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) issued an Order in 2014 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.

The order also requires hospital operators to disclose information about certain arrangements they have with Referring Clinicians.  These arrangements include: referring clinicians' ownership interests in the hospital 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:

Remunerative arrangements 

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:

 

Mr Neil Bradbury – but role/purpose/fee for service to be given as Group Assistant Medical Director

Dr Ben Colleypriest – JAG Endoscopy Lead

Circle Bath 

Name Role/Title Description of Services/Responsibilities  
Ben Colleypriest Gastroenterologist JAG Endoscopy Lead  
Neil Bradbury Clinical lead Group Associate Medical Director  
       

 

Circle Reading

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


Circle Nottingham

The following Consultants are employed to provide certain clinical and/or management services to Circle Nottingham Ltd:

Name Role/Title Description of Services/Responsibilities  
Stefano Sansone Clinical Lead Leads the clinical unit specialty for Endoscopy; Responsible for attending and reporting into the local executive board; 18 hours per month

 

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

 

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

 

Attila Kovacs Clinical Lead Leads the clinical unit specialty for Orthopaedics; Responsible for attending and reporting into the local executive board; 18 hours per month

 

Ben Gooding Clinical Chair  

 

       

 

Facilities

We provide facilities to referring clinicians at our hospitals as set below:

 

Circle Bath

The following facilities are provided to Referring Clinicians at Circle Bath 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 Circle Reading 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 hospitals, we provide 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; and
  • General marketing and promotional activities.

We also host informational meetings and events from time to time to 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.