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

  • Use of consulting rooms: £17.50 per hour
  • Medical secretarial services: £21.60 per hour
  • Office rental: £150 per month per desk

“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), 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 39 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.

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:

  • Wimbledon Championships, 6 June 2017, £894 per person
  • Corporate Rifle Day, 26 Sept 2017, £400 per person
  • International Rugby, 11 Nov 2017, £1,000 per person
  • International Rugby, 18 Nov 2017, £1,000 per person
  • International Rugby, 17 Mar 2018, £850 per person
  • Corporate Golf Day, 27 April 2018, £35 per person
  • T20 Blast Hampshire v Glamorgan Hospitality, 6 July 2018, £50 per person

Clinician Financial Interests in Spire

Private hospital operators are required to disclose details of referring clinicians practicing 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 S Johnson owns 100% of the ultrasound machine used at Spire Southampton Hospital.
  • Mr Jeffrey Theaker owns less than 0.1% of the shares in Spire Healthcare Group plc.
  • Wessex Cardiology LLP (Alison Calver, Simon Corbett, Peter Cowburn, Nick Curzen, Andrew Flett, Peter Golledge, Huon Gray, Drubo Rakhit, John Rawlins, Benoy Shah, Iain Simpson, James Wilkinson) owns 100% of one of the ECG machines used at the Spire Southampton Hospital.

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.

Referring clinicians providing advisory services to the hospital are paid at a rate of £2,000 per day. Details of such advisory services are set out in the relevant consultants' web profiles on the hospital's website.