KKL UK Financial Declaration 2018

COMPANY NAME:

UK Template

YEAR: COUNTRY:
DATE OF SUBMISSION TO CENTRAL PLATFORM: [insert date] METHODOLOGICAL NOTE (H) (Clause 24.10): [insert link here]

DISCLOSURE OF PAYMENTS TO HEALTHCARE PROFESSIONALS (HCPs), OTHER RELEVANT DECISION MAKERS (ORDMs) AND HEALTHCARE ORGANISATIONS (HCOs)
Article 2 - Section 2.03 & Schedule 2 & Clause 24

Date of publication: 28 June 2018

HCPs/ORDMs: City of Principal Practice HCOs: city where registered

Fee for service and consultancy (Art. 3.01.1.c & 3.01.2.c & Clause
24)

Country of Principal Practice

Unique country local identifyer OPTIONAL

Full Name

Principal Practice Address

Contribution to costs of Events (Art. 3.01.1.b & 3.01.2.a & Clause 24)

Blank Column (Clause X)

Donations and Grants to HCOs (Art. 3.01.1.a & Clause 24) and
Joint Working (Clause 20)

TOTAL

Benefits in Kind to HCOs (Clause 24)

Sponsorship agreements with

Related expenses agreed in the fee for service or consultancy contract

HCOs / third parties appointed by HCOs to manage an Event

Blank Column

(Clause X)
Blank Column (Clause

(Art. 1.01

&

Clause 24)

(Art.

3

&

Clause 24)

(Schedule

1

&

Clause 24)

(Art.

3

&

Clause 24)

(Art.

3

&

Clause 24)

Registration Fees

Travel & Accommodation

Fees

X)

HCPs/ORDMs: City of Principal Practice HCOs: city where registered

Local Register ID or Third Party Database
ID

Title

First Name

Initial

Last Name

Speciality

Role

Country of Principal Practice

Institution Name

Location

Address Line

1

Address Line

2

Post Code

Email

INDIVIDUAL NAMED DISCLOSURE

-

one line per HCP/ORDM (i.e. all transfers of value during year for an individual HCP will be summed up: itemization should be available for the individual Recipient or public authorities' consultation only, as appropriate)

a

Dr

Syed

Abbas

Harlow

UK

St Clare Hospice

St Marks Hospital
Harlow London London Poole

Hastingwood Road Hastingwood

CM17 9JX

HA1 3UJ WC1N 3JH BH15 2JB NN18 8LX S10 2TH L14 3LB
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

£392.74

£392.74 £1,572.56 £1,075.96 £411.00 £495.00 £102.00 £300.00 £254.00 £962.28 £200.00 £1,612.85 £450.85 £1,149.90 £222.00 £300.00 £250.00 £334.50 £100.00 £1,000.00 £512.00 £160.00 £336.00 £334.50 £322.58 £250.00 £392.74 £400.00 £466.00 £1,797.37 £350.00 £1,113.50 £489.98 £80.00

Dr

Ayesha

Jeremy Sara

Akbar

London

UK

UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK UK

Watford Road

Harrow

£172.56 £475.96 £196.00
£1,400.00 £600.00

Great Ormond Street Hospital
Great Ormond Street
Mr Ms Ms Dr
Allgrove Almeida Anderson Arundel Azurdia Bathgate Berman Biswas

London

£625.16 £215.00 £495.00

Poole General Hospital

Poole

Longfleet Road

Butland Road Western Bank Thomas Drive Warrington Road
Poole
Susan Paul

Corby

Lakelands Hospice

Corby

Oakley Vale

Sheffield Liverpool Rainhill
Sheffield Children's Hospital
Sheffield Liverpool Prescot
Sheffield Liverpool Prescot Manchester Llantrisant Truro

£102.00

Royal Liverpool and Broadgreen University Hospitals

Dr

Richard

Siobainn Richard Raja

£300.00 £200.00 £500.00 £200.00

Nurse Dr

Whiston Hospital

L35 5DR

M20 4BX CF72 8XR TR1 3LJ

£54.00

Christie NHS Foundation Trust
550 Wilmslow Road
Manchester Rhondda Cynon Taf Truro
Withington Talbot Green Truro

£462.28

Royal Glamorgan Hospital

Dr

Ynysmaerdy

Treliske
Royal Cornwall Hospital
Mr Nurse Dr
Christopher Adrian Christine Raphael Mary
Blake

£1,031.06

£581.79

£549.90 £300.00 £334.50

Northwick Park & Central Middlesex Hospitals

Brown

Harrow

Bristol

Watford Road

Harrow

HA1 3UJ

BS2 8BJ

£250.00 £600.00
£200.85

Bristol Royal Hospital for Children
24 Upper Maudlin Street

Burren

Bristol

Glasgow Royal Infirmary
Mr Ms Dr
Buttigieg Campbell Chaturvedi Cheung Cochrane Cowan
Glasgow Londonderry Manchester London

Glasgow

McEwan Building, 16 Alexandra Parade, G31 2ER

£267.00

Altnagelvin Hospital Londonderry

Western Trust

Glenshane Road

Manchester
BT47 6SB M20 4BX SE1 7EH SK4 1BS
Anshuman Moira

Manchester

Wilmslow Road

£250.00

Evelina London
London
Westminster Bridge Road

Dr

Guys

&

St Thomas

Children's Hospital

9th Floor, Regent House
Ms Prof Ms Ms Ms Nurse Dr

Helen

Stockport

Manchester Bristol

Steady in Stockport Stockport

Heaton Lane

Manchester Bristol

£100.00

Richard Sally

Manchester

Wilmslow Road

Southmead Road
M20 4BX BS10 5NB RG24 9NA L9 7AL

£1,000.00 £150.00

Cownie Coxden Crook
Southmead Hospital Bristol

£166.00

Basinghstoke

&

Laura

Basingstoke

Liverpool London
Basingstoke Liverpool London
Aldermaston Road Basingstoke

£160.00 £50.00

North Hampshire Hospital Aintree University Hospital

Zoe

Elective Care Centre Longmoor Lane

Westminster Bridge

£286.00 £334.50

Evelina London Children's Hospital
Robyn John

Cross

Guys

&

St Thomas

SE1 7EH

W1G 6HL NP20 2UB CF14 2TL WD18 0HB DL14 6AD L12 2AP
Road
University College London
Cunningham Czajkowski Davies

London

5

Devonshire Place London

£322.58 £250.00

Royal Gwent Hospital

Dr

Marek

James Senan Anjan

Cardiff

Newport

Cardiff
Cardiff Road Velindre Road Vicarage Road
Newport Whitchurch Watford
Velindre Cancer Centre
Mr Dr
Cardiff

£392.74

Watford General Hospital
Devendra Dhar

Watford

Bishop Auckland Liverpool Newcastle Dudley

£400.00

County Durham Darlington NHS
&

Dr

Bishop Auckland

Liverpool Newcastle Dudley
Cockton Hill Road Bishop Auckland

£466.00

Foundation Trust Alder Hey Children's Hospital

Dr

Poonam

Chris
Dharmaraj Dipper

Eaton Road

Liverpool

£1,047.37

£750.00

£350.00 £900.00

Royal Victoria Infirmary
Queen Victoria Road

Dr

Newcastle

Pensnett Road East Kilbride Wythenshawe Newport
NE1 4LP DY1 2HQ G75 8RG M23 9LT NP20 2UB ST4 6QG M11 3AA BT30 6JQ CV2 2DX KA2 0BE SK2 7JE
Dudley Group NHS Foundation Trust
Russell Hall Hospital

Dr

Shams

Irene
Duja

£213.50

Ms Dr
Eastwood Edmonson Eylert
East Kilbride Manchester Newport Stoke on Trent Manchester Downpatrick Coventry Crosshouse Stockport Durham

Hairmyres Hospital East Kilbride

Eaglesham Road

Southmoor Road Cardiff Road

£34.00 £80.00 £295.00
£455.98

Wythenshawe
Manchester
Hospital
Jane
Rtoyal Gwent

Newport

Ms

Dr
Maike Adam
£295.00 £1,073.40 £330.25 £466.99 £450.40 £470.98 £684.00 £400.00 £594.42 £495.00 £1,643.88 £482.48 £1,075.25 £514.98 £600.00 £250.00 £209.00 £195.00 £448.00 £250.00 £500.00 £2,340.11 £500.00 £411.00 £370.00 £798.70 £850.00 £144.31 £523.94 £200.00 £250.00 £230.00 £550.00 £5.00
Hospital Royal Stoke
Farmer

Ferguson Flanagan Franks
Stoke on Trent
University Hospital

Newcastle Road

Stoke on Trent

Beswick

£73.40 £330.25 £432.99 £50.40
£1,000.00

Pennine Acute

Manchester

Ms

Ms Dr
Catherine Siobhan Alison Margaret Yogalingham Kate

3

Graham Street

Hospitals NHS Trust

Downshire Hospital Downpatrick

53 Ardglass Rd

Downpatrick

Coventry

£34.00

University Hospital,
Coventry
Clifford Bridge Road

£400.00

Coventry
Ms Dr

Frew

Crosshouse Hospital Kilmarnock

30 Lister Road

Poplar Grove
Crosshouse Hazel Grove North Road Guildford

£34.00 £410.00 £400.00
£436.98 £274.00

Stepping Hill
Stockport
Hosptial
Ganeshwaran Garbash Gartland Gaskell Gevers
University Hiospital
Durham
Specialist Palliative Care Team

Dr

DH1 4RW

GU2 7XX BB2 3HH EC1 1BB BT61 7NQ L69 7ZX of North Durham Royal Surrey County

Guildford

Nurse

Ms Dr
Anthony Joanne Evelien Michelle Ian
Guildford Blackburn London
Egerton Road

£344.42

£250.00

£1,100.00 £750.00 £200.00

Hospital Royal Blackburn
Blackburn
12 Park View Offices
Haslingden Road

£495.00 £34.00

Hospital Barts and The Royal

London

Whitechapel Road London

£543.88 £448.48

London Hospital
Ms Prof Ms Mr Dr
Gilmore Gilmore Glenn

Armagh

St Luke Hosptial

Armagh

Loughgall Road

Armagh

Royal Liverpool University Hospitals
Liverpool Belfast
Liverpool Belfast
Foundation Building Brownlow Hill

£325.25

Susan Vivek

Mater Hospital

Crumlin Road

Cardiff Road

Belfast

BT14 6AB

NP20 2UP NG7 2UH SA14 8QF SA31 3BB L7 8XP

£34.00 £400.00 £250.00 £35.00 £35.00
£480.98

Goel

Cardiff

Newport

Nottingham University Hospital NHS Trust
The Queen's Medical Centre

Arjun

Gowda

Nottingham

Llanelli
Nottingham Llanelli
Derby Road Dafen
The Prince Philip Hospital

Dr

Non

Griffiths

Hamer
Bryngwyn Mawr

£174.00 £160.00

Hywel Dda University Health Board
Ms Dr

Julie

Carmarthen

Liverpool Manchester Taunton
Carmarthen Liverpool Manchester Taunton

St Davids Park

Jobswell Road

Prescot Street Manchester Parkfield Drive Edgbaston
Department of Clinical Biochemistry &
Royal Liverpool University Hospital
Fadil Mohammed Judith Gemma Wolfgang Andrew Katie
Hannan Harker

£448.00 £250.00

Nurse Miss Prof Dr

Wilmslow Road

M20 4BX

TA1 5DA B15 2TT B15 2TH BH15 2JB PO30 5TG HA7 4LP LE1 5WW BS10 5NB BT16 1RH E9 6SR
Musgrove Park Hospital
Fracture Liaison Service
Hembery Hogler

£247.00 £586.11
£253.00 £434.00

University of Birmingham
University of Birmingham
Birmingham Birmingham Poole
Birmingham Birmingham Poole

£1,320.00 £500.00

Birmingham NHS Foundation Trust

Holt

44E Nuffield House Birmingham

Poole General Hospital
Ms Mr Dr

Horn

Longfleet Road

Parkhurst Road Brockley Hill
Poole

£215.00 £370.00
£196.00

Salim

Jaber

Newport

London

St Mary's Hospital

Isle of Wight

London
Newport
Royal National Orthopaedic Hospital

Ben

Jacobs

Stanmore

Leicester

£198.70 £70.00
£600.00 £350.00

Leicester Royal Infirmary

Dr

Vittalrao

Joseph Vanda Asghar Dean

Jadhav

Leicester

Bristol

Leicester

Infirmary Square

Southmead Road

£430.00 £34.00

Mr Ms Mr Dr

Jelski

Southmead Hospital Bristol

Westbury-on-Trym

Dundonald Clapton

£144.31 £489.94 £200.00 £250.00

Upper Newtownards Road
Johnston Khan

Belfast

The Ulster Hospital Belfast

Homerton University Hospital NHS Foundation Trust

London

Homerton Row

Royall Shrewsbury Hospital
Khinakaran Kodada La Mola MacLean Mannem McAteer McCreery McDevitt Montgomery Mughal Noble
Shrewsbury Goodmayes Manchester Llandudno Newport Liverpool Manchester Glasgow Aberdeen Manchester Cardiff
Shrewsbury Goodmayes Manchester Llandudno Newport

Mytton Oak Road Shrewsbury

SY3 8XQ

IG3 8YB

King George

&

The Cedar Centre

Barley Lane

Ms

Ms Dr
Dorcas Lisa

£230.00 £550.00

Queens Hospital Trust
Cancer Unit
550 Wilmslow
Withington
Road
M20 4BX LL30 1LB NP20 4EZ L9 7AL
Llandudno General Hospital

Kirsty

Hospital Road

Llandudno

£5.00 £69.00

Friars Educational Centre

Dr

Seetharam

Julie
Friars Road

£155.00 £50.00

£224.00 £336.00 £330.25 £102.00 £420.98 £10,573.10 £500.00 £448.00 £500.00 £144.30 £500.00 £466.99 £425.50 £1,665.89 £763.00 £416.00 £229.20 £1,596.02 £1,364.35 £20.70
Aintree University Hospital
Ms Ms Dr

Liverpool

Elective Care Centre Longmoor Lane