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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.

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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. Please see the HCA mainpage here for additional disclosures under the CMA Order.

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; and is true and accurate to the best of HCA’s knowledge and belief.

In addition to The Harley Street Clinic, the disclosure on this page covers the following facilities which are operated by The Harley Street Clinic:


  • The London Cyberknife Centre 
  • The Harley Street Clinic Diagnostic Centre 
  • New Malden Outpatients and Diagnostics 
  • The Prostate Centre
  • The Physicians Clinic
  • London Urology Associate

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)
  • 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 (£)
     The Harley Street Clinic  Approx. 20.38
     The London Cyberknife Centre  Approx. 20.38
     The Harley Street Clinic Diagnostic Centre   Approx. 20.38
     New Malden Outpatients and Diagnostics Centre   Approx. 20.38
     The Prostate Centre  Approx. 20.38
     The Physicians Clinic  Approx. 20.38
     London Urology Clinic  Approx. 20.38

    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 Harley Street Clinic  Approx. 20.83
     The London Cyberknife Centre   Approx. 20.83
     The Harley Street Clinic Diagnostic Centre   Approx. 20.83
     New Malden Outpatients and Diagnostics   Approx. 10.00
     The Prostate Centre  Approx. 20.83
     The Physicians Clinic  Approx. 20.83
      London Urology Associates  Approx. 20.83

    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 The Harley Street Clinic, such hospitality since 1 January 2018 has included:

    • A Christmas party in December 2018 (held jointly with The Portland Hospital) to which we invited staff and doctors. The per head cost for this event was approximately £191.
  • 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 The Harley Street Clinic.

    (All information provided here is regularly reviewed and reflects ownership at 31 December 2019.)

    Devonshire Diagnostic Centre Ltd (established 2018)
     Name of referring clinician  Financial interest held
    David Lawrence Consultants Ltd  0.45%
    Dr Tet Yap  0.45%
    Mr Panny Kallis  0.45%
    Dr Barry Grimaldi Diagnostics Ltd (Dr Grimaldi)  0.45%
    Paul Ellis  0.45%
    I.A Dermatology Ltd (Dr Iaisha Ali)  0.40%
    Mr Arjun Shankar  0.36%
    Scooby Investments Ltd (Dr Nitish Sheth)  0.27%
    London Surgical Oncology Ltd (Aamir Khan)  0.22%
    London Head & Neck Ltd (Nikolaos Kalavrezos)  0.20%
    Rapidology LTD  0.20%
    Mr Chris Chan  0.18%
    Mr Sanjeev Bassi  0.16%
    Dr Bushra Al-Rubeyi  0.12%
    London Plastic Surgery Centre Ltd (Prof Ash Mosahebi)  0.10%
    Mr Richard Selway  0.10%
    Dr Julian Hague  0.10%
    Harley Street Andrology Ltd (Mr Asif Muneer)  0.08%
    Khaled Dawas  0.06%
    Cardiac Consultants Ltd (Michael Mullen)  0.06%
     Denis Pellerin  0.06%
     Heidari Thiruchelvam Partners LLP (Mr Nima Heidari)  0.05%
     Kent Breast Clinic Ltd (Mr Kasem)  0.05%
     London Surgical Associates (Mr Austin Obichere)  0.04%
     Prof Francis Vaz  0.04%
     Mr Ranjeev Bhangoo  0.04%
     Mr Gajen Kanaganayagam  0,04%
     Prof Aldo Rinaldi Ltd  0.04%
     Dimitri Hadjiminas  0.04%
     Cheshire Medical Services Ltd  0.04%
     Shakib & Neale Ltd (Mr Kaveh Shakib)  0.04%
     Prof Mark O'Neill  0.04%
     Sudhanshu Chitale (Private Urology London)  0.04%
     Tena Walters  0.04%
     Prof Pallav Shah  0.04%

    Harley Street Clinic @ The Groves LLP (established 2010)

     Name of Referring Clinician  Financial interest held
     The Groves Medical Centre LLP (Jeremy Harris, Leonard Sherski, Vince Grippaudo, Vish Retansingham) (See Note 1 below)  10.00%
     Mr Sarb Sandhu  2.00%
     Mr Onsy Morris  2.00%
     Dr Bushra Al-Rubeyi  2.00%
     Dr John Devlin  1.00%
     Dr John Collins  1.00%
     Mr Giles Davies  1.00%
     Brainscan Harley Street LLP (Dr Philip Rich and Dr Declan Johnson)  1.00%
     Dr Julian Collinson  1.00%
     Dr Hugh Jones  1,00%
     Mr Charles Gibbons  1.00%
     Dr Richard Pollock  1.00%
     Dr Simon Kemp  1.00%
     Dr Elijah Behr  1.00%
     Ms Kate Panter  1.00%
     Dr Abbad Toma  1.00%
     Mr Marcus Reddy  1.00%
     Dr Ranil Da Silva  1.00%

    1 - None of the individual clinician investors in this company holds more than 5% individually of Harley Street Clinic @ The Groves LLP

    Robotic Radiosurgery LLP (established 2009)

     Name of Referring Clinician  Financial interest held
     Nick Plowman  2.71%
     Ben Taylor (Wellington Spine Ltd)  2.71%
     Paul Ellis  2.71%
     James Allibone  0.90%
     Bhupal Chitnavis  0.81%
     Keyoumars Ashkan  0.81%
     Richard Gullan  0.54%
     Margaret Spittle  0.54%
     Amen Sibtain  0.54%
     Chris Nutting  0.54%
     John Yeh  0.54%
     Habib Ellamushi  0.54%
     Ron Beaney   0.54%
     Peter Harper  0.54%
     Dr Nihal Shah  0.54%
     Dr Andy Gaya (AMG Oncology Services Ltd)  0.54%
     Dr Sanjeev Bassi  0.54%
     Alison Jones  0.54%
     Sarah Harris  0.54%

  • 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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