How we work with doctors at The Portland Hospital

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The CMA Order

In October 2014, the Competition and Markets Authority ("CMA") published the Private Healthcare Market Investigation Order 2014 (the "CMA Order"). The CMA Order requires private hospital operators (such as HCA UK) to disclose on their websites certain information relating to the way the private hospitals interact with referring clinicians; that is a clinician that has practising privileges and/or has the ability to refer patients for treatment or tests at a private hospital.

Full details about the investigation and the Order can be found on the CMA web page: here


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It is important that HCA is transparent about our relationship with doctors and we therefore set out below some of the ways in which we work together.

We would welcome your feedback on the way this information has been presented. Please contact us by email using the link here.

Useful outcome statistics for all private healthcare operators can be found on the Private Healthcare Information Network website.

This information disclosed on this page is supplied in accordance with the Private Healthcare Market Investigation Order 2014.

In addition to The Portland Hospital, the disclosure on this page covers the following facilities which are operated by The Portland Hospital:

The Lister Fertility Clinic at The Portland Hospital is a facility based at The Portland Hospital but run by The Lister Hospital. Disclosures relating to this entity can be found at this page

This facility does not operate any joint ventures with referring clinicians.

HCA UK provides general corporate hospitality and social events (such as Christmas parties) for staff and doctors. Such hospitality is proportionate and reasonable and is not provided by HCA UK with the intention of inducing referrals or rewarding the referring clinician for making or having made referrals to HCA UK.

Since 1 January 2023, this Hospital has hosted the following Events:

  • The annual Medical Advisory Committee dinner in November 2023 costing £185.86 for each invited guest.
  • An annual party in February 2023 to which consultants were invited costing £202 for each invited guest.

Secretarial and administrative services:
HCA sometimes employs medical secretaries to liaise with patients, deal with correspondence, make appointments and handle patients’ enquiries on doctors’ behalf. Sometimes, medical secretaries work for more than one doctor. They help to manage complex processes such as payroll, making administration efficient both for doctors and – most importantly – our patients. Medical secretarial services are made available on a non-discriminatory basis and on equivalent terms in accordance with the CMA Order. We charge doctors for using this service at Fair Market Value (FMV).

HCA charges the following (inclusive of VAT) for secretarial and administrative services:

 Facility  Hourly rate charged by HCA (£)
 The Portland Hospital  24.00
 The Birth Company, London (Harley Street)   Not provided at this facility
 The Birth Company, Alderley Edge Medical Centre  Not provided at this facility

Consulting rooms:
HCA UK considers that doctors must be able to see our patients without delay, and in close proximity to our diagnostic and treatment facilities. In order to achieve this, we licence our consulting rooms to doctors at Fair Market Value on an hourly or sessional basis at market rates, which we determine by calculating the rent we pay to landlords plus overheads (including rates, services charges, utilities). Consulting rooms are made available on a non-discriminatory basis and on equivalent terms in accordance with the Order.

HCA charges the following (exclusive of VAT) for consulting rooms:

 Facility  Hourly rate charged by HCA (£)
 The Portland Hospital  20.83
 The Birth Company, London (Harley Street)   Not provided at this facility
 The Birth Company, Alderley Edge Medical Centre  Not provided at this facility

The Birth Company has specialised ultrasound rooms at both its London Harley Street and Alderley Edge Medical Centre sites for use by midwives who are trained to use the equipment. These rooms are not available to rent by doctors outside The Birth Company. No other consulting rooms are made available to doctors for hire at either site.

The following low-value services are provided free-of-charge to referring clinicians with practising privileges at HCA facilities:

  • General services to ensure appropriate clinical care (such as in-house training, chaperones)
  • Workplace amenities (e.g. free/subsidised tea and coffee including for patients, on-site meals, stationery)
  • General marketing (such as general promotional events, consultant directories and internet profiles)
Car parking:

Some HCA UK facilities have (or have access to) car parking spaces. Where these spaces are made available to doctors, it is on a first-come, first-served basis. Where spaces are made available to staff and/or doctors, HCA does not charge for these.

A number of doctors provide us with clinical guidance on how to deliver the best possible care to patients and run our hospitals safely and efficiently. We pay those doctors for this service at Fair Market Value (FMV) and we use an independent company to provide assurance around our FMV calculations.

Many of these doctors work at more than one HCA facility. For ease of reference, therefore, you can find more information on any such medical advisory positions (including payments made by HCA to the doctor) on your doctor’s HCA biography webpage.

Working with doctors across our facilities

London Bridge Hospital

The Christie Private Care

The Harborne Hospital

The Harley Street Clinic

The Lister Hospital

It is important that HCA is transparent about our relationship with doctors and we therefore set out below some of the ways in which we work together.


We would welcome your feedback on the way this information has been presented. Please contact us by email using the link here.


Useful outcome statistics for all private healthcare operators can be found on the Private Healthcare Information Network website.

The Portland Hospital

The Princess Grace Hospital

The Wellington Hospital

The Wilmslow Hospital

University College Hospital Private Care

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