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

  • Use of consulting rooms: £26.73 per hour
  • Medical secretarial services: £25.41 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 Healthcare group Medical Advisory Committee (MAC) Chairs conferences

Spire Healthcare 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 Healthcare’s hospitals are invited to attend, with their partners, and are joined by members of Spire Healthcare’s senior management.

  • 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, one conference was held virtually therefore, held no cost. The face to face conferences were held in May at our head office in London, in October and in November at Oulton Hall, Leeds. The total cost of the events in 2022 were approximately £6,463, £11.95 per head 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 2024, the conferences were held in May at our head office in London and in November at The Midland Hotel, Manchester. The total cost of the events in 2024 were approximately £1,674 and £22,800 respectively.
  • In 2025, the conferences were held in May at our head office in London and in November at The Met Hotel, Leeds. The total cost of the events in 2025 were approximately £947.95 and £18,020.90 respectively.

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:

2025

Consultant Speciality Meetings 

  • 24 November – Cosmetic meeting: £10 per head 

GP Events 

  • 21 January – Colorectal Cancer (Online): no cost 
  • 15 March – MSK event: £31.35 per head 
  • 15 April – Spinal pathology: £10 per head 
  • 7 June – Women's Health Event: £10 per head 
  • 21 August – Bariatric Surgery: £10 per head 
  • 8 November – Symposium: £50 per head 

MAC 

  • 31 March – Q1 meeting: £10 per head 
  • 14 July – Q2 meeting: £10 per head 
  • 22 September - Q3 meeting: £10 per head 

AGM 

  • 9 October – Annual General Meeting, Crowne Plaza Newcastle, Consultants and senior hospital members attending. £71.05 per head 

2024

Consultant specialty meetings

  • 27 February - ENT meeting: £10 per head
  • 29 February – Anaesthetics meeting: £10 per heard
  • 4 March - Gynaecology and Urology meeting: £10 per head
  • 26 April - Cosmetic meeting: £10 per head
  • 19 April – Physio/Orthopaedic meeting: £10 per head
  • 20 April – General Surgery meeting: £10 per head
  • 28 May - General surgery meeting: £10 per head

GP events

  • 18 January – Upper Gastrointestinal surgical conditions: £8 per head
  • 15 February – Hip & Knee; Surgical treatments and when to refer: £8 per head
  • 18 May – Primary care symposium (based on 30 attendees): £26.23 per head
  • 7 September - GP Symposium Cost: Based on 30 people it works out at £28.50 per head
  • 5 October - Bariatric Surgery online webinar. No cost
  • 22 October - Prostate Cancer online webinar. No cost
  • 14 November - Breast Cancer online webinar. No cost

MAC

  • 29 January – Q1 meeting: £10 per head
  • 22 April – Q2 meeting: £10 per head
  • 9 September – Q3: £10 per head
  • 9 December – Q4: £10 per head

AGM  

  • 4 July - Annual General Meeting, Durham Cricket Ground, Consultants and senior hospital members attending: £36.90 per head

2023

Consultant speciality meetings

  • 25 July – Orthopaedic meeting: £10.50 per head
  • 2 August - Anaesthetics meeting: £10.50 per head
  • 26 September General surgery meeting: £10.50 per head
  • 6 October Radiology meeting: £10.50 per head
  • 17 October ENT meeting: £10.50 per head
  • 1 November Urology meeting: £10.50 per head

GP events

  • 9 February Back and Sciatica virtual event: No cost
  • 30 October Update NICE guidelines and degenerative spinal diseases: £10.50 per head

MAC

  • 23 January – Q1 meeting: £10.50 per head
  • 7 July – Q2 meeting: £10.50 per head
  • 16 October – Q3/4 meeting: 10.50 per head

AGM  

  • 3 March - Annual General Meeting, Durham Cricket Ground, Consultants and senior hospital members attending (70): £29.02 per head

2022

Consultant speciality meetings

  • Orthopaedics 1 August – Face to face, buffet – approx. £5 per head
  • Cosmetics 5 April virtual no cost

GP events

  • Virtual Upper Limb Orthopaedic event - 1 March (Mr Fourie)
  • Virtual Lower Limb Orthopaedic event - 28 April (Mr Loughead)
  • Virtual Hand and Wrist Orthopaedic event 4 May (Mr Dalal)
  • Virtual Endocrinology event - 22 June (Dr Abouglila)
  • Virtual Neurosurgery event - 31 October (Mr Wynne-Jones)
  • Virtual ENT event - 10 November (Mr Waldron)

2021

MAC

  • 1 March – virtual no cost
  • 22 June – virtual no cost

AGM

  • 23 November – virtual no cost

Consultant specialty meetings

  • Orthopaedic Lower Limb – 2 September - virtual no cost

GP events

  • 16 September virtual general surgery: £0 no cost

2020

MAC

  • 13 January – Q1 - £9.75 pp
  • 14 July – virtual no cost
  • 14 December – virtual no cost

Consultant specialty meetings

  • Cosmetic – 19 November - virtual no cost
  • Cosmetic – 2 September – virtual no cost
  • Consultant big brief – 4 August – virtual no cost

Self-pay events

  • 18 January Cosmetic and weight loss event: £250 in total
  • 3 February Cosmetic event: £250 in total
  • 26 February Physiotherapy open evening: no cost

All self-pay events planned by Spire Washington Hospital have been cancelled due to the COVID-19 pandemic. 

GP events

  • 16 January Spinal - £482.80 in total
  • 12 February Bariatric - £9.75 per head
  • 13 February lunch and learn bariatric  £5 per head
  • 21 February lunch and learn hand and wrist £5 per head
  • 18 June virtual spinal event: no cost 
  • 24 June virtual foot and ankle: no cost
  • 7 July virtual cardiology: no cost
  • 15 July virtual psychiatry: no cost
  • 27 July virtual Dermatology: no cost
  • 22 July virtual urology: no cost
  • 6 October virtual pain management: no cost
  • 12 November virtual shoulder: no cost
  • 6 December virtual cardio: no cost

 

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.

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.

  • Dr Kiran Koneti has been appointed as a pre-operative lead anaesthetist to run and improve pre-operative assessment clinics at the hospital. Duties include providing anaesthetic support services for patients undergoing pre-assessment at the hospital in advance of surgery and Dr Koneti is paid £500 per clinic.
  • Mr Ahmed Ali-Khan is Chair of the Medical Advisory Committee at Spire Washington 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.