CMA compliance

Compliance with CMA Order 2014

In October 2014, the Competition and Markets Authority (the "CMA") published the Private Healthcare Market Investigation Order 2014 (the "Order") following its investigation into the private healthcare industry. The Order imposed requirements on private hospital operators to disclose certain information in relation to referring clinicians (as defined by the Order) for the benefit of patients. Full details about the investigation and the Order can be found on the CMA web page. The information provided by Didsbury MSK Limited (the Spire company running the OrthTeam Centre) below is required by the Order.

The services provided at The OrthTeam Centre to referring clinicians and the amounts charged by Didsbury MSK Limited (the Spire company running the OrthTeam Centre) for those services are set out below:

  • Use of consulting rooms £24.13 per hour
  • Office rental: £131 per desk, per month

The following “low-value” services are also provided to referring clinicians with practising privileges at this facility:

  • General services to ensure clinical safety (eg in-house training, chaperones)
  • Operational services such as patient bookings/admissions (including online booking and payment for consultations), administrative services and billing, and insurance/indemnity cover in respect of NHS patients
  • General marketing support, including production of consultant directories, promotional activities, web profiles etc
  • Basic workplace amenities such as teas/coffees/refreshments, subsidised meals, car parking, stationery

2024 - Manchester City Football Club provided complimentary tickets and hospitality for 4 people, for the Champion League match, Man City v Feyenoord on Tuesday 26 November 2024. The value of the tickets and the hospitality was approximately £150 per person. Attendees included 4 consultants.

2023 - Liverpool Football Club provided complimentary tickets and hospitality for 4 people, for the Liverpool v Tottenham game on Sunday 30 April 2023. The value of the hospitality was £635 per person. Attendees included consultants and staff.

2022 - Rugby League World Cup provided a complimentary table and tickets for 8 people, for the men and women’s final on Saturday 19 November 2022. The value of the hospitality was £745 per person. Attendees included staff and consultants.

2021 - Sale Sharks provided a complimentary table and tickets for 10 people (attendees included consultants and staff) at the following games:

  • Sunday 3 October 2021: £175 per person (1 consultant plus partner attended)
  • Saturday 6 November 2021: £175 per person (2 consultants attended)
  • Friday 19 November 2021: £150 per person (10 consultants attended)

Private hospital operators are required to disclose details of referring clinicians practising at their facilities, who have a share or financial interest in those facilities or any equipment used there. Some clinicians may own shares in Spire Healthcare Group plc, which were acquired either at the admission price or through trading on the main market of the London Stock Exchange. Clinicians with relevant shares and/or financial interests are disclosed below.

  • Mr Sanjay Anand indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Mr Jon Borrill indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Mr Tim Clough indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Dr Andrew Dunn indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Professor Max Fehily indirectly holds a 1.09% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Dr Nick Fraser indirectly holds a 0.54% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Mr Rob Gilbert indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Mr Mike Hayton indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Mr Adam Hoad-Reddick indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Mr Mike Karski indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Mr John Leach indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Mr Barnes Morgan indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Mr Chye Yew Ng indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Professor Chris Peach indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre and holds less than 0.1% of the shares in Spire Healthcare Group plc
  • Mr Nick Phillips indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Dr Jonathan Rajan indirectly holds a 1.09% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Mr Matt Ravenscroft indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Dr Mark Roberts indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Dr John Rogers indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre
  • Professor Phil Turner indirectly holds a 2.72% share in Didsbury MSK Limited, which owns the OrthTeam Centre

Private hospital operators are required to disclose details of certain paid services provided by referring clinicians to private hospitals operators in addition to exercising practising privileges at that hospital, as follows:

OrthTeam Didsbury Limited provides consultancy services to Didsbury MSK Limited in relation to the management/development of the business of The OrthTeam Centre (a company in the Spire group) for a fee of £500 per hour. The total fee for these services from January - December 2023 was £118,500 (237 hours). The following clinicians are shareholders of OrthTeam Didsbury Limited:

  • Mr Sanjay Anand
  • Mr Jon Borrill
  • Mr Tim Clough
  • Dr Andrew Dunn
  • Professor Max Fehily
  • Dr Nick Fraser
  • Mr Rob Gilbert
  • Mr Mike Hayton
  • Mr Adam Hoad-Reddick
  • Mr Mike Karski
  • Mr John Leach
  • Mr Barnes Morgan
  • Mr Chye Yew Ng
  • Professor Chris Peach
  • Mr Nick Phillips
  • Dr Jonathan Rajan
  • Mr Matt Ravenscroft
  • Dr Mark Roberts
  • Dr John Rogers
  • Professor Phil Turner

The following are directors and shareholders of OrthTeam Didsbury Limited which provides consultancy services to Didsbury MSK Limited:

  • Mr Tim Clough
  • Mr Mike Hayton
  • Mr John Leach 
  • Professor Chris Peach
  • Mr Nick Phillips