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. The information provided by Spire Healthcare below is required by the Order.

"Higher value" services

The services provided at Spire Leeds Hospital and Spire Harrogate Clinic to referring clinicians and the amounts charged by Spire Healthcare for those services are set out below:

  • Use of consulting rooms: £20.80 per hour
  • A 20% discount is available to all consulting room users. Discount can be accessed by agreeing to prompt payment terms (payment by direct debit)
  • Office rental: £350 per month, per desk
  • Medical secretarial services: £25.01 per hour

“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 (eg 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 Healthcare group Medical Advisory Committee (MAC) Chairs conferences

Spire Healthcare 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 Healthcare’s hospitals are invited to attend, with their partners, and are joined by members of Spire Healthcare’s senior management.

  • In 2021, conferences were held virtually via Zoom as well as face to face in Aylesbury. The total cost of the events in 2021 was approximately £2,120 and £19,300 respectively. 
  • In 2022, the conferences were held in May at our head office in London and in November at Oulton Hall, Leeds. The total cost of the events in 2022 were approximately £6,463 and £20,338 respectively.
  • In 2023, the conferences were held in June at M Restaurant in London and in November at The Midland Hotel, Manchester. The total cost of the events in 2023 were approximately £2,931 and £20,389 respectively.
  • In 2024, the conferences were held in May at our head office in London and in November at The Midland Hotel, Manchester. The total cost of the events in 2024 were approximately £1,674 and £22,800 respectively.

Corporate hospitality events

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.

2024

Patients 

  • 25 April, patient forum - 4 patients attended at £5.50 per head
  • 19 July, patient forum - 7 patients attended at £2.50 per head
  • 8 November, patient forum - 8 patients attended at £2.50 per head

Consultants

  • 12 March, MAC meeting – 7 consultants attended at £6 per head
  • 17 June, MAC meeting – 11 consultants attended at £6 per head
  • 24 September, MAC meeting – 8 consultants attended at £6.75 per head
  • 9 November, Leeds United Football Club matchday hospitality - 2 consultants attended at £198 per head
  • 19 December, MAC meeting – 7 consultants attended at £11 per head

Referring practitioners 

  • 10 January, evening education event at Spire Leeds Hospital with Mr Ben Mercer – 10 attendees at £9.47 per head
  • 16 January, lunch and learn event at Kippax Hall Surgery with Mr Tibbott – 6 attendees in £11.84 per head
  • 19 January, lunch and learn event at Leeds Student Medical Practice with Dr Mankia – 24 attendees at £3.83 per head
  • 30 January, lunch and learn event at Leeds City Medical Dr Amery – 15 attendees at £4.14 per head
  • 7 March, lunch and learn event at Aire Valley Surgery with Mr Cosgrove – 14 attendees at £7.01 per head
  • 13 March, evening education event at Spire Leeds Hospital with Mr Colin Holton – 25 attendees at £3.92 a head
  • 19 March, lunch and learn event at Lingwell Croft Surgery with Dr Amery – 16 attendees at £6.13 per head
  • 26 March, evening education event at Spire Leeds Hospital with Mr James Tibbott – 11 attendees at £7.99 per head
  • 17 April, evening education event at Spire Leeds Hospital with Mr Kulveer Mankia – 16 attendees at £6.12 per head
  • 22 May, evening education event at Spire Leeds Hospital with Dr Carol Amery – 11 attendees at £8.90 per head
  • 6 July, paediatric masterclass - Costing a total of £1247.50, with £900 received in sponsorship - 15 GPs attended
  • 23 July,  evening education event at Spire Leeds Hospital with Dr Idrovo, 15 attendees at £5.75 per head
  • 12 September, MSK In-service training day – 54 attendees at £13.00 per head
  • 18 September, 2024 Spire Yorkshire Hub Primary Care Symposium, 41 attendees plus 6 speakers and 3 hub staff total 50. Overall cost £3,240.00. Cost per head £64.80.
  • 8 October, evening education event at Spire Leeds Hospital with Mr Kelly – 16 attendees at £5 per head
  • 11 December, lunch and learn event at BUPA Clinic Dr Goddard – 8 attendees at £8.63 per head

2023

Patients 

  • 31 March, patient forum - 10 patients attended at £21.00 per head
  • 23 June, patient forum - 7 patients attended at £25.75 per head
  • 3 July, patient forum - 5 patients attended at £5.50 per head
  • 19 December, patient forum - 16 patients attended at £5.50 per head

Consultants

  • 21 February, MAC meeting – 10 consultants attended at £4.45 per head
  • 22 May, MAC meeting – 11 consultants attended at £4.45 per head
  • 20 September, MAC Annual General Meeting (Weetwood Hall Estate) – 25 attendees (20 consultants plus colleagues) at £58 per head (with a total cost of £1,448)
  • 19 December, MAC meeting – 11 consultants attended at £6 per head

2022

MAC meeting 19 July 2022, 8 consultants attended at £29 per head

2021

There were no local corporate hospitality events held in 2021

2020

There were no local corporate hospitality events held in 2020

Clinician financial interests in Spire Healthcare

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:

  • Dr Stephen Dean holds less than 0.1% of the issued share capital of Spire Healthcare Group plc
  • Dr Roderick Johnson holds less than 0.1% of the issued share capital of Spire Healthcare Group plc
  • Mr Gerard Kelly owns 100% of an Amplicox Otovave 102 used at Spire Leeds Hospital. He holds less than 0.1% of the issued share capital of Spire Healthcare Group plc.

Clinician advisory services to Spire Healthcare

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:

  • Gerard Kelly is Chair of the Medical Advisory Committee at Spire Leeds Hospital. Their role is to provide senior professional advice to the Hospital Director and Director of Clinical Services in order to support effective medical governance and oversight. They are paid £14,000 per annum for this role and are also entitled to receive the following fees for the provision of additional ad hoc services: (i) £750 for chairing a Professional Review Committee; (ii) £200 per hour for attendance at regulatory or other national body meeting (capped at £500); (iii) £500 for each annual medical appraisal undertaken for a doctor designating to Spire for the purposes of revalidation; (iv) £1,000 per annum for undertaking the role of governance lead in addition to MAC Chair; and (v) £200 per hour for the preparation of an independent report (up to a maximum of £500 per report unless otherwise agreed due to complexity) upon request by the Medical Director or Chief Medical Officer.
  • Dr Martin Dresner has been appointed as a pre-operative lead anaesthetist to run and improve pre-operative assessment clinics at the hospital. Duties include pre-assessment anaesthetic reviews and Dr Dresner is paid £165 per hour.
  • Dr Mike Carrick has been appointed as a pre-operative lead anaesthetist to run and improve pre-operative assessment clinics at the hospital. Duties include pre-assessment anaesthetic reviews and Dr Carrick is paid £165 per hour.