What a family office should ask a concierge doctor

A family office should ask a concierge doctor five things before signing. Who the named doctor is and where they trained. What is promised in writing when something is urgent. Who holds the record and who may read it. What the retainer covers and what is billed on top. And what the practice will not do.

Who is the doctor, and where did they train

A retainer buys a person, so the person should be named before the money moves. Ask for the name, the qualification, the year, and the institution, and then check the GMC register yourself.

Our clinicians are named on this site with their training beside them. Dr Adel Elalfy has been a GP in Britain for more than twenty five years, has been a Fellow of the Royal College of General Practitioners since 2001 and taught and examined medical students at Keele for fifteen years. Dr Alex Kennedy qualified at Nottingham in 2012, gained membership of the Royal College of General Practitioners with its minor surgery qualification in 2017, and performs around three hundred minor procedures a year. Dr Heidi Hamer read medicine at Cambridge and spent years designing and running the clinical trials that bring new drugs to market.

A practice that answers this question with a description of its service rather than a name has told you the answer.

What is promised in writing when something is urgent

Most of this market sells reassurance without a number. HealthClic publishes a cap of fifty families per GP and no timings. The Harley Street practices that court family offices publish neither price nor promise.

Ask for the promise as a number and ask what happens when it is missed. Ours is specialist navigation, which is a named service at £295 a case and included in a membership. A liaison offers a first appointment within 48 hours when it is urgent and five working days when it is routine, arranges the tests and imaging, and brings the letter back into the record.

The number matters less than the fact that there is one. A promise you cannot measure is not a promise.

Who holds the record, and who may read it

A family office often sits between the principal and the practice, which is exactly where a confidentiality problem starts.

Ask three things. Where the record is held and under whose registration. Who inside the practice can open it. And what reaches the office rather than the patient.

Our answer is that the record is held by the clinic and the clinical detail goes to the patient. Anything that reaches a third party, including the office that pays, needs the written consent of the person it is about, each time, and not a consent given once at the start of a retainer.

What the fee covers and what is billed on top

A retainer usually covers the doctor’s time and nothing else. The consultant, the scan, the laboratory and the hospital are billed separately, and that is where an annual figure quietly doubles.

Ask for the full catalogue rather than the retainer. Ours is on this site and it is the same catalogue that runs the checkout, so the price on the page is the price charged. A telephone consultation is £59, a standard appointment £150, a same day appointment £220, a visit to a home, hotel or office £400, an executive physical £2,495 and a consultant psychiatrist assessment £895. Blood panels are £350, £650 and £1,395. Longevity programmes are £5,995, £12,995 and £34,995.

Ask what the practice earns from a referral. If a consultant, a laboratory or a scanning centre pays the practice for sending you, you are entitled to know before you are sent.

What the practice will not do

This is the question that separates the practices, because it is the only one where an honest answer costs the seller something.

We are one clinic in Marylebone. Video and telephone reach anyone in the United Kingdom and in person reaches London. We hold no beds and we are not an emergency service.

We do not sell an annual health check as the centrepiece of a retainer. The 2019 Cochrane review pooled 251,891 people and found that general health checks did not reduce deaths from any cause, while producing more diagnoses. A check aimed at a risk a person actually carries is a different thing, and that is the one we do.

And we publish no client name, no logo and no testimonial we do not hold in writing, which for a family that values discretion is the point rather than a limitation.

Where the numbers come from

  • 50

    families per GP is the published cap of one London family practice, listed with no timings and no price.

    HealthClic published claims, surveyed for the front doors research pack, September 2026

  • 251,891

    people were pooled in the Cochrane review of general health checks, which found no reduction in death from any cause and more diagnoses.

    Krogsbøll LT and colleagues, Cochrane Database of Systematic Reviews, 2019 Open the paper

Good to know

Not as a published product today. What exists is the catalogue on this site and specialist navigation at £295 a case. When a retainer exists it will carry a price and a written promise, and both will be on the page.

Where you ask for it, yes, and continuity is the reason to. A paediatric problem may go to a different clinician, and we will say so rather than stretch one doctor across everything.

No. We are one clinic in London and we will not promise cover we cannot deliver abroad. A practice that says yes to this should be asked who exactly is travelling and under whose registration they practise there.

Nothing, and we pay nothing for one either. If we ever pay a referral fee it will be recorded on the partner record and visible in the accounts.