Membership
One reading is a rumour.
A blood test tells you where a number sits today. It cannot tell you which way it's going, and the direction is the whole finding. The same doctor, the same measurements, read against your own history rather than a population, every year.
Access and scope
What this is, and what it isn't.
If you have private medical insurance, keep it, and be clear what it is for.
A policy pays when something has already gone wrong. It needs symptoms, and it needs a referral letter. It will not fund testing done because you are well and intend to stay that way, because there is nothing to claim against. So the two do different jobs, and they fit together. Mine is the watching. Yours pays for the treatment on the day the watching finds something, and on that day I write the referral letter from a record I have kept, to a consultant I have chosen.
I still work in the NHS every week, and privately alongside it. Most private doctors know one route. I know both, so I can put you in the right place rather than the only place I know.
This is not a 24-hour service, and it does not replace 999 or 111.
If someone is seriously unwell call 999. If it can't wait until morning call 111. I don't claim to be there at 2am, because I'm not.
How this compares
Five ways to get seen, and what each one actually does.
| NHS GP | One-off health check | App GP subscription | Private medical insurance | This practice | |
|---|---|---|---|---|---|
| Who sees you | Whoever is available | A technician. The report is written by a doctor you never meet | Whoever is on the rota | A specialist, once you’re ill and referred | Me, every time |
| What they work from | Today's problem, in ten minutes | One snapshot of results | What you type into the app | Your symptoms, then the referral letter | Your history, your family, how you live, your numbers. Read together, year on year |
| Who acts before you are ill | National recall for a few conditions | Nobody, once the report is sent | Nobody | Nobody. It’s built to respond to illness | That's the whole job. I call you when something moves |
| When something serious hits | Referred. You navigate it | Told to see your GP | Referred on; you navigate it | Pays for treatment, doesn't coordinate it | I'm in the room. I read the scan with you and I'm on the call with your oncologist |
| What it costs | Free at the point of use | £150 to several thousand, one-off | Typically £50 to £100 a month | Varies by age. Usually excludes pre-existing and chronic conditions, and testing done while you're well | Agreed with you and built around your household. Tests at cost |
Comparison of typical UK offerings as at August 2026. Prices vary by provider, and the figures for other services are ranges rather than quotes.
Your first ninety days
What the first three months actually look like.
Proactive medicine pays off over decades. Here is what happens in the first three months.
"Over a three-month wait to see our own GP pushed us to look. We chose the family concierge package and are extremely happy. Amazing communication, home visits when needed, and a forward-thinking approach to health."
Why it works
The power is in the continuity.
One doctor who knows you, your history and your numbers, reads everything new as it lands, and acts on a change before it becomes a problem. You cannot buy that in ten-minute slots.
Every membership is built in conversation around what your household actually needs, and the fee reflects what’s in yours.
Individual
You, and your children under 18 if you want them in.
In every membership:
- A direct line to me, 8am to 8pm, seven days, answered the same day
- One doctor holding your whole record, year after year
Built in as your household needs it:
- Same-day assessment when you’re unwell, at home where you need it
- Home visits where they are clinically needed
- Every referral, letter, fit note and prescription written and coordinated, NHS or private
- Reviews as often as your care needs, up to monthly
- My own screening and vaccination schedule, acted on the year it changes
- A full assessment every year, with a written plan
Family
Most households choose this
You, a second adult, and your children under 18.
What a household adds:
- Everything the household chooses, for both adults
- Your child seen the same day when you’re worried, by a doctor who has examined them before
- A pattern in one of you sharpens what I watch for in the others
- One line and one relationship for the household
Two ways to pay: the first three months up front and then monthly, or the year at ten months’ cost. What’s in yours is written into your membership schedule, and anything outside it is charged at the rates set out there.
Ninety days to change your mind.
If the first ninety days don't convince you, every penny you've paid me comes back. Only the laboratory costs stay with the lab, because they're paid to somebody else. You keep the assessment and you keep the plan.
The only thing you can lose here is the time it takes to find out.
The terms of it
Four things that don't move.
The price you join at is the price you keep.
Whatever you pay when you join is held for three years. After that it rises with inflation and nothing else, and it never resets to the current rate. That hold is written into your membership terms, not just promised on a page.
Every test at cost, with nothing added.
I don't sell tests, I order them. You pay the provider's invoice with nothing added, and nothing is ordered until you've seen the figure and said yes.
I make nothing on any test, so I earn the same whether I investigate you or reassure you.
A short list, and not a fixed one.
Every test clears two questions: is there good evidence behind it, and will the result change what we do. Leaving something off is not a refusal.
Two members should leave with completely different plans. If they don't, I've built a package rather than practised medicine.
Fifty adults, and no more.
That's what it takes to hold your whole picture and still be there when you need me.
When the book is full it stays full until someone leaves.
Two additions
If your membership needs a wider lens.
On testosterone or other performance compounds? Sentinel is built around that.
Ninety pounds a month alongside membership, rather than the standalone rate.
What Sentinel covers
The bloods that actually matter on cycle, read by a doctor rather than a forum. Nothing on your NHS record without your say-so, and no lecture either way.
Been through the Bio-Audit? Overwatch is the executive lens on your membership.
Arranged in person after your Bio-Audit report, because what goes in it depends on what the report found.
What Overwatch covers
- The four systems stay under review. A quarterly re-read of the markers that moved your result, and the functional set repeated annually.
- Your wearable data read by me, not by you. The numbers you already collect, interpreted by the doctor who examined you.
- An agreed threshold. We settle at the start what change in which marker means I pick up the phone.
- The gap between how you feel and what I can see. A short structured self-report at each review, set against your markers. When the two disagree, that is the finding.
Common questions
Before you enquire.
I already have private medical insurance. Isn't this the same thing?
No, and you should keep the policy. The two do opposite jobs. Insurance is reactive by design: it investigates and treats a condition once you have symptoms, and it's good at that. Read your own policy and you'll find it won't pay for testing done while you're well, and that it stops covering a condition once that condition becomes long term, which is what most of this turns into. It also pays out on a referral letter rather than on request, and that letter has to carry your history, your medications and what's already been tested. Whoever writes it decides what your policy is worth. That's the part I do.
Is this instead of my NHS GP?
No. You keep your NHS GP, and I work alongside it. I still practise in the NHS every week, so when a referral moves faster on one side than the other, I know which one to use. I run my own screening schedule and keep your immunisations on track, and your NHS GP gives the vaccines.
Can my children be included?
Yes, if you want them in. For a child it means a doctor who knows them and can assess them the same day when they are unwell, a proper eye on their growth and development, and their immunisations tracked so nothing is missed. It doesn't mean the adult Assessment, which has no place in a healthy child.
What happens if you are ill or away?
Cover is arranged with another GP who has access to your record. Planned absence is notified at least three weeks ahead, and for the most part I stay contactable and answer while I'm away. Where I can't, or where something needs seeing in person, the covering doctor carries it and you're told who at the time.
