A health assessment is worth having when a doctor reads the result with you and acts on it. Our programmes run from £34,995 for the full year to a £2,995 full day physical, and a Core panel of 30 markers read by a doctor is £350.
Message the clinic and a doctor replies within 24 hours.
Any of these needs to be seen the same day. If you are severely unwell, go to your nearest emergency department or call 999.
A health assessment measures the things that predict what happens to you, then decides what to do about them. Blood pressure, lipids, blood sugar, kidney and liver function, and an examination. Everything else on a programme is an addition to that core.NICE NG238, 2023
The value is not in the number of markers. It is in whether somebody reads them against your age, your family history and your risk, and whether anything happens as a result. A panel with no doctor attached is a spreadsheet.European Heart Journal ESC guideline, 2021
Most of what an assessment finds causes nothing at the point it is found. Raised blood pressure, raised cholesterol and a raised HbA1c are all silent, which is why they are measured rather than waited for.NICE NG136, 2023
The strongest predictor of what an assessment should look for is your family history. A first degree relative with heart disease under 60, or with bowel, breast or ovarian cancer, changes both what is measured and when it starts.The BMJ Hippisley Cox, 2017
Send us what you are seeing and we will tell you what it is likely to be.
The appointment starts with the history, because that decides which tests are worth running. Then blood pressure in both arms, height, weight and waist, examination, and bloods for lipids, HbA1c, kidney, liver, thyroid, ferritin and vitamin D.NICE NG238, 2023
Your 10 year cardiovascular risk is calculated with a tool validated on UK primary care records. That number, rather than any single marker, is what most of the plan is built on.The BMJ Hippisley Cox, 2017
Where a result crosses a threshold, the next step is arranged at the appointment rather than described in a report you take away. That is the part that separates an assessment from a document.NICE NG12, 2015
The Longevity Echelon programme
The most complete thing we run, over a year, with a physician holding the plan. It is for people who want the whole picture measured and acted on rather than a snapshot.European Heart Journal ESC guideline, 2021
The Longevity Elevation and Foundation programmes
The same method over a smaller surface. What comes out is fewer investigations rather than a shorter conversation.
The executive physical
Every test in a single day with one physician, including advanced bloodwork and body composition, with the results reviewed with you before you leave rather than posted afterwards.
A blood panel with a doctor reading it
The Longevity panel adds ApoB, lipoprotein(a) and homocysteine. The Advanced panel adds full thyroid, iron studies and hormones. The Core panel covers the 30 markers that carry most of the decision.European Heart Journal EAS consensus, 2022
A cheaper panel with no doctor attached
What that omits is the examination, the history, the interpretation and the pathway when something abnormal appears. It produces a result and leaves you to decide what it means, which is the part that is difficult.General Medical Council GMC guidance, 2020
Results come back in 24 to 48 hours and the plan is written the same week. Anything requiring treatment is started at that point rather than at a follow up, and anything requiring a specialist is booked rather than suggested.NICE NG238, 2023
The inconvenient half. Testing more things finds more things, and some of what it finds would never have troubled you. Every additional marker carries a chance of a result that leads to another test, and that is a cost of screening rather than a benefit of it.NICE NG12, 2015
What an assessment cannot do is guarantee anything. It shifts probabilities, and a normal result does not mean you will not be unwell next year. That is set out before you buy rather than after.General Medical Council GMC guidance, 2020
Draw your family tree with three columns. Relative, condition, age at diagnosis. Two generations is enough. That single page changes which tests are worth running more than any answer you give about your diet.The BMJ Hippisley Cox, 2017
Take your blood pressure at home for 7 days first. Sitting, arm supported, twice each morning and twice each evening, discarding day one. The average is a better number than anything measured once in a clinic and it is free.NICE NG136, 2023
Know the four numbers you should leave with. Your blood pressure, your non HDL cholesterol, your HbA1c and your 10 year cardiovascular risk. If a report does not contain all four, ask what it is for.NICE NG238, 2023
Do not buy a five figure programme at 30 with no symptoms and no family history. The tests will almost certainly be normal, and normal at 30 tells you very little you did not already know. Saying so costs us the largest sale on this page.NICE PH38, 2017
Do not buy reverse T3, IgG food intolerance panels or hair mineral analysis. None has evidence behind it, all produce results people then act on, and each of them is sold as part of somebody’s comprehensive package.NICE NG145, 2019
Do not buy a whole body scan as a general check. It finds incidental things at a high rate, most of which lead to more scans, and it does not measure any of the four numbers that actually predict what happens to you.NICE NG12, 2015
Step 1
The history and the family tree first, because that is what makes the difference between a panel and an assessment.
Step 2
Blood pressure, examination, weight and waist, and the bloods taken in the same appointment. Results in 24 to 48 hours.
Step 3
A doctor goes through the numbers, calculates your 10 year risk, writes the plan, and books whatever the result requires rather than listing it.
Ask before you book if you are not sure this is the right appointment.
Blood pressure, examination, weight and waist, and bloods covering lipids, HbA1c, kidney, liver, thyroid, ferritin and vitamin D, then a doctor reading them against your history and calculating your 10 year cardiovascular risk. The Core panel is £350.
Our ladder runs from £34,995 for the Longevity Echelon programme over a year, through £14,995 and £6,995 for the smaller programmes, to £2,995 for a full day executive physical. A blood panel read by a doctor is £1,395, £650 or £350 depending on the markers.
Core at £350 covers the 30 markers carrying most of the decision. Advanced at £650 adds full thyroid, iron studies and hormones. Longevity at £1,395 adds ApoB and lipoprotein(a), which matter most where there is a family history of early heart disease.
Forty is the usual starting point. Earlier if a parent or sibling had heart disease before 60, if there is a known lipid disorder or diabetes in the family, or if you are of South Asian ancestry. Below that age a full programme mostly returns normal results, which tell you very little you did not know.
Not for the lipid profile and not for HbA1c. Both are run on non fasting samples as a matter of routine and the results are usable for working out your risk. Where one specific test does need you fasted, you are told at the point of booking rather than on the morning itself.
Not as a general check. It finds incidental things at a high rate, most of which lead to further scans and some to procedures, and it measures none of the four numbers that actually predict cardiovascular risk. We would rather sell you the panel.
Within 24 to 48 hours for the blood work. The plan is written the same week, treatment is started at that point rather than at a further appointment, and anything needing a specialist is booked rather than recommended.
Reverse T3, IgG food intolerance panels and hair mineral analysis. None has evidence behind it and each produces results people act on. They appear in other providers’ comprehensive packages and they will not appear in yours.
This page is general information about a condition and it is not a diagnosis. Treatment depends on what a doctor finds when they examine you, and no outcome is guaranteed. If you are severely unwell, or if any of the warnings at the top of this page apply to you, go to your nearest emergency department or call 999.
European Heart Journal, European Atherosclerosis Society
Lipoprotein(a) in atherosclerotic cardiovascular disease, consensus statementEAS consensus, 2022
European Heart Journal, European Society of Cardiology
Guidelines on cardiovascular disease prevention in clinical practiceESC guideline, 2021
General Medical Council
Decision making and consentGMC guidance, 2020
NICE
NICE
Type 2 diabetes, prevention in people at high riskPH38, 2017
NICE
Thyroid disease, assessment and managementNG145, 2019
NICE
Cardiovascular disease, risk assessment and reduction, including lipid modificationNG238, 2023
NICE
The BMJ
Development and validation of QRISK3 risk prediction algorithms to estimate future risk of cardiovascular diseaseHippisley Cox, 2017
Written by the clinical team at The Wellness. Awaiting clinical sign off.
Tell us what is going on and a doctor will say what to book, or whether you need to be seen today.