A sunlit wooden desk by a window with an open handwritten notebook and fountain pen, a small stack of cloth-bound books, reading glasses and a cup of coffee

Private GP in Kent · The assessment

Find it while it's still quiet.

Q: What is in the blood panel?

Every assessment runs the same core set. Cardiac and metabolic: ApoB, Lp(a), a full lipid profile, fasting insulin, fasting glucose, HbA1c and hs-CRP. Organ function: kidney function, liver function, calcium and phosphate, and a urine albumin to creatinine ratio. Blood and thyroid: full blood count and thyroid function. Hormones and nutrients: sex hormones including oestradiol, vitamin D, active B12 and folate.

Most people are told they're fine after ten minutes and one blood test. This is half a day with one doctor, and a written plan for the next ten years.

Choose your dates Or start with a 20-minute call

Paid in full at booking, refundable in full until your date is fixed.

Every patient who has reviewed the practice on Google gave it five stars. Read them on Google

One doctor, fifty adults Serving Kent and the South East CQC registered BSc MBBS MRCGP Still an NHS GP partner today

What you leave with

A plan, not a folder of numbers.

A closed leather document wallet on a desk beside a fountain pen, in warm lamplight

Most health checks sell you results. A folder, a green tick against most lines, and no idea what to do next. This is built to end the other way round.

Where you actually standAn honest read on your health today, in plain English rather than reference ranges.
What to do about itWhat to change, how hard, and for how long. Specifics you can start this month.
How you will know it is workingThe markers I'd watch from here, and what a good move in each looks like.
Yours to keepThe plan is yours whether or not you ever join the practice.

What happens

Unhurried, and thorough. Here is how it goes.

A notebook open on a desk beside a pen and a stack of cloth-bound books, morning light through a cottage window

Before you arrive

Your background, read in advance, and a pack in the post

You complete a full history before we meet and I read it beforehand, so the day goes on your story rather than filling in boxes. Send me anything you hold as well: old bloods, hospital letters, scan reports, a health check from somewhere else. I read all of it before you arrive, and it often changes what I look at on the day.

A pack arrives once your date is fixed, and what's in it is part of the assessment rather than admin around it.

On the day

Half a day, and the whole picture

We start by talking, for as long as it takes. What worries you, what you want from the years ahead, how you actually live, sleep and work. That's what lets me go back to the thing you mention once rather than let it pass.

Then the examination, unhurried and thorough, followed by your bloods, your measurements, and a check of fitness, strength and balance.

About a week later

Your written plan

A plan for the next ten years, in plain English. Where you stand, what needs attention now, what we watch but don't act on yet, and what to do next. Then an hour going through it, deciding together what to act on first.

What's included

Everything the half-day takes in.

One appointment, and every part of it earns its place.

Two upright chairs turned towards each other beside a window in a quiet room

A full history and examination

An unhurried conversation, then a thorough clinical examination. Anything you already hold is read before the day.

An old cloth blood pressure cuff coiled on a scrubbed wooden table in morning light

Heart checks

A resting 12-lead ECG and blood pressure on both arms, which is where silent pressure and rhythm problems show up first.

A pair of worn running shoes and a folded towel at the foot of a staircase in a hallway

Aerobic fitness and body composition

Oxygen uptake measured at every stage rather than predicted, with VO2 max given as an estimate and a range. Body fat measured by ultrasound.

A single plain wooden chair standing alone on bare boards, low light across the floor

Strength and balance

Grip strength, a timed chair rise and single-leg balance with your eyes closed, none of which a standard health check looks at.

A rack of empty glass tubes on a bright windowsill in a domestic kitchen, morning light behind them

The full biomarker set

Full standard health panel alongside proactive metabolic and cardiac markers: ApoB, Lp(a), fasting insulin/glucose, HbA1c, and hs-CRP.

A closed writing folder and a fountain pen on a desk under a lit lamp in the evening

A written ten-year plan, and an hour on it

About a week later, in plain English, with the markers that tell you it's working. Then an hour going through it.

If your history or examination points to something beyond this set, I arrange it at extra cost.

Why these tests

How I choose them, and what they say together.

Two wooden chairs at a plain table by a leaded window, turned towards each other

Every test on the day has cleared two questions.

Is there good evidence behind it?

Will the result change what we do?

A test has to clear both of those or it stays off the list. Leaving something off is not a refusal: if your history or examination makes a test the right thing to do, we do it that day.

I read them against each other rather than one at a time, because that's what turns a page of results into four answers about you.

Your arteries

ApoB counts the particles that drive arterial disease, which cholesterol alone won't tell you. Lp(a) is fixed at birth, so you only need it once, and a standard check doesn't include it.

How you handle fuel

Fasting insulin moves before glucose does, which is why it sits in the set alongside HbA1c. I measure body fat too, because your weight on its own doesn't say what it's made of.

What you have in reserve

Grip is the cheapest honest read on whole-body strength, and lower-limb power falls earlier and faster from midlife, which is what the chair rise catches. Oxygen uptake measures capacity rather than symptoms.

Whether anything is running quietly

hs-CRP, thyroid, kidney and liver function, and a urine test for early kidney change. None of these are expensive, and none of them show up in how you feel.

A test that can't change what I do isn't medicine. It's decoration, and you're paying me to know the difference.

A shingle beach at low tide with timber groynes marching out to a pale horizon

Who it is for

For people who would rather know than wonder.

This is built for you if:

You feel well, and you want to be sure rather than assume.

You carry a family history that sits at the back of your mind.

You've reached the age where you want a straight read on where you stand, while there's still time to act on it.

You're already living with something and want it managed properly rather than just monitored.

If you would rather find something while it is small than wait for it to announce itself, this is for you.

A chalk lane between high hedges climbing away towards open downland

"Being able to speak about issues and concerns at length, and on a more personal level. Having things like blood test results explained in depth."

Kerry · member

Before you book

Start with a conversation, if you would rather.

Twenty minutes on the phone, and it costs nothing. What's on your mind, what runs in your family, what's changed lately. At the end I tell you whether the Assessment would find you anything you don't already know. If it wouldn't, I say so.

Arrange a 20-minute call

The fee

What it costs, and what comes back.

The fee buys the half day, the full panel, the written plan and the hour going through it. Join within thirty days of receiving your plan and the whole fee credits against your membership.

A worn leather doctor's bag beside an armchair in a book-lined study, light from a tall window

One adult

Individual

£1,440

Half a day, in person · all in

Credited in full against membership within thirty days of receiving your written plan

Time to say the thing you would never raise in ten minutes
The silent cardiometabolic risks found while they are still cheap to fix
How well you are ageing, measured rather than guessed
A plan you can start this month, and a doctor who explains it

Two worn leather armchairs either side of a low table in a book-lined room, morning light through a sash window

Two adults

Couple

£2,040

Both assessed in the same visit

Credited in full against membership within thirty days of receiving your written plan

Everything in the individual assessment, for both of you
The risks you share, because you eat, sleep and live in the same house, read together
Share a risk and you share the work of changing it, rather than one of you keeping it up alone

You can try the whole thing and pay nothing.

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 don't convince you, I refund every penny you've paid me. Only the laboratory costs stay with the lab. You keep the assessment and you keep the plan.

The only thing you can lose here is the time it takes to find out.

Choose your dates

Common questions

Straight answers, before you book.

Is this the same as a health check?

No. A health check hands you numbers. This ends in a plan, written by the doctor who took them and held against next year's. Being inside the normal range is not the same as being well.

What if I don't join?

You keep the plan and run it yourself, which is a fair use of it. No pressure to join, and nothing withheld if you don't.

What is in the blood panel?

Every assessment runs the same core set.

Cardiac and metabolic ApoB, Lp(a), a full lipid profile, fasting insulin, fasting glucose, HbA1c and hs-CRP
Organ function Kidney function, liver function, calcium and phosphate, and a urine albumin to creatinine ratio
Blood and thyroid Full blood count and thyroid function
Hormones and nutrients Sex hormones including oestradiol, vitamin D, active B12 and folate

Do you arrange the referrals or treatment I need?

Not off the back of the assessment. You take the plan to your own GP, or become a member and I coordinate it.

A single oak standing in a frosted field at first light, mist lying in the hollows behind it

Start here

Book the assessment.

Half a day, one doctor, £1,440, credited in full if you join the practice.

Choose your dates Arrange a 20-minute call

A short guide

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.