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.


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This information disclosed on this page is supplied in accordance with the Private Healthcare Market Investigation Order 2014.

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)

    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 (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 (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 2021, this Hospital has hosted the following Events:

    • Meal with PGH consultants and HCA Executives in October 2021 costing £61 per head.
    • A GP liaison dinner in February 2022 costing £68 per head.
  • 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 23 September 2022. 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 (Dr Sean Preston, Dr Jonno Hoare, Dr Peter Irving) (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%
     Prof Qasim Aziz  1.60%
     GRI Research Lab Ltd (Prof Edward Leen)  1.60%
     ACJW Medical Ltd (Mr Alistair Windsor)  1.10%
     Humphries Medical Ltd (Dr Adam Humphries)  1.00%
     Dr Mike Chapman  1.00%
     Liver Surgery London Ltd (Ms Theodora Pisanou)  1.00%
     AMG Oncology Services (Andy Gaya)  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.

    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.

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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