Leaders in Oncology Care

Services and Partnerships with doctors

• Low-value services icon plus

  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)

• Higher-value services icon plus

  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 (exclusive of VAT) for secretarial and administrative services:

  Facility	Hourly rate charged by HCA (£)
  Leaders in Oncology Care	20.00
  LOC 95-97 Harley Street and LOC 81 Harley Street	20.00
  LOC Chelsea	20.00
  LOC Platinum Medical Centre	20.00

  
  

  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 (£)
  Leaders in Oncology Care	25.00
  LOC 95-97 Harley Street and LOC 81 Harley Street	25.00
  LOC Chelsea	25.00
  LOC Platinum Medical Centre	25.00

  Due to new COVID-19 health and safety measures at the hospital and the consequent impact on room availability, the rates above have been temporarily reduced by 25%. 
  

  Car Parking:
  Car parking spaces are provided at a number of our sites on a first-come, first-served basis.

   

• Events icon plus

  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.
  
  At Leaders in Oncology Care, such hospitality provided by HCA since 1 January 2019 has included:
  

  • A Christmas party in December 2019 to which we invited staff and doctors. The per head cost for this event was approximately £62.
     

• Equity participation icon plus

  Some HCA hospitals and facilities operate partnerships with doctors, some of whom may be referring clinicians. 
  Please see below for more information regarding equity ownership in the following joint ventures with Leaders in Oncology Care.

  (All information provided here is regularly reviewed and reflects ownership at 31 December 2019.)

  LOC Partnership LLP (established 2011)

  Name of referring clinician	Financial interest held
  MPPD Syndication LLP	0.45%
  London Breast Care Centre Ltd (Mr Kefah Mokbel)	0.43%
  Dr Peter Harper	0.43%
  AMG Oncology Services Ltd (Dr Andy Gaya)	0.43%
  Dr Maurice Slevin	0.43%
  Prof Paul Ellis	0.43%
  Dr Jeremy George	0.43%
  David Lawrence Consultants Ltd (Mr David Lawrence)	0.43%
  Dr Alison Jones	0.43%
  Mr Paramit Chowdhury	0.22%
  Dr Margaret Spittle	0.17%
  Dr Amen Sibtain	0.17%
  Mr Tim Mould	0.17%
  Mr Mark Harries	0.17%
  Mr Francis Vaz	0.17%
  Dr Jeremy Steele	0.17%
  Dr N Shah Ltd (Dr Nihal Shah)	0.14%
  Dr Stephen Harland	0.14%
  Prof Angus Dalgleish	0.08%
  Dr Carmel Coulter	0.07%
  Dr Suzy Cleator	0.07%
  Chris Nutting Oncology Ltd (Prof Chris Nutting)	0.07%
  Dr Voi Shim Wong	0.07%
  Dr Ron Beaney	0.07%
  Prof Johnathan Waxman	0.06%
  Robert Marcus Consultancy Ltd (Dr Robert Marcus)	0.05%
  Mr Chris Chan	0.05%
  MP Hayward Ltd (Mr Martin Hayward)	0.05%
  London Breast Medical Service Ltd (Ms. Christina Choy)	0.05%
  Dr Mary McCormack	0.04%
  Mr Brian Davidson	0.04%
  Dr Sarah Harris	0.03%
  Dr Beatrice Seddon	0.03%
  Private Gynaelogical Services Ltd (Ms Adeola Olaitan)	0.03%
  Harley Street Breast Clinics Ltd (Mr Nick Beechey-Newman)	0.03%
  Dr Paul Nathan Ltd (Dr Paul Nathan)	0.03%
  Mr Asif Muneer	0.03%

   

  LOC @ The Christie LLP (established 2012)

  Name of referring clinician	Financial interest held
  John Logue	1.33%
  Abbas Chittalia (Chittalia Associates Ltd)	1.33%
  James Wylie (North West Oncology)	0.87%
  ABSAM Ltd (Saifee Mullamitha)	0.73%
  Hubner Oncology Ltd (Richard Hubner)	0.67%
  Robert Hawkins (Hawkins Medical Ltd)	0.67%
  Lip Wai Lee	0.67%
  Andrew Sykes	0.67%
  Peter Trainer	0.67%
  Jurjees Hasan (Oncology Consultants UK)	0.67%
  Sarah O'Dwyer (ABC Surgical Ltd)	0.67%
  Mark Saunders (MSJS - North West Ltd)	0.47%
  Tionic Ltd (Tim Illidge)	0.33%
  Vivek Misra	0.33%
  UK Oncology Ltd (Greg Wilson)	0.33%
  David Thomson (Oncology Consulting Ltd)	0.23%
  Hamid Sheikh (HNZ Medical Ltd)	0.10%
  Raffaele Califano	0.07%
  David Woolf (David Woolf Oncologist Ltd)	0.03%
  Prof Andrew Wardley (Andrew Wardley Limited)	0.03%

   

  LOC @ Chelsea LLP (established 2017)

  Name of referring clinician	Financial interest held
  Dr Gerald Gui Ltd	1.50%
  Mr Rahul Nath	1.50%
  Chelsea Surgical Consulting Ltd (Ms Sarah Mills)	1.50%
  Oncology Services Limited (Professor Peter Schmid)	1.50%
  London Breast Medical Services Ltd (Ms Cristina Choy)	1.50%
  Dr Nilesh Morar	1.50%
  Miss Nicola Roche	1.50%
  Miss Jennifer Hu	1.50%
  London Breast Care Centre (Mr Kefah Mokbel)	1.50%
  Mr Asif Muneer	1.20%
  Chelsea Colorectal Investments Ltd (Mr Oliver Warren)	1.10%
  Mr Francis Vaz	1.00%
  Dr Mark Harries	1.00%
  Skin Surgery Associates of London Ltd (Dr Richard Barlow)	1.00%
  AMG Oncology Services Ltd (Dr Andy Gaya)	1.00%
  Dr Tom Newsom-Davis	0.80%
  John Chinegwundoh Ltd (Dr John Chinegwundoh)	0.80%
  Urologists Ltd (Chris Ogden and Mike Dinneen)	0.80%
  Skin Surgery and Laser Ltd (Dr Raj Malippeddi)	0.60%
  I A Dermatology Ltd (Dr Iaisha Ali)	0.60%
  Dr Jonathan Krell	0.60%
  Dr Robert Thomas	0.60%
  Robert Marcus Consultancy Ltd (Dr Robert Marcus)	0.40%
  Miss T K Walters Ltd (Ms Tena Walters)	0.40%
  Dr Ian Gabriel	0.40%
  London Urological Surgeons Ltd (Mr Bijan Khoubehi)	0.30%
  Dr Paul Ross	0.30%
  Bowel Surgeon Ltd (Gordon Buchanan)	0.30%
  Dr Martin Benson	0.30%
  Trident Oncology Ltd (Dr Rohit Lal)	0.30%
  Mr John Payne	0.30%
  Dr SHC Anderson Ltd (Dr Simon Anderson)	0.30%

   

  Hamsard 3160 Ltd

  The table below shows doctors with holdings in Hamsard 3160 Ltd which gives them an indirect holding in the HCA joint ventures at the level shown.

  Name of Referring Clinician	Financial interest held in Leaders in Oncology Care Partnership LLP as a result of membership in Hamsard 3160 Ltd	Financial interest held in LOC@London Bridge LLP as a result of membership in Hamsard 3160 Ltd	Financial interest held in LOC@Chelsea LLP as a result of membership in Hamsard 3160 Ltd
  Prof Paul Ellis	1.40%	0.94%	0.74%
  Dr Maurice Slevin	0.48%	0.47%	0.37%

   

   

• Referring clinicians who also hold other positions at HCA UK icon plus

  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.