How we work with doctors
at 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)

  Consultant with interests in equipment used at HCA UK

  Through Princess Grace Hospital, HCA UK rents a mobile cardiac laboratory from Cardiac Health and Performance Ltd (a company of which Prof Guido Pieles is a 50% shareholder and the sole registered Director). HCA UK pays £2,500 per month (plus VAT) for this mobile laboratory. The vehicle, which includes a cardiac enabled ultrasound machine and an exercise bike, is based at The Institute of Sport Exercise & Health, but may travel throughout the UK. Prof Pieles (a consultant cardiologist) is not an employee of HCA UK but has practising privileges with HCA UK which enables him to practice at ISEH.

  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 Princess Grace Hospital	24.00
  30 Devonshire Street	24.00
  47 Nottingham Place	24.00
  The London Digestive Centre	24.00
  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 (inclusive 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

  
  

• 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 Princess Grace Hospital annual Christmas party for all doctors in November 2023 costing £197.77 per invited guest.
  • An annual dinner for the Hospital’s Medical Advisory Committee in September 2023 costing £163.54 for each invited guest.
  • An event hosted by the London Hip Unit in July 2023 costing £93.75 for each invited guest.
  • A Colorectal Group dinner in June 2023 costing £144.16 for each invited guest.
  • A dinner hosted by the Urology department in May 2023 costing £130 for each invited guest.
  • An event hosted by the Digestive Diseases team in April 2023 costing £88.33 for each invited guest.
  • An event hosted by the Orthopaedics team in April 2023 costing £81 for each invited guest.
  • A dinner hosted by the Gastroenterology Service Line in February 2023 costing £132.10 for each invited guest.
  • An event hosted by Shoulder specialists in January 2023 costing £81 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 venture with The Princess Grace 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.

  Welbeck Street Diagnostic Centre LLP (established 2017)
  Outpatient diagnostic centre. Offers consultations, CT, fibroscan, ultrasound, imaging and pathology. Based at 41 Welbeck Street.

  Name of referring clinician	Financial interest held
  London Digestive Health Ltd (Sean Preston, Jonathan Hoare, Peter Irving) (See Note 1 below)	13.20%
  London Obesity Surgery Ltd (Ameet Patel)	4.10%
  FZR Medical Ltd (Farooq Rahman)	4.00%
  Paloza Ltd (Omar Faiz)	3.50%
  Paul Ziprin	3.30%
  Richard Marley	3.00%
  James Lindsay	2.00%
  Qasim Aziz	1.60%
  GRI Research Lab Ltd (Edward Leen)	1.60%
  ACJW Medical Ltd (Alistair Windsor)	1.10%
  Humphries Medical Ltd (Adam Humphries)	1.00%
  Michael Chapman	1.00%
  Liver Surgery London Ltd (Theodora Pissanou)	1.00%
  George Webster	0.80%
  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.

  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

• 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.