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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