Compliance with CMA Order 2014
In October 2014, the Competition and Markets Authority (the "CMA") published the Private Healthcare Market Investigation Order 2014 (the "Order") following its investigation into the private healthcare industry. The Order imposed requirements on private hospital operators to disclose certain information in relation to referring clinicians (as defined by the Order) for the benefit of patients. Full details about the investigation and the Order can be found on the CMA web page https://www.gov.uk/cma-cases/private-healthcare-market-investigation. The information provided by Spire Healthcare is required by the Order.
“Higher Value” Services
The services provided at The Montefiore Hospital to referring clinicians and the amounts charged by Spire for those services are set out below:
|Use of consulting rooms||18 per hour|
Medical secretarial services
|Staff costs recharged in full|
|Office rental||26 per square metre per month|
“Low Value” Services
The following “low-value” services are also provided to referring clinicians with practising privileges at this hospital:
- General services to ensure clinical safety (e.g. in-house training, chaperones)
- Operational services such as patient bookings/admissions (including online booking and payment for consultations), access to a virtual consultation solution, administrative services and billing, and insurance/indemnity cover in respect of NHS patients.
- General marketing support, including production of consultant directories, promotional activities, web profiles etc.
- Basic workplace amenities such as teas/coffees/refreshments, subsidised meals, car parking, stationery.
Corporate Hospitality Events for Referring Clinicians
Spire group Medical Advisory Committee (MAC) Chairs conferences are held twice a year, focusing on clinical safety and governance issues. MAC Chairs from all of Spire’s 39 hospitals are invited to attend, with their partners, and are joined by members of Spire’s senior management. In 2017, the conferences were held in Berlin and Aylesbury and the total cost of the events was approximately £85,000 and £25,000 respectively. In 2018, a conference was held in Berlin and the total cost of the event was approximately £88,000. In 2019, the conferences were held in Lisbon and Aylesbury and the total cost of the events was approximately £95,000 and £28,400. MAC Chairs were also invited to attend the Spire Healthcare Senior Management Conference in Birmingham in June 2019 (8 MAC Chairs attended at a cost of £845 per head).
In 2019, Spire Healthcare held a series of 5 dinners with 70 consultants from across 5 Spire hospitals for the purpose of meeting various members of the Spire Executive team and listening to and engaging with consultants. The cost of the dinners ranged from £60 to £80 per head.
Corporate hospitality events held by the hospital at no charge to referring clinicians are set out below, together with the cost of providing such events:
|Corporate Hospitality Event||Cost (£) per head|
|Cricket hospitality April 2015||£90/head|
|Football hospitality April 2015||£57/head|
|Cricket hospitality July 2015||£25/head|
|Cricket hospitality August 2015||£35/head|
|Cricket hospitality July 2017||£45/head|
|Cricket hospitality August 2018||£90/head|
|Cricket hospitality April 2019||£50/head|
|Cricket hospitality July 2019||£90/head|
The hospital has four debentures for Brighton & Hove Albion FC that are used by consultants and staff. The face value of each of these debentures is £150 per month.
Clinician Financial Interests in Spire
Private hospital operators are required to disclose details of referring clinicians practising at their facilities, who have a share or financial interest in those facilities or any equipment used there. Some clinicians may own shares in Spire Healthcare Group plc, which were acquired either at the admission price or through trading on the main market of the London Stock Exchange. Where a referring clinician has an individual web page profile on this hospital website, relevant shares and/or financial interests are disclosed there. For referring clinicians who do not have an individual profile, their shares and/or financial interests are shown below:
|Clinician Name||Financial Interest|
|Candice Davis||Indirectly holds a 3.85% share in Montefiore House Limited, which owns Montefiore Hospital.|
|Stuart Osborne||Indirectly holds a 3.85% share in Montefiore House Limited, which owns Montefiore Hospital.|
|Antonio Perello Sancho||Holds less than 0.1% of the shares in Spire Healthcare Group plc.|
Clinician Part-Time Positions in Spire
Private hospital operators are required to disclose details of certain paid services provided by referring clinicians to private hospitals operators in addition to exercising practising privileges at that hospital. This information can be found on the referring clinician’s individual web page profile on this hospital website or as follows:
|Clinician Name||Part-Time Position Held|
|Cameron Hatrick||Provides advice to the hospital leadership team and has oversight for the medical committee for a fee of £20,400 per annum.|
|Sunil Sharma||Attends and provides advice to the Hospital Infection Control Committee for a fee of £12,750 per annum.|
|Timothy Chevassut||Attends and provides advice to the Hospital Blood Transfusion Committee for a fee of £8,700 per annum.|
|Tim Corbett||Attends and provides advice to the Hospital Blood Transfusion Committee for a fee of £8,700 per annum.|