Mr Thomas Routledge

Transparency under the CMA Order 2014

 

All private healthcare operators are required under the Competition and Markets Authority Order 2014 (“The CMA Order”) to be transparent about the relationship between their doctor and the private healthcare operator. Therefore, prospective patients should be aware that (in addition to being permitted to consult with and to treat patients at our facilities) this doctor also has an advisory role with HCA UK and is paid by HCA UK for this advisory role. We describe the nature of the role below, and we indicate how much the doctor has been paid for performing the role since 1 January 2021.

 

Mr Routledge is a member of The London Bridge Thoracic Group, which diagnoses all respiratory symptoms including coughing, shortness of breath, chest pain, haemoptysis (expectoration of blood), recurrent chest infections, wheezing, snoring, sleep-related problems and abnormal chest radiography results.

 

Together, they specialise in such complex investigations as pleural biopsy (medical or surgical), bronchoscopy, endobronchial ultrasound, mediastinoscopy, open lung biopsy, lung function testing (including exercise testing and fitness to fly), tests to evaluate airway hypersensitivity, and asthma and home or hospital studies to evaluate breathing difficulties in sleep.

 

This group of doctors provide medical advisory services for HCA's London Bridge Hospital thoracic services. In their role, they lead interactions with hospital medical staff and the hospital leadership team to assist the hospital by providing medical advice and promote high quality, cost effective care.

 

In their role, they contribute to the strategy, policies and decision making regarding thoracic services and advise HCA to ensure that care provided within the facility is appropriate and efficient. In their role, they advise on initiatives to drive clinical standards by providing professional advice on clinical governance matters and ensuring the adoption of those by colleagues in the thoracic services area.

 

In addition, they work with medical insurance companies, GPs, other relevant local NHS contacts, and patients to educate and advise on relevant clinical updates to treatments in thoracic services available in the facility. Furthermore, they advise on the accuracy of literature that may be published regarding relevant services. They will also advise on how to make the patient referral smooth to reduce stress and anxiety for patients.

 

HCA UK is charged by doctors in return for their expertise and advice, including on how to operate safe hospital facilities delivering complex care. All services provided under this agreement are charged to HCA UK. In 2022 (until 30 April) the total paid for these services to Mr Routledge has been £8,432. In 2021, the total paid to this group of doctors for these services was £71,318.

 

If a doctor provides HCA UK with medical advisory services and also practises in the NHS, HCA UK requires that doctor to attest that he/she is not compromising his/her NHS commitments in so doing.

 

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