How we work with doctors
at London Bridge Hospital

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 (£)
  The London Bridge Hospital	24.00
  120 Old Broad Street	24.00
  31 Old Broad Street	24.00
  HCA UK at The Shard	24.00
  HCA UK at Docklands	24.00
  London Bridge Private Care at Guy's (including LOC at London Bridge Hospital)	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 (£)
  The London Bridge Hospital	20.83
  120 Old Broad Street	20.83
  31 Old Broad Street	20.83
  HCA UK at The Shard	20.83
  HCA UK at Docklands	20.83
  London Bridge Private Care at Guy's (including LOC at London Bridge Hospital)	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, this Hospital has hosted the following Events:

  • A Women’s Health Event in October 2023 costing £116.66 for each invited guest.
  • A Spinal Services Dinner in October 2023 costing £143.96 for each invited guest.
  • A Digestive Diseases Group dinner in October 2023 costing £117.84 for each invited guest.
  • A Cardiac Group dinner in October 2023 costing £116.66 for each invited guest.
  • A meal after an HCA Primary Care event in Bromley in May 2023 costing £70.01 per attendee.
  • A Cardiology service line dinner in May 2023 costing £162.79 for each invited guest.
  • An event hosted by Shoulder surgeons in March 2023 costing £116 per invitee.
  • An annual party to which doctors were invited in February 2023 costing £247 per invitee.
  • Retirement dinner for Dr Rob Marcus in March 2022 costing £72 per head.
  • A dinner for the Hospital's Cardiac Department in May 2022 costing £230 per head.
  • A dinner for the Hospital's Medical Advisory Committee (MAC) in May 2022 (postponed from Christmas 2021) costing £186 per head.
  • A Gynaecology Department event in October 2022 costing £204 per head.
  • An event for shoulder specialists in October 2022 costing £127 per head.
  • A Urology Department event in October 2022 costing £227 per head.
  • A networking dinner for the Breast Department in November 2022 costing £170 per head.
  • A GP networking event in November 2022 costing £167 per head.

• Equity participation icon plus

  Some HCA UK 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 venture with the London Bridge Hospital.

  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 @ London Bridge Hospital LLP (established 2011):
  Outpatient and daycase chemotherapy service with PET CT. Based at Emblem House, Tooley Street and Private Care at Guy’s.

   

  Name of referring clinician	Financial interest held
  Mark Harries	1.26%
  ABC Spine Ltd (Bhupal Chitnavis)	0.86%
  Dr David Feuer Ltd (David Feuer)	0.66%
  Andrew Tutt	0.61%
  Dr NG Mikhaeel LLP (George Mikhaeel)	0.56%
  Anil Desai	0.51%
  John Meenan	0.45%
  George Santis	0.30%
  Dr T Wong Ltd (Terrance Wong)	0.25%
  E Carapeti Limited (Emin Carapeti)	0.25%
  Declan Cahill Ltd (Declan Cahill)	0.25%
  Complete Cancer Care Ltd (Hartmut Kristeleit)	0.25%
  Rahul Nath	0.25%
  Harley Street Breast Clinics Ltd (Nick Beechey-Newman)	0.20%
  Paul Ross	0.20%
  Philip Harrison	0.20%
  Devalia Consulting Ltd (Haresh Devalia)	0.20%
  Benjamin Challacombe	0.15%
  Bultitude Medical Services Ltd (Matthew Bultitude)	0.15%
  Chinmedica Ltd (Francis Chinegwundoh)	0.10%
  Kent Breast Clinic Ltd (Abdul Kasem)	0.10%
  Edward Westcott Ltd (Edward Westcott)	0.10%
  KIYU Ltd (Mohsin Dani)	0.10%
  Surgirus Ltd (Seema Seetharam)	0.10%
  Christian Brown	0.10%
  Popert Urology Services Ltd (Rick Popert)	0.05%
  Eleni Karapanagiotou	0.05%

  Please note that Prof Paul Ellis has an additional interest amounting to 0.47% of LOC @ London Bridge Hospital LLP as a result of his membership in Hamsard 3160, which is declared here.

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  The Princess Grace Hospital, The Wellington Hospital and The London Bridge Hospital are the primary HCA facilities for the following joint venture in which doctors have an equity interest: London Endoscopy Centre Ltd (Established 2021). Full ownership details can be found at this page: https://www.hcahealthcare.co.uk/how-we-work-with-doctors

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  The Harley Street Clinic, The London Bridge Hospital and HCA Joint Ventures are the primary HCA facilities for the following joint venture in which doctors have an equity interest: London Radiotherapy Centre Limited (established 2022). Full ownership details can be found at this page: https://www.hcahealthcare.co.uk/how-we-work-with-doctors

• 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.