Concierge screening · London
Sports pre-season medical in London, the gold-standard athlete screen.
A specialist sports-medicine screen — cardiac, respiratory and musculoskeletal — designed to clear athletes safely, including youth and endurance profiles.
Why athletes choose us
- 01
Honest advice first
We tell you whether a full athlete screen is right for you — or whether an essential SEM medical is enough.
- 02
Paid by no clinic
We take nothing from the centres we suggest, so the guidance stays impartial and free.
- 03
We stay for the findings
If an ECG or echo flags something, we help arrange the sports cardiology follow-up straight away.
Indicative pricing
What a sports pre-season medical actually costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
An essential SEM medical in our network: £350–£700, with clearance same visit.
| Screen type | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Essential SEM medical | £350–£700 | 60 min | Same visit |
| Full SEM + ECG + echo | £900–£1,800 | Half-day | Same-day |
| Elite athlete package (with CPET) | £1,500–£3,000 | Half-day | Same-day |
| Endurance athlete screen (VO₂ max + lactate) | £1,000–£2,000 | Half-day | Same-day |
| Youth athlete screen (FA / RFU compliant) | £400–£800 | 60 min | Same visit |
| Return-to-play medical | £350–£700 | 60 min | Same visit |
Prices vary by clinic, the breadth of the panel, and which add-ons (echocardiogram, CPET, lactate profiling, ImPACT concussion baseline) you include. We come back with a firm quote within one working day.
The problem
A useful clearance — if the panel matches the athlete.
Generic athlete medicals either over-test (echo for every recreational runner) or miss the point (no ECG for a competitive footballer). A short SEM consultant conversation up front avoids both — and it is exactly what a good concierge should give you. We do.
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Is a full cardiac workup needed?
For some athletes yes, for others an essential SEM medical is plenty. We will say honestly which.
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Which panel?
Essential, full cardiac, elite CPET, endurance profile, youth, return-to-play — we match it to your sport and level.
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What happens after?
If ECG or echo flag something, we help arrange sports cardiology follow-up straight away.
The journey
From enquiry to clearance — what happens, in order.
One consultant sports & exercise medicine physician from first conversation to clearance — usually within a week.
Phase 1 · Before your medical
Concierge, off-stage for you
Phase 2 · On the day
60 minutes to a half-day at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Sport, level, age, symptoms, personal and family cardiac history.
- 02
Before
We come back with a recommendation
Within one working day: which panel, which clinic, indicative price. If a basic medical is enough we say so.
- 03
Before
We arrange the appointment
Often within a week, including evenings and Saturdays. Governing-body forms handled where relevant.
- 04
On the day
Arrival and consultation
A consultant sports & exercise medicine physician takes a full history and examination.
- 05
On the day
Investigations
ECG, echo, musculoskeletal review, CPET or VO₂ max and lactate testing as booked.
- 06
On the day
Wrap-up discussion
A closing conversation with your consultant — fit, conditional or unfit, with a clear plan.
- 07
After
Report and clearance
A written report — usually same day for basic clearance, 3–7 days for CPET and endurance profiles.
Typical end-to-end: 3–7 days. Elite and endurance panels: up to 2 weeks.
What it shows
The panel that actually earns its keep.
A pre-season medical covers cardiac, respiratory and musculoskeletal ground — and has genuine red flags. Here is what it looks at, and when to stop and call 999.
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Cardiac screening (family + personal)
A structured cardiac history — the single strongest risk marker in young athletes.
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Baseline ECG (12-lead)
Interpreted using international Seattle Criteria for athletes, not a generic template.
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Musculoskeletal readiness
Joint, muscle and movement screen tailored to your sport and any prior injuries.
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CPET / VO₂ max
Gold-standard cardiopulmonary exercise test for training zones and true aerobic capacity.
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Endurance-athlete profiling
Lactate thresholds and CPET data to build a real training and racing plan.
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Youth-athlete screen
FA and RFU-aligned pathway for young athletes, with parents involved throughout.
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Return-to-play assessment
Structured clearance after injury, illness or a period out of sport.
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Red flag: exertional syncope, chest pain — 999 before any pitch
Never train through these symptoms. Call 999 and do not return to sport until seen urgently.
Sports medical options
Not all sports medicals are the same.
What each option on your quote is actually for.
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Essential SEM medical
Consultation, examination, history, urinalysis, resting BP and clearance for most amateur sport.
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Full SEM + ECG + echo
Adds a 12-lead ECG and echocardiogram for a full cardiac clearance — the gold standard for competitive athletes.
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Elite athlete + CPET
Full cardiac workup plus cardiopulmonary exercise testing for elite and semi-professional athletes.
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Endurance athlete (VO₂ + lactate)
CPET with VO₂ max and lactate threshold testing for runners, cyclists, triathletes and rowers.
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Youth-athlete screen (SCF-compliant)
Cardiac Risk in the Young / FA / RFU-aligned screen for under-18s and academy players.
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Return-to-play medical
A focused clearance after injury, illness or a break, with sport-specific readiness testing.
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Concussion baseline (ImPACT)
A pre-season neurocognitive baseline that makes real-world concussion assessment far more accurate.
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Post-COVID cardiac clearance
A structured myocarditis screen with ECG, troponin and echo before return to competitive sport.
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 sports & exercise medicine physicians (FSEM)
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Cardiologists for echo, with sports cardiology experience
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CPET available on site with sport-specific protocols
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Musculoskeletal ultrasound and physio pathway integrated
Honest limits and safety
What a sports medical can — and cannot — do.
The most important thing is understanding what a screen can and cannot tell you. We cover both, honestly, before you arrive.
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Family history is the biggest risk marker
Personal and family cardiac history is the single strongest predictor of sudden cardiac events in athletes.
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ECGs use the Seattle Criteria
Athlete ECGs look different from the general population. Interpretation uses international "Seattle Criteria" to avoid false alarms.
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Echo when indicated
An echocardiogram is added if the ECG or history flags something — not routinely for every athlete.
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Fasting is not needed
You do not need to fast for the medical itself. Come well-hydrated and rested.
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Pregnancy adjusts panels
Some tests, including CPET at high intensity, are deferred in pregnancy. We adjust the panel accordingly.
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Youth screening follows FA and RFU guidance
Under-18 athletes are screened along the pathways set out by the FA, RFU and Cardiac Risk in the Young.
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Concussion is a distinct pathway
Concussion has its own baseline and return-to-play protocol — it is not covered by a standard SEM medical.
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Post-COVID myocarditis screen offered
A dedicated myocarditis-focused screen with ECG, troponin and echo is available before return to competitive sport.
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Share your prior imaging and cardiac tests
Old ECGs, echoes and cardiac MRIs make interpretation more accurate and often avoid repeat testing.
Reading your report
An athlete clearance report can look intimidating. It isn't.
However much ground it covers, the report keeps to the same four parts.
A quiet reminder
The report is written for a clinician — so we translate it, and tell you what matters.
If you would like us to talk you through it before you share with your coach or club, just ask.
- 01 Header
Sport, level and history
Your sport, competitive level and a summary of personal and family cardiac and musculoskeletal history.
- 02 Technique
Which tests were done
A clear list of the investigations included — history, ECG, echo, CPET, lactate, MSK review.
- 03 Findings
Cardiac, MSK and respiratory
An organ-by-organ summary of cardiac, musculoskeletal and respiratory findings, in plain English.
- 04 Impression
Fit, conditional or unfit
The bottom line — cleared, conditionally cleared or unfit — with a specific follow-up plan.
Recognised by major UK insurers
Athlete pre-season medicals are often self-funded; where a test is medically indicated we confirm cover with your insurer.
Frequently asked
Everything we get asked about sports pre-season medicals.
Quick answers on cardiac screening, ECG interpretation, echo, CPET, youth athletes, concussion, post-COVID and cost.
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Why do athletes need a pre-season medical?
Competitive sport places extreme demand on the heart, lungs and musculoskeletal system. A structured pre-season medical is the single best way to reduce the small but real risk of sudden cardiac events and to catch injuries or overtraining before they derail a season.
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Why do you ask so much about family history?
Personal and family cardiac history is the strongest predictor of sudden cardiac events in athletes. Any family history of sudden death under 40, cardiomyopathy, long QT or unexplained fainting materially changes what testing you need.
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What are the Seattle Criteria and why do they matter?
Athlete hearts adapt — the ECG often looks abnormal by general-population standards but is entirely normal for a trained athlete. The Seattle Criteria (updated internationally) are the standard framework used to interpret athlete ECGs, and they dramatically reduce false-positive referrals.
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When is an echocardiogram actually needed?
An echo is added when the personal or family history flags something, when the ECG shows features outside Seattle Criteria, or when the sport is exceptionally demanding (elite endurance, contact, motor). It is not routine for every recreational athlete.
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What is a CPET and who benefits from it?
CPET (cardiopulmonary exercise testing) measures VO₂ max, ventilatory thresholds and how efficiently your heart, lungs and muscles cooperate under load. It is invaluable for endurance athletes, elite performers, and anyone building a science-based training plan.
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How is youth-athlete screening different?
For under-18s and academy players we follow the FA, RFU and Cardiac Risk in the Young pathways: parents involved throughout, age-appropriate ECG interpretation, and a clear escalation route to paediatric sports cardiology when needed.
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When can I return to play after a concussion?
Concussion has its own graduated return-to-play protocol — never a single-visit clearance. An ImPACT baseline taken pre-season makes post-injury assessment far more accurate. Any headache, dizziness or cognitive change means no return to sport.
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Do I need a post-COVID cardiac clearance?
For competitive athletes returning after moderate or symptomatic COVID, a structured myocarditis screen with ECG, troponin and echo is recommended before full training. We arrange this same-day where needed.
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How much does a private sports pre-season medical cost in London?
An essential SEM medical is typically £350–£700; a full cardiac clearance with ECG and echo is £900–£1,800; an elite package with CPET runs £1,500–£3,000. We confirm firm figures within one working day.
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When should I see a GP or 999 urgently instead?
Exertional syncope (fainting during or just after exercise), chest pain on exertion, unexplained breathlessness or palpitations that stop you playing — call 999 and do not return to sport until fully assessed. A scheduled medical is not the right route for these symptoms.
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