Clinical Outcomes and Negligence Pitfalls and Possibilities? an Evening Meeting at the King’s Fund – Wednesday 28th February 2018

Despite the snowy weather, the LCA hosted a very successful meeting on February 28th at the King’s Fund entitled: “Clinical Outcomes and Negligence Pitfalls and Possibilities?”

Speakers from PHIN, the Medical Defence Union, Hempsons solicitors and One Crown Office Row provided a very useful overview of the current situation with regards to: litigation trends, clinical outcome reports, dealing with complaints at hospital level, and how to proceed when faced with legal action at the GMC or in the Court.

The LCA used this meeting as an opportunity to announce the launch of its joint Medico-Legal initiative with Hempsons to create an ‘Expert Witness Group’. Training will be provided to develop a pool of experts; if you are interested please contact Helena Kuras at our office:
Address: 80 Harley Street London W1G 7HL
Tel. 0207 580 1211

Protecting the Public; the GMC from George Eliot to Ian Paterson” – Wednesday 22nd November 2017

A private dinner held at The Athenaeum with guest speaker Professor Terence Stephenson, Chair of the General Medical Council, who gave a detailed historical review and forward plan about rising questioning and complaints in the medical profession.

Tax Evasion / Avoidance – What’s it all about? – Thursday 1st December 2016

The LCA held a meeting in December 2016 at the Kings Fund on ‘Tax Evasion / Avoidance, with speakers from HMRC as well as the accountancy and legal professions (Mr. Ray Stanbridge and Mr. Christopher Sokol QC). Each presented their perspective on various tax schemes and the implications of taking part in these. There was an active discussion with the take away message being that there are considerable potential pitfalls for doctors contemplating such investments with high penalties for schemes, which are deemed inappropriate. The questions from the audience were penetrating. The meeting was well attended with an excellent feedback.

Which poses the greatest threat to private practice, litigation from patients, regulation from the GMC or the commercial power of the insurers?
28th January 2015

A private dinner held at The Athenaeum with guest speaker Mr Bertie Leigh, a Senior Partner at Hempsons Solicitors. Mr Leigh has conducted many of the leading cases in clinical negligence and regulatory law during the past 30 years. He is also an advisor to the AAGBI, RCPCH and the RCOG.

The Role Of Medical Professionalism in the 21st Century.
28th May 2015

A private dinner held at The Athenaeum with guest speaker Sir Robert Francis QC. A well attended dinner with excellent feedback.

The Changing Financial & Regulatory Landscape of Private Practice
14th October 2016

The London Consultants’ Association hosted a meeting for consultants all of whom, both in the NHS and Independent Sector, are facing a host of new regulatory and financial changes. The meeting held on 14th October 2015 at the Kings Fund was well attended with guest speakers from PHIN, Cardiothoracic surgery, Legal Advisors and Financial Advisors.

Competition Commission Report – What now for the Profession and the Patients?
Meeting held 14th May 2014

Mr. Mark Dietrich an accountant from the USA explained the current complexities of the American market with increasing involvement of groups of doctors working in partnership with hospitals. He explained that the Managed Care currently being enforced by UK insurers (which were known as HMOs – Health Maintenance Organisations) failed due to patient and doctor dissatisfaction.

Mr. Ray Stanbridge, accountant, gave a review of the current economic status of consultant and noted a general decline in income and profitability for most specialist groups between 2011 and 2013.

Mr. Richard Packard, Consultant Ophthalmologist, Deputy Chairman – FIPO discussed PHIN (Private Healthcare Information Network) and the rulings of the recent CMA (Competition and Markets Authority Report) report which designated PHIN to be the organisation responsible for consultant fees and quality data. He noted various difficulties that might arise and also discussed the complex methods by which consultants will be required to give fee estimates to patients.

Ms. Emanuela Lecchi, Solicitor at Watson, Farley & Williams discussed the professional response to the CMA report and outlined some of the inconsistencies’ which it contained. She noted that FIPO were currently considering an appeal, which will be based on legal grounds.

Private Medical Insurance Changes and the Competition Commission Inquiry – 19th June 2012

A meeting was held at the King’s Fund to discuss the impact of the Competition Commission and other recent changes in the insurance market. A presentation by Dr. Duncan Dymond, the chairman of the London Consultants’ Association revealed concerns expressed by consultants to the LCA and FIPO. A further presentation by Emanuela Lecchi of Watson, Farley and Williams described the work of the Competition Commission in some detail. There were further presentations by Geoffrey Glazer, chairman of FIPO and Chris Khoo, deputy chairman of FIPO about the recent changes in private medical insurance, in particular Bupa Open Referral and other issues.

The Impact on Consultants of the OFT Report and Private Medical Insurance Changes – 15th March 2012

A very well attended meeting with presentations by Stephen Collier, CEO at BMI, JJ de Gorter, Medical Director at Spire Healthcare, Keith Biddlestone, Commercial Director, HCA and Geoffrey Glazer, Chairman of FIPO. The topics covered the OFT Inquiry and the up and coming Competition Commission Inquiry and various other aspects of recent insurance changes.

Professional Medical Indemnity – 9th November 2011

This meeting was devoted to the question of medical indemnity. Speakers included John de Bono – Barrister; Daniel Toner – General Counsel for Spire Healthcare; Richard Packard – Consultant Ophthalmologist and FIPO Vice Chairman who reviewed the FIPO consultant survey and Kevin McCluskie – an independent chartered insurance broker who has carried out a review of professional medical indemnity for FIPO.

The conclusion of the meeting was that whilst there are new insurers coming on stream apart from the main medical defence organisations, consultants should take clear advice before changing.

The consultant survey by FIPO showed considerable ignorance on the part of the majority of consultants with regard to the terminology, extent and cover arrangements that they have through their current indemnifier. More details can be found on the FIPO website at

Update for Consultants – 29th March 2011

A well attended meeting at the Royal Society of Medicine on the 29th March heard talks from Magnus Boyd about methods by which consultants may protect their reputation. Vanessa Sanders of accountants, Stanbridge Associates gave a further update on tax and revenue issues and noted the benefits to be had from incorporation as a company. Consultants were advised to speak to their accountants on this matter.

Geoffrey Glazer, the Chairman of FIPO, discussed the current status of the OFT Market Study which was then in progress.

Stephen Collier, then General Counsel – now Chief Executive of the BMI group, discussed competition law in the context of the OFT Inquiry. There was a detailed question and answer session which followed these presentations.

Dinner with Mr Niall Dickson, CEO GMC – 4th November 2010

A dinner was held at the Athenaeum with the principle speaker Mr. Niall Dickson CEO of the GMC who discussed revalidation and answered detailed questions from the floor. The results of the GMC consultation on Revalidation was not yet fully approved by the GMC Council but is likely to lead to a simplification and streamlining of the process. This was greeted with some relief by the audience.

Dealing with the Insurers – 7th July 2010

At this meeting there were presentations by Mr. Geoffrey Glazer and Mr. Richard Packard, Chairman and Deputy Chairman of FIPO, Dr. J. J. de Gorter, Medical Director of Spire Hospitals, Dr. Ray Stanbridge, Medical Accountant, and Professor Tim Briggs, Medical Director of the Royal National Orthopaedic Hospital, Stanmore. Issues relating to current PMI tactics were discussed with a detailed question and answer review by the panel at the end. This meeting was attended by over 100 consultants.

Meet the Insurers – meeting at the King’s Fund on the 21st April 2010

This was a lively meeting held in front of a packed audience at the King’s Fund who were addressed by speakers from all the major insurance companies as well as from Tribal, the company responsible for coding.

The different approaches by the various insurers were self evident and the audience engaged in a lively question and answer debate with the various speakers.

For more detailed short notes of this meeting members click here…

Further details about the FIPO consultant survey can be found at and

Developing Your Private Practice – 18th March 2010

A meeting devoted to aspects of practice development was held on on the 18th March 2010 in Portland Place, London.

This meeting was addressed by a number of speakers including Mr. Richard Packard, Deputy Chairman of FIPO and Mr. Richard Rawlins, member of the BMA Private Practice Committee. The many young consultants in the audience were given detailed information about starting and developing their private practice.

Pressing Problems for Consultants – 3rd March 2010

An urgent meeting was called on Wednesday March 3rd at 6 pm at the King’s Fund to discuss the HMRC approach to consultants about non–tax compliance.

This meeting was held to discuss the HMRC approach to consultants about non-tax compliance. Speakers from Ray Stanbridge Associates accountants and from the legal profession (Mr. Keith Gordon), Barrister explained exactly how consultants should react to the current HMRC approach.

Dinner with Mr. Andrew Lansley CBE MP – 2nd March 2010

The LCA in conjunction with FIPO held another private dinner for consultants at the Athenaeum with Mr. Andrew Lansley CBE MP, Shadow Secretary of State for Health as Guest Speaker.

Mr Andrew Lansley CBE MP, Shadow Secretary of State for Health, addressed a large group at a private dinner hosted by the LCA and FIPO. Mr. Lansley spoke about Conservative Party policies towards healthcare with an emphasis on reduced managerial controls and greater professional input. During detailed questioning Mr. Lansley expressed concern over the European working time directive and also reaffirmed his intention to continue with some form of revalidation for doctors if appointed to office.