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 Wellington 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 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.

Elstree Outpatient Centre LLP (established 2017):
Outpatient diagnostic centre. Offers consultations, MRI, ultrasound, cardiology testing, imaging and pathology. Based at Beaufort House, Elstree.

Name of Referring Clinician	Financial interest held
LSP Enterprises Ltd (Richard Seah)	2.50%
Robert Lee Medical Practice Ltd (Robert Lee)	2.50%
Adam Fox	2.50%
Capital Spine Ltd (James Allibone)	2.50%
Ghei Holdings Ltd (Maneesh Ghei)	2.50%
Richard Carrington	2.50%
Prasanthi Ltd (Thillainayagam Muthukumar)	2.50%
Brandlehow Ltd (Jag Chana)	2.20%
On Line Locum.co.uk Ltd (Benjamin Jacobs)	1.80%
Malcolm Persey	1.50%
Herodicus Ltd (Ademola Adejuwon)	1.50%
Hanny Anwar	1.40%
Afshin Mosahebi	1.10%
Michael Koa-Wing	1.00%
Dr Stephen Till Ltd (Stephen Till)	1.00%
Shoulder & Elbow Clinic Ltd (Mark Falworth)	1.00%
William Aston Ltd (Will Aston)	1.00%
Piyusha Kapila	1.00%
Dr Azad Ghuran Ltd (Azad Ghuran)	0.50%
Roger Wolman	0.50%
Mark Furman	0.50%
Nick Cullen	0.50%
Tahir Khan	0.50%
Harley Street Andrology Ltd (Asif Muneer)	0.50%
Sarco Media Ltd (Andrew Goldberg)	0.50%
Sinisi Consultancy Limited (Marco Sinisi)	0.50%
Kellow Health Ltd (Nigel Kellow)	0.50%
James Donaldson	0.50%
Neil Shah	0.50%

Wellington Diagnostic Services LLC (established 2007):
Outpatient diagnostic centre. Offers consultations, GP appointments, MRI, ultrasound, cardiology testing, imaging and pathology. Based at Roman House, 296 Golders Green Road.

Name of Referring Clinician	Financial interest held
David Lipkin	4.93%
Health Consent (UK) Ltd (trading as JDOC) (Walter Abelman)	2.55%
Brian Davidson	1.59%
Lee Noimark	1.59%
Elliot Benjamin	1.59%
Mark Vanderpump	1.35%
Roger Wolman	1.19%
Consultant Pain Management Ltd (Anthony Ordman)	0.95%
R Lloyd Williams Ltd (Lloyd Williams)	0.95%
Benjamin Jacobs	0.80%
Voi Shim Wong	0.80%
Malcolm Rustin	0.64%
Mark Furman	0.64%
Joseph Davar	0.56%
Gidon Lieberman	0.56%
Clive Onnie	0.56%
Michael Hanna	0.40%

 

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

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:

• A dinner for consultants and GPs in the Primrose Hill area in February 2024. The total cost was £925.59. 17 people attended this event.
• A celebration of HCA UK’s Elstree facility in February 2024, including food and drink. The total cost was £3,454. 30 people attended this event.
• A Golders Green get together in December 2023 costing £23.52 for each invited guest
• The Wellington Hospital annual Medical Advisory Commitee dinner in November 2023 costing £217.61 for each invited guest
• A retirement dinner for Dr Stephen Edmondson in November 2023 costing £198.40 for each attendee.
• An Orthopaedic Complications event in September 2023 costing £79.00 for each invited guest.
• The Hospital’s Annual Summer Party in June 2023 costing £273.30 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 Wellington Hospital (including The Platinum Medical Centre)	24.00
Elstree Waterfront Outpatients Centre	24.00
Golders Green Outpatient and Diagnostic Centre	24.00
The London Gamma Knife Centre	24.00

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 Wellington Hospital (including The Platinum Medical Centre)	25.00
Elstree Waterfront Outpatients Centre	20.00
Golders Green Outpatient and Diagnostic Centre	20.00
The London Gamma Knife Centre	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 a 25% discount from the day/half-day administration desk fees for a 12-month commitment on the same terms as those set out above for the ‘committed annual room licence’ arrangement.

Accommodation:

From time to time we also make available to doctors residential apartments located very close to the hospital. These apartments are made available on an ad hoc basis to those doctors who need to be in very close proximity to the hospital from a patient safety perspective. In such cases we charge doctors a market rate for an overnight stay of c. £75. 

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.