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.

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 for secretarial and administrative services:

     Facility  Hourly rate charged by HCA (£)
     HCA UK at The Wilmslow 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 (exclusive of VAT) for consulting rooms:

     Facility  Hourly rate charged by HCA (£)
     HCA UK at The Wilmslow Hospital  17.50
     
  • 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 Wilmslow Hospital annual Christmas party in December 2023 costing £136.20 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 Wilmslow.

    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.

    52 Alderley Road LLP (established 2014):

     Name of referring clinician  Financial interest held
     Sharif Breast Services Ltd (Amir Sharif, Abbas Chitallia)  4.80%
     Richard Johnson  3.20%
     Christie Oncology Imaging LLP (Bernadette Mary Carrington, Claire Nicola Barker)  2.80%
     Vishal Madan  1.60%
     Kokans Ltd (Jalal Kokan)  0.80%
     Sulaiman Anaesthetic Services Ltd (S Lutfi Sulaiman)  0.80%
     Manchester Neurosurgery Ltd (John Leach)  0.80%
     Andrew Dunn Medical Ltd (Andy Dunn)  0.80%
     Say Aun Quah  0.80%
     K & H Akhtar Ltd (Khurshid Akhtar)  0.80%
     Mohammed Waseem  0.80%
     Jarrod Homer Ltd (Jarrod Homer)  0.80%
     Mo Saeed Ltd (Mohammed Saeed)  0.80%
     Manchester Gynaecology Ltd (Richard Slade)  0.40%
     Saqib Chowdhary  0.40%
     RSV Diagnostics Ltd (Naveen Vasireddy)  0.40%
     D J Murray Ltd (David Murray)  0.40%
     Naweed Shahid  0.40%
     Grove Surgical Services Ltd (Simon Lloyd)  0.40%
     Ram Mohan  0.40%
     K Hinduja Ltd (Kunal Hinduja)  0.40%
     D Sandher Ltd (Dilraj Sandher)  0.40%
     RSM Reports Ltd (Randeep Mohil)  0.40%
     Usman Khan  0.40%
     T M Joint Solutions Ltd (Tahir Mahmud)  0.40%
     Waqar Bhatti  0.40%
     Genuine Solutions North West Ltd (Richard Samarji, Pankaj Sharma)  0.40%
     Sumohan Chatterjee  0.40%
     Mohammed Absar  0.40%
     110 Consulting Limited (Nasir Shah)  0.40%
     Lennard Funk  0.40%

     

  • 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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