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.

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 at www.phin.org.uk.


Visit Private Healthcare Information Network
This information disclosed on this page is supplied in accordance with the Private Healthcare Market Investigation Order 2014.
In addition to Leaders in Oncology Care, the disclosure on this page covers the following facilities which are operated by 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)
    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.
  • 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 (inclusive of VAT) for secretarial and administrative services:

     Facility  Hourly rate charged by HCA (£)
     Leaders in Oncology Care  24.00
     LOC 95-97 Harley Street and LOC 81 Harley Street   24.00
     LOC Chelsea  24.00
     LOC Platinum Medical Centre  24.00

    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  20.83
     LOC 95-97 Harley Street and LOC 81 Harley Street   20.83
     LOC Chelsea  20.83
     LOC Platinum Medical Centre  20.83
  • 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.

    Since 1 January 2023, no such Events have been provided by this Hospital.

  • 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.

    Initial shares and units are calculated based upon the capital costs of the equipment, leasehold improvements, provided working capital and other costs necessary to establish the Centre. For shares in established ventures, Fair Market Value is applied and reviewed by external specialists based on historic performance and projections.

    The information here is regularly updated, and in this version is correct at 31 December 2023. Where a doctor’s name or a company name appears in italics, it means that discussions were taking place at the stated date regarding an exit from the investment.

    LOC Partnership LLP (established 2011):
    Outpatient and daycase chemotherapy services based at the Platinum Medical Centre; 5th floor of the McMillan Cancer Centre at Private Care at UCLH; 1st floor of 81-83 Harley Street and 95-97 Harley Street.

     
     Name of referring clinician  Financial interest held
     London Breast Care Centre Ltd (Kefah Mokbel)  0.68%
     Paul Ellis  0.68%
     David Lawrence Consultants Ltd (David Lawrence)   0.43%
     Alison Jones  0.43%
     Paramit Chowdhury  0.22%
     Neill Patani  0.21%
     Jeremy Steele  0.20%
     Amen Sibtain  0.18%
     Timothy Mould  0.17%
     Mark Harries   0.17%
     Francis Vaz  0.17%
     Stephen Harland  0.16%
     Dr N Shah Ltd (Nihal Shah)  0.14%
     Richard Marley  0.13%
     Susan Cleator  0.12% 
     Christopher Chan  0.10%
     Leukaemia Excellence Limited (Panos Kottardis)  0.10%
     Voi Shim Wong  0.10%
     FZR Medical Limited (Farooq Rahman)  0.09%
     Jonathan Waxman  0.09%
     Carmel Coulter  0.07%
     Chris Nutting  0.07%
     Fharat Raja  0.07%
     B-Con Oncology Services Ltd (John Conibear)  0.06%
     Beatrice Seddon  0.06%
     Brian Davidson  0.06%
     Jonathan Krell  0.06%
     Anaga Holding Limited (Gerald Giu)  0.05%
     Daniel Krell  0.05%
     London Breast Medical Service Ltd (Christina Choy)   0.05%
     Mary McCormack  0.04%
     Tobias Arkenau Ltd (Hendrik-Tobias Arkenau)  0.04%
     Adeola Olaitan  0.03%
     Dr Paul Nathan Ltd (Paul Nathan)  0.03%
     Harley Street Andrology Ltd (Asif Muneer)  0.03%
     Harley Street Breast Clinics Ltd (Nick Beechey-Newman)   0.03%
     Jamie Cavenagh  0.03%
     Navani Consultants Ltd (Neal Navani)  0.03%
     Thomas Newsom-Davis  0.03%
     Kai-Keen Shiu  0.02%
     Keyoumars Ashkan  0.02%
     Khurum Khan's Ltd (Khurum Khan)  0.02%
     Oncoplastic London Ltd (Daniel Leff)  0.02%
     Cancer Services Ltd (Andrew Wardley)  0.01%
     Melanie Powell  0.01%
     Paula Wells  0.01%

    LOC @ The Christie LLP (established 2012):
    Outpatient and daycase chemotherapy service based at the Christie Clinic, Manchester.

     Name of referring clinician  Financial interest held
     John Logue  1.33%
     FAHA Investments Ltd (Abbas Chittalia)  1.33%
     North West Oncology (James Wylie)  0.93%
     FATEE Ltd (Saifee Mullamitha)  0.73%
     Hubner Oncology Ltd (Richard Hubner)  0.73%
     Oncology Consults UK Ltd (Jurjees Hasan)  0.73% 
     Lip Wai Lee  0.67%
     Andrew Sykes   0.67%
     Peter Trainer  0.67%
     ABC Surgical Ltd (Sarah O'Dwyer)  0.67%
     MSJS - North West Ltd (Mark Saunders)  0.47%
     Vivek Misra  0.40%
     Tionic Ltd (Timothy Illidge)  0.33%
     UK Oncology Ltd (Greg Wilson)  0.33%
     Oncology Consulting Ltd (David Thomson)  0.23%
     Hamid Sheikh  0.10%
     David Woolf Oncology Ltd (David Woolf)  0.10% 
     Raffaele Califano  0.07%
     Paul Lorigan  0.07%
     Tom Waddell  0.07%
     Yee Pei Song  0.03%
     Andrew Wardley Limited (Andrew Wardley)   0.03%

    LOC @ Chelsea LLP (established 2017):

    Outpatient and daycase chemotherapy service with PET CT. Based at 102 Sydney Street.

     Name of referring clinician  Financial interest held
     Anaga Holdings Ltd (Gerald Gui)  1.50%
     Rahul Nath  1.50%
     Chelsea Surgical Consulting Ltd (Sarah Mills)  1.50%
     Oncology Services Limited (Peter Schmid)  1.50%
     London Breast Medical Services Ltd (Cristina Choy)  1.50%
     Nicola Roche  1.50%
     Jennifer Hu   1.50%
     London Breast Care Centre (Kefah Mokbel)  1.50%
     Asif Muneer  1.20%
     Chelsea Colorectal Investments Ltd (Oliver Warren)  1.10%
     Francis Vaz  1.00%
     Mark Harries  1.00%
     Thomas Newsom-Davis  0.80%
     John Chinegwundoh  0.80%
     Jonathan Krell  0.60%
     Robert Thomas  0.60%
     Miss T K Walters Ltd (Tena Walters)  0.40%
     Ian Gabriel  0.40%
     Urologists London Limited (Christopher Ogden)  0.40%
     Michael Dinneen  0.40%
     London Urological Surgeons Ltd (Bijan Khoubehi)  0.30%
     Paul Ross  0.30%

     

  • 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.

Working with doctors across our facilities

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The Christie Private Care

How we work with doctors
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The Harley Street Clinic

How we work with doctors
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HCA at University College Hospital

How we work with doctors
Leaders in Oncology Care (LOC)

Leaders in Oncology Care (LOC)

How we work with doctors
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The Lister Hospital

How we work with doctors
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London Bridge Hospital

How we work with doctors
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The Portland Hospital

How we work with doctors
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The Princess Grace Hospital

How we work with doctors
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The Wellington Hospital

How we work with doctors
The Wilmslow Hospital Main Entrance

The Wilmslow Hospital

How we work with doctors
The Harborne Hospital HCA UK Birmingham

The Harborne Hospital

How we work with doctors
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