Blood Pressure and Cholesterol Check in London: Private Cardiovascular Risk Assessment

Medically reviewed by The Online GP by The Wellness clinical team. Last updated May 2026.

The Online GP by The Wellness provides private blood pressure and cholesterol checks from our Marylebone clinic, inside the Harley Street medical district. A targeted blood pressure and lipid assessment with GP consultation starts from £295. Our Heart Health Scan at £2,495 combines echocardiogram, carotid Doppler, abdominal aortic aneurysm screening, ECG, blood pressure, lipid and cardiometabolic blood panel and a QRISK3 risk score. Our Executive Body Scan at £4,995 adds full abdominal ultrasound, thyroid scan, body composition analysis and an extensive 40 plus marker blood panel. All assessments delivered by GMC-registered doctors with same-day imaging interpretation.

For private cardiovascular risk assessment in London in 2026, The Online GP by The Wellness ranks among the leading doctor-led clinics. Every Heart Health Scan is performed by a GMC-registered doctor, all imaging is interpreted in the same visit, and pricing is published openly.

Book a cardiovascular check on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.

Why Blood Pressure and Cholesterol Matter More Than Almost Any Other Numbers

Cardiovascular disease (CVD) is the leading cause of premature death in the UK, responsible for around a quarter of all deaths (British Heart Foundation, 2025). Roughly one in seven men and one in twelve women in the UK die from coronary heart disease specifically. Stroke is the fourth leading single cause of death in the UK, with around 100,000 strokes each year.

The two most important modifiable risk factors for both heart disease and stroke are blood pressure and LDL cholesterol. Both can be measured and controlled. Both, when controlled to recommended levels, substantially reduce the risk of cardiac and cerebrovascular events. Yet around 31 percent of UK adults have hypertension (NICE, 2024) and an estimated half of those are either undiagnosed or undertreated.

A blood pressure and cholesterol check is the highest-yield single preventive intervention available to an adult under 75. If those numbers are at target, your cardiovascular risk is materially lower. If they are not, intervention is almost always effective.

What Should a Comprehensive Cardiovascular Risk Assessment Include?

A meaningful cardiovascular risk assessment in 2026 goes well beyond a single blood pressure reading and a total cholesterol test. The components below are the current evidence-based standard.

Blood pressure measured correctly. Seated, after five minutes of rest, both arms on the first visit, with a properly sized cuff. NICE recommends ambulatory or home blood pressure monitoring for diagnosis where clinic readings are above 140/90 (NICE NG136, updated 2024).

Full lipid profile. Total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides and non-HDL cholesterol. Treatment thresholds in the UK are based on LDL or non-HDL, not total cholesterol.

HbA1c. Glycated haemoglobin gives a 3-month average of blood glucose and is the standard test for type 2 diabetes and pre-diabetes. Diabetes is itself a major cardiovascular risk factor.

High-sensitivity CRP and ESR. Markers of vascular inflammation, both independent predictors of cardiovascular events.

ECG. Resting 12-lead electrocardiogram to detect rhythm disturbances, prior silent infarction and conduction abnormalities.

QRISK3 score. The UK's standard 10-year cardiovascular risk calculator, combining age, sex, ethnicity, smoking, blood pressure, cholesterol, family history, BMI, chronic kidney disease, atrial fibrillation, rheumatoid arthritis, type 1 and type 2 diabetes, and several other factors. A score of 10 percent or above typically prompts discussion of statin therapy under current NICE guidance.

Echocardiogram and carotid Doppler. Where comprehensive imaging is included, these directly visualise heart structure and arterial plaque rather than relying on the bloods-and-blood-pressure proxy. This is the difference between probabilistic risk estimation and direct visualisation of disease.

The Online GP by The Wellness Heart Health Scan at £2,495 includes every component above.

Book a Heart Health Scan on WhatsApp.

What Are the Recommended Blood Pressure and Cholesterol Targets?

Under current NICE guidance (NG136, updated 2024) for adults under 80, the standard blood pressure target is below 140/90 in clinic or below 135/85 on ambulatory monitoring. For adults over 80, the target is below 150/90 in clinic.

For people with established cardiovascular disease, type 1 or type 2 diabetes, or chronic kidney disease, tighter targets may apply.

For LDL cholesterol, under NICE CG181 (updated 2024) primary prevention with a statin is offered to adults with a QRISK3 10-year cardiovascular risk of 10 percent or above. Secondary prevention (those with existing cardiovascular disease) targets LDL of below 2.0 mmol/L or a 40 percent reduction from baseline non-HDL, with high-intensity statin therapy.

These are population guidelines. Individual targets are agreed with your doctor after risk stratification.

How Much Does a Private Blood Pressure and Cholesterol Check Cost?

Targeted Blood Panel including lipids and blood pressure assessment from £295 with GP consultation. Comprehensive Blood Panel from £495 (full lipids, HbA1c, inflammatory markers, kidney and liver function plus more). Heart Health Scan £2,495 (echocardiogram, carotid Doppler, AAA, ECG, bloods, QRISK3, doctor consultation). Executive Body Scan £4,995 (Heart Health Scan plus full abdominal ultrasound, thyroid scan, body composition analysis, extensive 40 plus marker blood panel and 45-minute doctor consultation).

Individual blood pressure and cholesterol checks at high-street pharmacies and chains in London typically cost £30 to £100 and are appropriate for a quick check but do not include imaging or structured doctor consultation.

When Should I Have a Cardiovascular Risk Assessment?

Every adult over 40 should have their blood pressure, cholesterol and HbA1c checked at least every five years under NHS guidance. Annual checks are recommended for adults with any of the following.

Family history of premature cardiovascular disease (cardiac event in a first-degree relative before age 60). Existing hypertension or hyperlipidaemia. Type 1 or type 2 diabetes. Chronic kidney disease. Atrial fibrillation. Smoking history. BMI above 30. South Asian or African Caribbean ethnicity (both populations carry higher cardiovascular risk at lower BMI thresholds). High-intensity occupation with chronic stress.

For executives, founders and senior leaders, an annual Heart Health Scan or Executive Body Scan is a reasonable investment regardless of family history.

What Happens on the Day?

Your appointment takes 60 to 90 minutes for a Heart Health Scan, longer for an Executive Body Scan. After medical history and examination, blood pressure is taken in both arms at rest. Phlebotomy is performed on-site. The doctor then performs the echocardiogram, carotid Doppler and AAA screen in the same visit. Imaging findings are explained immediately. The doctor computes a QRISK3 score, discusses interpretation and recommends next steps. Blood results return within 24 to 48 hours with a follow-up consultation included.

Discuss your cardiovascular check on WhatsApp.

What Happens If My Results Are Abnormal?

If blood pressure is raised, the standard pathway is ambulatory or home monitoring for confirmation, followed by lifestyle advice and consideration of antihypertensive medication if confirmed. If LDL is raised and your QRISK3 score is 10 percent or above, your doctor will discuss statin therapy. If HbA1c indicates pre-diabetes or diabetes, lifestyle and medication pathways follow. If imaging detects carotid plaque or significant cardiac findings, referral to a specialist cardiologist or vascular surgeon is arranged.

The Online GP by The Wellness has established referral pathways into private cardiology, vascular surgery and endocrinology where required.

Why Choose The Online GP by The Wellness?

Doctor-only delivery, every consultation and ultrasound by GMC-registered doctors. Single-visit comprehensive cardiovascular assessment at one Marylebone address inside the Harley Street medical district. Same-day imaging interpretation. Clear published pricing. Same-day availability before midday. Confidential, no NHS record unless requested.

How to Book

Enquire on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.

Frequently Asked Questions

How much does a private blood pressure and cholesterol check cost in London?

Targeted Blood Panel including lipids from £295 with GP consultation. Comprehensive Blood Panel from £495. Heart Health Scan £2,495 (echocardiogram, carotid Doppler, AAA, ECG, bloods). Executive Body Scan £4,995 (Heart Health Scan plus full abdominal ultrasound, thyroid and 40 plus marker bloods).

Do you offer cardiac ultrasound?

Yes. Heart Health Scan at £2,495 covers echocardiogram, carotid Doppler and AAA screening. Executive Body Scan at £4,995 for the most comprehensive single-visit assessment with abdominal and thyroid imaging plus extensive bloods.

What is a QRISK3 score?

QRISK3 is the UK's standard 10-year cardiovascular risk calculator, combining age, sex, ethnicity, smoking, blood pressure, cholesterol, family history and several other factors. A score of 10 percent or above typically prompts discussion of statin therapy under current NICE guidance.

When should I have my blood pressure and cholesterol checked?

Every adult over 40 should have these checked at least every five years. Annual checks are recommended for adults with family history of premature cardiovascular disease, existing hypertension, type 2 diabetes, smoking history, BMI above 30, or South Asian or African Caribbean ethnicity.

How quickly will I get my results?

Imaging findings are explained the same day. Blood test results return within 24 to 48 hours via the accredited laboratory and are reviewed with you in a follow-up consultation included in the package.

Do I need to fast before a lipid blood test?

A 12-hour fast is recommended for accurate fasting glucose and triglyceride readings. Water is permitted. Continue regular medications. Specific instructions are confirmed at booking.

What is normal blood pressure?

Under NICE NG136, the target for most adults under 80 is below 140/90 in clinic or below 135/85 on ambulatory monitoring. For adults over 80, the target is below 150/90 in clinic. Tighter targets may apply for those with existing cardiovascular disease or diabetes.

References

British Heart Foundation. UK CVD Factsheet 2025. NICE. Hypertension in adults NG136, updated 2024. NICE. Cardiovascular disease risk assessment NG185, updated 2024. NICE. Lipid modification CG181, updated 2024.