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 Lister 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.

Hathor Chelsea Limited (established 2017):

Fertility clinic based at The Lister Hospital, Chelsea.

Name of referring clinician	Financial interest held
Hossam Abdalla	5.00%
Jaya Parikh	5.00%
Meen-Yau Thum	5.00%
Raef Faris	5.00%
James Nicopoullos	5.00%

Chelsea Outpatient Centre LLP (established 2010):
Outpatient diagnostic centre. Offers consultations, MRI, mammography, DEXA, ultrasound, cardiology testing, imaging and pathology. Based at 280 Kings Road.

Name of referring clinician	Financial interest held
Thomas Ind	4.00%
John Janssen	4.00%
Harley Street Andrology Ltd (Asif Muneer)	4.00%
Urologists London Ltd (Christopher Ogden)	2.00%
Michael Dinneen	2.00%
Eleanor Moskovic	1.50%
Dermatology Treatment Centre Ltd (Nilesh Morar)	1.25%
Steven Allen	1.00%
Imaging Partners Ltd (Syed Babar)	1.00%
Giles Bantick	1.00%
Nick Beechey-Newman	1.00%
Martin Benson	1.00%
John Hardy	1.00%
Ian Holloway	1.00%
Stuart James	1.00%
London Urological Surgeons Ltd (Bijan Khoubehi)	1.00%
Ian Mak	1.00%
Maneesh Patel	1.00%
Suveer Singh	1.00%
Jeannie Yoon	1.00%
Arjun Shankar	1.00%
Skin Surgery Associates of London Ltd (Richard Barlow)	0.75%
Michael Dooley	0.75%
Anthony Kontos	0.50%
London Gastrointestinal Centre (Simon Anderson, Christopher Chan, Priyajit Prasad)	0.50%
Andrew Forester	0.50%
Charles Gibbons	0.50%
London Rheumatology Ltd (John Axford)	0.50%
Sarah Davies	0.50%
Clare Kiely	0.50%
David Selvaduri Ltd ( David Selvaduri)	0.50%
David Leslie	0.50%
London Gastrointestinal Centre (Simon Anderson, Christopher Chan, Priyajit Prasad)	0.25%
Robin Chatterjee	0.25%
Myles Smith	0.25%
Kara Heelan	0.25%

Chiswick Outpatient Centre LLP (established 2017):
Outpatient diagnostic centre. Offers consultations, MRI, CT, mammography, ultrasound, cardiology testing, imaging and pathology. Based at 347-353 Chiswick High Rd.

Name of referring clinician	Financial interest held
West London Neurology Partners Ltd (Alidz Pambakian, Christopher Carswell, Maneesh Patel)	3.00%
London Paediatricians Ltd (Elia Maalouf & Nida Chammas)	2.90%
Stuart James	2.00%
Toufan Bahrami Ltd (Toufan Bahrami)	1.50%
John Janssen	1.50%
Klinke Med Services Ltd (Martin Klinke)	1.50%
Pardeep Kumar	1.50%
WH Services Ltd (Wajid Hussain)	1.20%
Anthony Davies	1.20%
Andrew Forester	1.00%
London Hand Surgery Ltd (Joseph Perez)	1.00%
Howard Branley	1.00%
Afrina Alam	0.90%
Mediwest Ltd (Cliona O'Connell)	0.80%
Beski Womens Care Ltd (Shohreh Beski)	0.80%
SZ Tross Ltd (Samantha Tross)	0.80%
Paedsurg Ltd (Simon Clarke)	0.80%
Ranan Dasgupta	0.80%
Anderson Urology Practice Ltd (Christopher Anderson)	0.80%
Martin Benson	0.70%
Michael Chapman	0.60%
Matthew Foxton	0.60%
Imperial Breast Surgeon (Mr Paul Thiruchelvam)	0.50%
Tabish Saifee	0.50%
Shoulder and Elbow London Ltd (Nicholas Ferran)	0.50%
Amer Khan Ltd (Amer Khan)	0.50%
Giles Bantick	0.50%
David Nicol	0.50%
Imperial Urology Ltd (Tamer El-Husseiny)	0.50%
Tran Seaton	0.40%
WL Diagnostics Ltd (Neil Upadhyay)	0.40%
Homp Ltd (Gajen Sunthar Kanaganyagam)	0.40%
The Heart Chambers Ltd (Piers Clifford)	0.40%
Raffi Kaprielian	0.40%
Myles Smith	0.40%
Sanjeev Bassi	0.40%
Sportshealing Ltd (Chinmay Gupte)	0.40%
London Orthopaedic Partnership Ltd (Matthew Sala)	0.40%
Reza Mobasheri	0.40%
Nishat Rahman	0.40%
North West Rheumatology Ltd (Animesh Singh)	0.40%
Ken Anson	0.40%
Ice Ortho Limited (Mr Arjuna Imbuldeniya)	0.20%
Dr Simak Arami	0.20%
Farah Medical Consulting Ltd (Dr Ziad Farah)	0.20%

Lister Fertility @ Portland Hospital Limited (Established 2022):
Fertility Clinic at The Portland Hospital. Established 2022 with these shareholders (please note the asterisk against five names)

Name of referring clinician	Financial interest held
Zahid Salim Ltd (Rehan Salim)	5.00%
Androfertility Ltd (Tet Yap)	4.85%
Hossam Abdalla*	4.06%
Jaya Parikh*	4.06%
Meen-Yau Thum*	4.06%
Raef Faris*	4.06%
James Nicopoullos*	4.06%
S. Minhas Ltd (Sukhbinder Minhas)	2.00%
Forty Seven Medical (Raj Raj)	2.00%

* indicates that this ownership is held through a 5% holding in Hathor Chelsea Ltd, which owns 81.15% of Lister Fertility @ Portland Hospital Ltd

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:

• An event celebrating the retirement of our former Lister Hospital CEO in October 2024. The total cost of this event was £38,491. 297 people were invited to this event.
• A Lister Hospital breakfast event in October 2024. The total cost of this event was £1,626. 25 people were invited to this event.
• An event promoting cardiac health in men in March 2024. The total cost for this event was £3,389.25. 39 people attended this event.
• The Lister Hospital annual party in December 2023 costing £239.19 for each invited guest
• A Women's Health event in October 2023 costing £118.62 for each invited guest. 
• A Women’s Health event in June 2023 costing £115.81 for each invited guest.
• An event hosted by the Urgent Care Centre in March 2023 costing £65 for each invited guest.
• An event hosted by the general surgery group in February 2023 costing £123 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 Lister Hospital	24.00
Chelsea Medical Centre	Not provided at this facility
Sydney Street Outpatients and Diagnostic Centre	24.00
Chelsea Outpatient Centre	24.00
Battersea and Nine Elms	Not provided at this facilty
Chiswick Medical Centre	Not provided at this facility
Lister Fertility Clinic at The Portland Hospital	Not provided at this facility

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 Lister Hospital	25.00
Chelsea Medical Centre	25.00
Sydney Street Outpatients and Diagnostic Centre	25.00
Chelsea Outpatient Centre	25.00
Battersea and Nine Elms	25.00
Chiswick Medical Centre	20.00
Lister Fertility Clinic at The Portland Hospital	Not provided at this facility

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.