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How we work with our doctors (CMA)

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 https://www.gov.uk/cma-cases/private-healthcare-market-investigation. The information provided below is required by the Order.

At Midland Eye we work with our doctors to ensure they can focus on high quality patient care. We supply in depth training and development for all of our staff.

Midland Eye provides the following services to Consultants and/or Referring Clinicians:

Low-Value Services

General Services

  • Operational services to ensure a smooth patient pathway as part of normal business such as patient admission, administrative and billing

Basic Workplace Amenities

  • Including tea and coffee
  • Subsidised means on-site to the extent that they are available to staff and persons working at the facility generally
  • Stationary to the extent that they are available to staff and persons working at the facility generally
  • Mail and post-room services to the extent that they are available to staff and persons working at the facility generally

General Marketing & Promotional Services to be able to operate a Commercial Business, Including but not limited to

  • Production of consultant directories
  • Production of correspondence material
  • Production of marketing material and literature, including GP/Optometrist mailers
  • Production of advertisements and media placements to promote the services of the business
  • General promotional events such as GP/Optometrist Seminars

General Corporate Hospitality, Proportionate and Reasonable to the Nature of the Business Including:

Corporate Hospitality Event Number of attendees Cost (£) per head
Wednesday 27th February 2019 52 £15
Monday 18th March 2019 20 £20
Thursday 16th May 2019 25 £20
Wednesday 12th June 2019 25 £15
Wednesday 11th September 2019 45 £15
Wednesday 27th November 2019 40 £15
Saturday 7th December 2019 60 £43
Friday 10th January 2020 33 £72

Higher-Value Services

Consultants are charged higher-value services such as consulting room usage and secretarial services based on a 30% deduction of package fees agreed between the patient and or insurer.

Clinician Advisory Services

Private hospital operators are required to disclose details of certain paid services provided by referring clinicians to private hospital operators in addition to exercising Practising Privileges at that hospital. Midland Eye pays for no clinician advisory services.

Clinician Financial Interests in Midland Eye

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. Some clinicians may own shares in their practising facility. A total of 20% of Eye Doc’s Limited (Midland Eye) interests is owned by the following Consultants:

Mr Tristan Reuser 5%
Professor Sunil Shah 5%
Mr Ramesh Sivaraj 5%
Miss Tina Kipioti 5%

Valuation Methodology:

At the time of purchase, the value of each 1% equity interest was valued as a fair market multiple of the preceding year’s free cash flow.

The information disclosed on this page in accordance with the Private Healthcare Market Investigation Order 2014 is true and accurate to the best of Midland Eye’s knowledge and belief.