Concierge cardiology · London
Private 24-hour blood pressure monitoring in London, the definitive way to diagnose hypertension.
A small monitor worn for 24 hours that measures your BP through work and sleep — the definitive way to confirm hypertension and rule out white-coat effect.
Why patients choose us
- 01
The right test, not the quick one
We match the monitoring window to how your blood pressure actually behaves through the day.
- 02
Read by a specialist
A consultant cardiologist or GP with special interest scores your trace against NICE thresholds - not just an averaged number.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What private 24-hour BP monitoring costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A 24-hour ABPM in our network: £150–£300; with a specialist review £250–£450.
| Scan type | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| 24-hour ambulatory BP (ABPM) | £150–£300 | 24 hrs | 24–48 hrs |
| ABPM + GP or cardiologist review | £250–£450 | 24 hrs + 30 min | 24–72 hrs |
| Combined ABPM + Holter ECG | £350–£650 | 24 hrs | 3–7 days |
| 48-hour extended ABPM | £250–£450 | 48 hrs | 24–72 hrs |
| Home BP monitoring kit + coaching | £120–£250 | 7 days | Same visit |
| Repeat / surveillance ABPM | £150–£300 | 24 hrs | 24–48 hrs |
Prices vary by clinic, whether a specialist review is included, and whether ABPM is combined with a heart rhythm monitor. We come back with a firm quote within one working day.
The problem
A high clinic reading does not always mean hypertension.
One-off clinic readings are famously unreliable - some patients spike from the setting alone, others hide raised BP that only appears at work or overnight. NICE recommends ABPM to settle the question. That is the entire job. It is what we get right.
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High in clinic, unsure at home?
ABPM confirms or excludes white-coat hypertension - so you don’t start unnecessary treatment.
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Normal in clinic but feeling off?
ABPM catches masked hypertension - raised BP hidden by the calm of the consulting room.
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Already on treatment?
ABPM shows whether your medication actually reaches target across a full 24 hours.
The journey
From enquiry to report - what happens, in order.
One clinician from first message to explained result - usually 2 to 4 days end-to-end.
Phase 1 · Before your test
Concierge, off-stage for you
Phase 2 · On the day
~15 minutes at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Recent BP readings, symptoms, referral or insurer if you have them.
- 02
Before
We come back with a recommendation
Within one working day: which monitoring window, which clinic, indicative price. If a test is not the right step, we say so.
- 03
Before
We arrange the appointment
Often same or next day, including evenings and Saturdays. Insurer pre-authorisation handled.
- 04
On the day
Arrival and fitting
A cuff is sized to your arm and connected to a small recorder worn on a belt. Around 15 minutes in clinic.
- 05
On the day
The 24 hours
The cuff inflates every 20-30 minutes by day and every 60 minutes at night, while you go about your normal routine.
- 06
On the day
Return the monitor
Drop the device back the following day. No recovery time - drive, eat and work as normal throughout.
- 07
After
Report and next steps
Specialist report in 24-72 hours, scored against NICE thresholds. We route it to your GP or specialist.
Typical end-to-end: 2-4 days. Urgent cases: same day.
What it shows
The patterns ABPM actually reveals.
Not just an average - the shape of your BP through the day and night. These are the eight questions we are asked to answer most.
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White-coat hypertension
BP that spikes in clinic but is normal in daily life - ABPM is the definitive way to confirm it.
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Masked hypertension
Normal in clinic but raised at work or home - a hidden risk that only ambulatory monitoring picks up.
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Nocturnal hypertension
BP that fails to dip overnight - a strong marker of future cardiovascular risk.
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Resistant hypertension
BP still high on three or more drugs - ABPM confirms whether it is truly resistant.
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Menopause-related BP change
Perimenopause and menopause commonly nudge BP up - ABPM shows the true pattern.
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Elderly BP variability
Older patients often show big clinic-to-home swings; ABPM prevents over-treatment.
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Pregnancy hypertension monitoring
Safe in pregnancy to monitor gestational hypertension and pre-eclampsia risk.
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Red flag: severe BP with symptoms
Severe headache, chest pain, breathlessness or visual change with very high BP - call 999.
BP monitoring options
Not all BP tests are the same.
What each option on your referral is actually for.
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24-hour ABPM
The NICE-endorsed test for diagnosing hypertension - measurements through work and sleep.
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48-hour ABPM
A longer window when a single day is unrepresentative, or when symptoms fluctuate.
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Home BP monitoring
Twice-daily readings for a week with a validated home cuff - useful for tracking treatment.
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ABPM + Holter ECG combined
BP and heart rhythm captured together when palpitations coincide with BP change.
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ABPM in pregnancy
Safe monitoring for gestational hypertension and pre-eclampsia surveillance.
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ABPM for shift workers
Captures BP through overnight and rotating shifts where clinic readings mislead.
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Occupational stress ABPM
Monitors BP through a normal working day when workplace stress is the suspected driver.
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Post-medication-adjustment ABPM
Confirms whether a new or changed antihypertensive has actually reached target through the day.
Our vetted London network
A small panel of clinics, we picked them.
Partners across central, north, west and south London. Not listed publicly - introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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CQC-registered, with a current good or outstanding rating
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Calibrated, modern ambulatory monitors serviced to manufacturer standards
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Results scored by a consultant cardiologist or GP with special interest
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Reported against NICE thresholds, in plain English, with onward referral if needed
Safety and eligibility
One of the safest tests in medicine.
ABPM is non-invasive and low risk. The practical points are wearing the cuff properly - and knowing what the numbers really mean once you have them.
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Non-invasive
Nothing is put into your body - just a cuff on the upper arm, connected to a small recorder.
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Painless but noticeable
The cuff inflates every 20-30 minutes by day and every 60 minutes at night. It squeezes briefly, then releases.
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Sleep may be lightly disrupted
Most people notice the night-time inflations at first, then settle. That data is the most valuable part of the test.
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Avoid heavy exercise
Do not do heavy exercise or the gym while the monitor is on - it will not read accurately during intense activity.
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Continue usual medication
Take all your regular tablets exactly as prescribed unless a clinician tells you otherwise.
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Pregnancy safe
ABPM is safe in pregnancy and routinely used for gestational hypertension surveillance.
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Not for very unwell patients
If you are acutely unwell or in a hypertensive emergency, ABPM is the wrong test - you need urgent assessment.
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Skin irritation possible
The cuff can occasionally leave a light rash or bruise under the arm. It settles within a day or two.
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Interpreted in context
Results are always read alongside your symptoms, medication and cardiovascular risk profile.
Reading your report
An ABPM trace can look busy. It isn’t.
Whether 24 hours or 48, the report keeps to the same four parts.
A quiet reminder
A single high reading is not a diagnosis - a full 24-hour trace is.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Your details and the indication
Your details, medication list, and the clinical question the monitoring was set up to answer.
- 02 Technique
How the recording was made
Device model, sampling interval by day and night, and total valid readings captured.
- 03 Findings
What the recording showed
Average day BP, average night BP, nocturnal dip, and load percentages above threshold.
- 04 Impression
The conclusion: read this first
Normal, white-coat, masked or sustained hypertension - and what to do next. Read this first.
Recognised by major UK insurers
Cover depends on your policy and clinic; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about 24-hour BP monitoring.
Quick answers on cost, referrals, comfort, results and insurance.
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What does 24-hour ambulatory BP monitoring show?
It records your blood pressure automatically through a normal day and night, giving average day and night readings, the nocturnal dip, and the proportion of readings above target. NICE recommends it as the definitive test to diagnose hypertension.
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How is ABPM different from a clinic BP reading?
A clinic reading is a single number in an artificial setting. ABPM captures dozens of readings through your real day, filters out the white-coat effect, and reveals patterns - such as nocturnal hypertension - that a single reading cannot.
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How is ABPM different from home monitoring?
Home monitoring uses a manual cuff twice daily for a week and depends on you. ABPM is fully automatic, includes sleep, and is the NICE-endorsed test for diagnosis. Home monitoring is excellent for tracking a known diagnosis.
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How much does private ABPM cost in London?
24-hour ABPM is typically £150-£300, or £250-£450 with a specialist review. Combined ABPM with a Holter heart monitor is £350-£650. We confirm a firm figure within one working day.
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Do I need a referral?
Most ABPM services accept self-referral. We can arrange a fast-track private GP or cardiologist if you would like the result explained in a consultation.
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What is white-coat vs masked hypertension?
White-coat: BP is high in clinic but normal in daily life. Masked: BP is normal in clinic but raised at work or home. ABPM is the only reliable way to tell either apart from true sustained hypertension.
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What is the nocturnal dip?
A healthy BP falls by roughly 10-20% at night. A blunted or absent dip - or a nocturnal rise - is a strong independent predictor of future cardiovascular events, even when daytime BP looks acceptable.
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Do I need to fast or avoid exercise?
No fasting. Take your usual medication as prescribed. Avoid heavy exercise or the gym while wearing the monitor, and keep your arm still while the cuff is inflating.
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When should I see a GP first?
If you have severe symptoms with very high BP - chest pain, breathlessness, severe headache or visual change - do not wait for ABPM. Call 999 or see a GP urgently.
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Will my insurance cover it?
Most policies cover ABPM when clinically indicated and pre-authorised. Bupa, AXA, Vitality, Aviva, WPA, Cigna and Healix recognise us, and we handle the pre-authorisation.
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