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

  • Use of consulting rooms: £18 per hour
  • Medical secretarial services: £20 per hour
  • Use of administrative space - small: £190 per month
  • Clinic Management - £25 per hour
  • Practice Manager Services – fully charged

“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 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 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 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:

  • Football match hospitality, 14 April and 15 May 2018 (20 consultants) Total cost £5,000
  • Music Concert 17 July 2018 (20 consultants) Total cost £1,200
  • MAC Consultant dinner 3 July 2019 (15 consultants and partners) Total cost £3,500

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 Tom Farrell, Consultant Cardiologist owns 8.33% of the cardiology equipment he uses at Spire Portsmouth Hospital. (The remaining share of the equipment is owned by other clinicians)
  • Dr Paul Sadler, Anaesthetist holds less than 0.1% of 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 or below:

  • Dr Adam Edwards, Anaesthetist – Critical Care Advisor (fee £6,000 per annum). Duties include: consultant intensivist providing policy advice, patient review and teaching support
  • Dr Mark Coombe GP Advisor (fee £6,000 per annum). GP adviser to the hospital and provides consultancy services including GP education.
  • Portsmouth Anaesthetic Group (PAG) have been appointed to run and improve pre-operative assessment clinics at the hospital. Duties include running regular anaesthetic clinics which consists of face to face patient appointments and note reviews to ensure our patients are medically fit for anaesthesia, and meet the hospital admission criteria.
  • PAG anaesthetists who run pre-operative assessment clinics are: Dr Mike Jackson, Dr Shirley Lobo, Dr Peter McQuillan, Dr Stefan Radauceanu, Dr Ian Taylor, Dr Matt Turner, Dr Harsimran Singh, Dr Marie Nixon, Dr Adam Edwards and Dr Matthew Cross. Anaesthetists are paid £250 per clinic.