Annual Health Check.

People who book this typically come in for one of these reasons.

• A yearly baseline. Healthy, feel fine, want the numbers on file and a doctor's eye on the lot.

• A yearly anchor. You have something on the go (a family history, a borderline number, a chronic condition) and you want one visit each year where it all gets reviewed together.

• An insurance or employer-funded check. Self-paid or reimbursed.

• A 40th, 50th or 60th milestone check. The year you start taking it seriously.

• A handover from a single-issue care pathway. You used us for menopause or testosterone or weight loss and now want a broader yearly review.

This is the check that picks up the things you would not notice. It is also the check that says, in writing, that everything is where it should be.

Everything in this section is done on-site at Westfield in one visit.

Doctor time

30 minutes with a registered GP. Long enough for a proper history, a full examination, a walk-through of the results, and a written plan.

Standard blood panel

The annual baseline:

• Full blood count, ferritin, vitamin D, B12, folate.

• Kidney function: U&E, eGFR.

• Liver function: LFT.

• Bone profile: calcium, phosphate, ALP.

• Glucose handling: HbA1c.

• Lipids: total cholesterol, HDL, LDL, triglycerides, non-HDL.

• Thyroid: TSH.

• Inflammation: CRP.

• PSA for men aged 40 and over.

The panel is interpreted in context, against the ranges that apply to your age, sex and history.

Full clinical examination

• Vitals: weight, BMI, waist circumference, blood pressure, resting heart rate.

• Cardiovascular: heart and pulses.

• Respiratory: chest and breath sounds.

• Abdomen: liver, spleen, kidneys, bowel.

• Skin: doctor-level review of any lesions of concern (formal dermatoscopic mole mapping is not in-package, see below).

• Lymph nodes.

• Testes examination for men.

• Clinical breast examination for women.

• Cervical screening for women if eligible by age and due.

No routine digital rectal examination. PSA plus prostate mpMRI (opt-in) is the modern pathway if a prostate question arises.

Risk and lifestyle review

• Cardiovascular risk: QRISK3 calculated and discussed.

• Alcohol: AUDIT score, with honest conversation if relevant.

• Smoking and vaping.

• Sleep, exercise, weight, stress.

• Mental health: PHQ-9 and GAD-7 if relevant.

• Family history: what to act on, what to monitor, what to ignore.

• Vaccinations: what is due (flu, COVID, shingles, pneumococcal, HPV catch-up, travel).

• NHS screening programmes: what you are eligible for, and whether you are up to date.

Written report

A plain-English report with:

• Your numbers in context.

• What is normal, what is borderline, what needs action.

• The plan, in steps you can take.

• The year-on-year trend if you have used us before.

The report is yours. Share it with your NHS GP if you want to.

Imaging and specialist add-ons are not bundled into the package. They are opt-in at this assessment, with a bundle discount if you add them on the day versus booking them separately.

You configure the check that answers your question.

In-clinic on the day

• ECG (12-lead): opt-in. Useful baseline at 40 and over, or with palpitations, family history of cardiac disease, or borderline blood pressure.

• Spirometry (lung function): opt-in. Useful for smokers, ex-smokers, occupational exposure, or anyone with a chronic cough.

• Extended cardiovascular panel: ApoB, Lp(a), hs-CRP.

• Hormone screen: for menopause, testosterone or thyroid questions that surface during the visit. Often the right next step is the Hormone Health Check.

• Cancer-marker baseline panel: the Cancer Tests page is the right one if that is your focus.

Off-site imaging (partner imaging centre)

• CT coronary calcium (CAC): when QRISK3 is borderline or family history is strong.

• CT coronary angiography (CTCA): when CAC or symptoms warrant.

• DEXA bone density: women in or past the menopause, men on or considering testosterone, anyone with fracture history or family osteoporosis.

• Multiparametric MRI prostate (mpMRI): for raised or borderline PSA, family history, or men who want the most accurate prostate screen available.

• Mammogram or breast MRI: women with family history, dense breasts, or wanting earlier screening than the NHS schedule.

• Low-dose CT lung screen: current and ex-smokers in the at-risk age band.

• Ultrasound: abdominal, pelvic, thyroid, testicular, when examination or bloods point there.

If something is clearly indicated on the day, we will say so. If it is not, we will say that too.

The report and the next step depend on what we find.

• All clear: book again in twelve months. Live your life.

• One borderline number: structured follow-up plan, often a repeat at three to six months. No drama.

• Something needs deeper assessment: straight into the relevant pathway. Heart, Hormone, Cancer Tests, menopause, testosterone, weight loss. The Annual Health Check is the front door, and the door opens onto the rest of the clinic.

• Something needs urgent investigation: we refer fast. NHS two-week-wait where applicable, private specialist if you prefer.

No pressure to come back if your NHS GP is already on it. Many people use this once a year and use us when they need us.

No deposit to book. You pay after your consultation. The fee is on the Pricing page (currently [£TBC]; firm prices land in early-to-mid June). Add-ons are quoted at the assessment.

Honest about the edges.

• This is not a cancer screen. Cancer screening is light-touch here (FIT can be added, PSA is in the panel, clinical exam is part of the visit). If cancer is your focus, the Cancer Tests page is the right one.

• This is not a cardiovascular deep-dive. The cardiovascular review is solid, but if CAC, CTCA, echo or stress testing is on the table, the Heart Health Check page is the right one.

• This is not a hormone deep-dive. If menopause, low T or thyroid is the question, the Hormone Health Check page is the right one.

• This is not formal mole mapping. Dermatoscopic full-body mole mapping is under review by a GPwSI in dermatology.

• No routine DRE. PSA in blood is included for men 40 and over; mpMRI is the imaging step if needed.