CMA compliance

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

• Use of consulting rooms: £25 per hour
• Medical secretarial services: charged at an average rate of £25.44 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
• Basic workplace amenities such as teas/coffees/refreshments, subsidised meals, car parking, stationery
• General corporate hospitality, including the cost of providing any specific events

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.

Local hospitality events

• November 2022 - Members of Thames Valley Hospital MAC were invited to join the senior management team for a face to face MAC meeting and meal costing approx. £68 per head.
• Spire Thames Valley Hospital’s Annual General Meeting (AGM) was held April 2023.  Consultants with practicing privileges rights were invited to attend along with the Hospital management team. The event was attended by 26 at a cost approximately £436 per head.
• Members of Thames Valley Hospital MAC were invited to join the senior management team for a face to face MAC meeting and meal in September 2023 costing approx. £52 per head with 11 attendees.
• A Urology dinner took place in 2023; there were 5 consultants in attendance and 13 attendees in total including colleagues from the hospital. The room charge was £250 and the food charge was £640.14, making the total £890.14 and £68 per head.

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 Amrita Kumar holds less than 0.1% of the issued share capital of Spire Healthcare Group plc
• Dr Sassoon Levi holds less than 0.1% of the issued share capital of Spire Healthcare Group plc
• Dr Pushkar Dadarkar holds less than 0.1% of the issued share capital of Spire Healthcare Group plc
• Mr Ram Moorthy holds less than 0.1% of the issued share capital of Spire Healthcare Group plc

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.

• Dr Veronica Garcia-Arias provides microbiology advisory services to Spire Thames Valley and is paid £7400 per annum for this role.
• Mr Kheterpal is Chair of the Medical Advisory Committee at Spire Thames Valley 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 Roy Fernandes holds less than 0.1% of the issued share capital of Spire Healthcare Group plc and has duties as the Lead Anaesthetist for Pre-Operative Assessment Service; he is paid a fee of £175 per hour inclusive of VAT