One evening, at your kitchen table.

You're holding more information about your own health than anyone has ever sat down and read.

• Blood tests from a work medical.
• A private health check somebody bought you as a present.
• A hospital letter with one sentence in it you never quite understood.
• Two years of sleep and heart rate data on your wrist.
• Your GP record, which you can now open yourself in the NHS App.
• A family history you know matters, which nobody has ever asked you about properly.

Your NHS GP has seen almost none of it, and that isn't a criticism of them. Ten minutes is the part everyone talks about, and it isn't the whole problem. One GP carries a list of a couple of thousand people. Nobody holds two thousand histories in their head and reads a folder as well.

So it sits there, and the question sits with it.

• I come to youAllow a couple of hours, because how long it takes depends on how much you bring. There's nothing to book, nowhere to drive to, no fasting and no blood tests.
• Bring everything you've gotResults, letters, reports, scans, and whatever your watch has been recording. I read all of it with you, out loud.
• A full historyTaken properly, which is the part general practice no longer has room for.
• Three measurementsBlood pressure, height and waist circumference. Between them they say more about your cardiometabolic risk than your weight does.
• Your medicines and your family historyGone through together, and your family history mapped properly, because that is what decides which screening actually applies to you.
• A screening auditRun against the schedule I keep for my own members. What you are entitled to, what you have missed, and what the NHS does not offer that your history says you should think about.
• Then you keep itI write it as we go, so you leave the evening holding it: what looks fine, what is worth watching, what needs doing, and the first step for each one.