £17.95 per head in January 2020
• Primary care education event - Men's Health at Lazaat Hotel attended by 14 primary care practitioners at a cost of £14.95 per head in February 2020
• No corporate hospitality events were held by the hospital in 2021
• AGM held on 15 July – virtual no cost
• Spire Hull and East Riding Hospital hosted a dinner for the Consultants (and partners) on the Medical Advisory Committee (MAC). Eleven consultants, along with some partners, and Senior Managers at Spire Hull Hospital attended the dinner. The total cost per head worked out at approximately £52 per person and it took place on 21 September 2022

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
• Mr Kevin Phillips holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Jacob Der Tavitian holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Suraj Joshy holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Dr Amir Alvi holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Prof Sunil Bhandari 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
• Mr Martin Cope holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Dr Rod Johnson holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Peter Sedman holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Dr Seshu Tatikola holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Andrew Edwards owns 100% of a portable ultrasound used at the Hospital
• Mr Craig Burnett owns 100% of a light amplification device used at the Hospital for the laser trabeculoplasty service
• Professor In Chetter owns 100% of a portable Doppler that he uses at the Hospital
• Mr Sandeep Datir owns 100% of a Clarius L7 HD Linear Scanner Handheld point of care Ultrasound probe that he uses at the hospital
• Mr Patrick Jassar owns 100% of a Piezo device used at the Spire Hull and East Riding 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.

• 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 was PIC from April 2019 to July 2020. Dr Luke Powells was PIC from July 2020 to August 2021. Dr James Abbott was PIC from August 2021 to October 2022. Dr Linda Ellerby is now the PIC from October 2022 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.
• Dr Ganesh Gopalkrishnan has been appointed as a pre-operative lead anaesthetist to run and improve pre-operative assessment clinics at the hospital. Duties include liaising with Pre-Operative Lead Nurse, reviewing patient notes to ensure patient safety, conducting face to face reviews with patients, and leading a team of Consultant Anaesthetists to assist the team further. Dr Gopalkrishnan is paid £300 per 3 hour session to provide these services to the hospital.
• Dr Richard Kelly, consultant Haematologist is paid £2,750 per quarter for haematology and pathology services and advice to the hospital.
• Mr Kevin Phillips is Chair of the Medical Advisory Committee at Spire Hull & 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 £14,000 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) £200 per hour for attendance at regulatory or other national body meeting (capped at £500); (iii) £500 for each annual medical appraisal undertaken for a doctor designating to Spire for the purposes of revalidation; (iv) £1,000 per annum for undertaking the role of governance lead in addition to MAC Chair; and (v) £200 per hour for the preparation of an independent report (up to a maximum of £500 per report unless otherwise agreed due to complexity) upon request by the Medical Director or Chief Medical Officer.