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.
In addition to Leaders in Oncology Care, the disclosure on this page covers the following facilities which are operated by Leaders in Oncology Care:
- LOC 95-97 Harley Street and LOC 81 Harley Street
- LOC Chelsea
- LOC Platinum Medical Centre
Services and Partnerships with doctors
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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)
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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
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.
- A Christmas party in December 2019 to which we invited staff and doctors. The per head cost for this event was approximately £62.
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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 2020)
LOC Partnership LLP (established 2011)
Name of referring clinician Financial interest held London Breast Care Centre Ltd (Prof Kefah Mokbel) 0.43% Dr Peter Harper 0.43% AMG Oncology Services Ltd (Dr Andy Gaya) 0.45% 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 Jeremy Steele 0.20% Dr Amen Sibtain 0.18% Mr Tim Mould 0.17% Dr Mark Harries 0.17% Mr Francis Vaz 0.17% Dr Margaret Spittle 0.17% Dr Stephen Harland 0.16% Dr N Shah Ltd (Dr Nihal Shah) 0.14% Dr Suzy Cleator 0.12% Prof Angus Dalgleish 0.09% Dr Carmel Coulter 0.07% Chris Nutting Oncology Ltd (Prof Chris Nutting) 0.07% Dr Voi Shim Wong 0.07% Dr Ron Beaney 0.07% Robert Marcus Consultancy Ltd (Dr Robert Marcus) 0.07% Prof Jonathan Waxman 0.06% Dr Beatrice Seddon 0.06% 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% 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% Jamie Cavenagh 0.03% Melanie Powell 0.01% Paula Wells 0.01% LOC @ The Christie LLP (established 2012)
Name of referring clinician Financial interest held John Logue 1.33% Chittalia Associates Ltd (Abbas Chittalia) 1.33% North West Oncology (James Wylie) 0.87% ABSAM Ltd (Saifee Mullamitha) 0.73% Hubner Oncology Ltd (Richard Hubner) 0.67% Hawkins Medical Ltd (Robert Hawkins) 0.67% Lip Wai Lee 0.67% Andrew Sykes 0.67% Peter Trainer 0.67% Oncology Consultants UK (Jurjees Hasan) 0.67% ABC Surgical Ltd (Sarah O'Dwyer) 0.67% MSJS - North West Ltd (Mark Saunders) 0.47% Tionic Ltd (Tim Illidge) 0.33% Vivek Misra 0.33% UK Oncology Ltd (Greg Wilson) 0.33% Oncology Consulting Ltd (David Thomson) 0.23% HNZ Medical Ltd (Hamid Sheikh) 0.10% Raffaele Califano 0.07% David Woolf Oncology Ltd (David Woolf) 0.03% Andrew Wardley Limited (Prof Andrew Wardley) 0.03% LOC @ Chelsea LLP (established 2017)
Name of referring clinician Financial interest held Anaga Holdings Ltd (Dr Gerald Gui) 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 (Prof 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.
Working with doctors across our facilities

The Christie Private Care
How we work with doctors
The Harley Street Clinic
How we work with doctors
HCA at University College Hospital
How we work with doctors
Leaders in Oncology Care (LOC)
How we work with doctors
The Lister Hospital
How we work with doctors
London Bridge Hospital
How we work with doctors
The Portland Hospital
How we work with doctors
The Princess Grace Hospital
How we work with doctors
The Wellington Hospital
How we work with doctors