How it works
The Long View.
One doctor who knows your story, tracks the key measurements that decide your health, and watches which way they trend so we act early. This is how proactive medicine works.
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. The question was never what's wrong today, but which way you're heading, and how long you have to change it.
That's the Long View: measure the few things that decide your health, watch them move for years, and act while a small change still turns them. It only works as continuity: the same doctor watching the same person, year after year.
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.
The fix is rarely the hard part. The noticing is, and the noticing is the part only I do.
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.
Silent for decades, then it isn't
Heart, metabolism, organs, and the slow loss of strength and fitness. None of it announces itself, yet all of it is measurable years early. I watch the direction and act while a small change still turns it. Measured at 45, a trend like that is still something we can act on. Measured at 70, the room to act has mostly gone.
A short window to act
Some conditions have a short window where finding them early changes everything, and staying inside it is a matter of vigilance. I keep your national screening on track and add whatever your own risk calls for.
What moves in a week, without warning
Mood, sleep, drink, a sudden illness. These move in days, faster than any schedule can catch. What catches them is fast access to a doctor who already knows you.
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.
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.
More testing is not more care. Test a well person on everything and something will always come back looking abnormal when nothing is wrong. A page of numbers with no one to read it in context does more harm than good: it manufactures worry and sends you chasing things that were never a problem.
So I test only when the result will change what we do, never to decorate a chart. The wellness industry sells the opposite: more tests, more numbers, an app that pings. I don't.
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 stop, remeasure and act.
Half a day, in person
A full history, a full examination, and a blood panel built around the markers that decide long-term risk. It comes back a week later in plain English: a plan for your next ten years, and what to act on now.
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.
My eye stays on your numbers in between. 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.
How the money works
No markup. On anything.
The membership buys me: my time, my judgment, and a doctor who knows you and keeps watch in between.
I earn the same whether I investigate you or reassure you.
Every test, scan and referral is passed straight through at what it costs me, 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.
Membership
What it costs.
£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.