The Wellness

The medical, the report, and a date this week

GMC registered doctors in Marylebone, with every fee published on this page.

If it is a fit, you hear from us within 24 hours.

The Wellness carries out occupational health medicals and writes the reports employers need. Reports for a tribunal, a pension or an insurer from £350, pre employment medicals from £195, driver medicals from £95. GMC registered doctors, in person in Marylebone, most examinations completed and signed at the appointment.

What the market charges

  • Comprehensive imaging programmesabove £32,000
  • Harley Street multi day executive programmesto £14,000
  • Private hospital executive tiers£3,500 to £8,000
  • Cleveland Clinic London executive assessment£5,500
Published figures from the London market, verified September 2026.

What a questionnaire service leaves out

  • No doctor in the room, so nothing is examined
  • No diagnosis, because a questionnaire cannot make one
  • No pathway when something abnormal appears, only a letter telling the person to find one
  • No report a tribunal or an insurer will accept

What we do, and what it costs

Executive medical

from £2495

A full day in person, examination, bloods, imaging where indicated, and a written report to the person

One day

Tribunal and ill health retirement reports

from £750

A written report for a tribunal, a pension scheme or a disability claim, with the records reviewed

Five to seven days

A doctor at the office

from £400

Sixty minutes at your building, for the person too unwell to travel and the day that cannot move

Same day where the diary allows

Insurance and claim reports

from £350

A report written to the standard an insurer or a claims handler accepts, with the examination included

Two to three days

Pre employment medical

from £195

Fitness for the role, examined and written up, with the adjustments named where any are needed

Same day

Fitness for a physical role

from £125

Clearance for work that carries a physical standard, examined against that standard

Same day

Taxi and private hire medical

from £105

The examination a licensing authority requires, on the authority’s own form

Thirty minutes

Driver medical, group 2

from £95

The D4 examination for a lorry, bus or coach licence, completed and signed at the appointment

Thirty minutes

Section 88 support letter

from £75

The letter that lets a driver keep working while a licence renewal is processed

Fifteen minutes

Fit notes

from £45

The note an employer needs, issued by the doctor who saw the person

Same day

Where we stop

  • We are one clinic in Marylebone. Health surveillance across several sites is not something we can staff
  • We hold no SEQOHS accreditation, which is the accreditation the Faculty of Occupational Medicine runs for occupational health services
  • No doctor here holds a Diploma in Occupational Medicine or Faculty membership, so a management referral that needs a specialist occupational physician goes elsewhere and we will say so on the call
  • We do not run an absence management case load, so a contract that needs a case manager is not a contract we should win

Four things that make a referral work

  • Send the job description with the referral. A fitness question answered without one is answered against a guess, and it is the single most common reason a report comes back saying less than you needed.
  • Ask the question you actually need answered, in one sentence, and ask it in the referral. "Is she fit to drive a forklift" produces a usable answer. "Please assess" produces a paragraph you cannot act on.
  • A fit note can be backdated by up to 7 days where it is medically appropriate, so a person who has been off since Monday does not need a second appointment to cover the week.
  • Consent is the person’s, not yours. A report reaches you only with their written consent, and they may read it first. Telling them that at the point of referral is what stops a refusal three weeks later.

What not to buy, including from us

  • A pre employment medical for a desk role. It finds nothing, it delays the start date, and it is the commonest thing we are asked for and talk people out of.
  • A yearly medical for a healthy person under 40 with no family history and no exposure at work. Two years is enough and the money is better spent on the people with a reason.
  • A blood panel with more markers than a question behind it. A marker with no question attached produces a number that has to be chased.

The questions an employer asks

Most driver and pre employment medicals are seen within the week and often the same week you ask. The examination is completed and signed at the appointment, so there is no second visit for the certificate.

The employee consents to the report and may read it before you do. It reaches you with their written consent and not before. Telling them that at the point of referral is what stops a refusal three weeks later.

No. We are one clinic in Marylebone. A doctor will travel to an office in London, and everything else is in person here. If your people are spread across the country, a national provider is the right answer and we will say so.

No. We hold no SEQOHS accreditation and no doctor here holds a Diploma in Occupational Medicine. Where a referral needs a specialist occupational physician we say so on the call rather than after the appointment.

Thirty minutes. History, vision tested to the group 2 standard, blood pressure, and an examination against the medical standards for driving. The form is completed and signed at the appointment.

Yes. The company is invoiced and the employee pays nothing. Every fee on this page is the fee, and it is the same fee a self paying patient is charged.

Yes, for a pension scheme, a tribunal or a disability claim, with the records reviewed. Five to seven working days from the appointment, and we will tell you before we start if the question you have asked cannot be answered from what exists.

Send us the work

If it is a fit, you hear from us within 24 hours.

An occupational health assessment is not a substitute for a person’s own medical care. If someone is seriously unwell, call 999 or go to your nearest emergency department.