How we work with doctors
at LOC 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 2022, 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 March 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)	0.43%
  Peter Harper	0.43%
  Paul Ellis	0.43%
  David Lawrence Consultants Ltd (David Lawrence)	0.43%
  Alison Jones	0.43%
  Paramit Chowdhury	0.22%
  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%
  Susan Cleator	0.12%
  Carmel Coulter	0.07%
  Chris Nutting Oncology Ltd (Christopher Nutting)	0.07%
  Voi Shim Wong	0.07%
  Jonathan Waxman	0.06%
  Beatrice Seddon	0.06%
  Christopher Chan	0.05%
  London Breast Medical Service Ltd (Christina Choy)	0.05%
  Mary McCormack	0.04%
  Brian Davidson	0.04%
  Sarah Harris	0.03%
  Adeola Olaitan	0.03%
  Harley Street Breast Clinics Ltd (Nick Beechey-Newman)	0.03%
  Dr Paul Nathan Ltd (Paul Nathan)	0.03%
  Asif Muneer	0.03%
  Jamie Cavenagh	0.03%
  Melanie Powell	0.01%
  Paula Wells	0.01%

  Please note that Prof Paul Ellis has an additional interest amounting to 0.49% of LOC Partnership LLP as a result of his membership in Hamsard 3160 (which is declared elsewhere on this page).

  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)	0.87%
  ABSAM Ltd (Saifee Mullamitha)	0.73%
  Hubner Oncology Ltd (Richard Hubner)	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 (Timothy 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 (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%

  Please note that Prof Paul Ellis has an additional interest amounting to 0.40% of LOC @ Chelsea LLP as a result of his membership in Hamsard 3160 (which is declared elsewhere on this page).

  Hamsard 3160:

  Holding company for cancer related services.

  The table below shows doctors with holdings in Hamsard 3160 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	Financial interest held in PETCT LLP as a result of membership in Hamsard 3160 Ltd
  Paul Ellis	0.49%	0.47%	0.40%	0.51%

  Note: PETCT LLP is the legal entity which holds PET CT scanners at HCA UK. PET-CT scans combine PET (positron emission tomography) and CT (computised tomography) technology in one full body scanner. This advanced nuclear imaging technique shows how the cells in the body are functioning at the same time as generating 2D and 3D images of inside the body. Prof Ellis does not receive a share value or dividend from his holding in this legal entity.

   

• 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.