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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.

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
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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 Princess Grace Hospital, the disclosure on this page covers the following facilities which are operated by The Princess Grace 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)
  • 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 Princess Grace Hospital  20.00
     30 Devonshire Street  20.00
     47 Nottingham Place  20.00
     The London Digestive Centre  20.00
     Institute of Sport, Exercise and Health  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 (£)
     The Princess Grace Hospital  25.00
     30 Devonshire Street  25.00
     47 Nottingham Place  Not provided at this facility
     The London Digestive Centre  25.00
     Institute of Sport, Exercise and Health  25.00
    Due to new COVID-19 health and safety measures at the hospital and the consequent impact on room availability, the rates above have been temporarily reduced by 25%.

    Car Parking:
    Car parking spaces are provided at a number of our sites on a first-come, first-served basis. Where permits are offered to the doctors that support HCA, they are charged at Fair Market Value for that parking permit.

  • 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 Princess Grace Hospital, such hospitality since 1 January 2019 has included:
    • A dinner for the Cardiac Audit Committee in May 2019. The cost for this event was approximately £77 per head.
    • A summer dinner for the members of the Medical Advisory Committee (MAC) in September 2019. The cost for this event was approximately £173 per head.
    • A Christmas party held in December 2019 to which we invited staff and doctors. The per head cost for this event was approximately £299
  • 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 venture with The Princess Grace Hospital.

    (All information provided here is regularly reviewed and reflects ownership at 30 June 2020.)

    Welbeck Street Diagnostic Centre LLP (established 2017)

     Name of referring clinician  Financial interest held

     London Digestive Health Ltd (Dr Sean Preston, Dr Jonno Hoare, Dr Peter Irving, Dr  Charlie Murray) (See Note 1 below)

     13.20%

     London Obesity Surgery Ltd (Prof Ameet Patel)

     4.10%

     FZR Medical Ltd (Dr Farooq Rahman)

     4.00%
     Paloza Ltd (Mr Omar Faiz)  3.50%
     Dr Paul Ziprin  3.30%
     Dr Richard Marley  3.00%
     Dr James Lindsay  2.00%
     Total Surgery Ltd (Mr Charles Imber)  1.70%
     Prof Qasim Aziz  1.60%
     GRI Research Lab Ltd (Prof Edward Leen)  1.60%
     Shankly Medical Ltd (Dr Gavin Johnson)  1.50%
     MMM Surgical Ltd (Prof Muntzer Mughal)  1.20%
     ACJW Medical Ltd (Alistair Winsor)  1.10%
     AMG Oncology Services Ltd (dr Andy Gaya)  1.00%
     Humphries Medical Ltd (Dr Adam Humphries)  1.00%
     Dr Mike Chapman  1.00%
     Liver Surgery London Ltd (Ms Theodora Pisanou)  1.00%
     Prof Massimo Malago  0.80%
     Dr George Webster  0.80%
     Prof Sina Dorudi  0.80%

    1 - None of the individual clinician investors in this company holds more than 5% individually of Welbeck Street Diagnostic Centre LLP.

  • 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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