Concierge preventive medicine · London
Advanced health assessment, a same-day comprehensive check with consultant physician, cardiovascular workup, imaging and advanced biomarkers.
The Advanced tier: a single-day comprehensive private health assessment — consultant physician review, cardiovascular workup (ECG, echo, treadmill or CPET), advanced biomarkers, whole-body imaging option, and personalised risk-reduction plan.
Why patients choose us
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The right hands
We route you to a consultant physician who leads the whole day — clerking, cardiovascular workup and the plan that lands with you.
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One day, one plan
A same-day comprehensive check — bloods, ECG, echo, imaging and a written risk-reduction plan before you leave.
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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 Advanced tier actually includes.
A single-day, physician-led comprehensive assessment — the elements below are all included as standard, with imaging chosen up front.
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Definition
Advanced-tier same-day comprehensive private health assessment.
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Led by
Consultant physician throughout.
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Cardiovascular
Cardiovascular workup with ECG and echocardiogram.
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Biomarkers
Advanced panel — Lp(a), ApoB, hs-CRP, NT-proBNP.
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Imaging
Optional whole-body MRI or CTCA.
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Follow-up
Personalised risk-reduction plan.
Preparation
From booking to your written plan — what the day looks like, in order.
One consultant physician anchors the day — the imaging, cardiology and bloods are stitched around them.
Phase 1 · Before your day
Booking and fasting instructions
Phase 2 · On the day
Physician, cardiology, bloods, imaging
Phase 3 · After
Structured plan and follow-up
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Before
Book same-day appointment
A single confirmed date holds every element of the day — physician, cardiology, imaging and bloods.
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Before
Fast 8 hours
Water, black coffee and essential medication only from the night before. Detailed prep sent by email.
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On the day
Consultant physician clerking
60-minute history, examination and risk-factor review — the day is anchored on this consultation.
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On the day
Cardiovascular assessment
Resting ECG, transthoracic echocardiogram and either treadmill exercise ECG or CPET.
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On the day
Advanced blood panel
Full metabolic, lipid, hormonal, inflammatory and cardiac biomarker panel.
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On the day
Imaging if selected
Whole-body MRI or CT coronary angiography, reported by a consultant radiologist.
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After
Structured plan and follow-up
A written risk-reduction plan, onward referrals if needed, and a booked re-assessment at 12–24 months.
Typical day: 6–8 hours. Written plan: before you leave.
What it shows
The domains an Advanced assessment covers.
The day is designed to answer specific questions across cardiovascular, metabolic, cancer, mental-health and imaging domains — not to hand you a screed of numbers.
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Cardiovascular risk profile
QRISK3, lipid subfractions, ECG and echo pulled into a single stratified answer.
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Cancer screening baseline
Age- and sex-appropriate screens with a documented interval for the next round.
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Metabolic and diabetes risk
HbA1c, fasting glucose, insulin resistance and metabolic-syndrome scoring.
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Advanced lipid subfractions
Lp(a), ApoB and non-HDL cholesterol — beyond a standard lipid panel.
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Mental-health and sleep screen
Validated screens for mood, anxiety and sleep disturbance woven into the consultation.
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Bone-health status
DEXA and bone-turnover markers where indicated by age and risk.
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Whole-body imaging findings
Whole-body MRI or CTCA findings reported by a consultant radiologist.
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Red flag: significant incidental finding — same-day MDT pathway
If imaging or bloods surface a significant finding, we convene a same-day MDT and act on it before you leave.
Next steps
What actually happens once the results are in.
The Advanced tier is measured by what changes after the day — a plan, medications where indicated, and named onward clinicians.
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Personalised risk-reduction plan
A written plan — targets, timescales, who does what — handed to you before you leave.
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Statin therapy where indicated
Initiated on the day when lipids and risk score cross treatment thresholds.
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Antihypertensive optimisation
Ambulatory and clinic readings translated into a titrated medication plan.
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Cancer-screening pathway
Onward mammography, colonoscopy, low-dose CT or PSA pathway, scheduled with a named clinician.
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Lifestyle prescription
Specific, dosed guidance on exercise, nutrition, alcohol and sleep — not generic advice.
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Onward specialist referral
Direct routing to cardiology, endocrinology, oncology or hepatology — no repeat clerking.
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Structured re-assessment at 12–24 months
Booked before you leave, with a shorter interim check if new medication is started.
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Genetic counselling if hereditary risk
Referral to clinical genetics for BRCA, Lynch, familial hypercholesterolaemia and cardiomyopathies.
Red flags
The findings we act on immediately.
If any of these surface on the day, the physician convenes a same-day MDT — nothing waits for a letter.
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Significant CV finding
Severe stenosis on CTCA, reduced ejection fraction on echo, or ischaemic changes on exercise testing.
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Suspicious mass on imaging
Any lesion on whole-body MRI or CTCA that meets criteria for urgent characterisation.
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Very high CV risk score
QRISK3 or SCORE2 in a high or very-high band, with treatment initiated the same day.
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Undiagnosed diabetes
HbA1c in the diabetic range — same-day diabetes pathway and structured education.
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Iron overload
Ferritin and transferrin saturation flagging possible haemochromatosis — genetics and hepatology referral.
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Uncontrolled BP crisis
Severe hypertension detected on the day — immediate treatment and same-week ambulatory review.
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Malignant blood-test result
Unexplained cytopenia or paraprotein — urgent haematology referral within 48 hours.
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Family cancer syndrome
Pedigree meeting familial-cancer criteria — clinical genetics referral and interim surveillance.
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Silent CKD stage 3+
eGFR persistently reduced — nephrology pathway and medication review.
Sources
The guidelines behind the day. Nothing invented.
This page is built from named, current UK and European guidance — clinically reviewed by Pulse Atlas Editorial Board, .
Editorial note
Reviewed 2026-07-30. Next review 2027-07-30.
This guide is for patients considering a private Advanced-tier health assessment. It is not a substitute for advice from your own clinician.
- 01 Reference
NICE. Cardiovascular disease: risk assessment and reduction, including lipid modification (NG238).
NICE. Cardiovascular disease: risk assessment and reduction, including lipid modification (NG238). - 02 Reference
Faculty of Occupational Medicine. Guidance on health assessments and executive health.
Faculty of Occupational Medicine. Guidance on health assessments and executive health. - 03 Reference
European Society of Preventive Cardiology. Position papers on preventive cardiology.
European Society of Preventive Cardiology. Position papers on preventive cardiology. - 04 Reference
Royal College of Radiologists. Guidance on whole-body MRI in screening.
Royal College of Radiologists. Guidance on whole-body MRI in screening.
Frequently asked
Everything we get asked about the Advanced tier.
Quick answers on what’s included, how it differs from Select and Advanced Plus, fasting, biomarkers and imaging.
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What is an Advanced health assessment?
A same-day comprehensive private health assessment led by a consultant physician. It combines a full clerking, cardiovascular workup (ECG, echo, treadmill or CPET), an advanced biomarker panel and — if you choose — whole-body MRI or CT coronary angiography, with a written risk-reduction plan before you leave.
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How is Advanced different from Select and Advanced Plus?
Select is a focused mid-tier check with physician, bloods and cardiovascular basics. Advanced adds an echocardiogram, treadmill or CPET, advanced biomarkers and optional imaging. Advanced Plus extends imaging and adds deeper specialist input across the day.
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Do I need to fast?
Yes — 8 hours, with water, black coffee and essential medication only. We send a detailed preparation email once the date is confirmed.
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What biomarkers are included?
Beyond a standard panel, the Advanced tier includes Lp(a), ApoB, hs-CRP and NT-proBNP alongside HbA1c, fasting insulin, thyroid, ferritin, vitamin D and cortisol.
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Is whole-body MRI worth it?
For selected patients — family history of cancer, unexplained symptoms, or a preference for a comprehensive imaging baseline — yes. It carries a real incidental-findings rate, which we discuss and manage through a same-day MDT if needed.
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What happens if something significant is found?
The consultant physician convenes a same-day MDT with cardiology, radiology or oncology as needed. You leave with a documented plan and named onward clinician — not a letter that arrives weeks later.
Related tests
Looking for a different tier?
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Health assessments — Advanced Plus
The full one-day executive health MOT with extended imaging.
Learn more -
Health assessments — Select
Focused mid-tier check — physician, bloods and cardiovascular basics.
Learn more -
Advanced diagnostics
Add-on diagnostics to layer onto any tier of health assessment.
Learn more -
All tests
Browse every test and procedure we arrange.
Learn more
In practice, in London
Booking health assessments advanced privately in London — what actually happens
With health assessments advanced, 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 health assessments advanced 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.
A private health assessments advanced pathway in London usually looks like this: an initial consultation, any diagnostics booked at a nearby facility (most within Zone 1 or 2), and a written report sent to you and your GP within a few days. The consultants we work with hold NHS posts alongside their private lists, which keeps the standards consistent across both settings. For health assessments advanced specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
There are a lot of consultants in London who can technically handle health assessments advanced. Fewer who do it week in, week out for the exact question you’re bringing. We spend most of our time working out which is which — and being straight when a different test or a different specialist would serve you better. Everything runs to CQC, GMC and Royal College standards; the choice is about fit, not floor.
Nearby in the library