How we work with doctors
at The Harley Street Clinic

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 Harley Street Clinic	24.00
  The London Cyberknife Centre	24.00
  The Devonshire Diagnostic Centre (inc London Urology Associates)	24.00
  The Physicians Clinic	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 Harley Street Clinic	20.83
  The London Cyberknife Centre	20.83
  The Devonshire Diagnostic Centre (inc London Urology Associates)	20.83
  The Physicians Clinic	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:

  • The Annual Harley Street Clinic and Leaders in Oncology Care party in September 2023 costing £254.32 for each invited guest.
  • An annual dinner for the Hospital's Medical Advisory Committee members in November 2022 costing £173 per head.
  • An annual Christmas party to which consultants were invited in November 2022 costing £101 per head.

• 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.

  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.

  Devonshire Diagnostic Centre Ltd (established 2018):
  Outpatient diagnostic services. Offers consultations, CT, mammography, ultrasound, cardiology testing, imaging and pathology. Based at 30 Devonshire Street, 86-88 Harley Street and 16-18 Devonshire Street.

  Name of referring clinician	Financial interest held
  TPC Newco (John Axford, Qasim Aziz, Huw Beynon, Pierre-Marc Bouloux, Carl Brookes, Michael Brown, Vanya Grant, Paul Glynne, Rajeev Gupta, Michael Hanna, Sam Janes, Alexander Lyon, Pamela Mangat, Hadi Manji, Richard Marley, Neal Navani, Malcolm Rustin, Edward Seward, Alexander Tidswell, Mark Vanderpump, Anthony Warrens, George Webster – via Webster Medical Ltd, Efthimia Karra, Ahmed Youseif, Animesh Singh via North West London Rheumatology Ltd, Amanda Varnava, Stuart Bloom via Stuart Bloom Ltd)	2.94%
  David Lawrence Consultants Ltd (David Lawrence)	0.45%
  Androfertility Limited (Tet Yap)	0.45%
  Dr Barry Grimaldi Diagnostics Ltd (Barry Grimaldi)	0.45%
  Paul Ellis	0.45%
  I.A Dermatology Ltd (Iaisha Ali)	0.40%
  Arjun Shankar	0.36%
  Scooby Investments Ltd (Nitish Sheth)	0.27%
  London Head & Neck Ltd (Nikolaos Kalavrezos)	0.20%
  Rapidology Ltd (Anmol Malhotra)	0.20%
  Christopher Chan	0.18%
  Sanjeev Bassi	0.16%
  Afshin Mosahebi	0.10%
  Richard Selway	0.10%
  Julian Hague	0.10%
  Harley Street Andrology Ltd (Asif Muneer)	0.08%
  Khaled Dawas	0.06%
  Cardiac Consultants Ltd (Michael Mullen)	0.06%
  Denis Pellerin	0.06%
  Nima Heidari Ltd (Nima Heidari)	0.05%
  Kent Breast Clinic Ltd (Abdul Kasem)	0.05%
  London Surgical Associates (LSA) Limited (Austin Obichere)	0.04%
  Francis Vaz	0.04%
  Ranjeev Bhangoo	0.04%
  Gajen Kanaganayagam	0.04%
  Dimitri Hadjiminas	0.04%
  Cheshire Medical Services Ltd (Tahir Khan)	0.04%
  Mark O'Neill	0.04%
  Private Urology London (Sudhanshu Chitale)	0.04%
  Miss T K Walters Ltd (Tena Walters)	0.04%
  Pallav Shah	0.04%

  Robotic Radiosurgery LLP (established 2009):
  Non-invasive radiotherapy treatment commonly known as Cyberknife, based at 79 Harley Street.

  Name of Referring Clinician	Financial interest held
  Nick Plowman	2.71%
  Paul Ellis	2.71%
  James Allibone	0.90%
  Bhupal Chitnavis	0.81%
  Keyoumars Ashkan	0.81%
  Richard Gullan	0.54%
  Amen Sibtain	0.54%
  Christopher Nutting	0.54%
  John Yeh	0.54%
  Habib Ellamushi	0.54%
  Peter Harper	0.54%
  Nihal Shah	0.54%
  Sanjeev Bassi	0.54%
  Alison Jones	0.54%
  Sarah Harris	0.54%

  
  

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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.