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 St Anthony's Hospital to referring clinicians and the amounts charged by Spire for those services are set out below:

  • Use of consulting rooms: £24 per hour or £12 per half hour
  • Medical secretarial services: Staff costs recharged in full
  • Office rental: £60 per month

“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, 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.

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:

Corporate Hospitality Event Cost (£) per head

January 2016 - UK Bowel Charity Dinner - 4 tickets at £500 per head
January 2016 - Premiership Football - 2 tickets at £225 per head
February 2016 - England vs Ireland Rugby - 12 tickets at £879 per head
March 2016 - England vs Wales Rugby - 12 tickets at £879 per head
March 2016 - Premiership Football - 2 tickets at £225 per head
April 2016 - Premiership Football - 2 tickets at £225 per head
May 2016 - Premiership Football - 2 tickets at £225 per head
July 2016 - Opera - 4 tickets at £260 per head
February 2017 - England vs France Rugby - 6 tickets at £819 per head
September 2017 - Relaunch event at Hampton Court - 163 attendees at £107.75 per head 
November 2017 - England vs Australia Rugby - 9 tickets at £659 per head  
December 2017 - MAC meeting - 10 attendees at £173 per head

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:

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 practicing privileges at that hospital. This information can be found on the referring clinician’s individual web page profile on this hospital website.

Dr Darryl Hampson-Evans, Consultant Anaesthetist, is paid to provide advisory services to the hospital on the development of its paediatric service, including clinical governance and regulatory advice. He was paid £1,886 for these services in 2017 and is expected to be paid up to £2,500 in 2018.

Dr Januz Bernard Liban, Consultant Anaesthetist, is paid £200 per hour for his role as the Clinical Governance Director at the hospital, at a rate of £200 per hour. Duties include chairing the hospital Clinical Governance meetings and advising and dealing with clinical governance matters. He was paid £4,000 for his services in 2017.