How we work with doctors at London Bridge Hospital
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. The information disclosed on this page is supplied in accordance with the Private Healthcare Market Investigation Order 2014.
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.
This information disclosed on this page is supplied in accordance with the Private Healthcare Market Investigation Order 2014.
In addition to the London Bridge Hospital, the disclosure on this page covers the following facilities which are operated by London Bridge Hospital:
HCA UK City of London at 120 Old Broad Street
HCA UK City of London at 31 Old Broad Street
London Bridge Private Care at Guy’s (including LOC at London Bridge Hospital)
Services and Partnerships with doctors
Some HCA UK 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 London Bridge 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 31 October 2024. 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.
LOC @ London Bridge Hospital LLP (established 2011):
Outpatient and daycase chemotherapy service with PET CT. Based at Emblem House, Tooley Street and Private Care at Guy’s.
| Name of referring clinician | Financial interest held |
| Mark Harries | 1.26% |
| ABC Spine Ltd (Bhupal Chitnavis) | 0.86% |
| Dr David Feuer Ltd (David Feuer) | 0.66% |
| Andrew Tutt | 0.61% |
| Dr NG Mikhaeel LLP (George Mikhaeel) | 0.56% |
| John Meenan | 0.45% |
| George Santis | 0.30% |
| Dr T. Wong Holdings Ltd (Terrance Wong) | 0.25% |
| E Carapeti Limited (Emin Carapeti) | 0.25% |
| Dunne Plunket Ltd (Declan Cahill) | 0.25% |
| Complete Cancer Care Ltd (Hartmut Kristeleit) | 0.25% |
| Rahul Nath | 0.25% |
| Harley Street Breast Clinics Ltd (Nick Beechey-Newman) | 0.20% |
| Paul Ross | 0.20% |
| Phillip Harrison | 0.20% |
| Devalia Consulting Ltd (Haresh Devalia) | 0.20% |
| Benjamin Challacombe | 0.15% |
| Bultitude Medical Services Ltd (Matthew Bultitude) | 0.15% |
| Chinmedica Ltd (Francis Chinegwundoh) | 0.10% |
| Kent Breast Clinic Ltd (Abdul Kasem) | 0.10% |
| Edward Westcott Ltd (Edward Westcott) | 0.10% |
| KIYU LIMITED (Mohsin Dani) | 0.10% |
| Surgirus Ltd (Seema Seetharam) | 0.10% |
| Christian Brown | 0.10% |
| Popert Urology Services Ltd (Rick Popert) | 0.05% |
| Eleni Karapanagiotou | 0.05% |
City and CW Health Limited (established 2024):
Outpatient and diagnostic services based at 31 Old Broad Street, 120 Old Broad Street and 40 Bank Street
| Name of referring clinician | Financial interest held |
| BCF Medical Limited (Mary Wain) | 0.60% |
| Bultitude Medical Services Limited (Matthew Bultitude) | 0.60% |
| Fertility Assist Ltd (Nataly Atalla) | 0.60% |
| LondonSwissMedical Ltd (Philip Kelly) | 0.60% |
| Paramit Chowdhury | 0.60% |
| Singh Healthcare Investments Limited (Sam Singh) | 0.60% |
| Eli Silber Limited (Eli Silber) | 0.50% |
| R&D Investment Servicers Limited (Raj Srirajaskanthan) | 0.50% |
| Dr John O'Donohue Limited (John O'Donohue) | 0.48% |
| Reffitt Associates Ltd (David Reffitt) | 0.48% |
| Adhya Medical Ltd (Shaumik Adhya) | 0.40% |
| Devalia Consulting Limited (Haresh Devalia) | 0.40% |
| KIYU LIMITED (Mohsin Dani) | 0.40% |
| London Hepatology Consulting Limited (Michael Heneghan) | 0.40% |
| M.Perovic Ltd (Milica Perovic) | 0.40% |
| Patrick Dubois | 0.40% |
| S Srikrishna Ltd (Sushma Srikrishna) | 0.40% |
| Sarah McWilliams Limited (Sarah McWilliams) | 0.40% |
| Surgirus Ltd (Seema Seetharam) | 0.40% |
| Maanee Limited (Tarun Singhal) | 0.32% |
| Kent Breast Clinic Ltd (Abdul Kasem) | 0.26% |
| Doback Ventures Limited (Tony Kochhar) |
0.25% |
| Abisi Limited (Said Abisi) | 0.24% |
| ABC Spine Limited (Bhupal Chitnavis) | 0.20% |
| Birchwood Gastroenterology Limited (Aathavan Loganayagam) | 0.20% |
| London Cardio Ltd (Ravi Kamdar) | 0.20% |
| London Gynae Cancer Limited (Rahul Nath) | 0.20% |
| Obgyn London LLP (Christian Barnick) | 0.20% |
| Seth Medical Services Ltd (Ajai Seth) | 0.20% |
| Prime Meridien Gastroenterology Limited (Angad Dhillon) | 0.15% |
| Sarco Media Limited (Andrew Goldberg) | 0.12% |
| Vivek Datta | 0.12% |
| Daniel Sado | 0.08% |
| Fakouri Medical Ltd (Bahram Fakouri) | 0.08% |
| J D Medical Services Ltd (Jerome Davidson) | 0.08% |
| Lawrence Okiror | 0.08% |
| London Spine & Pain Centre Limited (Norman Kufakwaro) | 0.08% |
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: here
The Harley Street Clinic, the London Bridge Hospital and HCA Joint Ventures are the primary HCA facilities for the following joint venture in which doctors have an equity interest: The London Radiotherapy Centre Limited (established 2022). Full ownership details can be found at this page: here
On occasion, HCA UK provides general corporate hospitality at social events to which doctors are invited (such as Christmas parties) or educational events (such as service line demonstrations or symposia). 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. It is important that we are transparent about the frequency and cost of these events. In all cases, the stated cost includes food and drink (where this cost is paid by HCA to an external party), plus the cost of hiring any non-HCA venue used. Where it is sensible to do so (e.g. a dinner) we will typically publish the cost per attendee; but where the total cost is fixed irrespective of attendees, we will normally state the number of people invited to the event.
Since 1 January 2023, this Hospital has hosted the following Events:
- Dinner after a Shoulder Study Day event in September 2024. The total cost of this event was £2,500. 33 people attended this event.
- A digestive diseases study day in June 2024. The total cost was £13,398. 150 people were invited to this event.
- Two evenings in July 2024 celebrating the opening of the Hospital’s Canary Wharf premises. The total cost of these events was £15,508. A total of 503 people were invited to these events.
- A shoulder study day in June 2024. The total cost of the event was £20,551. 160 people were invited to this event.
- A dinner for the Hospital’s Orthopaedic service line in June 2024. The total cost was £3,000. 27 people attended this event.
- A dinner for the Hospital’s Neurosciences service line in February 2024. The total cost was £4,610. 30 people attended this event.
- A men’s health event in February 2024. The total cost of the event was £13,000. 100 people were invited to this event.
- The London Bridge Hospital annual new year party in February 2024. 450 people were invited to this event. The total cost per invited guest was £234.95.
- A networking event for local consultants and primary care doctors in January 2024. The total cost of this event was £17,970. 162 people attended this event.
- A dinner for physiotherapists in December 2023 costing £127.69 for each invited guest
- An event including dinner hosted by the Haematology-Oncology department in December 2023 costing £195 for each invited guest.
- A Women’s Health Event in October 2023 costing £116.66 for each invited guest.
- A Spinal Services Dinner in October 2023 costing £143.96 for each invited guest.
- A Digestive Diseases Group dinner in October 2023 costing £117.84 for each invited guest.
- A Cardiac Group dinner in October 2023 costing £116.66 for each invited guest.
- A Cardiology service line dinner in June 2023 costing £132.10 for each invited guest.
- A meal after an HCA Primary Care event in Bromley in May 2023 costing £70.01 per attendee.
- An event hosted by Shoulder surgeons in March 2023 costing £116 for each invited guest.
- An annual party to which doctors were invited in February 2023 costing £247 for each invited guest.
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 (inclusive of VAT) for secretarial and administrative services:
| Facility | Hourly rate charged by HCA (£) |
| London Bridge Hospital | 24.00 |
| HCA UK City of London at 120 Old Broad Street | 24.00 |
| HCA UK City of London at 31 Old Broad Street | 24.00 |
| HCA UK at The Shard | 24.00 |
| HCA UK at Docklands | 24.00 |
| London Bridge Private Care at Guy's (including LOC at London Bridge Hospital) | 24.00 |
| London Bridge Hospital Radiotherapy | Not provided at this location |
| HCA Healthcare UK Canary Wharf Outpatients | Not provided at this location |
A full time medical secretary service (where provided) is charged as 1875 hours per year.
Consulting rooms and desks for administrative staff:
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 and other referring clinicians on an hourly basis at fair market value which we estimate by reference to the cost of equivalent services in the same geographical locality.
We also license administration desks for use by referring clinicians’ own administrative staff on a full or half day basis, at fair market value which we estimate by reference to the cost of equivalent services in the same geographical locality.
Consulting rooms and administration desks are made available on a non-discriminatory basis and on equivalent terms in accordance with the Private Healthcare Market Investigation Order 2014.
HCA charges the following (inclusive of VAT) for consulting rooms:
| Facility | Hourly rate charged by HCA (£) |
| London Bridge Hospital | 25.00 |
| HCA UK City of London at 120 Old Broad Street | 25.00 |
| HCA UK City of London at 31 Old Broad Street | 25.00 |
| HCA UK at The Shard | 25.00 |
| HCA UK at Docklands | 25.00 |
| London Bridge Private Care at Guy's (including LOC at London Bridge Hospital) | 25.00 |
| London Bridge Hospital Radiotherapy | Not provided at this location |
| HCA Healthcare UK Canary Wharf Outpatients | 25.00 |
The (VAT-inclusive) day rates for administration desks (for use by referring clinicians’ own administrative staff) are £38 for a desk in a private office and £32 for a desk in a shared office area; half-day usage (less than four hours) is charged at 50% of these rates.
In recognition of the administrative saving in doing so HCA offers a ‘committed annual room licence’ arrangement to referring clinicians who are no more than three months in arrears of payments due to HCA for consulting room usage or medical secretarial services. For referring clinicians wishing to participate in this arrangement, HCA offers a 25% discount from the hourly rates above where the referring clinician commits to regular use of consulting room space for a 12-month period, payment for which must be made by monthly standing order or direct debit. HCA takes account of bank holidays in the monthly fee charged and provides a credit to the individual’s account in the event the consulting room is not available because of closure of the relevant facility, but there is otherwise no reduction or refund if the room is not used, including for reasons of referring clinician sickness, holiday or where a patient cancels or fails to attend their booked appointment.
Similarly, HCA offers discounted rates for the hiring of administration desks (half-day and full-day) for a 12-month commitment on the same terms as those set out above for the ‘committed annual room licence’ arrangement. That committed annual discount for an admin desk currently reduces the daily fee to £28 for a desk in a private office and £24 for a desk in a shared office area.
- 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)
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.
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.