How it works
The Long View.
One doctor, and a set of biomarkers chosen one by one, each because the evidence is strong and the result changes what we do. Repeated every year and read against last year's, so you can see which way you're heading while there's still time to change it.
Why it works
The method is the point.
Almost nothing that shortens a life arrives as a surprise. It builds quietly, a little more each year, until it crosses a line. So the question is not only what is wrong today. It is what is already building, how fast it is moving, and how much time you have to change it.
That is the Long View. A defined set of biomarkers, measured properly, repeated year on year, and read by one doctor who knows what they said last time and what has changed in your life since. It only works as continuity: the same doctor, the same person, over years.
The NHS gives you ten minutes and a different face each time. Private screening firms bury you in numbers, most of it noise, read by someone who has never met you.
Another clinic can match my response time and beat it. What none of them can copy is a doctor who knows your story, your plans and what worries you, because that is what turns a number into a decision.
Treating it is rarely the hard part. Catching it early enough to matter is, and nothing gets caught if nobody is looking.
What we watch
Three ways it goes wrong.
There are three ways your health can turn, and no single kind of watching catches all three.
Building long before it limits you
ApoB and Lp(a) for the arteries. Fasting insulin and HbA1c for metabolism, with hs-CRP for background inflammation. VO2 max, body composition, grip strength and balance for physical reserve.
Arterial disease can stay silent right up to the day it doesn’t. Metabolism, fitness and strength are different: they send signals for years first, and almost everyone files those signals under getting older. Either way it is measurable long before it starts costing you anything.
Start measuring at 45 and there is time to change the direction. Start at 70 and there is less room, though more than most people are told.
A short window to act
Some conditions have a short window where finding them early changes everything, and staying inside it is vigilance rather than cleverness. I run my own screening schedule, built on the strongest evidence internationally rather than on any single national programme. If your own history, or a pattern in your family, puts you at higher risk, you get more than the schedule and you get it sooner.
What gets left too long
Sleep that stopped working months ago. Drinking that crept up after a hard year. A low patch you wouldn't call depression. A cough or a gut problem that has hung around for weeks rather than days.
None of it is an emergency, which is exactly why it gets left, and no scheduled test is going to find it. What finds it is a doctor you can reach the day it matters, who knows what you sound like when you are well.
Standard, then personal
The same base, a plan built for you.
Everyone gets the same core checks each year, because you can't find what you never look for. On top of that, a plan built for you alone: your family history, last year's results, your age, how you live.
The plan is not fixed either. It moves when your results move, when your life changes, when something new turns up in your family, and when the evidence itself moves on.
Two members should leave with completely different plans. If they don't, I've built a package, not practised medicine.
Restraint
Fewer tests, better answers.
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.
What I won’t do is cast a wide net and see what comes back. 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.
Leaving something off the baseline 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.
The wellness industry sells the opposite, because more is easy to sell: more tests, more numbers, another scan every quarter, an app that pings. I built this the other way round.
A short list is not a fixed list. I review what I measure as new evidence lands. Something earns its place when it clears the bar, and comes off when something better exists.
Waiting for perfect evidence is itself a decision, and usually the wrong one. What we need is a signal clear enough to be real, a safe and reversible change, and a direct way to verify the impact. When the evidence moves, the list moves, and so does your plan.
A test that can't change what I do isn't medicine. It's decoration, and you're paying me to know the difference.
How it runs
Not a schedule. A relationship.
This isn't appointments in your calendar. It's a continuous relationship, live all year, with reviews where we remeasure, adjust and act.
Half a day in person, and your baseline
A full history, a full examination, and the full set of biomarkers. It comes back a week later in plain English: a plan for your next ten years, and what to act on now. Everything measured that day becomes the baseline every later reading is judged against.
Live all year, not parcelled into slots
A direct line to me, 8am to 8pm, seven days a week, answered within an hour on weekdays and within three hours in the evening and at weekends. No receptionist and no booking system in the way. When you need seeing rather than answering, I come to you.
I keep watch between reviews, on your results and on what is happening in your life. When something changes, I call you. You never chase your own care.
Remeasure, reassess, replan, act
We meet through the year to measure again and act on what's changed, as often as your health needs, from every few months to monthly. The full set is repeated every year, so each reading arrives with last year's beside it.
One reading tells you where you stand. Repeating it tells you something better.
A trend shows whether you are drifting the wrong way while there is still time to turn it, and it shows whether what we changed actually worked. That second part is the whole argument for doing this with one doctor over years, and it is the part a one-off health check cannot give you at any price.
How the money works
No markup. On anything.
The membership buys me: my time, my experience and my judgment, and a doctor who knows you and keeps watch in between.
I earn the same whether I investigate you or reassure you.
Any investigation I recommend is passed straight through at what it costs me, and making a referral carries no charge of its own, so when I tell you that you don't need something, that is my clinical judgment with nothing to gain either way. How the money works, in full.
You are free to use my providers or arrange the investigations yourself, wherever you prefer, because I read the results either way.
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.
£400
a month, one adult
or £4,000 a year
£700
a month, a household of two adults
or £7,000 a year
Every child under 18 is included in the household fee.
Try the whole thing
You can try the whole thing and pay nothing.
Start with the Assessment at £995. Half a day, one doctor, and a written plan for the next ten years. Join within ninety days and that fee comes off your membership in full.
If the first ninety days of membership don’t convince you, I refund the fee, less only the cost of any tests already done. You keep the assessment and you keep the plan.