CMA compliance

The services provided at Spire London East Hospital to referring clinicians and the amounts charged by Spire Healthcare for those services are set out below:

• Use of consulting rooms: £22.62 per hour
• Hospital based medical secretarial services: £28.11 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, car parking, stationery

Spire Healthcare group Medical Advisory Committee (MAC) Chairs conferences

Spire Healthcare 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 Healthcare’s hospitals are invited to attend, with their partners, and are joined by members of Spire Healthcare’s senior management.

• 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 our head office in London and in November at Oulton Hall, Leeds. The total cost of the events in 2022 were approximately £6,463 and £20,338 respectively.
• In 2023, the conferences were held in June at M Restaurant in London and in November at The Midland Hotel, Manchester. The total cost of the events in 2023 were approximately £2,931 and £20,389 respectively.
• In 2024, the conferences were held in May at our head office in London and in November at The Midland Hotel, Manchester. The total cost of the events in 2024 were approximately £1,674 and £22,800 respectively.

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:

2019

• West Ham United FC Hospitality: £300 per head (s fixtures) - January to May 2019
• Newmarket Racecourses: £100 per head (10 Consultants) - July 2019
• Medical Advisory Christmas Meal at £75 per head

2021

In 2021 Spire London East Hospital ceased all hospitality due to COVID-19 and ceased sponsorship with West Ham United FC.

• GP Virtual Educational Session held via Zoom video communications
• Medical Advisory Committee Christmas gift: £100 per head
• Medical Advisory Committee Virtual Christmas lunch: £48 per head

2022

• Consultant Town Hall meeting attended by consultants at a cost of £16 per head on 27 October 2022
• GP Head to toe health meeting held at The Holiday Inn Brentwood attended by GP’s and consultants at a cost of £50 per head on 12 November 2022

Education seminars for GPs hosted by the Spire London East Hospital with one consultant speaker. These events were hosted virtually and there were no costs incurred by the Hospital:

• 20 September - 37 attendees
• 28 September - 70 attendees
• 2 November - 84 attendees
• 23 November - 66 attendees
• 14 December - 42 attendees

2023

• Spire London East party held in February 2023 attended by both staff and consultants, total cost £15,596
• GP Spring education symposium held at The Holiday Inn Basildon attended by GPs and consultants at a cost of £30.66 per head on 25 March 2023 
• GP Summer education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £35.58 per head on 10 June 2023 
• GP Winter education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £41.25 per head on 18 November 2023
• Medical Advisory Christmas Meal held on 7 December 2023 at a total cost of £1,120.22 
• Consultant Town Hall meeting attended by consultants held on 12 December 2023 at a total cost of £143.35 

Education seminars for GPs hosted by the Spire London East Hospital with one consultant speaker. These events were hosted virtually and there were no costs incurred by the Hospital:

• 11 January - 70 attendees
• 25 January - 41 attendees
• 31 January - 67 attendees
• 7 February - 57 attendees
• 22 February - 66 attendees
• 15 March - 59 attendees
• 4 April - 35 attendees
• 19 April - 45 attendees
• 26 April - 55 attendees
• 2 May - 45 attendees
• 10 May - 86 attendees
• 16 May - 65 attendees
• 31 May - 62 attendees
• 21 June - 53 attendees
• 18 June - 9 attendees 
• 5 July - 64 attendees
• 12 July - 52 attendees
• 26 September - 85 attendees
• 17 October - 10 attendees
• 18 October - 81 attendees
• 25 October - 55 attendees
• 8 November - 68 attendees
• 22 November - 12 attendees
• 29 November - 64 attendees
• 14 December - 10 attendees

2024

• Lunch and learn held at local doctors surgery on 11 March 2024 at a total cost of £58.80 with 9 primary care attendees, 1 consultant speaker and 1 member of staff in attendance. 
• GP Spring education symposium held in the Holiday Inn Basildon with 54 primary care attendees, 6 consultant speakers and 4 members of staff in attendance at a cost of £29.27 per head on 23 March 
• Lunch and learn held at local doctors surgery on 20 May at a cost of £6.45 per head with 8 primary care attendees, 1 consultant speaker and 1 member of staff in attendance
• GP Summer education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £52.52 per head on 15 June
• Consultant event with key colleagues attending at a cost of £120 per head held on 20 May
• Evening GP event held at Spire London East Hospital on 3 October at a cost of £6.16 per head with a total of 12 attendees
• GP Winter education symposium held in the Holiday Inn Basildon attended by GPs and consultants with 63 attendees at a cost of £44.46 per head held on 16 November

Education seminars for GPs hosted by the Spire London East Hospital with one consultant speaker. These events were hosted virtually and there were no costs incurred by the Hospital:

• 17 January - 94 attendees
• 6 February - 42 attendees
• 14 February - 49 attendees
• 26 February - 14 attendees
• 28 February - 89 attendees
• 12 March - 10 attendees
• 13 March - 55 attendees
• 26 March - 67 attendees
• 16 April - 56 attendees
• 25 April - 56 attendees
• 1 May - 46 attendees
• 5 June - 84 attendees
• 10 June - 8 attendees
• 19 June - 49 attendees
• 25 June - 42 attendees
• 3 July - 40 attendees
• 10 July - 33 attendees
• 16 July - 42 attendees
• 25 July - 65 attendees
• 12 September - 11 attendees
• 8 October - 60 attendees
• 15 October - 75 attendees
• 22 October - 58 attendees
• 20 November - 54 attendees
• 26 November - 65 attendees
• 5 December - 36 attendees

2025

• Evening GP event held at Spire London East Hospital on 13 February at a cost of £6.62 per head with 9 primary care attendees, 2 consultant speakers and 2 members of staff in attendance
• GP Spring education symposium held in the Holiday Inn Basildon attended by GPs and consultants with 52 primary care attendees, 4 consultants and 3 members of staff in attendance at a cost of £38.87 per head on 29 March
• GP Summer education symposium held in the Holiday Inn Basildon attended by GPs and consultants with 33 primary care attendees, 4 consultants and 3 members of staff in attendance at a cost of £43.33 per head on 28 June
• Lunch and learn held at Easten Avenue Medical Centre on 24 September 2025 attended by 8 GPs, 1 consultant speaker and 1 member of staff at a cost of £7.50 per head
• GP Winter Education Symposium held at the Holiday Inn Basildon attended by GPs and consultants with 53 primary care attendees, 4 consultants and 4 members of staff in attendance at a cost of £36.80 per head on 15 November 2025
• Lunch and learn held at Newbury Group Practice on 21 November 2025 attended by 14 GPs, 1 consultant speaker and 1 member of staff at a cost of £5 per head 

Education seminars for GPs hosted by the Spire London East Hospital with one consultant speaker. These events were hosted virtually and there were no costs incurred by the Hospital:

• 22 January - 83 attendees
• 30 January - 91 attendees
• 5 February - 65 attendees
• 19 March - 63 attendees
• 25 March - 61 attendees
• 4 April - 82 attendees
• 9 April - 10 attendees
• 10 April - 53 attendees
• 30 April - 79 attendees
• 8 May - 59 attendees
• 14 May - 89 attendees
• 4 June - 61 attendees
• 11 June - 60 attendees
• 12 June - 7 attendees
• 11 September - 39 attendees
• 16 October - 13 attendees
• 29 October - 38 attendees

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 Dinesh Sangtani holds less than 0.1% of the shares in Spire Healthcare Group plc
• Dr Rajamani Sethuraman holds less than 0.1% of the shares in Spire Healthcare Group plc
• Dr Sandy Gujral holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Mandeep Lamba holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Isaac Opemuyi 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 John Peters holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Aman Bhagarva 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
• Dr Fawad Hussain 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
• Mr Anil Vohra holds less than 0.1% of the shares in Spire Healthcare Group plc
• Dr Nizar Muhammed owns 100% of the EEG/EMG testing equipment that is used at the hospital
• Mr Stephen Brearley uses his own Doppler machine at Spire London East Hospital
• Dr Siraj Adam uses his own spirometer, audiometer and ear irrigator
• Dr Waseem Ashraf owns 100% of the capsule endoscopy kit used at the hospital
• Mr Abir Bhattacharyya owns 100% of 70degree Karl Storz laryngoscope
• Dr Ash Husain uses his own Spirometer at Spire London East 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.

• Mr John Peters is Chair of the Medical Advisory Committee at Spire London East 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.
• Gomy Kandasamy has been appointed as a pre-operative lead anaesthetist to run and improve pre-operative assessment clinics at the hospital. Duties include Pre-Assessment support and review of complex surgical cases. Gomy Kandasamy is paid at £150 per hour/session.
• Mr Matthew Hanson holds the position of Consultant Endoscopy Lead for Spire London East Hospital, to assist with the JAG accreditation and ongoing endoscopy service, and chairs the Endoscopy User Group meeting, for a fee of £150 per hour spent performing these duties.

Consultants who work part-time: 

• Dr Albert Mifsud provides the hospital with professional advice in relation to microbiology and is paid £13,800 per annum for this role