Private GP · Kent
A doctor who knows you.
Feeling fine and being fine aren't the same thing. I measure what decides your long-term health and act when it moves, not when it becomes a problem.
Where to start
One practice. Several reasons to be in it.
People arrive for one of three reasons. Someone close to them was diagnosed with something that could have been found earlier, and they don't want that to happen to them. The job has got bigger and the hours longer, and they want to know whether their health is holding up under it. Or they have never had a doctor who knows their history, so every appointment starts from nothing.
The Assessment
Half a day with one doctor, and a written plan for the next ten years. Become a member and you have someone to act on it with: a doctor who knows your history, answers when you call, looks after your family, and is there when something serious lands. Fifty adults and no more, because that's what it takes to do it properly. Or start with a twenty-minute call, at no cost.
The Bio-Audit
The hours you work well, the decisions you make in them, and how fast you recover are all biological, and most of what limits them is silent. This is a full read on the systems underneath: metabolic, cardiovascular, sleep and cognitive, measured across a real working fortnight rather than one morning's bloods. You leave knowing what's limiting you now, what's building quietly, and what to change first.
The Long View
Normal is a range. You need a direction.
One blood test tells you where you sit against everyone else your age. It doesn't tell you which way you're going, and the direction is the part you can act on.
So this is a set of biomarkers chosen one by one, and I can tell you why each is there and what I left off.
Heart and circulation
How much has already accumulated, and how fast. ApoB counts the particles that drive arterial disease, which cholesterol alone does not. Lp(a) you inherit and measure once. Then blood pressure on both arms and a resting ECG.
Metabolism and inflammation
Whether this started years ago and nothing has said so yet. Fasting insulin moves long before HbA1c does, so I measure both, with hs-CRP for the background inflammation that drives much of the rest.
How you are ageing
How well you are actually holding up. VO2 max, measured rather than estimated, is one of the strongest predictors of long-term health there is. Then body composition, grip strength and balance, which say more about your next twenty years than your weight does.
One reading tells you where you stand.
Repeating it tells you which way you're going, and whether what we changed worked. That's why the same measures are repeated every year, by the same doctor.
What you're actually buying
When a big decision lands, I'm already on your side of the table.
The long game
I measure what decides your next twenty years, act when something starts moving, and write your plan around your history rather than an average of everyone your age.
The day something needs deciding
The scan that shows something unexpected, the specialist with three options, your father's diagnosis that changes what your own history means. I read the scan with you, I'm on the call with the consultant, and I tell you what I'd do if you were my own family. I come to your house when that is what the situation needs.
What you are paying for is a doctor who already knows you, sitting on your side of the table, on the day the decisions get made and you cannot think straight.
How I decide
More is easy to sell. I built this the other way.
Every test has to clear two questions before it goes on the baseline. Is there good evidence behind it, and will the result change what we do. Both, or it stays off, and that holds whoever is asking, including me.
The list is not fixed
I review the list as new evidence lands, so something earns its place when the research is strong enough and comes off when something better exists.
Leaving something off is not a refusal
If your history, your examination or your results make a test the right thing to do, we do it. It simply doesn't go on everyone's list by default.
No wide nets
Test a well person on everything and something always looks wrong when nothing is, and then you're paying in worry, in money, and sometimes in a procedure you never needed.
I earn the same whether I investigate you or reassure you. So when I say you don't need something, nothing rides on which way it goes.
The relationship
The family doctor, restored.
Medicine used to be a relationship that lasted. One doctor who knew your history, your family, and what you were like when you were well.
You get a doctor who knows you, who has the time to look properly, and a direct line. Eight in the morning to eight at night, seven days, and you get me the same day. When you need seeing rather than answering, I come to you.
You keep your NHS GP. This sits alongside the NHS, not instead of it.
"Personal and holistic. Understanding the whole picture, not a figures-only approach, and listening rather than working to a threshold."
Membership
What it costs.
One fee covers all of it. The annual measurements and the plan that comes out of them, the direct line, home visits, every letter and result you have collected turned into one clear record, and me in the room when something serious lands.
£480
a month, one adult
or £4,800 a year
£840
a month, a household of two adults
or £8,400 a year
Two children under 18 are included, then £50 a month for each additional child.
One fee covers me. No charge per visit, per call or per referral.
Everything else passes through at cost. Laboratory tests, scans, specialist fees, anything I arrange for you: you pay what I am charged, with nothing added.
The price you join at is the price you keep.
Whatever you pay when you join is held for two years. After that it rises with inflation and nothing else. It never resets to whatever the current rate happens to be. That hold is written into your membership terms, not just promised on a page.
You can try the whole thing and pay nothing.
Start with the Assessment at £1,750. Half a day, one doctor, and a written plan for the next ten years. Join within thirty days of receiving your written plan and that fee comes off your membership in full.
If the first ninety days of membership don't convince you, I refund every penny you have paid me. Only the laboratory costs are not refundable, because they are paid to a third party. You keep the assessment and you keep the plan.
The only thing you can lose here is the time it takes to find out.
A practice of fifty
There are fifty places. The fit has to be right.
I look after fifty adults and no more, so I can be fully present for each one. It is a fixed number, so when the book is full it stays full until someone leaves. There are two ways in.
Common questions
The questions people actually ask.
What does a private GP do that the NHS can't?
The NHS treats you when you're ill, and it does that well. What it doesn't have is the time to watch your health across the years and act before a problem starts. That's the gap this fills: one doctor who knows you and holds the whole picture. More in what a private GP does that the NHS doesn't, and is a private GP worth it?
Should I start with membership or the Bio-Audit?
Membership is a doctor for the whole of your life and your family's. The Bio-Audit is a one-off forensic read on whether your biology is keeping up with what you're asking of it, and your company can pay for it without seeing results, findings or attendance.
How much does membership cost?
It's £4,800 a year, or £480 a month, for an individual, and £8,400 a year, or £840 a month, for a household of two adults with two children under 18 included, then £50 a month for each additional child. Membership and fees has the full detail, and how much a private GP costs in the UK sets out the wider market.
What happens if you are ill or away?
Cover is arranged with another private GP who has access to your record under a reciprocal arrangement. Planned absence is notified at least fourteen days ahead, capped at six weeks a year, and my response commitments pause while I'm away.
Do I keep my NHS GP?
Yes. Nothing here changes your NHS registration, and I'll write to your NHS GP if you want, so the two records agree. This sits alongside the NHS rather than replacing it, and it isn't urgent, emergency or out-of-hours care: for that you still call 999 or 111.
Longer answers are in the journal: health checks and health management are not the same thing, and is a private GP membership worth it for a family?
The Long View, in two pages.
The few things that actually decide how long and how well you live, and how to tell the signal from the noise. I'll send it to you now.