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

  • Use of consulting rooms: £10 per 30 minutes
  • Use of secretarial services: £15 per 60 minutes

“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
  • Use of secretarial services: £15 per 60 minutes
  • 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 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 2019, Spire Healthcare held a series of five dinners with 70 consultants from across five 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 and 2021.

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:

2021

  • 12.21 - Thank you flowers for consultant - £30
  • 12.21 - Gift for MAC members (18 members) - £764.15
  • 12.21 - MAC Christmas meeting and dinner - £215.84
  • 03.21 - Get well gift for consultant - £29.60

2020

  • 15.12.20 - MAC Christmas meeting and dinner - £345
  • 06.01.20 - MAC Christmas meeting and dinner - £758

2019

  • 10 tickets for Cricket at Edgbaston Cricket Ground 2019 season - £10,680
  • 01.05.19 - 4 tickets for the 2018/19 football Wembley season - £8,592 - covers 2018 and 2019 season

2018

  • 11.10.18 - 12 tickets for 3 Wales International Rugby Matches - £2,700
  • 28.06.18 - Golf day for 31 consultant and GPs - £1,767 (£57 each)

2017

  • 14.7.17 – 4 Tickets for 4 Wembley Games during 2017 @ £200 per ticket.  HD and 3 Consultants to each game. £8,400 – covers 2017 and 2018 Season
  • 24.6.17 – Royal Ascot hospitality – 2 Consultants and their wives at a cost of £526.57 each
  • 24.6.17 – Royal Ascot hospitality - Refreshments (as above) £47.41 each
  • 15.6.17 – ICC Champions Trophy – Second Semi-Final Cricket at Edgbaston hospitality, 5 consultants at a cost of £513.26 each
  • 15.6.17 – ICC Champions Trophy – Second Semi-Final hospitality – 2 additional tickets for Consultants at a cost of £488.80 each
  • 4.6.17 – India v Pakistan Cricket at Edgbaston Cricket Ground Hospitality, 5 consultants at a cost of £538.80 per head
  • 25.5.17 – 4 consultants at a Charity Golf Day at a cost of £40 per head
  • Rugby International Matches during 2017 (£3,866) – 4 matches – 44 tickets for HDs and consultants – split between Parkway, Southbank and Little Aston Hospitals.

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 Brendan O'Connor - Anaesthetist - Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Arumugam Jagadeeswaran - Anaesthetist - Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Sharan Wadhwani - Radiologist - Holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Rahmesh Bhatt - Radiologist - 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.

  • Mr David Howe is Chair of the Medical Advisory Committee at Spire Parkway 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.
  • Paul Crowe is a Specialist Consultant Radiology Advisor to Spire’s Group Medical Director and is paid £12,000 per annum for this role.