Concierge cognitive assessment · London
Private cognitive assessment (MoCA) in London, interpreted by a specialist.
A validated cognitive screen interpreted by a specialist alongside history and - where indicated - a brain MRI. Not a “brain-training app” result; a proper memory-clinic pathway.
Why patients choose us
- 01
A screen, then a specialist
The MoCA is a screening tool. We pair it with a consultant neurologist or old-age psychiatrist so you get an interpretation, not a number.
- 02
Memory-clinic pathway ready
If the screen is positive, we open the door to a full memory-clinic assessment - not a leaflet and a shrug.
- 03
MRI available same week
When brain imaging is indicated, we arrange it quickly at a vetted London MRI centre.
Indicative pricing
What a private cognitive assessment costs in London.
Indicative ranges across our partner specialists. Send the details and we quote firm figures across two or three options.
In short
A full cognitive assessment with specialist review: £400–£800, interpreted in the same visit.
| Assessment | Indicative range | Appointment time | Report turnaround |
|---|---|---|---|
| MoCA screen only | £150–£300 | 20 min | Same visit |
| Full cognitive assessment + specialist review | £400–£800 | 60–90 min | Same visit |
| Memory clinic consultation | £350–£700 | 60 min | Same visit |
| Neuropsychology full battery | £900–£1,800 | Half-day | 10–14 days |
| Cognitive assessment + brain MRI | £900–£1,600 | Half-day | 5–7 days |
| Follow-up cognitive review | £180–£380 | 30 min | Same visit |
Prices vary by specialist, whether neuropsychology or brain MRI are added, and how quickly you need the report. We come back with a firm quote within one working day.
The problem
A score on its own is not an answer.
Anyone can hand you a MoCA sheet. The value is a specialist reading it alongside history, examination and - where warranted - a brain MRI, and then telling you what to do next.
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Something has changed?
You or a partner have noticed a change and want a proper baseline - not a leaflet.
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Worried about a low score?
A single low number is not a diagnosis. A specialist puts it in context, same visit.
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Need a full pathway?
If the screen is positive, we open the door to memory clinic and imaging - not just email a PDF.
The journey
From enquiry to specialist plan - what happens, in order.
One clinician from first message to explained results - usually within a few days.
Phase 1 · Before your visit
Concierge, off-stage for you
Phase 2 · On the day
~20–90 minutes in clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us the concern
A short, confidential form. What is being noticed, by whom, and over what timeframe.
- 02
Before
We recommend the right pathway
Within one working day: MoCA screen alone, full cognitive assessment, or neuropsychology - and what each costs.
- 03
Before
We book the appointment
Clinic slot with the right specialist, at a time that works. Family welcome to attend for history.
- 04
On the day
Cognitive screen
Around 20 minutes for MoCA alone, 60-90 minutes for a full cognitive assessment in a quiet room.
- 05
On the day
Specialist review
A consultant neurologist or old-age psychiatrist reviews the score alongside history and examination.
- 06
After
Brain MRI if indicated
If imaging is warranted, we arrange it - usually within the same week.
- 07
After
Plan and pathway
A clear next step: reassurance, monitoring, memory clinic, or onward specialist care.
Typical end-to-end: 3-7 days. Urgent cases: same week.
What it shows
The reasons people come to us for a cognitive assessment.
Not every concern needs a full workup - and some need urgent neurology, not a screen. This is how we sort it.
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Subjective memory concerns
When you or a partner notice something has changed and want a proper baseline.
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Mild cognitive impairment screen
A validated way to check whether change is beyond normal ageing.
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Suspected dementia
Structured assessment to guide diagnosis, imaging and support.
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Executive function change
Planning, attention and multitasking - the domains people notice at work first.
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Driving fitness
Where cognition may affect safety behind the wheel, with clear DVLA guidance.
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Medication review affecting cognition
Sedatives, anticholinergics and polypharmacy can dull thinking - screening helps.
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Baseline before surgery
A pre-operative cognitive baseline for older patients or complex procedures.
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Red flag: rapid decline over weeks
A change measured in weeks rather than years needs urgent neurology - we escalate.
Assessment pathways
The pathways we arrange most.
What each option is actually for.
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MoCA screen
The 20-minute Montreal Cognitive Assessment - a validated first-line screen.
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Full cognitive assessment
MoCA plus history, examination and consultant interpretation in a single visit.
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Memory clinic pathway
Structured assessment led by an old-age psychiatrist, with follow-up planning built in.
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Neuropsychology full battery
A chartered clinical neuropsychologist maps every domain over a half-day.
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Cognitive assessment + brain MRI
Combined pathway when imaging is indicated - typically arranged in the same week.
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Post-stroke cognitive review
Focused assessment after a stroke or TIA to guide rehabilitation.
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Occupational cognitive review
For work-related concerns, fitness-to-practise questions and return-to-work planning.
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Capacity assessment
Formal capacity assessment for medical, legal or financial decisions.
Our vetted London network
A small panel of specialists, we picked them.
Consultant neurologists, old-age psychiatrists and chartered clinical neuropsychologists across central London. Not listed publicly - introductions are made privately, once we understand your case.
Selection criteria
How we choose every specialist in our network.
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Consultant neurologists or old-age psychiatrists leading the interpretation
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Chartered clinical neuropsychologists for full-battery assessment
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Brain MRI available same-week if clinically indicated
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Direct memory-clinic pathway if the screen is positive
Preparation and practicalities
What actually affects a MoCA score.
A cognitive screen is safe and non-invasive - but conditions matter. These are the things that shape the number, and how we handle them.
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MoCA is a screen, not a diagnosis
A single score does not diagnose anything. It flags whether a fuller assessment is warranted.
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A quiet environment matters
Distraction, noise and a rushed setting all lower scores. We test in a calm room.
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Language versions
English-language versions have validated alternatives - we choose the right one.
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Mood, sleep and medications
Depression, poor sleep and sedating drugs can all pull scores down. We factor them in.
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A single low score is not dementia
Context is everything. A low score is a prompt for careful review, not a label.
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Positive screen needs specialist review
We do not leave you with an abnormal score and no plan. A specialist reviews it the same visit.
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Brain MRI usually indicated
For cognitive concerns beyond normal ageing, brain imaging is part of the standard workup.
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Driving fitness and the DVLA
Some diagnoses require you to notify the DVLA. We explain your obligations clearly.
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Family involvement helps
A collateral history from a partner or relative is often the most useful part of the assessment.
Reading your report
A cognitive report can look daunting. It isn’t.
Whichever pathway you take, the report follows the same four parts.
A quiet reminder
A single score is not a diagnosis - context is everything.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Your age and concerns
Your details, age, and the concerns behind the assessment - as reported by you and, where relevant, family.
- 02 Technique
Which tools were used
MoCA version, additional bedside tests, and any neuropsychology instruments used.
- 03 Findings
Domain-by-domain scores
Memory, attention, language, executive function and visuospatial ability - each scored and described.
- 04 Impression
The conclusion: read this first
Normal, mild cognitive impairment, probable dementia, or a specific next step. Read this first.
Recognised by major UK insurers
Cover varies by insurer and indication - we check on your behalf before you book.
Frequently asked
Everything we get asked about cognitive assessment.
Quick answers on the MoCA, MMSE, cost, referral, imaging and driving.
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What does the MoCA actually measure?
The Montreal Cognitive Assessment is a 30-point screen that covers short-term memory, attention, language, executive function, visuospatial skill and orientation - the domains most often affected in mild cognitive impairment and early dementia.
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How is MoCA different from the MMSE?
The MMSE is an older, briefer screen that is less sensitive to mild impairment and executive dysfunction. MoCA is generally preferred as a first-line screen, particularly for detecting mild cognitive impairment.
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How much does a private cognitive assessment cost in London?
A MoCA screen alone is typically £150–£300. A full cognitive assessment with specialist review is £400–£800. A neuropsychology full battery runs £900–£1,800. We confirm firm figures within one working day.
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Do I need a referral?
No. You can self-refer, and family members can enquire on behalf of a relative. Where a referral letter helps with insurance, we can arrange a private GP.
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What if the result is inconclusive?
A borderline or single-visit score is not the last word. We repeat, add neuropsychology, or arrange imaging - whichever the specialist recommends.
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Will I need a brain MRI?
Often, yes. When cognitive change is beyond normal ageing, brain imaging is part of the standard workup - we arrange it, usually within the same week.
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Does it affect my driving?
It might. Certain diagnoses affect fitness to drive and require DVLA notification. The specialist will advise clearly, in writing, based on your findings.
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What about the DVLA - who tells them?
You do. It is a legal duty to notify the DVLA of a relevant diagnosis. We give you the paperwork and explain the process.
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How quickly do I get the results?
MoCA and full cognitive assessments are interpreted and explained in the same visit. Neuropsychology reports take 10–14 days.
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When should I see a GP urgently instead?
If cognition has changed markedly over days or weeks, or is accompanied by new neurological symptoms - weakness, speech disturbance, seizures - go to your GP or A&E rather than book a private screen.
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In practice, in London
Getting cognitive moca sorted in London, without the guesswork
With cognitive moca, the London question is usually about report turnaround and the radiologist reading it - not whether the scan is available. On the NHS, cognitive moca typically sits behind a triage step and a wait that can stretch from a few weeks into months. In London’s private sector, the same appointment often lands within days. That speed matters when symptoms are disrupting work, sleep, or a plan you’d already committed to - and it’s the single most common reason people call us in the first place.
In practice, a private cognitive moca appointment in London means a named consultant, a proper hour in the room (or the equivalent on a video call), and a report you can actually read. Most of the imaging suites and endoscopy units we use sit within a mile of Harley Street or in Chelsea and Fulham, and turnaround on findings is measured in days, not weeks. For cognitive moca specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
Where a good concierge earns its keep is in the matching. There are dozens of consultants in London who see cognitive moca - but not all of them are the right fit for every case. We narrow it down based on subspecialty, insurer coverage, the specific question being asked, and whether continuity into treatment matters. The right first appointment saves you from repeating yourself later.