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:

 

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 Circle Bath; 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 Circle Reading 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.