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

  • Use of consulting rooms: £19.76 per hour
  • Medical secretarial / billing services: £26.25 + VAT per hour

“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), 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

Corporate hospitality events for referring clinicians

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 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 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, 2022 and 2023.

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:

2024

Patients

  • 12 June patient event - 7 patients attended at £9 per head
  • 22 May patient event - 10 patients attended at £9 per head
  • 15 May patient event- 6 patients attended at £10.50 per head
  • 8 April patient event - 4 patients attended at £2 per head
  • 20 March patient event - 3 patients attended at £8.33 per head
  • 7 February patient event -2 patients attended at £9 per head
  • 9 January patient event- 9 patients attended at £9 per head

Consultants

  • 3 October Orthopaedic speciality Meeting 13 people in total. Dinner provided by Domino's Pizza at £3.85 per head
  • 27 September MAC Meeting 7 people in total. Dinner provided by Spire Methley Park Hospital at £6.00 per head
  • 27 June MAC Meeting 10 people in total. Dinner provided by Spire Methley Park Hospital at £6.00 per head
  • 16 May MAC AGM Meeting 20 people in total. Dinner and drinks provided by Zoya at £21.16 per head
  • 23 March MAC Meeting 5 Consultants (10 people in total including Methley Park Hospital staff) Dinner provided by the hospital at £4.30 per head
  • 18 March - 9 people attended Plastics Meeting  Dinner was provided by the hospital at £3.87 per head 

GP events

Primary Care Education Events

  • 18 September 2024 Spire Yorkshire Hub Primary Care Symposium 41 attendees plus 6 speakers and 3 hub staff total 50. Overall cost £3,240.00. Cost per head £64.80
  • 22 May Lunch and Learn event with Miss Veena Kaul at Spire Methley Park Hospital for Health Care First - 21 persons attended at £4.25 per head
  • 8 May Lunch and Learn event with Dr Idrovo at Spire Methley Park Hospital for Health Care First-25 persons attended at £4.50 per head
  • 17 February MSK Masterclass hosted at Oulton Hall -55 GPs attended at £23.18 per head

2023

Patients 

  • 6 December, patient event-3 patients attended at £9 per head
  • 13 November, patient event - 4 patients attended at £9 per head
  • 18 October, patient forum - 3 patients attended at £10 per head
  • 29 June, patient event - 2 patients attended at £9 per head
  • 22 June, patient forum - 3 patients attended at £10 per head
  • 30 March, patient forum - 7 patients attended at £10 per head

Consultants

  • 20 December, 11 MAC representatives received Christmas gifts of the value of £33.32 per person
  • 12 December, MAC Q4 meeting dinner 16 participants attended at £44.10 per head
  • 23 October, anaesthetists meeting - 10 consultants attended at £7.50 per head
  • 18 September, plastics meeting - 6 consultants attended at £7.50 per head
  • 6 September, MAC meeting – 8 consultants attended at £30 per head
  • 7 June, MAC meeting - 9 consultants attended at £7.50 per head
  • 27 March, MAC meeting - 9 consultants attended £7.50 at per head

2022

  • MAC 8 December 2022 - 6 consultants: £38 per head
  • All GP events in 2022 were held over Zoom

2021

All GP and Self Pay Events during 2021 were held via Zoom at no cost.

2020

Self-pay events

  • 26 February, Cosmetic open evening: £2.50 per head

GP events

Evening events

  • 6 January Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution
  • 3 February, Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution

Lunch and Learns

  • 28 February, College Lane Surgery: £7.50 per head

2019

Self-pay events

  • 16 January, Cosmetic open evening: £2.50 per head
  • 6 March, Knee pain open evening: £2.50 per head
  • 13 March, Cosmetic open evening: £2.50 per head
  • 27 March, Cosmetic open evening: £2.50 per head
  • 17 April, Cosmetic open evening: £2.50 per head
  • 8 May, Foot and Ankle pain open evening: £2.50 per head
  • 15 May, Cosmetic open evening: £2.50 per head
  • 12 June, Cosmetic open evening: £2.50 per head
  • 19 June, Hernia pain open evening: £2.50 per head
  • 17 July, Cosmetic open evening: £2.50 per head
  • 11 September, Cosmetic open evening: £2.50 per head
  • 25 September, Hip and knee pain open evening: £2.50 per head
  • 23 October, Menopause management open evening: £2.50 per head
  • 30 October, Cosmetic open evening: £2.50 per head

Consultant specialty meetings

  • Orthopaedic, Capri at the Vine Wakefield: £10.50 per head
  • Cosmetic, Capri at the Vine Wakefield: £10.50 per head
  • Urology, Capri at the Vine Wakefield: £10.50 per head

GP events

Lunch and Learns

  • 16 January, White Rose Surgery: £7.50 per head
  • 18 January, South Milford Surgery: £7.50 per head
  • 25 January, College Lane Surgery: £7.50 per head
  • 30 January, Maybush Medical Centre: £7.50 per head
  • 5 February, Gibson lane Practice: £7.50 per head
  • 8 February, South Milford Surgery: £7.50 per head
  • 27 February, White Rose Surgery: £7.50 per head
  • 12 March, Gibson Lane Practice: £7.50 per head
  • 3 April, Healthcare First: £7.50 per head
  • 15 May, Church View Surgery: £7.50 per head
  • 26 June, Healthcare First: £7.50 per head
  • 18 September, Church View Health Centre: £7.50 per head 
  • 25 September, Pinfold Lane Surgery: £7.50 per head

Evening events

  • 11 February, Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution
  • 4 March, Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution
  • 1 April, Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution
  • 13 May, Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution
  • 10 June, Kashmiri Aroma in partnership with YHPA: £100 contribution
  • 1 July, Kashmiri Aroma in partnership with YHPA: £100 contribution
  • 7 October, Kashmiri Aroma in partnership with YHPA: £100 contribution
  • 4 November, Kashmiri Aroma in partnership with YHPA: £100 contribution
  • 2 December, Kashmiri Aroma in partnership with YHPA: £100 contribution

Hospitality 

  • 35th Anniversary Ball £55 per head (8 consultants) 16 November
  • St Leger Festival, Doncaster £325 per head (15 Consultants) 13 September

2018

Self-pay events

  • 21 February, Cosmetic open evening: £2.50 per head
  • 14 March, Cosmetic open evening: £2.50 per head
  • 11 April, Cosmetic open evening: £2.50 per head
  • 16 May, Cosmetic open evening: £2.50 per head
  • 13 June, Cosmetic open evening: £2.50 per head
  • 25 July, Cosmetic open evening: £2.50 per head
  • 15 August, Cosmetic open evening: £2.50 per head
  • 19 September, Cosmetic open evening: £2.50 per head
  • 24 October, Cosmetic open evening: £2.50 per head
  • 14 November, Cosmetic open evening: £2.50 per head
  • 12 December, Cosmetic open evening: £2.50 per head

MAC AGM

  • 5 December, Annual General Meeting: £9.50 per head

GP events

Lunch and learns

  • 16 June, White Rose Surgery: £7.50 per head
  • 20 June, Church View Surgery: £7.50 per head
  • 21 June, Gibson lane Practice: £7.50 per head
  • 16 November, College Lane Surgery: £7.50 per head
  • 14 December, College Lane Surgery: £7.50 per head

Evening events

  • 4 June, Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution
  • 2 July, Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution
  • 3 September, Kashmiri Wakefield Aroma in partnership with YHPA: £100 contribution
  • 1 October, Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution
  • 6 November, Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution
  • 7 December, Kashmiri Aroma Wakefield in partnership with YHPA: £100 contribution

2017

In May 2017 Spire Methley Park invited consultants to an International Cricket Hospitality day at a cost of approx £4,500.

In September 2017 Spire Methley Park Hospital invited Consultants to visit RAF Coningsby at a cost of £700.

2016

Spire Methley Park invited consultants to an International Cricket Hospitality day in September 2016 at a cost of approx £2,500.

Clinician financial interests in Spire Healthcare

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 Ibrahim Ali - Owns 100% of the Viking Quest (manufactured by Natus) nerve conduction machine used at the hospital
  • Dr Taimour Alam - Owns 100% of the Optima Ultrapro Electro diagnostic machine used at the hospital
  • Dr Sei Chung Sak - Holds less than 0.1% of the shares in Spire Healthcare Group plc

Clinician advisory services to Spire Healthcare

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 R K Raychaudhuri is Chair of the Medical Advisory Committee at Spire Methley Park 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.
  • Dr Ash Sinha has been appointed as a pre-operative lead anaesthetist to run and improve pre-operative assessment clinics at the hospital. Duties include pre-assessment anaesthetic reviews and Dr Sinha is paid £80 per hour.