How we work with doctors at Leaders in oncology care
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 Leaders in Oncology Care, the disclosure on this page covers the following facilities which are operated by Leaders in Oncology Care:
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 Leaders in Oncology Care.
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 Partnership LLP (established 2011):
Outpatient and daycase chemotherapy services based at the Platinum Medical Centre; 5th floor of the McMillan Cancer Centre at Private Care at UCLH; 1st floor of 81-83 Harley Street and 95-97 Harley Street.
| Name of referring clinician | Financial interest held |
| London Breast Care Centre Ltd (Kefah Mokbel) | 0.68% |
| Paul Ellis | 0.68% |
| David Lawrence Consultants Ltd (David Lawrence) | 0.43% |
| Paramit Chowdhury | 0.22% |
| Neill Patani | 0.21% |
| Jeremy Steele | 0.20% |
| Amen Sibtain | 0.18% |
| Timothy Mould | 0.17% |
| Mark Harries | 0.17% |
| Francis Vaz | 0.17% |
| Stephen Harland | 0.16% |
| Dr N Shah Ltd (Nihal Shah) | 0.14% |
| Richard Marley | 0.13% |
| Dr S Cleator Ltd (Susan Cleator) | 0.12% |
| Christopher Chan | 0.10% |
| Leukaemia Excellence Limited (Panos Kottardis) | 0.10% |
| Voi Shim Wong | 0.10% |
| FZR Medical Limited (Farooq Rahman) | 0.09% |
| Jonathan Waxman | 0.09% |
| Carmel Coulter | 0.07% |
| Chris Nutting | 0.07% |
| Fharat Raja | 0.07% |
| B-Con Oncology Services Ltd (John Conibear) | 0.06% |
| Beatrice Seddon | 0.06% |
| Brian Davidson | 0.06% |
| Jonathan Krell | 0.06% |
| Anaga Holding Limited (Gerald Giu) | 0.05% |
| Daniel Krell | 0.05% |
| London Breast Medical Service Ltd (Christina Choy) | 0.05% |
| Mary McCormack | 0.04% |
| Tobias Arkenau Ltd (Hendrik-Tobias Arkenau) | 0.04% |
| Adeola Olaitan | 0.03% |
| Dr Paul Nathan Ltd (Paul Nathan) | 0.03% |
| Harley Street Andrology Ltd (Asif Muneer) | 0.03% |
| Harley Street Breast Clinics Ltd (Nick Beechey-Newman) | 0.03% |
| Jamie Cavenagh | 0.03% |
| Navani Consultants Ltd (Neal Navani) | 0.03% |
| Thomas Newsom-Davis | 0.03% |
| Kai-Keen Shiu | 0.02% |
| Keyoumars Ashkan | 0.02% |
| Khurum Khan's Ltd (Khurum Khan) | 0.02% |
| Oncoplastic London Ltd (Daniel Leff) | 0.02% |
| Cancer Services Ltd (Andrew Wardley) | 0.01% |
| Paula Wells | 0.01% |
LOC @ The Christie LLP (established 2012):
Outpatient and daycase chemotherapy service based at the Christie Clinic, Manchester.
| Name of referring clinician | Financial interest held |
| John Logue | 1.33% |
| FAHA Investments Ltd (Abbas Chittalia) | 1.33% |
| North West Oncology (James Wylie) | 0.93% |
| FATEE Ltd (Saifee Mullamitha) | 0.73% |
| Hubner Oncology Ltd (Richard Hubner) | 0.73% |
| Oncology Consults UK Ltd (Jurjees Hasan) | 0.73% |
| Lip Wai Lee | 0.67% |
| Andrew Sykes | 0.67% |
| Peter Trainer | 0.67% |
| ABC Surgical Ltd (Sarah O'Dwyer) | 0.53% |
| MSJS - North West Ltd (Mark Saunders) | 0.47% |
| Vivek Misra | 0.40% |
| Tionic Ltd (Timothy Illidge) | 0.33% |
| UK Oncology Ltd (Greg Wilson) | 0.33% |
| Oncology Consulting Ltd (David Thomson) | 0.23% |
| Hamid Sheikh | 0.10% |
| David Woolf Oncology Ltd (David Woolf) | 0.10% |
| Raffaele Califano | 0.07% |
| Paul Lorigan | 0.07% |
| Tom Waddell | 0.07% |
| Yee Pei Song | 0.03% |
LOC @ Chelsea LLP (established 2017):
Outpatient and daycase chemotherapy service with PET CT. Based at 102 Sydney Street.
| Name of referring clinician | Financial interest held |
| Anaga Holdings Ltd (Gerald Gui) | 1.50% |
| Rahul Nath | 1.50% |
| Chelsea Surgical Consulting Ltd (Sarah Mills) | 1.50% |
| Oncology Services Limited (Peter Schmid) | 1.50% |
| London Breast Medical Services Ltd (Cristina Choy) | 1.50% |
| Jennifer Hu | 1.50% |
| London Breast Care Centre (Kefah Mokbel) | 1.50% |
| Nicola Roche | 1.20% |
| Harley Street Andrology Ltd (Asif Muneer) | 1.20% |
| Chelsea Colorectal Investments Ltd (Oliver Warren) | 1.10% |
| Professor Paul Ellis | 1.10% |
| Francis Vaz | 1.00% |
| Mark Harries | 1.00% |
| Thomas Newsom-Davis | 0.80% |
| John Chinegwundoh | 0.80% |
| Jonathan Krell | 0.60% |
| Robert Thomas | 0.50% |
| Dr Kinesh Patel | 0.40% |
| Miss T K Walters Ltd (Tena Walters) | 0.40% |
| Ian Gabriel | 0.40% |
| Urologists London Limited (Christopher Ogden) | 0.40% |
| Michael Dinneen | 0.40% |
| Dr Tobias Arkenau Ltd (Tobias Arkenau) | 0.30% |
| Dr S Cleator Limited (Susan Cleator) | 0.30% |
| London Urological Surgeons Ltd (Bijan Khoubehi) | 0.30% |
| Paul Ross | 0.30% |
| O'Connell and Patel Medical Ltd (Rachel O'Connell and Ashish Patel) | 0.20% |
| Imperial Breast Surgeon (Paul Thiruchelvam) | 0.10% |
| Dr Fharat Raja | 0.10% |
| Khurum Khan's Ltd (Khurum Khan) | 0.10% |
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, no such Events have been provided by this Hospital.
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 (£) |
| Leaders in Oncology Care | 24.00 |
| LOC 95-97 Harley Street and LOC 81 Harley Street | 24.00 |
| LOC Chelsea | 24.00 |
| LOC Platinum Medical 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 (£) |
| Leaders in Oncology Care | 25.00 |
| LOC 95-97 Harley Street and LOC 81 Harley Street | 25.00 |
| LOC Chelsea | 25.00 |
| LOC Platinum Medical 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.
- 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)
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.