The CMA Order
In October 2014, the Competition and Markets Authority ("CMA") adopted the Private Healthcare Market Investigation Order 2014 (the "CMA Order"). The CMA Order requires private hospital operators to disclose on their websites certain information relating to the way the private hospitals interact with referring clinicians. A referring clinician is a clinician who 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. In compliance with the CMA Order, we set out below some of the ways in which we work together with our referring clinicians.
Doctor-Led, Patient-Centred Model
Our “Patients First” philosophy is at the heart of Cleveland Clinic London. We are doctor-led, which means doctors and nurse leaders are involved in running the Cleveland Clinic health system. This puts the patient perspective at the centre of decision making. We strive to deliver an unparalleled patient experience, with caregivers providing high-quality, cost-effective and safe, relationship-centred care. Over 60% of our doctors are employed by Cleveland Clinic London. The remainder are referring clinicians with practising privileges at Cleveland Clinic London.
The following low-value services are provided free-of-charge to referring clinicians with practising privileges at Cleveland Clinic London:
Referring clinicians have access to Cleveland Clinic London’s electronic medical records (EMR) system. We use EMR to ensure standardised care that increases quality, efficiency and safety. This allows better communication amongst caregiver teams.
Car parking spaces are provided at no charge on a first-come, first-served basis.
Basic workplace amenities
Basic workplace amenities are available for referring clinicians such as coffee, tea, refreshments and stationery.
General marketing support
Cleveland Clinic London provides general marketing support such as online marketing, consultant directories and website profiles, and promotional support for events.
Operational and administrative services
Referring clinicians receive basic operational and administrative services to ensure a seamless patient experience, such as facilitating patient admissions and appointment processing.
Referring clinicians will have access to space at Cleveland Clinic London facilities to conduct meetings and multidisciplinary team discussions.
Referring clinicians with practising privileges at Cleveland Clinic London can access these high-value services for a fee:
We provide referring clinicians with:
- Dedicated responsive billing service.
- Flat charge of 5% of net revenue collected.
- Prior month collections paid by the end of the next month.
Cleveland Clinic London licences consulting rooms to referring clinicians with practising privileges at Fair Market Value at a rate of £25 (including VAT) per hour.
Consulting rooms are made available on a nondiscriminatory basis and on equivalent terms in accordance with the CMA Order.
Cleveland Clinic London’s indemnity partner offers a 20% discount to all referring clinicians with practising privileges at Cleveland Clinic London, should they transfer their policy.
Medical secretarial services are made available to referring clinicians with practising privileges at Cleveland Clinic London on a nondiscriminatory basis and on equivalent terms in accordance with the CMA Order at a Fair Market Value rate of £25 (including VAT) per hour.
Cleveland Clinic London may occasionally host networking, educational or training events for consultants and local GPs. These events are an opportunity for clinicians to share their expertise and highlight the latest research, procedures or techniques. Such events are typically hosted at a Cleveland Clinic London facility but may be held at an external venue if needed. Light refreshments or food and drinks may be served. Cleveland Clinic London covers all the costs of these events, up to £250 per head. No such events were hosted in 2020.
Clinician Financial Interests in Cleveland Clinic London
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. We confirm that no referring clinicians have a financial interest in Cleveland Clinic London’s facilities or equipment.
Clinician Advisory Services to Cleveland Clinic London
Private hospital operators are required to disclose details of part-time positions held and the duties performed by referring clinicians in private hospital operators in addition to exercising practising privileges at that hospital. Cleveland Clinic London is not currently engaging any referring clinicians in advisory services.