Cleveland Clinic London opened a year ago. Photo: Cleveland Clinic
Cleveland Clinic London opened a year ago. Photo: Cleveland Clinic
Cleveland Clinic London opened a year ago. Photo: Cleveland Clinic
Cleveland Clinic London opened a year ago. Photo: Cleveland Clinic

Cleveland Clinic London to expand amid dissatisfaction with NHS


Lemma Shehadi
  • English
  • Arabic

London’s second biggest private hospital will be “expanding its footprint” in the capital, as trust in the UK’s public healthcare system reaches an all-time low.

Cleveland Clinic London, which opened a year ago today, said there had been approximately 75,000 patient visits with 28,333 unique patient appointments at the hospital and its Portland Place Outpatient Centre.

"We have seen a strong demand for care across all our specialties – but especially complex care in cardiac, neurology, orthopaedics, digestive disease," Tommaso Falcone, Cleveland Clinic London Interim CEO, told The National.

Overseas health patients accounted for about 2,000 of those who used the hospital next to Buckingham Palace, official home of the monarch.

A British Social Attitudes survey revealed that just over half (51 per cent) of people are unhappy with the public National Health Service.

The NHS faces the most severe pressures in its 74-year history, with 7.1 million patients waiting for treatment. It is increasingly outsourcing its elective care to private healthcare providers.

Waiting times for emergency services across the country reached up to 12 hours in January.

Since opening, the private hospital in Central London has admitted 2,942 patients, with about 14 per cent of those coming through the acute admissions unit, an emergency care ward.

The 184-bed hospital is the second largest in the capital after the Wellington Hospital, and focuses on heart and vascular, digestive disease, neurosciences and orthopaedics. It is one of few private hospitals in the UK to have an MRI scanner within its surgical suites, allowing surgeons to scan their patients during operations.

ICU. Cleveland Clinic London. Photo: Cleveland Clinic
ICU. Cleveland Clinic London. Photo: Cleveland Clinic

Over 100 complex heart and brain and spinal cord operations were performed at the hospital, including brain surgery where the patient is awake during the procedure. The hospital said it began performing these operations within three months of opening.

The hospital says it has supported the NHS with its waiting lists for complex procedures for spine, brain and digestive disease. It did not provide a number of NHS patients treated this year.

However, there are signs that pressures on the NHS may spill into the private sector. Junior doctor strikes in March resulted in consultant doctors, who work privately outside of their commitments to the NHS, spending additional hours at NHS hospitals.

And, though more Britons are paying for private health care, many are seeking more affordable treatment overseas.

A representative for the hospital said it had not been affected by the strikes.

Junior doctors picket outside St Mary's Hospital in London in March. AP
Junior doctors picket outside St Mary's Hospital in London in March. AP

The hospital's interim chief executive Dr Tommaso Falcone announced in February that a new outpatient building in the City of London will open in autumn this year. The 1,200 square metre extension would offer patients “fast access” to appointments with general practitioners and diagnostic services including MRI scans.

The Cleveland Clinic London will also continue to expand its collaborations with universities and medical research.

In October last year, the hospital announced a new training programme for students of Queen Mary University of London’s Faculty of Dentistry. The first cohort of nursing students from London Southbank University began in early November, 2022.

Cleveland Clinic London will also become the first private healthcare provider in the UK to have a research repository, which will collect, store and publish consented patient data. A team of cardiologists has recently been approved for a trial that focuses on the keyhole implantation of heart valve prosthesis into the tricuspid valve.

Volunteers offer workers a lifeline

Community volunteers have swung into action delivering food packages and toiletries to the men.

When provisions are distributed, the men line up in long queues for packets of rice, flour, sugar, salt, pulses, milk, biscuits, shaving kits, soap and telecom cards.

Volunteers from St Mary’s Catholic Church said some workers came to the church to pray for their families and ask for assistance.

Boxes packed with essential food items were distributed to workers in the Dubai Investments Park and Ras Al Khaimah camps last week. Workers at the Sonapur camp asked for Dh1,600 towards their gas bill.

“Especially in this year of tolerance we consider ourselves privileged to be able to lend a helping hand to our needy brothers in the Actco camp," Father Lennie Connully, parish priest of St Mary’s.

Workers spoke of their helplessness, seeing children’s marriages cancelled because of lack of money going home. Others told of their misery of being unable to return home when a parent died.

“More than daily food, they are worried about not sending money home for their family,” said Kusum Dutta, a volunteer who works with the Indian consulate.

The Voice of Hind Rajab

Starring: Saja Kilani, Clara Khoury, Motaz Malhees

Director: Kaouther Ben Hania

Rating: 4/5

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What is dialysis?

Dialysis is a way of cleaning your blood when your kidneys fail and can no longer do the job.

It gets rid of your body's wastes, extra salt and water, and helps to control your blood pressure. The main cause of kidney failure is diabetes and hypertension.

There are two kinds of dialysis — haemodialysis and peritoneal.

In haemodialysis, blood is pumped out of your body to an artificial kidney machine that filter your blood and returns it to your body by tubes.

In peritoneal dialysis, the inside lining of your own belly acts as a natural filter. Wastes are taken out by means of a cleansing fluid which is washed in and out of your belly in cycles.

It isn’t an option for everyone but if eligible, can be done at home by the patient or caregiver. This, as opposed to home haemodialysis, is covered by insurance in the UAE.

Ipaf in numbers

Established: 2008

Prize money:  $50,000 (Dh183,650) for winners and $10,000 for those on the shortlist.

Winning novels: 13

Shortlisted novels: 66

Longlisted novels: 111

Total number of novels submitted: 1,780

Novels translated internationally: 66

Classification of skills

A worker is categorised as skilled by the MOHRE based on nine levels given in the International Standard Classification of Occupations (ISCO) issued by the International Labour Organisation. 

A skilled worker would be someone at a professional level (levels 1 – 5) which includes managers, professionals, technicians and associate professionals, clerical support workers, and service and sales workers.

The worker must also have an attested educational certificate higher than secondary or an equivalent certification, and earn a monthly salary of at least Dh4,000. 

'Gold'

Director:Anthony Hayes

Stars:Zaf Efron, Anthony Hayes

Rating:3/5

Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

Updated: March 29, 2023, 3:17 PM