CMA compliance

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

• Use of consulting rooms: £25.70 per hour, £23.65 if paid by direct debit
• Office rental: £360 including VAT per month per space

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

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.

2019

Training events for GPs that are hosted by Spire Wellesley Hospital at no charge to GPs are set out below, together with the cost of providing such events:

• Bi-monthly GP education seminars hosted on site at the Hospital with 1 consultant speaker and approximately 15 GPs in attendance at a cost of £4 per head 
• Bi-monthly GP education seminars hosted on site at the Hospital with 4 consultant speakers and approximately 40 GPs in attendance at a cost of £6.40 per head
• BLS training sessions for GPs. Eighteen training sessions are scheduled for 2019 with a total of 108 attendees at a cost of £3.50 per head

Corporate hospitality events held by the Spire Wellesley Hospital at no charge to referring clinicians are set out below, together with the cost of providing such events:

• Essex cricket event, August 2019: £130.50 per head
• Twickenham Varsity Rugby, December 2019: £71.25 per head
• 10 Consultants attended Christmas Party, December 2019: £50 per head

2020

Training events for GPs that are hosted by the Spire Wellesley Hospital at no charge to GPs are set out below, together with the cost of providing such events:

• 14 January and 25 February: GP meeting and education seminars hosted on site at the Hospital with one consultant speaker and approximately 13 GPs in attendance at each at a cost of £5.76 per head 
• 15 January: GP education seminar hosted on site at the Hospital with one consultant speaker and 8 GPs in attendance at a cost of £7.75 per head
• 25 January: GP education seminar hosted on site at the Hospital with four consultant speakers and 32 GPs in attendance at a cost of £5.84 per head
• 6 and 24 February: BLS training sessions for GPs. A Total of 12 attendees at a cost of £4.91 per head

2021

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

• 13 January - 66 attendees
• 27 January - 76 attendees
• 10 February - 55 attendees
• 24 February - 49 attendees
• 21 April - 37 attendees
• 11 May - 29 attendees
• 22 June - 57 attendees
• 20 July - 24 attendees
• 5 October - 58 attendees
• 20 October - 55 attendees
• 2 November - 45 attendees
• 24 November - 38 attendees

Corporate hospitality events held by the Spire Wellesley Hospital at no charge to referring clinicians are set out below, together with the cost of providing such events:

• 23 June 2021 - Medical Advisory Committee meeting. Seven attendees received a food hamper as refreshment. Alternative dining options were not available for the meeting due to COVID restrictions. Cost of £31.43pp
• 11 August 2021 - Consultant retirement dinner. Five attendees at a cost of £57.25pp

2022

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

• 25 January - 44 attendees
• 8 February - 35 attendees
• 24 February - 57 attendees
• 9 March - 57 attendees
• 22 March - 34 attendees
• 20 September - 37 attendees
• 28 September - 70 attendees
• 2 November - 84 attendees
• 23 November - 66 attendees
• 14 December - 42 attendees

Corporate hospitality events held by the Spire Wellesley Hospital at no charge to referring clinicians are set out below, together with the cost of providing such events:

• MAC Chairs Dinner attended by consultants at a cost of £20 per head on 11 April 2022
• MAC Chairs Dinner attended by consultants at a cost of £47 per head on 23 June 2022
• Consultant welcome event attended by consultants at a cost of £13 per head on 26 July 2022
• Cricket sponsorship at the Westcliffe on sea cricket ground attended by consultants and GPs at a cost of £295 on 4 September 2022
• MAC Quarterly meeting attended by consultants at a cost of £10 per head on 7 September 2022
• GP Head to toe health meeting attended by GPs and consultants at a cost of £50 per head on 12 November 2022

2023

Education seminars for GPs hosted by the Spire Wellesley 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
• 28 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
• 31 October - 67 attendees
• 8 November - 68 attendees
• 22 November - 12 attendees
• 29 November - 64 attendees
• 14 December - 10 attendees

Corporate hospitality events held by the Spire Wellesley Hospital at no charge to referring clinicians are set out below, together with the cost of providing such events:

• MAC AGM with 33 people in attendance at a cost of £46.70 per head on 27 January 2023
• Medical Secretary dinner with 19 people in attendance at a cost of £40 per head held on 2 March 2023
• 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 £52.52 per head on 10 June 2023
• Consultant event with 20 key colleagues attending at a cost of £21.75 per head held on 27 April 2023
• Consultant event with 10 key colleagues attending at a cost of £30.00 per head held on 20 July 2023
• MAC Dinner with 11 people in attendance at a cost of £93.43 per head on 5 October 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

2024

Education seminars for GPs hosted by Spire Wellesley 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
• 28 February - 89 attendees
• 5 March - 11 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
• 12 June - 58 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
• 8 October - 60 attendees
• 15 October - 75 attendees
• 22 October - 58 attendees
• 20 November - 54 attendees
• 26 November - 65 attendees
• 5 December - 36 attendees

Corporate hospitality events held by the Spire Wellesley Hospital at no charge to referring clinicians are set out below, together with the cost of providing such events:

• AGM for Medical Society dinner with 27 people in attendance at a cost of £26.23 per head on 18 April 2024

Hospitality events for referring clinicians held by the Spire Wellesley Hospital at no charge to referring clinicians are set out below, together with the cost of providing such events:

• BLS training session for GPs with 8 people in attendance at a cost of £20 per head held on 18 January
• Face to face training session for GPs with 32 people in attendance at no cost to the hospital held on 20 March
• GP Spring education symposium held in the Holiday Inn Basildon attended by GPs and consultants with 54 attendees at a cost of £29.27 per head on 23 March
• Face to face training session for GPs with 22 people in attendance at no cost to the hospital held on 14 May
• Face to face training session for GPs with 26 people in attendance at no cost to the hospital held on 14 May
• GP Summer education symposium held in the Holiday Inn Basildon attended by GPs and consultants with 50 attendees at a cost of £52.52 per head on 15 June
• Lunch and learn held at local doctors surgery with 10 people in attendance at a cost of £4.50 per head held on 20 June
• Face to face training session for GPs with 20 people in attendance at no cost to the hospital held on 2 July
• Face to Face training session for GPs with 16 people in attendance at no cost to the hospital held on 1 October
• GP Winter education symposium held in the Holiday Inn Basildon attended by GPs and consultants with 63 attendees at a cost of £44.46 per head held on 16 November
• Lunch and learn held at local doctors surgery with 10 people in attendance at a cost of £4.18 per head held on 21 November

2025

• Externally organised, Face to face training session with 42 primary care attendees held on 12 February at no cost to the hospital
• Lunch and learn held at Southend Medical Centre with 5 primary care attendees, 1 consultant speaker and 1 member of staff at a cost of £6.51 per head held on 18 February
• GP Education session held at Spire Wellesley Hospital with 10 primary care attendees, 1 consultant speaker and 2 members of staff in attendance at a cost of £18.42 per head held on 27 February
• Lunch and learn held at Southend Medical Centre with 5 primary care attendees, 1 consultant speaker and 1 member of staff at a cost of £6.51 per head held on 18 March 
• GP Spring education symposium held in the Holiday Inn Basildon attended by GPs and consultants with 52 primary care attendees, 4 consultants and 3 members of staff in attendance at a cost of £38.87 per head on 29 March

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

• 22 January - 83 attendees
• 30 January - 91 attendees
• 5 February - 65 attendees
• 19 March - 63 attendees
• 25 March - 61 attendees
• 4 April - 82 attendees
• 9 April - 10 attendees
• 10 April - 53 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: All clinicians holding relevant shares and/or financial interests are disclosed on their individual pages on the Spire Wellesley Hospital website or are listed below.

• Dr Deborah Jennings, Consultant Gynaecologist: Holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Peter Acher, Consultant Urological Surgeon: Holds less than 0.1% of the shares in Spire Healthcare Group plc
• Mr Anil Vohra, Consultant Urological Surgeon: Holds less than 0.1% of the shares in Spire Healthcare Group plc
• Dr Matthew Tam: Holds less than 0.1% of the shares in Spire Healthcare Group plc
• Dr Dinesh Sangtani: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Dr Agilan Kaliappan: Holds less than 0.1% of the shares in Spire Healthcare Group Plc
• Mr Peter Pietrzak 100% ownership of a bladder scanner used at Spire Wellesley Hospital
• Mr Peter Pietrzak 100% ownership of a Percutaneous Tibial Nerve Stimulator at Spire Wellesley Hospital
• Mr Matthew Jakeways 100% ownership of a Veinwave, thermocoagulation machine used at Spire Wellesley Hospital
• Mr Syed Raza 100% ownership of a Storz Medical machine used at Spire Wellesley Hospital
• Dr Nizar Muhammed 100% ownership of a EMG equipment used at Spire Wellesley 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 or as below:

• Dr Javeed Ahmed (Consultant Microbiologist) provides the hospital with advisory services and is paid £10,200 per annum for this position.
• Mr Tony Greer is Chair of the Medical Advisory Committee at Spire Wellesley 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 Neal Samuels (Consultant Anaesthetist) provides the hospital with Pre-operative Assessment Services and this includes consultation with patients meeting certain criteria or notes review for patients who are due to undergo a surgical procedure. Since 6 April 2021 Mr Samuels is paid £95 per private patient and £65 per NHS patient consultation. He is paid £180 per hour for notes review which is pro-rated to nearest 15 minutes. In 2021 he was paid a total of £16,405 for providing these services. In 2022 he was paid a total of £35,825 for providing these services. In 2023 he was paid a total of £41,470 for providing these services. In 2024 he was paid a total of £52,370 for providing these services. 
• Dr Alistair Hughes (Consultant Anaesthetist) provides the hospital with Pre-operative Assessment Services and this includes consultation with patients meeting certain criteria or notes review for patients who are due to undergo a surgical procedure Since 6 April 2021 Mr Hughes is paid £95 per private patient and £65 per NHS patient He is paid £180 per hour for notes review which is pro-rated to nearest 15 minutes. In 2021 he was paid a total of £26,820 for providing these services. In 2022 he was paid a total of £36,843 for providing these services. In 2023 he was paid a total of £25,587 for providing these services. In 2024 he was paid a total of £35,645 for providing these services.