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.


Visit Private Healthcare Information Network
This information disclosed on this page is supplied in accordance with the Private Healthcare Market Investigation Order 2014.
In addition to The Lister Hospital, the disclosure on this page covers the following facilities which are operated by The Lister Hospital. Please note that at Lister Fertility Clinic at the Beaconsfield Clinic all doctors and medical secretaries are employed by HCA UK and no charge is therefore made to doctors for consulting rooms.

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 Lister Hospital  24.00
     Chelsea Medical Centre  Not provided at this facility
     Sydney Street Outpatients and Diagnostic Centre   24.00
     Chelsea Outpatient Centre  24.00
     Battersea and Nine Elms  Not provided at this facilty
     Chiswick Medical Centre  Not provided at this facility
     Lister Fertility Clinic at The Portland Hospital  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 (inclusive of VAT) for consulting rooms:

     Facility  Hourly rate charged by HCA (£)
     The Lister Hospital  21.00
     Chelsea Medical Centre  21.00
     Sydney Street Outpatients and Diagnostic Centre   21.00
     Chelsea Outpatient Centre  21.00
     Battersea and Nine Elms  21.00
     Chiswick Medical Centre  15.00
     Lister Fertility Clinic at The Portland Hospital  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:

    • The Lister Hospital annual party in December 2023 costing £239.19 for each invited guest
    • A Women's Health event in October 2023 costing £118.62 for each invited guest. 
    • A Women’s Health event in June 2023 costing £115.81 for each invited guest.
    • An event hosted by the Urgent Care Centre in March 2023 costing £65 for each invited guest.
    • An event hosted by the general surgery group in February 2023 costing £123 for each invited guest.
  • 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 Lister 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.


    Hathor Chelsea Limited (established 2017):

    Fertility clinic based at The Lister Hospital, Chelsea.

    Name of referring clinician  Financial interest held
     Hossam Abdalla  5.00%
     Jaya Parikh  5.00%
     Meen-Yau Thum  5.00%
     Raef Faris  5.00%
     James Nicopoullos  5.00%

    Chelsea Outpatient Centre LLP (established 2010):
    Outpatient diagnostic centre. Offers consultations, MRI, mammography, DEXA, ultrasound, cardiology testing, imaging and pathology. Based at 280 Kings Road.

    Name of referring clinician  Financial interest held
     Thomas Ind  4.00%
     John Janssen  4.00%
     Harley Street Andrology Ltd (Asif Muneer)  4.00%
     Brian O'Connor  3.00%
     Urologists London Ltd (Christopher Ogden)  2.00%
     Michael Dinneen  2.00%
     Eleanor Moskovic  1.50%
     Dermatology Treatment Centre Ltd (Nilesh Morar)  1.25%
     Steven Allen  1.00%
     Imaging Partners Ltd (Syed Babar)  1.00%
     Giles Bantick  1.00%
     Nick Beechey-Newman  1.00%
     Martin Benson  1.00%
     Michael Dooley  1.00%
     John Hardy  1.00%
     Ian Holloway  1.00%
     Stuart James  1.00%
     London Urological Surgeons Ltd (Bijan Khoubehi)  1.00%
     David Leslie  1.00%
     Ian Mak  1.00%
     Maneesh Patel  1.00%
     Suveer Singh  1.00%
     Jeannie Yoon  1.00%
     Skin Surgery Associates of London Ltd (Richard Barlow)  1.00%
     Arjun Shankar  1.00%
     Anthony Kontos  0.75%
     Bowel Surgeon Ltd (Gordon Buchanan)  0.75%
     London Gastrointestinal Centre (Simon Anderson, Christopher Chan, Priyajit Prasad)  0.50%
     Andrew Forester  0.50%
     Charles Gibbons  0.50%
     London Rheumatology Ltd (John Axford)  0.50%
     Sarah Davies  0.50%
     Clare Kiely  0.50%
     David Selvaduri Ltd ( David Selvaduri)  0.50%
     Robin Chatterjee  0.25%
     Myles Smith  0.25%
     Kara Heelan  0.25%

    Chiswick Outpatient Centre LLP (established 2017):
    Outpatient diagnostic centre. Offers consultations, MRI, CT, mammography, ultrasound, cardiology testing, imaging and pathology. Based at 347-353 Chiswick High Rd.

     
    Name of referring clinician  Financial interest held
     West London Neurology Partners Ltd (Alidz Pambakian, Christopher Carswell, Maneesh Patel)  3.00%
     London Paediatricians Ltd (Elia Maalouf & Nida Chammas)  2.90%
     Stuart James   2.00%
     Toufan Bahrami Ltd (Toufan Bahrami)  1.50%
     John Janssen  1.50%
     Klinke Med Services Ltd (Martin Klinke)  1.50%
     Pardeep Kumar  1.50%
     WH Services Ltd (Wajid Hussain)  1.20%
     Anthony Davies  1.20%
     Andrew Forester  1.00%
     London Hand Surgery Ltd (Joseph Perez)  1.00%
     Howard Branley  1.00%
     Dermatology London Ltd (Afrina Alam)  0.90%
     Mediwest Ltd (Cliona O'Connell)  0.80%
     Beski Womens Care Ltd (Shohreh Beski)  0.80%
     SZ Tross Ltd (Samantha Tross)  0.80%
     Paedsurg Ltd (Simon Clarke)  0.80%
     Ranan Dasgupta  0.80%
     Anderson Urology Practice Ltd (Christopher Anderson)  0.80%
     Martin Benson  0.70%
     Michael Chapman  0.60%
     Matthew Foxton  0.60%
     Sukhbinder Minhas  0.60%
     Tabish Saifee  0.50%
     Shoulder and Elbow London Ltd (Nicholas Ferran)  0.50%
     Amer Khan Ltd (Amer Khan)  0.50%
     Giles Bantick  0.50%
     David Nicol  0.50%
     Imperial Urology Ltd (Tamer El-Husseiny)  0.50%

    Tran Seaton

     0.40%
     WL Diagnostics Ltd (Neil Upadhyay)  0.40%
     Homp Ltd (Gajen Sunthar Kanaganyagam)  0.40%
     The Heart Chambers Ltd (Piers Clifford)  0.40%
     Kaprielian Medical Services Ltd (Raffi Kaprielian)  0.40%
     Pranav Pandya  0.40% 
     Myles Smith  0.40%
     Sanjeev Bassi  0.40%
     Sportshealing Ltd (Chinmay Gupte)  0.40%
     London Orthopaedic Partnership Ltd (Matthew Sala)  0.40%
     Reza Mobasheri  0.40%
     Nishat Rahman  0.40%
     North West Rheumatology Ltd (Animesh Singh)  0.40%
     Ken Anson  0.40%

    Lister Fertility @ Portland Hospital Limited (Established 2022):
    Fertility Clinic at The Portland Hospital. Established 2022 with these shareholders (please note the asterisk against five names)

    Name of referring clinician  Financial interest held
     Zahid Salim Ltd (Rehan Salim)  5.00%
     Androfertility Ltd (Tet Yap)  4.85%
     Hossam Abdalla*  4.06%
     Jaya Parikh*  4.06%
     Meen-Yau Thum*  4.06%
     Raef Faris*  4.06%
     James Nicopoullos*  4.06%
     S. Minhas Ltd (Sukhbinder Minhas)  2.00%
     Forty Seven Medical (Raj Raj)  2.00%

    * indicates that this ownership is held through a 5% holding in Hathor Chelsea Ltd, which owns 81.15% of Lister Fertility @ Portland Hospital Ltd

  • 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
The Harborne Hospital HCA UK Birmingham

The Harborne Hospital

How we work with doctors
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