CMA compliance

The services provided at Spire London East Hospital to referring clinicians and the amounts charged by Spire for those services are set out below:

• Use of consulting rooms: £5.50 per 15 minutes / £22 per hour
• Medical secretarial services: £27.34 including VAT per hour
• Office rental: £8 + VAT per hour
• Administrative services: £11 + VAT per hour

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, car parking, stationery

Spire group Medical Advisory Committee (MAC) Chairs conferences

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 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).
• No conferences were held in 2020.
• 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 Spire’s 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 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. No dinners were held in 2020, 2021, 2022 and 2023.

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:

• West Ham United FC Hospitality: £300 per head (seven fixtures) - January to May 2019
• Newmarket Racecourses: £100 per head (10 Consultants) - July 2019
• Medical Advisory Christmas Meal at £75 per head

2021 events

In 2021 Spire London East Hospital ceased all hospitality due to COVID-19 and ceased sponsorship with West Ham United FC.

• GP Virtual Educational Session held via Zoom video communications
• Medical Advisory Committee Christmas gift: £100 per head
• Medical Advisory Committee Virtual Christmas lunch: £48 per head

2022 events

• Consultant Town Hall meeting attended by consultants at a cost of £16 per head on 27 October 2022
• GP Head to toe health meeting held at The Holiday Inn Brentwood attended by GP’s and consultants at a cost of £50 per head on 12 November 2022

Education seminars for GPs hosted by the Spire London East Hospital with one consultant speaker. These events were hosted virtually and there were no costs incurred by the Hospital:

• 20 September - 37 attendees
• 28 September - 70 attendees
• 2 November - 84 attendees
• 23 November - 66 attendees
• 14 December - 42 attendees

2023 events

• Spire London East party held in February 2023 attended by both staff and consultants, total cost £15,596
• GP Spring education symposium held at The Holiday Inn Basildon attended by GPs and consultants at a cost of £30.66 per head on 25 March 2023 
• GP Summer education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £35.58 per head on 10 June 2023 
• GP Winter education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £41.25 per head on 18 November 2023
• Medical Advisory Christmas Meal held on 7 December 2023 at a total cost of £1,120.22 
• Consultant Town Hall meeting attended by consultants held on 12 December 2023 at a total cost of £143.35 

Education seminars for GPs hosted by the Spire London East Hospital with one consultant speaker. These events were hosted virtually and there were no costs incurred by the Hospital:

• 11 January - 70 attendees
• 25 January - 41 attendees
• 31 January - 67 attendees
• 7 February - 57 attendees
• 22 February - 66 attendees
• 15 March - 59 attendees
• 4 April - 35 attendees
• 19 April - 45 attendees
• 26 April - 55 attendees
• 2 May - 45 attendees
• 10 May - 86 attendees
• 16 May - 65 attendees
• 31 May - 62 attendees
• 21 June - 53 attendees
• 18 June - 9 attendees 
• 5 July - 64 attendees
• 12 July - 52 attendees
• 26 September - 85 attendees
• 17 October - 10 attendees
• 18 October - 81 attendees
• 25 October - 55 attendees
• 8 November - 68 attendees
• 22 November - 12 attendees
• 29 November - 64 attendees
• 14 December - 10 attendees

2024 events

• Lunch and learn held at local doctors surgery on 11 March 2024 at a total cost of £58.80
• GP Spring education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £29.27 per head on 23 March 
• Lunch and learn held at local doctors surgery on 20 May at a total cost of £51.60
• GP Summer education symposium held in the Holiday Inn Basildon attended by GPs and consultants at a cost of £52.51 per head on 15 June
• Consultant event with key colleagues attending at a cost of £120 per head held on 20 May
• Evening GP event held at Spire London East Hospital on 3 October at a cost of £6.16 per head with a total of 12 attendees

Education seminars for GPs hosted by the Spire London East Hospital with one consultant speaker. These events were hosted virtually and there were no costs incurred by the Hospital:

• 17 January - 94 attendees
• 6 February - 42 attendees
• 14 February - 49 attendees
• 26 February - 14 attendees
• 28 February - 89 attendees
• 12 March - 10 attendees
• 13 March - 55 attendees
• 26 March - 67 attendees
• 16 April - 56 attendees
• 25 April - 56 attendees
• 1 May - 46 attendees
• 5 June - 84 attendees
• 10 June - 8 attendees
• 19 June - 49 attendees
• 25 June - 42 attendees
• 3 July - 40 attendees
• 10 July - 33 attendees
• 16 July - 42 attendees
• 25 July - 65 attendees
• 12 September - 11 attendees
• 8 October - 60 attendees
• 15 October - 75 attendees
• 22 October - 58 attendees

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 Dinesh Sangtani holds less than 0.1% of the shares in Spire Healthcare Group plc
• Dr Rajamani Sethuraman holds less than 0.1% of the shares in Spire Healthcare Group plc
• Dr Sandy Gujral holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Sylvester Amamilo holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Mandeep Lamba holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mrs Sarah Hussain holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Isaac Opemuyi holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Manu Sood  holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr John Peters holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Aman Bhagarva holds less than 0.1% of the shares in Spire Healthcare Group plc
• Dr Debi Ray holds less than 0.1% of the shares in Spire Healthcare Group plc
• Dr Fawad Hussain holds less than 0.1% of the shares in Spire Healthcare Group plc
• Ms Jo Eastman holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Anil Vohra holds less than 0.1% of the shares in Spire Healthcare Group plc
• Dr Nizar Muhammed owns 100% of the EEG/EMG testing equipment that is used at the hospital
• Mr Stephen Brearley uses his own Doppler machine at Spire London East Hospital
• Dr Siraj Adam uses his own spirometer, audiometer and ear irrigator
• Dr Waseem Ashraf owns 100% of the capsule endoscopy kit used at the hospital
• Mr Abir Bhattacharyya owns 100% of 70degree Karl Storz laryngoscope
• Dr Ash Husain uses his own Spirometer at Spire London East Hospital

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.

• Mr John Peters is Chair of the Medical Advisory Committee at Spire London East 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.
• Gomy Kandasamy has been appointed as a pre-operative lead anaesthetist to run and improve pre-operative assessment clinics at the hospital. Duties include Pre-Assessment support and review of complex surgical cases. Gomy Kandasamy is paid at £150 per hour/session.
• Mr Matthew Hanson holds the position of Consultant Endoscopy Lead for Spire London East Hospital, to assist with the JAG accreditation and ongoing endoscopy service, and chairs the Endoscopy User Group meeting, for a fee of £150 per hour spent performing these duties.

Consultants who work part-time: 

• Dr Albert Mifsud provides the hospital with professional advice in relation to microbiology and is paid £13,800 per annum for this role