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.


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This information disclosed on this page is supplied in accordance with the Private Healthcare Market Investigation Order 2014. In addition to The London Bridge Hospital, the disclosure on this page covers the following facilities which are operated by The 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 (£)
     London Bridge Hospital  24.00
     HCA UK City of London at 120 Old Broad Street  24.00
     HCA UK City of London at 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
     The London Radiotherapy Centre  Not provided at this facility

    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 (£)
     London Bridge Hospital  20.83
     HCA UK City of London at 120 Old Broad Street  20.83
     HCA UK City of London at 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
     The London Radiotherapy Centre  Not provided at this facility
  • 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, this Hospital has hosted the following Events:

    • A dinner for physiotherapists in December 2023 costing £127.69 for each invited guest
    • An event including dinner hosted by the Haemotology-Oncology department in December 2023 costing £195 for each invited guest.
    • 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 Cardiology service line dinner in June 2023 costing £132.10 for each invited guest.
    • A meal after an HCA Primary Care event in Bromley in May 2023 costing £70.01 per attendee.
    • An event hosted by Shoulder surgeons in March 2023 costing £116 for each invited guest.
    • An annual party to which doctors were invited in February 2023 costing £247 for each invited guest.
  • 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 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 @ 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%
    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%
    Phillip 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%
     

    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


    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: The 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.

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
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