Preventive medicine · London
A multi-day executive health assessment, led by a preventive medicine consultant.
One or two days, one doctor, one report. Bloods, cardiac, cancer screening, imaging, body composition, sleep and mental health - read together and turned into a prioritised action plan you can actually work through.
Why patients choose us
- 01
A consultant in executive medicine, not a badge on a package
A named consultant runs the day, reads your bloods and imaging himself, and writes your report. Not a nurse-led checklist with a rubber stamp.
- 02
Evidence-first, not everything-first
Not every test in a brochure is an evidence-based screen. We tell you which tests will change your life, which are reasonable, and which mostly find noise.
- 03
Independent, and free
We are paid by no clinic, so the recommendation between Cleveland Clinic London, HCA Wellington, One Welbeck and the rest is impartial.
Indicative pricing
What a private executive assessment costs in London.
Indicative ranges across our partner sites. Tell us your age, sex, family history and calendar and we come back with two or three fitted options.
In short
A two-day consultant-led assessment in central London: £4,500-£8,500, report inside 7 to 10 days.
| Programme | Indicative range | Typical duration | Turnaround |
|---|---|---|---|
| Single-day executive screen | £2,500-£4,500 | 1 day | Report in 7-10 days |
| Two-day executive health assessment | £4,500-£8,500 | 2 days | Report in 7-10 days |
| Multi-day concierge programme | £8,500-£16,000 | 3-5 days | Report in 7-14 days |
| Add-on: whole-body MRI (selective) | £1,600-£2,800 | 60-90 min | Report in 5 days |
| Add-on: coronary calcium score or CCTA | £350-£1,400 | 20-45 min | 3 days |
| Corporate contracts (board-level cohorts) | On application | Bespoke | Bespoke |
Prices vary by site, by which consultant leads the day, and by add-on imaging - whole-body MRI, CCTA and prostate mpMRI carry the biggest deltas. We confirm a firm quote in one working day.
The journey
From brief to report - what happens, in order.
One team from first message to results consultation - and a 3 and 12-month check-in so the report does not just gather dust.
- 01
Before
You send us a short brief
Age, sex, family history, current medications, what worries you and what you want out of the day. Ten minutes on the form.
- 02
Before
We match you to the right programme
A single-day screen, a two-day assessment or a multi-day concierge programme - matched to your risk, your goals and your calendar.
- 03
Before
Bloods and a home sleep study go out early
Fasting bloods a week ahead so results are on the desk on day one. A WatchPAT or overnight PSG posted to you if sleep apnoea is a question.
- 04
On the day
Day one - consultation, bloods, cardiac, imaging
Arrival, 60 to 90 minutes with the executive medicine consultant, ECG, echo, CPEX or stress echo, DEXA body composition and any selected imaging.
- 05
On the day
Day two - cancer screening and specialist reviews
Age and sex appropriate cancer screening, dermatology mole check, gynae or urology review, cognitive baseline and mental health screens.
- 06
After
Written report and prioritised action plan
A single, plain-English report inside 7 to 10 days: what is normal, what is borderline, what needs doing, in what order, and by whom.
- 07
After
Follow-up and referral coordination
A 30-minute results consultation, onward referrals to dietitian, exercise physiologist, psychologist or subspecialist, and a check-in at 3 and 12 months.
When it helps
The eight things a good assessment actually looks for.
Weighted towards the killers that are silent for years - and towards the checks with real trial evidence, not marketing evidence.
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Cardiovascular risk you cannot feel
A full lipid panel with ApoB and Lp(a), fasting insulin and HOMA-IR, hsCRP, homocysteine, coronary calcium score and echo - the drivers of the biggest killer.
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Metabolic drift before it becomes diabetes
HbA1c, fasting insulin, HOMA-IR, DEXA visceral fat and grip strength - together, they spot early insulin resistance years before a routine HbA1c budges.
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Cancer where screening actually works
Colonoscopy from 45, mammography or breast MRI for women, PSA plus prostate mpMRI for men over 45, low-dose chest CT for heavy smokers, dermatology mole check.
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Sleep apnoea and the fatigue that will not lift
A home WatchPAT or overnight polysomnography for anyone snoring, tired, hypertensive or overweight - undiagnosed OSA drives blood pressure, AF and cognitive fog.
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Fitness, strength and function
CPEX or stress echo for VO2max, DEXA lean mass, grip strength and gait speed - the physiological reserve that predicts how you age.
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Cognitive baseline and mental health
A short cognitive baseline, PHQ-9, GAD-7, a burnout scale and PSQI sleep quality - so a wobble at 55 has a 45-year-old benchmark to compare against.
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Thyroid, vitamins and bone
TFTs, vitamin D, B12, ferritin and iron studies, and a DEXA bone density scan for women over 50 and men over 60 - simple, cheap, high-yield.
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Red flag: chest pain or exertional breathlessness
Symptoms are not a screening question. Chest pain, exertional breathlessness or blackouts need a chest pain pathway now, not a diary date in six weeks.
What is in a full assessment
The eight components, unpacked.
What each block on the day is for - and which tests inside it we run by default versus by selection.
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Consultation and history
60 to 90 minutes with the executive medicine consultant. Family history, occupational stress, alcohol and sleep, and what you actually want to change.
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Bloods and biomarkers
FBC, U&E, LFT, TFT, full lipid panel with ApoB and Lp(a), HbA1c, fasting insulin, HOMA-IR, hsCRP, homocysteine, vitamin D, B12, ferritin, iron studies, PSA or CA125, HIV and hepatitis B and C if risk.
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Cardiac work-up
ECG, 24-hour ambulatory monitor if indicated, echocardiogram, CPEX or stress echo for functional capacity, coronary calcium score, and cardiac MRI when history warrants it.
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Cancer screening
Colonoscopy from 45 or a stool DNA test, mammography or breast MRI for women, PSA plus prostate mpMRI for men over 45, low-dose chest CT for heavy smokers, dermatology mole check, cervical smear with HPV.
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Imaging
Whole-body MRI selectively (not routine), thyroid and testicular ultrasound, upper-abdominal ultrasound, and carotid intima-media thickness for cardiovascular risk stratification.
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Body composition and fitness
DEXA body composition (lean mass, fat mass, visceral fat), VO2max on CPEX, grip strength and gait speed - the physiology that predicts healthspan.
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Sleep, cognition and mental health
Home WatchPAT or polysomnography, a short cognitive baseline, and PHQ-9, GAD-7, a burnout scale and the PSQI sleep questionnaire.
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Report, action plan and coordination
One written report, a prioritised action plan, and coordinated referrals to a dietitian, exercise physiologist, psychologist or subspecialist as needed.
Our vetted London network
A small panel of consultant-led programmes, we picked them.
Cleveland Clinic London, HCA Wellington, Chelsea and Westminster, King Edward VII, BUPA Premier, Nuffield 360 and One Welbeck - matched to your brief.
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Consultant-led programmes in preventive and executive medicine, not nurse-led checklists
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Cleveland Clinic London, HCA Wellington, Chelsea and Westminster, King Edward VII, BUPA Premier, Nuffield 360 and One Welbeck
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Same-site cardiology, radiology and endoscopy - not a scan here and a scope somewhere else
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Reports that a GP or a subspecialist can actually act on - with clear referral pathways
The honest bit
Over-screening, incidentalomas and where the evidence stops.
More tests are not automatically better care. This is what an executive assessment can, and cannot, honestly claim - and how we design the day so the report helps rather than worries.
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Over-screening is a real harm
A test with a 1% false-positive rate, run twenty times, has a 20% chance of raising a false alarm. False positives lead to biopsies, anxiety and cost. We choose tests deliberately.
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Incidentalomas on whole-body MRI
Whole-body MRI finds an incidental lesion in around 15 to 30% of adults. Most are benign. A minority trigger follow-up scans, biopsies and worry. We use it selectively, not routinely.
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Prenuvo is not an executive assessment
Prenuvo and similar whole-body MRI services are one imaging test. Executive health is a medical assessment - bloods, cardiac, cancer, lifestyle and a doctor reading it all together.
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Longevity clinics are not a substitute
Epigenetic age, biological age and NAD panels are interesting but mostly unvalidated for clinical decisions. We include them where you ask, and we say so on the report.
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Bloods are only as good as the pathway
A raised Lp(a) or an ApoB in the 90th centile only helps if someone acts on it. Our reports name the drug, the dose class and the follow-up interval.
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Radiation is real, if small
Low-dose chest CT, coronary calcium and CCTA all use ionising radiation. Doses are low but non-zero - we do them when the yield justifies it, not on a hunch.
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Anxiety is a side effect
A wall of results, half of them borderline, causes measurable anxiety in a minority of patients. A doctor sitting down with you and the report is part of the treatment.
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Not everything is evidence-based
Full-body MRI, epigenetic age tests and many "longevity" panels do not have randomised trial evidence for saving lives. We are honest about which tests do and do not.
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Follow-through is where value is created
A brilliant assessment with no follow-up is money spent. The 30-minute results consultation and the 3 and 12-month check-ins are the point of the exercise.
Reading your report
Your assessment report in four parts. Read the last one first.
One document, plain English, with an action plan you can hand to your GP or subspecialist.
A quiet reminder
A wall of borderline numbers without a doctor sitting with you is not care.
The 30-minute results consultation - and the 3 and 12-month check-ins - are the point of the exercise.
- 01 Header
Programme, tests performed and dates
Which programme (single day, two-day, concierge), every test that was run, on what date, by whom, and with which reference ranges.
- 02 Findings
System by system, in plain English
Cardiovascular, metabolic, cancer, musculoskeletal, sleep, cognitive and mental health - what was normal, what was borderline and what was abnormal.
- 03 Risks
Absolute risk, not just relative risk
Your 10-year cardiovascular risk, your lifetime risk, and the modifiable levers that move it - not a scary percentage without context.
- 04 Action plan
What to do next, in what order, by whom
Prioritised: what to do this week, this quarter, this year. Which referrals we have made and which follow-up scans, if any, are booked.
Recognised by major UK insurers
Executive health is usually self-funded or corporate-funded. Some insurers cover components triggered by findings - we confirm before booking.
Frequently asked
Everything we get asked about executive health.
Cost, comparison with Prenuvo and longevity clinics, over-screening, and what actually changes after the report.
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What is a private executive health assessment?
A structured, doctor-led preventive medicine review lasting one to five days, combining a consultation with an executive medicine consultant, a comprehensive blood panel, cardiac testing, age and sex appropriate cancer screening, selected imaging, body composition, sleep and mental health screening, and a written report with a prioritised action plan.
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How much does executive health cost in the UK?
Roughly £2,500 to £4,500 for a single-day screen, £4,500 to £8,500 for a two-day assessment, and £8,500 to £16,000 for a multi-day concierge programme with add-on imaging, subspecialist reviews and follow-up. Corporate contracts for board-level cohorts are negotiated separately.
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How is executive health different from Prenuvo whole-body MRI?
Prenuvo is one test - a whole-body MRI. An executive assessment is a medical review: bloods, cardiac testing, cancer screening, lifestyle assessment, mental health and sleep, all read together by a doctor. Whole-body MRI can be added into an executive assessment as one component - it is not a substitute for one.
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Where in London can I have an executive assessment?
The main consultant-led programmes run at Cleveland Clinic London Executive Health, HCA Wellington Executive Health, Chelsea and Westminster Executive Health, King Edward VII’s Health Screening, BUPA Premier, Nuffield 360 and One Welbeck Executive Health. We match you to the site whose consultant, calendar and add-on imaging fits your brief.
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Isn’t this just over-screening?
It can be. An unselected battery of tests generates false positives, incidentalomas and anxiety. A properly designed executive assessment weights tests to your age, sex, family history and risk, favours those with real trial evidence, and treats add-on scans as options rather than defaults. We say on the report which tests are evidence-based screens and which are exploratory.
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What actually changes after the report?
Typically: a statin or newer lipid drug for a high ApoB or Lp(a), a metformin or GLP-1 discussion for early insulin resistance, CPAP for undiagnosed sleep apnoea, a resistance-training and protein plan for low lean mass, a referral for a colonoscopy or breast MRI, and a mental health or burnout intervention. The 30-minute results consultation and the 3 and 12-month check-ins are where those changes get made and reviewed.
Book your assessment
One brief. One doctor. One report that actually changes things.
Tell us your age, your calendar and what worries you. We come back with two or three fitted options across the London consultant-led programmes inside a working day.
Related tests
Looking for something else?
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Longevity biomarker clinic
A deeper dive into ageing biomarkers - ApoB, Lp(a), hsCRP, glucose regulation.
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Prenuvo full-body MRI
Whole-body MRI as one screening test - what it does and does not do.
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Galleri multi-cancer test
The multi-cancer early detection blood test - status, cost, evidence.
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Epigenetic age testing
DNA methylation biological-age tests - what the trial evidence actually says.
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Coronary CT angiography
CCTA for coronary plaque and stenosis - often paired with a calcium score.
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Private MRI scan
Targeted MRI of a single body region - by consultant radiologist.
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Menopause blood panel
A structured hormonal and cardiometabolic panel for women 40+.
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Send Enquiry
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