Concierge occupational health · London
Private pre-employment medical in London, fitness-for-role, clearly reported.
Fitness-for-role assessments for new starters — from standard office roles to safety-critical, working-at-heights and Group 2 driver medicals. Clear reports, GDPR-safe.
Why candidates and employers choose us
- 01
Fitness-for-role, not fishing
We report on the role — not a wide clinical fishing trip. HR gets what they need; you keep the rest.
- 02
Paid by no clinic
We take nothing from the providers we suggest, so the guidance stays impartial and free.
- 03
We stay through the report
If a finding needs a specialist, we explain it and arrange what is next — separate from the occupational report.
Indicative pricing
What a pre-employment medical actually costs in London.
Indicative ranges across our partner occupational providers. Send the role and we quote firm figures across two or three options.
In short
A standard pre-employment medical in our network: £250-£500, with a fitness-for-role letter on the same visit.
| Medical type | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Standard pre-employment medical | £250–£500 | 45 min | Same visit |
| Standard + drug/alcohol screen | £350–£650 | 60 min | Same visit + 24 hrs |
| Safety-critical role medical (rail, aviation, offshore) | £450–£900 | 90 min | Same visit |
| Executive pre-employment | £650–£1,200 | Half-day | 5–7 days |
| Working-at-heights medical | £350–£700 | 60 min | Same visit |
| Return-to-work medical | £250–£500 | 45 min | Same visit |
Prices vary by provider, the regulatory standard for the role, and the add-ons booked (drug/alcohol, colour vision, spirometry, ECG). We come back with a firm quote within one working day.
The problem
The right standard, the right report - first time.
Pre-employment medicals go wrong when the wrong standard is applied, or when a clinical letter ends up on an HR desk. A short conversation about the role up front fixes both — and it is exactly what a good concierge should give you. We do.
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Which standard?
Standard, safety-critical (rail, aviation, offshore), working-at-heights, DVLA Group 2 — we match the medical to the actual role.
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What HR sees
A tight fitness-for-role letter, not a clinical dossier. Consent handled in writing before anything is shared.
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What happens after
Any clinical finding is referred separately to a GP or specialist — kept out of the HR occupational report.
The journey
From role brief to HR letter - what happens, in order.
One consultant occupational physician from first conversation to fitness-for-role letter — usually within a week.
Phase 1 · Before your medical
Concierge, off-stage for you
Phase 2 · On the day
45-90 minutes at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You (or your employer) tell us the role
A short, confidential brief. Role, safety-critical elements, any adjustments already discussed.
- 02
Before
We match the right medical
Within one working day: standard, safety-critical, driver or working-at-heights — with a firm quote.
- 03
Before
We arrange the appointment
Often within days, evenings and Saturdays available. Consent for the occupational report confirmed in writing.
- 04
On the day
Consultation and history
A consultant occupational physician takes a focused history for the role and any adjustments.
- 05
On the day
Examination and tests
Examination, vision, hearing where relevant, urinalysis, drug/alcohol screen if booked, ECG for safety-critical.
- 06
On the day
Fitness discussion
A closing conversation on the likely fitness outcome and any adjustments the physician will recommend.
- 07
After
Occupational report to HR
A limited-scope fitness-for-role letter to HR — same visit for standard; 5-7 days for executive. Clinical detail stays with you.
Typical end-to-end: 3-7 days. Executive panels with bloods: up to 2 weeks.
What it covers
The panel that fits the role.
Pre-employment medicals come in shapes — standard, safety-critical, driver, working-at-heights, executive. Here is what each looks at.
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Standard pre-employment
Focused history, examination, vision, urinalysis and BMI — for standard office and non-safety roles.
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Drug and alcohol testing
Urine or oral fluid drug screen and breath alcohol, with chain-of-custody documented for HR.
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Safety-critical role (SPAD, aviation, offshore)
Extended checks — ECG, vision, hearing, colour vision — to the relevant regulator’s standards.
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Executive pre-employment
Half-day work-up for senior appointments — bloods, ECG, spirometry and a fuller consultant review.
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Working-at-heights fitness
Cardiovascular, neurological and vestibular screen for scaffold, rope-access and roofwork.
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Driver medicals (Group 2 / HGV / PSV)
DVLA Group 2 medical with vision, cardiovascular and diabetes review, on the D4 form.
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Return-to-work
Fitness-for-role after illness, injury or long absence — with adjustments recommended in writing.
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Red flag: any critical finding — separate specialist referral
If the medical uncovers something clinical, we arrange a separate specialist referral — not through the HR report.
Medical options
Not all pre-employment medicals are the same.
What each option on your quote is actually for.
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Standard pre-employment
Focused examination, vision, urinalysis and BMI, with a fitness-for-role letter on the day.
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+ Drug/alcohol screen
Adds a chain-of-custody drug and alcohol screen — urine or oral fluid, breath alcohol.
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Safety-critical role
Extended checks to rail (SPAD), aviation or offshore (OGUK) standards.
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Executive pre-employment
Half-day panel for senior hires: bloods, ECG, spirometry and fuller consultant review.
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Working-at-heights
Cardiovascular, neurological and vestibular screen for scaffold and rope-access work.
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Driver medical Group 2
DVLA D4 medical for HGV, PSV and taxi drivers with vision and cardiovascular checks.
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Return-to-work
Fitness-for-role after illness or injury, with written adjustments where appropriate.
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Ill-health retirement
Independent occupational report on ill-health retirement, to the pension scheme’s criteria.
Our vetted London network
A small panel of providers, we picked them.
Partners across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand the role.
Selection criteria
How we choose every provider in our network.
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Consultant occupational physicians (FOM/Diploma)
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SEQOHS-accredited providers
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UKAS-accredited drug labs
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Chain-of-custody documented
Honest limits and safety
What a pre-employment medical can — and cannot — do.
The most important thing is understanding what the medical is for, what stays confidential, and what HR actually sees. We cover it all, honestly, before you arrive.
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Confidentiality
HR sees only fitness-for-role, not clinical details.
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Consented occupational report
Every report is on a limited scope — you sign consent before it is released.
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Fasting is not required
Standard and safety-critical medicals do not need you to fast; executive panels with bloods may.
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Chaperone available
A chaperone is offered for any intimate examination — just ask on the day.
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Disability adjustments in advance
Adjustments under the Equality Act are arranged in advance — tell us when you book.
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Drug/alcohol chain-of-custody
Sample handling and lab transfer are documented end-to-end so results stand up to challenge.
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GMC-level documentation
Every physician is on the GMC specialist register and documents to full clinical standard.
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Pregnancy declared voluntarily
You may declare pregnancy voluntarily — some checks are adjusted or deferred where relevant.
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Results turnaround
Same-visit letter for standard; 5-7 days for executive panels with bloods.
Reading your report
An occupational report is short. Deliberately.
Whatever the role, the report keeps to the same four parts — and stays limited to fitness for the role.
A quiet reminder
HR only sees the fitness-for-role letter — the clinical detail stays with you and the physician.
If you would like us to talk you through it before it is released, just ask.
- 01 Header
Role + adjustments needed
The role, the standard applied, and any adjustments the physician recommends up front.
- 02 Technique
Examination + tests done
A clear list of every examination and test on the day — so HR and you can see the scope.
- 03 Findings
System-by-system
System-by-system findings, kept to what is relevant to the fitness question.
- 04 Impression
Fit / fit-with-adjustments / unfit
The occupational conclusion in plain English, with a confidentiality note explaining what HR sees.
Recognised by major UK insurers
Pre-employment medicals are typically employer-funded rather than insured; we invoice the employer directly where preferred.
Frequently asked
Everything we get asked about pre-employment medicals.
Quick answers on what is included, drug/alcohol, driver medicals, working-at-heights, timings, HR reporting and confidentiality.
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What does a pre-employment medical cover?
A focused history and examination for the role, vision, urinalysis, BMI and — depending on the role — hearing, ECG, spirometry, drug and alcohol screening and colour vision. The output is a fitness-for-role letter to HR, not a full clinical record.
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Do you do drug and alcohol screening?
Yes — urine or oral fluid drug screen and breath alcohol, with chain-of-custody documented so results stand up to challenge. Confirmatory lab testing is UKAS-accredited.
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Do you offer driver medicals (Group 2, HGV, PSV, taxi)?
Yes — DVLA Group 2 medicals to the D4 form, including vision, cardiovascular and diabetes review. We can also do taxi and PSV medicals on the same visit.
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Do you offer working-at-heights medicals?
Yes — a cardiovascular, neurological and vestibular screen for scaffold, rope-access and roofwork, with a written fitness-for-heights letter on the day.
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How long do results take?
A standard, safety-critical, driver or working-at-heights medical produces a fitness letter on the same visit. Drug/alcohol confirmatory results follow within 24 hours. Executive panels with bloods take 5-7 days.
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What does HR actually receive?
A limited-scope occupational report: fit, fit-with-adjustments, or unfit for the role, plus any recommended adjustments. Clinical details are not shared with HR without your explicit written consent.
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Is any of this confidential?
Yes. The full clinical record stays with the occupational physician. HR only sees the fitness-for-role letter and only after you have consented to its release.
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What if I need disability adjustments for the medical itself?
Tell us when you book. Adjustments under the Equality Act 2010 are arranged in advance — extended appointment time, step-free access, BSL interpretation and quiet rooms are all available.
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How much does a private pre-employment medical cost?
A standard medical is typically £250-£500, safety-critical £450-£900, executive pre-employment £650-£1,200, working-at-heights £350-£700 and driver medicals £350-£700. We confirm firm figures within one working day.
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When would I need a specialist follow-up?
If the medical uncovers a clinical finding — high blood pressure, an abnormal ECG, a positive urinalysis — we arrange a separate specialist referral to your GP or a private consultant. That referral is kept out of the HR occupational report.
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