CMA compliance

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.

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

Use of consulting rooms: £25 per hour
Medical secretarial services: £16 per hour

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.

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:

2018

Consultant Specialty Meeting:

31 January, Orthopaedic lower limb meeting: £9.75 per head
5 June, Anaesthetic meeting: £9.75 per head
11 June, Cosmetic meeting: £9.75 per head
1 November. Radiology meeting: £9.75 per head

MAC:

15 January, Quarter 1 meeting: £9.75 per head
9 February, Dinner: £100 per head x9
21 May, Quarter 2 meeting: £9.75 per head
20 August, Quarter 3 meeting: £9.75 per head

AGM:

13 July, Annual General Meeting: £33.00 per head

Cricket Match Hospitality

20 July, Durham County Cricket Club: £160.00 per head

Tall Ships Hospitality

12 July, Durham County Cricket Club: £100.00 per head

Hospital Christmas Party:

10 March, Ramside Hall, Durham, £38.00 per head

Self-pay Health Event:

14 April, Radisson Blu, Durham, £30.00 per head
16 June, Hilton Gardens, Sunderland, £28.00 per head
10 September, Radisson Blu, Durham, £3.00 per head

GP Events:

Lunch & Learns

14 February, Murton Medical Group: £5.25 per head
10 April, Monkseaton Medical Group: £5.25 per head

Evening Events:

29 January ENT: £9.75 per head
20 February Cardiology: £9.75 per head
20 March Breast Cancer: £9.75 per head
26 April Orthopaedics: £9.75 per head
22 May Gynaecology: £9.75 per head
19 June Bariatrics: £9.75 per head
22 September: £9.75 per head
16 October: £9.75 per head

Symposiums

1 event - Holiday Inn Hotel, Washington: £11.50 per head (17 March)
1 event - Holiday Inn Hotel, Washington: £11.50 per head (23 June)
1 event - Holiday Inn Hotel, Washington: £11.50 per head (22 September)

2017

Consultant Specialty Meetings:

9 February Spinal Meeting: £9.75 per head
9 March Gynaecology Meeting: £9.75 per head
6 April Lower limb orthopaedics Meeting: £9.75 per head
4 May Upper limb orthopaedics Meeting: £9.75 per head
7 June General Surgery Meeting: £9.75 per head
13 July Cosmetic Meeting: £9.75 per head
7 September ENT Meeting: £9.75 per head
15 November Radiology Meeting: £9.75 per head

Hospital Christmas Party:

21 January, The Biscuit Factory, Newcastle, £55.00 per head

MAC:

14 March, Quarter 1 meeting: £9.75 per head
22 May, Quarter 2 meeting: £9.75 per head
17 July, Quarter 3 meeting: £9.75 per head
16 October, Quarter 4 meeting: £9.75 per head

AGM:

1 December, Annual General Meeting: £9.75 per head

GP Events:

Lunch & Learns

8 November, Murton Medical Group: £5.25 per head

Evening Events

26 January Cardiology: £9.75 per head
21 February Shoulder surgery: £9.75 per head
23 March Rheumatology: £9.75 per head
27 April ENT: £9.75 per head
15 May Allergy: £9.75 per head
10 June Spinal: £9.75 per head
21 September Urology: £9.75 per head
31 October Neurology: £9.75 per head
23 Novemebr Orthopaedics: £9.75 per head
12 December Pain management: £9.75 per head

Symposiums

2 events - Holiday Inn Hotel, Washington: £11.50 per head (7 October and 10 June)

2016

Consultant Specialty Meetings:

Upper Limb Meeting: £2.75 per head
General Surgery Meeting: £3.25 per head
Urology Meeting: £3.00 per head
Cosmetic Meeting: £6.90 per head

MAC Meetings:

Quarter 4 meeting: £15.00 per head

AGM

Annual General Meeting - £142.00 per head

Corporate Hospitality

Durham County Cricket Club tickets for GPs: £99.00 per head

2015

Corporate Hospitality

Rugby World Cup - South Africa vs. Scotland match: £150.00 per head
Rugby World Cup - Scotland vs. Samoa match: £150.00 per head

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 Amit Kumar holds less than 0.1% of the issued share capital of Spire Heathcare Group plc
Mr Ben Jenkins holds less than 0.1% of the issued share capital of Spire Heathcare Group plc
Dr Rajendranath Sinha holds less than 0.1% of the issued share capital of Spire Heathcare Group plc
Mr Shanmugam Vetrivel owns 100% of the Ultrasound machine used at Spire Washington Hospital
Mr Steven Coates owns 100% of the Nerve Conduction machine used at Spire Washington Hospital
Dr Julie Cox holds less than 0.1% of the issued share capital of Spire Heathcare Group plc

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.

We pay a retainer of £779 per month for the Physician in Charge (PIC) position for Bupa Health Assessment Centre. Rhona Lunt holds the position of PIC and commenced in this role in April 2017. The PIC role involves leading the team and providing advice, clinical coaching and guidance in clinical matters to all staff working in the Bupa Health Assessment Centre.