Our relationship with our consultants

Most of the consultants treating patients in our facilities are not Circle employees, but rather self-employed practitioners. They practice their specialties in accordance with the terms of our Practicing Privileges policies.The Competition and Markets Authority (CMA) recently issued an Order regulating the relationships between private hospital groups and consultants who treat private patients or refer them for tests at group facilities (so-called “Referring Clinicians”).

In accordance with this Order, hospitals and Referring Clinicians are prohibited from entering into any incentive schemes that are designed to encourage consultants to refer private patients to, or treat private patients at, the hospitals. Circle Health does not operate any such schemes with Referring Clinicians.In addition, the CMA requires hospital operators to disclose certain information about arrangements they have with Referring Clinicians.

These arrangements include: ownership interests in the operator; the provision of certain “high value” facilities to Referring Clinicians; the availability of “low value” basic amenities for Referring Clinicians; and any remuneration for services provided by Referring Clinicians to the hospital. This information applies specifically to consultants who are not hospital employees and who have the ability to refer privately insured or self-paying patients for treatment or tests at the hospital.

Set out below is information about the arrangements we have with Referring Clinicians:

Ownership interests

Circle is proud to be the UK’s largest clinician co-owned hospital group. Below, listed by facility, are the names of Referring Clinicians and their respective ownership interests (held on their behalf by the Circle Partnership Benefit Trust) in Circle Holdings plc:

The following is a list of Referring Clinicians at Circle Bath who own shares and/or hold options in Circle Holdings plc:  

Forenames Surname Percentage of PLC held post 2016 Grant
KATE ALLEN 0.00080%
MAHNAZ ALSHARIF 0.00073%
RICHARD ANTCLIFF 0.02829%
DOMINIC AYERS 0.01170%
DEIRDRE BUCKLEY 0.00265%
TIM BATES 0.01374%
MARK BERESFORD 0.00327%
LINDA BLAIR 0.00043%
JONATHAN BOULTON 0.17797%
REBECCA BOWEN 0.00347%
NEIL BRADBURY 0.24824%
JEREMY BRAYBROOKE 0.00231%
WILLIAM BRUCE-JONES 0.00043%
ALEX COWEY 0.00757%
JOHN BUDD 0.00801%
CAROLINE BURT 0.00247%
MATTHEW BURWELL 0.06057%
KEVIN CARSON 0.00208%
ANDREW CHAMBLER 0.02049%
BEN COLLEYPRIEST 0.00281%
MICHAEL COUPE 0.01379%
ALEX COWEY 0.00757%
EMMA DE WINTON 0.00208%
PAUL DURDEY 0.00247%
JACOB EASAW 0.00749%
RICHARD EDWARDS 0.02984%
JONATHAN ELDRIDGE 0.02752%
JUDY EVANS 0.00247%
ROBIN FACKRELL 0.00247%
NICOLA GIFFIN 0.00310%
TERRY FARRANT 0.00314%
CHRIS GALLEGOS 0.00771%
NICOLA GIFFIN 0.00310%
STUART GILLETT 0.00247%
SIMON GREGG-SMITH 0.01474%
STEPHEN HILL 0.00207%
VENKAT IYER 0.00279%
SENTHIL KUMAR 0.00475%
GAVIN JENNINGS 0.03067%
RICHARD KRYSZTOPIK 0.01326%
SUNIL KUMAR 0.00721%
ANNA LEWIS 0.00482%
JOHN LINEHAN 0.01001%
JONATHAN LUCK 0.02520%
PAUL MADDOX 0.00596%
RICHARD MANSFIELD 0.00669%
STEPHEN MCDONALD 0.00247%
JONATHAN MCFARLANE 0.01552%
JAMIE MCINTOSH 0.00351%
LOUISE MEDLEY 0.00208%
TINA MEHTA 0.00247%
MAHESH PAI 0.01544%
WILLIAM PHILLIPS 0.02242%
DARREN PINDER 0.01728%
IAN POPLE 0.00384%
JONATHAN QUINLAN 0.00151%
AYSHA QURESHI 0.00441%
MIKE RIGBY 0.00860%
DEREK ROBINSON 0.01795%
DONALD SAMMUT 0.02068%
HARVEY SANDHU 0.00307%
NICHOLAS SHARP 0.00952%
ANDREW SOUTER 0.01811%
JAY SUNTHARALINGAM 0.00379%
RICHARD SUTTON 0.01890%
JEREMY TATE 0.00247%
SIMON THOMAS 0.00347%
PAUL THORPE 0.00495%
ALLISTER TREZIES 0.01135%
OTTO VON ARX 0.00279%
JOHN WALDRON 0.00886%
SALLY WEBBER 0.01014%
JULIAN WIDDOWSON 0.01219%
CRISPIN WIGFIELD 0.00347%
MIKE WILLIAMSON 0.01610%
SHERIF WILSON 0.00140%
JAMES MCKENZIE 0.00208%
PETER RUDD 0.00208%
ROSY DANIEL 0.00208%
GREG FELLOWS 0.00208%
PAUL JACKSON 0.00208%
TIM JENKINSON 0.00208%
PENNY KEHAGIOGLOU 0.00208%
NE-RON LOH 0.00208%
BERNIE MARDEN 0.00208%
JASPAL PHULL 0.00208%
JOHN SAUNDERS 0.00208%
AHMAR SHAH 0.00208%
DAVID WALKER 0.00208%
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The following is a list of Referring Clinicians at Circle Reading who own shares and/or hold options in Circle Holdings plc:

 

Forenames Surname Percentage of PLC held post 2016 Grant
Antonio Andrade 0.09408%
Chinna Arvind 0.01096%
Jonathan Booth 0.00571%
Harry Brownlow 0.02080%
Rogan Corbridge 0.03762%
Dominic Coull 0.01132%
Stephen Courtney 0.01308%
Alan Crystal 0.01322%
Neville Davies 0.00950%
Richard Dodds 0.02150%
Steve Foley 0.00750%
Rory Herdman 0.02336%
Adam Jones 0.00861%
Martin Leyland 0.00363%
Nick Mansell 0.01448%
Nicholas Marks 0.01236%
Robert. W. Marshall 0.02326%
Andrew McAndrew 0.00921%
Amir (Hugh) Mostafid 0.00567%
Margaret Myszor 0.00932%
Ian Nugent 0.01541%
Sean O'Leary 0.02791%
Andy Pay 0.03095%
Andrew Pearson 0.01468%
Zulfiquar Rahimtoola 0.01045%
Ivan  Ramos-Galvez 0.00808%
Donald Sammut 0.02068%
Vaughan Tanner 0.01412%
Shawn Tavares 0.01698%
Hilary Umeh 0.01022%
Titus Adams 0.00379%
Suruchi Arora 0.00087%
Nishchay Chandra 0.00362%
Philip Charlesworth 0.00034%
William Colquhoun-Flannery 0.01370%
Chris Cunningham 0.00121%
Nick Gallogly 0.00570%
David Gerrard 0.00234%
Janet Holder 0.00352%
Kate Hutchings 0.00509%
Ian Lindsey 0.00121%
Patrick McKenna 0.00820%
Jeremy McNally 0.00929%
David Mitchell 0.00352%
John Morley 0.00757%
Marian O'Connor 0.00096%
Charles Pailthorpe 0.00820%
Tom Pollard 0.00820%
Trichy  Rajagopal 0.00586%
Deepak Ravindran 0.00282%
Mike Rossiter 0.00312%
Zaheer Shah 0.00292%
Jonathan Simmons 0.00827%
Brendan Smith 0.00656%
Alex G Swanton 0.00846%
Rajee  Vijayanand 0.00276%
Sarah-Lucie Watson 0.00813%
Richard Wilson 0.00234%
Mark  Wotherspoon 0.00371%
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The following is a list of Referring Clinicians at Circle Nottingham who own shares and/or hold options in Circle Holdings plc:   

 

Forenames Surname Percentage of PLC held post 2016 Grant
Nicholas Armitage 0.03155%
Ian Beckingham 0.00255%
Bruce Braithwaite 0.02183%
Nicholas Downing 0.02207%
Marion B MacPherson 0.00088%
Shane MacSweeney 0.00194%
Gurminder Mann 0.00176%
Nick Mansell 0.01448%
Phillip Radford 0.00563%
Krish Ragunath 0.00211%
Andrew Sidebottom 0.00926%
Andrew Matthews 0.00401%
Robert Mccahon 0.00060%
Naresh Nandwani 0.00451%


Circle Holdings plc operates a share scheme for all group employees and consultants working in our facilities.  In accordance with the CMA Order, options granted to Referring Clinicians have an exercise price equal to the fair market value of Circle Holdings plc at the time of grant and must be exercised within 24 months of the grant date. 

Other remuneration

We engage a small number of Referring Clinicians to provide certain clinical services, as well as managerial and governance functions, at our hospitals. Attached below, listed by each facility, is a list of Referring Clinicians who provide such services and the remuneration they receive:

Circle Bath  

 
Name Role/Title Description of Services/Responsibilities Compensation
Ben Colleypriest Gastroenterologist Project work assisting with JAG accreditation; 10 days total £4,000 total
Neil Bradbury Clinical lead Leads Orthopaedic clinical unit; attends meetings of and reports into CircleBath executive board; 20 hours per month £2,530 monthly
Jonathan Boulton Clinical advisor Provides ophthalmological advisory services to CircleBath project; 2 days per month £1,280 monthly
Jay Suntharalingham Respiratory Medicine Provides on-call services to CircleBath; up to 10 hours per month £416.67 monthly

Circle Reading

 

Name Role/Title Description of Services/Responsibilities Compensation
Tony Andrade Clinical Chairman Overall responsibility for clinical governance at CircleReading; attends meetings of and reports into CircleReading executive board £3,795 monthly
Rogan Corbridge Clinical Lead Provides clinical leadership services on behalf of CircleReading consultants; attends meetings of and reports into CircleReading executive board £1,200 monthly

Circle Nottingham

Name Role/Title Description of Services/Responsibilities Compensation
Sandeep Varma Clinical Lead Leads the clinical unit specialty for Skin Surgery; responsible for attending and reporting into the local board; 18 hours per month

£1,025 monthly

Anand Patel Clinical Lead Leads the clinical unit specialty for Dermatology; responsible for attending and reporting into the local executive board; 18 hours per month

£833 monthly

Greg Hobbs Clinical Lead Leads the clinical unit specialty for Pain Medicine; responsible for attending and reporting into the local executive board; 18 hours per month

£1,025 monthly

Martin Powell Clinical Lead Leads the clinical unit specialty for Gynaecology; responsible for attending and reporting into the local executive board; 18 hours per month

£1,025 monthly

Nicholas Armitage Clinical Lead Leads the clinical unit specialty for Digestive Diseases; responsible for attending and reporting into the local executive board; 18 hours per month

£1,025 monthly

Facilities

Here is a list, by hospital, of the facilities we make available to Referring Clinicians and the rates we charge for their use:

 

Circle Bath

The following facilities are provided to Referring Clinicians at CircleBath at the rates set forth below:

  • Circle Bath provides consulting rooms to Referring Clinicians at a rate of £11 per hour.
  • Circle Bath provides office space to Referring Clinicians at a rate of £50 per week.
  • Circle Bath provides secretarial services to Referring Clinicians at rates of £12.74 – £13.43 (ex-VAT) per hour.

Circle Reading

The following facilities are provided to Referring Clinicians at CircleReading at the rates set forth below:

  • Consulting rooms at a rate of £11 per hour
  • Secretarial services at rates of £16-21 per hour (ex VAT), depending on experience.

Circle Nottingham

Circle Nottingham provides consulting rooms to Referring Clinicians on a tiered basis 

Silver Level (£20 per hour)

  • Consulting Room Hire
  • Meet & Greet
  • Patient reception services
  • Nurse
  • Diary management with patient liaison through a direct telephone number & personal contact
  • Appointment management 

Gold Level (£35 per hour)

  • Silver Level services plus transcription, production and mailing of clinic letters/reports

Platinum Level (£50 per hour)

  • Gold level services plus sending invoices, collecting fees and reconciling payments

Basic amenities

At each of our facilities, Circle Health provides consultants with the following basic amenities:

  • In-housing training programmes to promote clinical and operational safety.
  • Patient admission, billing, and related administrative services.
  • NHSLA insurance cover in respect of NHS-funded patients.
  • Free refreshments, stationery, and parking.
  • General marketing and promotional activities.

Circle Health hosts informational meetings and partnership events from time to time at which Referring Clinicians are invited to attend. While the cost of such events depends on the number attendees, the average cost is less than £1,000.