Concierge hepatology · London
FibroScan liver health assessment, a same-day bundle — FibroScan, targeted bloods and consultant hepatology review.
A same-day private bundle: FibroScan (transient elastography + CAP) plus a targeted liver blood panel (FIB-4, ELF, LFT, viral screen, iron studies) reviewed by a consultant hepatologist — with a structured plan to reduce liver disease progression.
Why patients choose us
- 01
The right hands
A consultant hepatologist reviews FibroScan, bloods and history in one visit — no fragmented follow-ups.
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Answers the same day
FibroScan, targeted bloods and a consultant plan delivered in a single half-day.
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Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Key facts
What the assessment actually includes.
The bundle turns a standalone FibroScan into a full non-invasive hepatology workup — scan, bloods and consultant plan in one visit.
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Definition
A bundled same-day workup: FibroScan (transient elastography + CAP) plus a targeted liver blood panel and consultant hepatology review.
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Fibrosis and steatosis
Fibrosis stage (kPa), CAP steatosis grade and a biomarker profile combined into a single reading.
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Blood panel
FIB-4, ELF, LFTs, HBV, HCV, ferritin and α1-antitrypsin — a full non-invasive liver screen.
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Consultant review
A consultant hepatologist reviews all results the same day and writes the plan.
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MASLD-focused
Personalised advice targeted at metabolic-associated steatotic liver disease and progression risk.
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Repeat cadence
Repeat annually for at-risk patients — every 6 months where fibrosis is advanced.
The problem
A FibroScan number is not a plan.
The kPa reading answers one question — how stiff is the liver. It doesn’t tell you why, what to do about it, or how quickly. This assessment does.
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Abnormal LFTs that won’t settle?
We stage fibrosis, quantify fat, and screen for viral, iron and autoimmune causes in one visit.
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Metabolic risk stack?
Diabetes, obesity, high triglycerides — MASLD lives inside metabolic disease, and we workup accordingly.
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Family history of liver disease?
Cascade screening for viral, genetic and autoimmune conditions, coordinated by a consultant hepatologist.
Preparation and journey
From booking to follow-up — what happens, in order.
One clinician from first message to plan — the whole assessment sits inside a single half-day.
Phase 1 · Before
Booking and fasting window
Phase 2 · On the day
Bloods, FibroScan and consultant
Phase 3 · After
Plan and structured follow-up
- 01
Before
Book the same-day assessment
A short, confidential form. We confirm the slot, the fasting window and any medications to hold.
- 02
Before
Fasting 3 hours before FibroScan
Water is fine. Skip solid food and milky drinks for three hours before the scan window.
- 03
On the day
Bloods and FibroScan in one hour
Phlebotomy first, then FibroScan (transient elastography + CAP). Painless, radiation-free.
- 04
On the day
Consultant hepatology review
A consultant hepatologist reviews FibroScan, bloods and history in a same-day clinic slot.
- 05
After
Written report
Fibrosis stage, steatosis grade and biomarker interpretation in a single structured letter.
- 06
After
Personalised risk-reduction plan
Weight, alcohol, diet, metabolic targets and — if indicated — antiviral or MASH-directed therapy.
- 07
After
6–12 monthly follow-up
Structured surveillance cadence matched to your fibrosis stage and risk profile.
Typical end-to-end: a single half-day. Follow-up cadence: 6–12 months.
What it shows
The full non-invasive liver picture.
Fibrosis, steatosis and cause — read together, in one document.
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F0–F4 fibrosis stage
Non-invasive fibrosis staging from transient elastography (kPa).
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CAP steatosis grade S0–S3
Controlled attenuation parameter grades hepatic fat content.
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Advanced fibrosis (F3–F4)
Identifies bridging fibrosis or cirrhosis needing structured hepatology follow-up.
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Compensated cirrhosis
Detects cirrhosis before decompensation, opening the HCC surveillance pathway.
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Viral hepatitis serology
HBV and HCV screening as part of the same-day panel.
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Iron overload / haemochromatosis
Ferritin and iron studies flag genetic and acquired iron overload.
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Autoimmune liver disease screen
Includes an autoimmune workup where the pattern suggests it.
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Red flag: F4 cirrhosis + decompensation — urgent hepatology admission pathway
Ascites, encephalopathy or variceal bleed triggers immediate hepatology escalation.
Next steps
What follows the assessment.
The plan is personalised, not generic — matched to your fibrosis stage, steatosis grade and cause.
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Personalised lifestyle plan
Weight, alcohol and diet targets built around your fibrosis and steatosis result.
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Metabolic risk optimisation
Glycaemic control, lipids and blood pressure targets — MASLD lives inside metabolic disease.
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Antiviral therapy for HBV / HCV
Where serology is positive, we route to consultant-led antiviral treatment pathways.
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MASH-directed pharmacotherapy
Consideration of licensed MASH agents in appropriate F2–F3 patients.
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Bariatric surgery discussion
Where BMI and metabolic profile warrant it, a bariatric multidisciplinary referral.
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HCC surveillance pathway
Six-monthly ultrasound and AFP for cirrhosis and selected advanced fibrosis.
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Cascade family screening
First-degree relative screening for viral, genetic and metabolic liver disease.
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Structured hepatology follow-up
A defined review cadence — not an open-ended one — with a named consultant.
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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Consultant hepatologists, not generalist physicians
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Latest-generation FibroScan hardware with CAP capability
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Same-day integrated report — FibroScan, bloods and consultant letter in one document
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Onward MASH, viral hepatitis, HCC surveillance and transplant pathways where indicated
Safety and eligibility
One of the safest tests in medicine.
FibroScan itself is exceptionally safe; the practical points are the fasting window, BMI and ascites caveats, and when decompensated disease belongs in a hospital rather than an outpatient slot.
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Painless, radiation-free
Transient elastography uses a mechanical pulse and ultrasound — no needles for the scan, no radiation.
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Fasting 3 hours before
Food in the stomach shifts CAP and kPa readings — a 3-hour fast keeps the numbers clean.
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Position on the couch
You lie flat with your right arm behind your head — that is the whole preparation.
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BMI and ascites caveats
Very high BMI or significant ascites can limit FibroScan reliability — we say so upfront and route to MR elastography if needed.
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Decompensated disease is urgent
Ascites, encephalopathy or a variceal bleed is a hepatology admission — not a private outpatient slot.
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A single reading is not the whole story
Fibrosis staging integrates FibroScan with FIB-4, ELF and clinical context — no single number decides the plan.
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MRI/MRE sometimes follow-on
For ambiguous readings or discordance with biomarkers, MR elastography is the next step.
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Bring prior imaging and bloods
Previous LFTs, imaging and endoscopy reports materially sharpen the consultant’s reading.
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Alcohol history is confidential
An accurate alcohol history changes the interpretation — the consultation is confidential.
Red flags — when a private slot is not the right route
- F4 cirrhosis
- Decompensated disease
- Ascites
- Hepatic encephalopathy
- Variceal bleed
- HCC on imaging
- Autoimmune hepatitis flare
- Alcohol relapse with fibrosis
- Post-transplant graft dysfunction
Reading your report
A liver report can look intimidating. It isn’t.
Whatever the finding, the report keeps to the same four parts.
A quiet reminder
The report is written for your doctor, not for you — and that’s normal.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Indication and risk factors
Your details, the reason for the assessment, and the metabolic, viral and family risk factors that shape interpretation.
- 02 Technique
FibroScan parameters and blood panel
Which probe, IQR/median values, CAP readings, and the full list of bloods drawn on the day.
- 03 Findings
Fibrosis stage, CAP grade, biomarker profile
kPa with F-stage equivalent, CAP with S-grade, FIB-4, ELF, LFT trend and viral / iron / autoimmune results.
- 04 Impression
The plan: read this first
Overall risk category, the personalised lifestyle plan, any drug therapy indicated and the follow-up cadence.
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 the liver health assessment.
Quick answers on what’s included, how it differs from a standalone FibroScan, fasting, timing and follow-up.
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What is included in the FibroScan liver health assessment?
A bundled same-day workup: FibroScan (transient elastography plus CAP for steatosis), a targeted liver blood panel (FIB-4, ELF, LFTs, HBV, HCV, ferritin and α1-antitrypsin), and a consultant hepatology review with a written plan.
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How is this different from a standalone FibroScan?
A standalone FibroScan gives you numbers; the assessment integrates those numbers with a full non-invasive blood panel and a consultant hepatologist’s plan, in a single half-day. If you only want the scan, our /tests/fibroscan procedure page covers it.
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Do I need to fast?
Yes — three hours before FibroScan. Water is fine. Food in the stomach shifts CAP and kPa readings, so a short fast keeps the numbers reliable.
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How long does the whole visit take?
Around a half-day: bloods and FibroScan take about an hour together, then the consultant hepatology review follows the same morning or afternoon.
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What if my FibroScan shows advanced fibrosis?
F3 or F4 changes the plan — HCC surveillance, structured hepatology follow-up, MASH-directed pharmacotherapy where licensed, and consideration of bariatric surgery or transplant assessment in selected cases.
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How often should I repeat the assessment?
Annually for most at-risk patients; every six months for advanced fibrosis or cirrhosis; longer intervals where the risk profile is low and stable.
Sources
- EASL. Clinical practice guidelines on non-invasive tests for evaluation of liver disease severity and prognosis.
- AASLD. Practice guidance on NAFLD/MASLD.
- NICE. Non-alcoholic fatty liver disease (NAFLD): assessment and management (NG49).
- British Society of Gastroenterology. Liver guidelines.
Last reviewed 2026-07-30. Next review 2027-07-30. Reading time 6 minutes.
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In practice, in London
What fibroscan liver health assessment looks like on the ground in London
With fibroscan liver health assessment, the London question is usually about report turnaround and the radiologist reading it — not whether the scan is available. Waiting lists on the NHS for fibroscan liver health assessment vary widely by borough and by how the GP letter reads. Privately in London, we can normally offer a slot inside the same week, sometimes within 48 hours if there’s a cancellation. The difference isn’t clinical quality — the consultants are frequently the same faces you’d see on the NHS — it’s the calendar.
In practice, a private fibroscan liver health assessment 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 fibroscan liver health assessment specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
The value of going through a concierge for fibroscan liver health assessment isn’t access — anyone with an insurer or a credit card can get a private appointment in London. The value is knowing which consultant reads this particular presentation best, which unit turns reports around fastest, and which pathway won’t hit a dead end if the findings point somewhere unexpected.
Nearby in the library