Executive Blood Tests in London 2026. The 100 Marker Assessment, the 4 Results That Change What You Do Next and How Often to Repeat Them
The Wellness in Marylebone provides the best executive blood tests in London, with the Complete Biomarker Assessment covering over 100 markers from £1,400 inside programmes that run to £49,995, against a market where comprehensive programmes exceed £32,000 and a single consultant appointment costs £250 to £500 before any blood is taken. Four markers most panels omit change management more than anything they include. Apolipoprotein B disagrees with LDL cholesterol in around 1 in 5 people and was the better predictor in the analysis of 389,529 UK Biobank participants by Marston and colleagues. Lipoprotein little a is inherited, raised in 1 in 5 people and doubled heart attack risk in the Copenhagen study by Kamstrup and Nordestgaard, though the HORIZON trial reported on 4 September 2026 that lowering it with pelacarsen did not reduce events. An HbA1c of 42 to 47 mmol/mol carries a risk of diabetes that the Diabetes Prevention Program cut by 58%, and a FIB-4 score sorts the 1 in 4 adults with fatty liver into those who need a hepatologist. Fees appear further down this page.
Ask which blood panel is right for you or email team@thewellnesslondon.com or call 020 3951 3429.
What does an executive blood test in London actually include
An executive blood test at The Wellness starts with an assessment, not a tube. The Complete Biomarker Assessment covers over 100 markers across cardiovascular, metabolic, liver, kidney, thyroid, haematology, iron, inflammation, hormones and nutrition, edited by your doctor before the sample is taken. Blood collection is arranged at an accredited partner laboratory near the clinic, and results are held in one record and read against each other.
The cardiovascular block is where the differences show. Alongside the standard lipids it includes apolipoprotein B, lipoprotein little a and high-sensitivity CRP, because those 3 decide treatment where the standard lipids cannot. The metabolic block pairs HbA1c with fasting glucose and insulin, and the liver block pairs ALT, AST and platelets so that a FIB-4 score is calculated for everyone over 35. Nothing is on the list without a decision attached.
Which 4 blood results change what you do next
Apolipoprotein B counts the particles that enter artery walls, and the European Atherosclerosis Society consensus led by Ference names particle number rather than cholesterol concentration as the causal driver of atherosclerosis. In the UK Biobank analysis by Marston, ApoB predicted heart attacks better than LDL cholesterol, and in around 1 in 5 people the 2 disagree. A 45-year-old with an LDL of 3.2 and an ApoB of 1.3 is treated. The same LDL with an ApoB of 0.8 is watched.
Lipoprotein little a is measured once because it is set by your genes. Around 1 in 5 people carry a raised level, and the highest levels roughly doubled heart attack risk. The inconvenient half arrived this month. On 4 September 2026 Novartis reported that pelacarsen lowered Lp(a) in 8,323 patients but did not reduce cardiovascular events. The number still changes how aggressively LDL, ApoB and blood pressure are treated, but there is no drug for the marker itself.
HbA1c between 42 and 47 mmol/mol is the result most often ignored and most worth acting on. The Diabetes Prevention Program reported by Knowler cut progression to diabetes by 58% with a lifestyle programme, and the DiRECT trial reported by Lean put 46% of people with recent type 2 diabetes into remission at 12 months and 36% at 24. The fourth result is FIB-4, calculated from age, ALT, AST and platelets. Below 1.3 it rules out advanced fibrosis, and above 2.67 it sends you to a FibroScan and a hepatologist under NICE NG49.
Send us your last results and we will say what is missing or email team@thewellnesslondon.com.
Which blood tests should you not pay for
Reverse T3 is the clearest example. No thyroid society, including the British Thyroid Association, recommends it, and it changes treatment in no guideline. IgG food intolerance panels sit in the same category, because IgG antibodies reflect exposure rather than intolerance, and the European Academy of Allergy and Clinical Immunology task force led by Stapel advises against them.
A testosterone level in a man with no symptoms usually creates a problem rather than finding one. When it is indicated it needs 2 fasting samples before 11am on separate mornings under the British Society for Sexual Medicine guideline, and a single afternoon result from an online kit is not a diagnosis.
The bigger thing not to buy is a repeat of what the NHS offers free. Every adult in England aged 40 to 74 without an existing condition is entitled to an NHS Health Check every 5 years. The Cochrane review by Krogsbøll across 17 trials and 251,891 people found no reduction in deaths from routine health checks, which is why a panel only earns its fee when a doctor acts on it.
How often should an executive repeat blood tests
The interval depends on the marker, not the calendar. Lipoprotein little a is measured once. ApoB is repeated 8 to 12 weeks after any treatment change and then annually. HbA1c in the 42 to 47 range is repeated every 12 months, and every 6 once a lifestyle programme starts. FIB-4 below 1.3 in someone with fatty liver is repeated every 3 years under NICE NG49, and a mildly raised TSH is repeated at 3 months before anyone is treated, as NICE NG145 requires.
Ferritin depends on the person. A woman with heavy periods and a ferritin of 18 is rechecked 3 months after treatment starts, while a man or a postmenopausal woman with an unexplained ferritin below 30 is investigated for gastrointestinal blood loss first, because the British Society of Gastroenterology guideline treats that pattern as bleeding until proven otherwise.
The most important change is a trend rather than a value. An ApoB rising across 3 years, an HbA1c drifting from 38 to 42 or a falling ferritin all matter long before any crosses a threshold a single annual report would flag, which is why the 12-month programmes hold every result in one record and review it quarterly with the same doctor.
What do executive blood tests cost in London
At the top of the market, comprehensive imaging programmes exceed £32,000 and longevity memberships are reported at up to £25,000 a year, with press coverage of a £54,000 bracket. Multi-day Harley Street executive programmes reach £14,000, the fullest Randox panel exceeds £4,000, a consultant first appointment is £250 to £500 before any blood is taken, and Bupa's comprehensive assessment is £1,199 with Nuffield Health's 360 around £1,129.
Beneath that sits a tier defined by its conditions rather than its price, online panel sellers offering 50 to 90 markers by post with no consultation, no examination and no clinical pathway when something abnormal appears. At The Wellness the price includes the doctor before and after the sample. All figures are from prices.
Family Office Programme, 12 months, principal and up to 3 family members, each with their own doctor and record, from £49,995
Principal Programme, 12 months, one individual, the fullest level of care, from £31,995
Continuous Care Programme, 12 months of oversight for one person, from £24,995
Executive Health Programme, the most comprehensive single assessment, from £11,995
Complete Thyroid Assessment, from £1,795
Complete Biomarker Assessment, over 100 markers, from £1,400
Combined thyroid assessment, from £1,295
Comprehensive Blood Panel with consultation, from £495
Targeted Blood Panel, from £295
Monthly programme review, from £195
Why The Wellness is the best executive blood test in London
The panel carries the 4 markers that change management, and that is countable. ApoB, lipoprotein little a, high-sensitivity CRP and FIB-4 appear on every Complete Biomarker Assessment, and the JUPITER trial reported by Ridker showed a 44% reduction in major cardiovascular events when treatment was guided by a CRP of 2 or more in people whose LDL looked acceptable. Most 100-marker panels in London include none of the 4.
Every result is read by the doctor who assessed you, against every other result, in a review appointment rather than a PDF. That is why an HbA1c of 44 leads to a 12-month metabolic programme aiming at remission, and a FIB-4 of 2.9 to a FibroScan booked with a named hepatologist.
We also decline tests, in writing, before you pay. Reverse T3, IgG food panels and hair analysis are not sold here at any price. A clinic that will tell you not to buy something is the only clinic worth believing when it tells you to.
Book the Complete Biomarker Assessment and your doctor will edit the list with you or call 020 3951 3429.
Frequently asked questions
What is the best executive blood test in London
The best executive blood test in London is a panel edited by a doctor after assessment that includes apolipoprotein B, lipoprotein little a, high-sensitivity CRP and a calculated FIB-4, read in a review appointment against your history. At The Wellness the Complete Biomarker Assessment covers over 100 markers from £1,400 and the Comprehensive Blood Panel with consultation is from £495.
How much does a 100 marker blood test cost in London
A 100 marker blood test in London costs more than £4,000 at the top of the Randox range, sits inside £11,995 to £32,000 executive programmes, and costs £1,129 to £1,199 within a Bupa or Nuffield health assessment. At The Wellness the Complete Biomarker Assessment with over 100 markers, a doctor before and after and results held in one record is from £1,400.
What is apolipoprotein B and do I need it tested
Apolipoprotein B counts the cholesterol-carrying particles that enter artery walls and predicted heart attacks better than LDL cholesterol in 389,529 UK Biobank participants. It disagrees with LDL in around 1 in 5 people. It is included in the Comprehensive Blood Panel with consultation from £495 and the Complete Biomarker Assessment from £1,400.
Should I still test lipoprotein a after the HORIZON trial
Yes, once. Lipoprotein little a is inherited, raised in around 1 in 5 people and doubled heart attack risk in the Copenhagen study. The HORIZON trial reported on 4 September 2026 that lowering it with pelacarsen did not reduce events, so there is no drug for it, but a raised level still changes how hard LDL, ApoB and blood pressure are treated. It is included in the Targeted Blood Panel from £295.
Do you take the blood at the clinic
No. You are assessed at the clinic, blood collection is arranged separately at an accredited partner laboratory a short walk away, and a further review appointment with your doctor goes through the results. Where diaries allow, bloods and any imaging are compressed into a single day. The Comprehensive Blood Panel with consultation is from £495.
How often should I repeat executive blood tests
Lipoprotein little a once in a lifetime, ApoB annually or 8 to 12 weeks after a treatment change, HbA1c every 12 months and every 6 once a programme starts, FIB-4 every 3 years if low, and TSH every 3 to 5 years unless treated. The 12-month Continuous Care Programme from £24,995 reviews every result quarterly with the same doctor.
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. Chest pain or sudden weakness needs emergency care, not a blood test. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Send us your question about blood tests or email team@thewellnesslondon.com or call 020 3951 3429.
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