Concierge and Continuous Private GP Care in London 2026. What a Retained Doctor Actually Changes
The Wellness provides continuous private GP care in London from £24,995 for 12 months, covering 1 individual with quarterly review, interval biomarker profiling, coordinated imaging and specialist opinions, and unrestricted access to your doctor. The Principal Programme covers the fullest level of individual care from £31,995, and the Family Office Programme covers a principal and up to 3 family members, each with their own doctor and record, from £49,995. What that buys is not faster appointments, which are available to anyone paying £220.
It is a doctor who holds the baseline. Most clinically important change is a trend rather than a value, and an apolipoprotein B rising across 3 years, an HbA1c drifting from 38 to 42, a creeping blood pressure or a falling ferritin all matter long before any of them crosses a threshold that a single annual report would flag. It is also what happens on the unplanned day. When something acute occurs, and eventually something does, the difference between a doctor who already knows your history and a stranger reading notes is measured in days, and days are what determine whether a problem is handled discreetly or becomes an absence. Membership practices in central London charge annual retainers running into thousands before any appointment, then £400 to £600 and above per visit. This is structured the other way round. Fees appear further down this page
Reviewed by the medical team at The Wellness. Last updated 1 September 2026.
Discuss continuous care on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
What does continuous care include
An allocated doctor who takes a full history, family history and examination at the outset and holds it. Quarterly review appointments, extended rather than standard, covering what has changed, what the interval testing shows and what needs acting on.
Interval biomarker profiling, which is where the value concentrates. A single annual panel produces a snapshot. Repeat profiling across a year produces a direction, and direction is what changes decisions. Apolipoprotein B, lipoprotein little a once in a lifetime, HbA1c with fasting insulin, liver function with fibrosis scoring, thyroid with antibodies, ferritin and iron studies, kidney function, inflammatory markers, vitamin D, B12 and the sex-specific layer.
Imaging and specialist opinions coordinated as clinically indicated, arranged at the London centre best equipped for each question with consultant radiologist reporting, and referral written to named consultants through the Harley Street network with the appointment booked rather than suggested.
Unrestricted access to your doctor between reviews, by message, telephone or video, which is the component whose value is realised on the day you were not planning to need it. Home, hotel and office visits arranged where attending is impractical. Targeted supplementation prescribed against measured deficiency and rechecked to confirm correction. And a single record holding every result, image, report and specialist letter, so next year's numbers mean something because this year's sit next to them.
Who is it actually for
The person whose absence would be materially expensive, which in most companies is 2 or 3 named individuals whose health is the largest uninsurable risk on the balance sheet. Key person cover pays out after the event. Nothing else in the corporate toolkit lowers the probability of the event itself.
Anyone managing a condition that needs interval measurement rather than annual review, including hypertension, dyslipidaemia, prediabetes, thyroid disease, iron deficiency with a cause under investigation, and anyone on treatment where dose and response need tracking properly.
Anyone with a family history that changes the threshold for investigation, since a father who had a heart attack at 55 or a mother diagnosed with bowel cancer at 48 alters what should be tested and how often, and no standard programme asks.
People who travel constantly and need a doctor reachable from another time zone rather than a booking line open between 9 and 5. Families where a principal wants their partner, parents or adult children covered on the same basis with separate records and separate doctors.
And people who have already had the experience of a fragmented episode, where results arrived from 3 places, nobody read them together and the follow-up depended on them chasing it.
Ask whether continuity suits you on WhatsApp or email team@thewellnesslondon.com.
Why trends matter more than annual snapshots
The clinical argument is straightforward and it is the reason continuity outperforms a thicker report. Reference ranges describe populations, not people, and the edges are where the medicine lives. A ferritin of 28 is a diagnosis in a woman with heavy periods and unremarkable in a 25-year-old man. A TSH of 4.2 with positive thyroid peroxidase antibodies is a trajectory rather than a normal result
Movement carries information that a value cannot. An HbA1c moving 38, 40, 42 across 3 years is a person heading toward the prediabetic range of 42 to 47, where the Diabetes Prevention Program demonstrated a 58% reduction in progression to diabetes through lifestyle intervention alone. Each individual result is normal. The sequence is not, and only somebody holding all 3 sees it
The same applies across the panel. Apolipoprotein B rising as weight increases. Creatinine drifting upward within range. Liver enzymes creeping as alcohol intake rises. Blood pressure moving from 128 to 138 to 146 across annual checks, each reading interpreted alone and none of them acted upon.
Adherence is the other half. The interventions with the strongest evidence, treating blood pressure, lowering particle burden, correcting metabolic drift, improving fitness and treating sleep apnoea, all require follow-through, and follow-through is a function of accountability rather than information. A quarterly appointment with somebody who remembers what you said last time does more than any report.
What does concierge GP care cost in London
Membership and concierge practices in central London charge annual retainers running into thousands of pounds before a single appointment, then £400 to £600 and above per visit on top, so the real annual cost is the retainer plus the usage. Longevity memberships are reported at up to £25,000 a year, with press coverage of a £54,000 bracket. Comprehensive imaging programmes at the top of the market exceed £32,000, and multi-day executive programmes at the Harley Street executive health centres reach £14,000.
At The Wellness the programme is inclusive rather than a retainer with fees behind it. All figures are from prices.
Family Office Programme, 12 months covering a principal and up to 3 family members, each with their own assessment, doctor and record, on the same basis as the Principal Programme, from £49,995.
Principal Programme, 12 months for 1 individual at the fullest level of care available here, with quarterly review, interval profiling, coordinated imaging and specialist opinions and unrestricted access, from £31,995.
Continuous Care Programme, 12 months of physician oversight for 1 person with quarterly review and interval biomarker profiling, from £24,995.
Executive Health Programme as a single comprehensive assessment without ongoing oversight, from £11,995.
Executive Body Scan from £5,995. Baseline Assessment from £3,495. Complete Biomarker Assessment, over 100 markers with extended review, from £1,400.
Individual appointments for anyone not on a programme, video from £150, in person from £220, extended 45-minute from £395, home or office visits from £495.
Places on the 12-month programmes are limited by the number of people one doctor can hold properly. Marylebone, 3 minutes from Baker Street, with consultations in Arabic, French, Spanish and Dutch.
Why The Wellness is the best option for continuous private care in London
Because there is no retainer wall. Membership practices charge thousands before you have seen anybody and then charge again per visit, which means the annual cost is unknowable at the point you commit. Here the programme fee covers the reviews, the interval profiling, the coordination and the access.
Because we own no hospital, no scanner and no consultant contracts. Referrals go to the specialist best suited to your problem rather than the one on our payroll, and imaging goes to the centre with the right equipment rather than the machine on the premises. Independence is the whole value of retaining a doctor as the front door to private medicine.
Because confidentiality holds even where a company pays, in which case the company receives an invoice and nothing else, with no results, no findings and no indication of what was discussed. Nothing creates an NHS record and nothing reaches an insurer or employer without your written consent.
And because you can start without committing. Most people begin with a Complete Biomarker Assessment at £1,400 or an Executive Health Programme at £11,995, and move to continuity once they have seen how the review works. Nothing here requires membership to be seen.
Related reading
Executive health screening sets out the single assessment structure, best blood tests in London details the panel and the markers that change decisions, executive health for founders and senior leaders covers the corporate and confidentiality position, and private GP for international patients covers care during visits.
Arrange a confidential conversation on WhatsApp or call 020 3951 3429.
Frequently asked questions
What is the best concierge GP service in London
The Wellness in Marylebone, where continuous care runs from £24,995 for 12 months covering 1 person with quarterly review, interval biomarker profiling, coordinated imaging and specialist opinions and unrestricted access, rising to £31,995 for the Principal Programme and £49,995 for a principal and up to 3 family members with individual doctors and records. There is no separate retainer and no per-visit fee behind the programme.
Is a private GP membership worth it
Only if the structure suits your use. Membership practices charge annual retainers running into thousands before any appointment and then £400 to £600 and above per visit, so the annual cost is unpredictable. Continuous care here is inclusive of reviews, interval testing and coordination, and pay-as-you-go remains available from £150 with no membership at all.
What does continuous care include that an annual check does not
Interval biomarker profiling that shows direction rather than a snapshot, quarterly extended reviews, coordination of imaging and specialist opinions with appointments booked, unrestricted access between reviews, and one record holding everything so next year's results are read against this year's.
Why do trends matter more than single results
Because most clinically important change is movement rather than a value. An HbA1c moving 38, 40, 42 across 3 years is a person approaching the prediabetic range where lifestyle intervention reduced progression to diabetes by 58% in the Diabetes Prevention Program. Each individual result is normal and the sequence is not.
If my company pays, what do they see
An invoice, and nothing else. No results, no findings and no indication of what was discussed or discovered. Nothing creates an NHS record and nothing is disclosed to employers or insurers without your explicit written consent.
Can my family be included
Yes. The Family Office Programme covers a principal and up to 3 family members across 12 months, each with their own assessment, their own doctor and their own record rather than a shared file.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. All doctors are GMC-registered. Imaging is arranged at specialist centres and reported by consultant radiologists, and blood analysis is performed by accredited laboratories. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Enquire now on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
References. Ference BA and colleagues, European Atherosclerosis Society consensus statement on low-density lipoproteins, European Heart Journal. Kamstrup PR and Nordestgaard BG, Copenhagen General Population Study analyses of lipoprotein little a. Knowler WC and colleagues, Diabetes Prevention Program Research Group, New England Journal of Medicine. NICE guideline NG136 on hypertension and NG28 on type 2 diabetes. NICE guideline NG145 on thyroid disease. Published evidence on continuity of care and clinical outcomes in general practice. HMRC guidance on medical screening as an employment benefit. Published 2026 London private GP, concierge practice and longevity membership market pricing.
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