Some HCA 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 ventures with The Harley Street Clinic.

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 6 May 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.

Devonshire Diagnostic Centre Ltd (established 2018):
Outpatient diagnostic services. Offers consultations, CT, mammography, ultrasound, cardiology testing, imaging and pathology. Based at 30 Devonshire Street, 86-88 Harley Street and 16-18 Devonshire Street.

Name of referring clinician	Financial interest held
TPC Newco (John Axford, Qasim Aziz, Huw Beynon, Pierre-Marc Bouloux, Carl Brookes, Michael Brown, Paul Glynne, Rajeev Gupta, Michael Hanna, Sam Janes, Alexander Lyon, Pamela Mangat, Hadi Manji, Richard Marley, Neal Navani, Malcolm Rustin, Edward Seward, Alexander Tidswell, Mark Vanderpump, Anthony Warrens, George Webster – via Webster Medical Ltd, Efthimia Karra, Ahmed Youseif, Animesh Singh via North West London Rheumatology Ltd, Amanda Varnava, Stuart Bloom Ltd, Howard Branley, Steven Hurel)	2.33%
David Lawrence Consultants Ltd (David Lawrence)	0.44%
I.A. Dermatology Ltd (Iaisha Ali)	0.44%
Androfertility Limited (Tet Yap)	0.33%
London Paediatricians Ltd (Nida Chammas)	0.33%
Rapidology Ltd (Anmol Malhotra)	0.30%
Arjun Shankar	0.27%
Dr Barry Grimaldi Diagnostics Ltd (Barry Grimaldi)	0.27%
London Head & Neck Ltd (Nikolaos Kalavrezos)	0.24%
Scooby Investments Ltd (Nitish Sheth)	0.20%
Jonathan Waxman	0.19%
Dr Diana Holdright Ltd (Diana Holdright)	0.18%
B-Con Investments Ltd (John Conibear)	0.14%
Christopher Chan	0.13%
Harley Street Andrology Ltd (Asif Muneer)	0.13%
Sanjeev Bassi	0.12%
DoctorG Ltd (Gerard Hall)	0.11%
LSP Enterprises Ltd (Richard Seah)	0.11%
Tev Aho Ltd (Tevito Aho)	0.11%
UroAndrology London Limited (Hussaim Alnajjar)	0.10%
Roberts Medical Ltd (Neil Roberts)	0.09%
London Dermatology Solutions (Ramia Mokbel)	0.09%
Dr S Cleator (Susan Cleator)	0.09%
Imperial Urology Limited (Tamer El-Husseiny)	0.07%
Afshin Mosahebi	0.07%
Richard Selway	0.07%
Julian Hague	0.07%
Sibtain Medical Ltd (Amen Sibtain)	0.07%
Khaled Dawas	0.04%
Cardiac Consultants Ltd (Michael Mullen)	0.04%
Denis Pellerin	0.04%
Urologists London Limited (Christopher Ogden)	0.04%
Alifrangis Consulting Ltd (Constantine Alifrangis)	0.04%
Kent Breast Clinic Ltd (Abdul Kasem)	0.04%
Nicholas Faure-Walker	0.04%
Dr Oliver Segal Ltd (Oliver Segal)	0.04%
London Surgical Associates (LSA) Limited (Austin Obichere)	0.03%
Francis Vaz	0.03%
Ranjeev Bhangoo	0.03%
Homp Limited (Gajen Sunthar Kanaganayagam)	0.03%
Dimitri Hadjiminas	0.03%
Cheshire Medical Services Ltd (Tahir Khan)	0.03%
Private Urology London (Sudhanshu Chitale)	0.03%
Pallav Shah	0.03%
Jeremy Steele	0.03%
A.O.C.C.T.S Ltd (Andrew Chukwuemeka)	0.02%
London Shoulder and Elbow Ltd (Henry Colaco)	0.02%
Khurum Khans Ltd (Khurum Khan)	0.02%
London Medical & Scanning Ltd (Noel Pollock)	0.02%
Sarah Davies	0.02%
Miss T K Walters Ltd (Tena Walters)	0.02%

Robotic Radiosurgery LLP (established 2009):
Non-invasive radiotherapy treatment commonly known as Cyberknife, based at 79 Harley Street.

Name of Referring Clinician	Financial interest held
Nick Plowman	2.71%
Paul Ellis	2.71%
James Allibone	0.90%
Bhupal Chitnavis	0.81%
Keyoumars Ashkan	0.81%
Richard Gullan	0.54%
Amen Sibtain	0.54%
Christopher Nutting	0.54%
John Yeh	0.54%
Habib Ellamushi	0.54%
Nihal Shah	0.54%
Sanjeev Bassi	0.54%
Alison Jones	0.54%

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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: 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:

• The annual Harley Street Clinic Medical Advisory Committee dinner in December 2023 costing £175 for each invited guest
• A dinner hosted by the London Neurological Partnership in November 2023 costing £148.45
• A cardiac network dinner in October 2023 costing £105 for each invited guest. 
• The Annual Harley Street Clinic and Leaders in Oncology Care party in September 2023 costing £254.32 for each invited guest.

Secretarial and administrative services:
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 (£)
The Harley Street Clinic	24.00
The London Cyberknife Centre	24.00
The Devonshire Diagnostic Centre (inc London Urology Associates)	24.00
The Physicians Clinic	24.00
The Women’s Health Centre	24.00

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 (£)
The Harley Street Clinic	25.00
The London Cyberknife Centre	25.00
The Devonshire Diagnostic Centre (inc London Urology Associates)	25.00
The Physicians Clinic	25.00
The Women's Health Centre	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.

The following low-value services are provided free-of-charge to referring clinicians with practising privileges at HCA facilities:

• 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.