A serious executive health programme does three things a standard medical cannot. It gives you time with a senior doctor rather than a conveyor belt of stations. It tests the things that actually change outcomes for your age and risk, rather than everything a machine can measure. And it hands the results back to the same doctor who interprets them, so the output is decisions rather than a PDF.
Prices are published plainly. Programmes run from £6,995 for Foundation, £14,995 for Elevation and £34,995 for Echelon. A standalone Executive Body Scan is £5,995 and an Executive Physical is £2,995. What each tier includes is below.
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What a doctor-led programme actually covers
Every programme starts with a long consultation, not a questionnaire. Your doctor takes a full history, examines you, and only then fixes the testing list to your age, family history and risk. That sequencing matters. Testing first and interpreting later is how people end up with meaningless numbers and unnecessary follow-ups.
Across the tiers, assessments draw from advanced blood biomarkers across metabolic, hormonal and epigenetic domains, imaging where it answers a defined question, cardiac CT, body composition by DEXA, VO2 max fitness testing, and cognitive testing. Elevation (£14,995) includes the full body MRI, cardiac CT, the advanced biomarker panel, cognitive testing, DEXA and VO2 max, a physician consultation with a written roadmap, a WHOOP with twelve months of membership, and a NAD+ IV infusion. Echelon (£34,995) builds on that with quarterly MRI and DEXA, advanced oncology markers, twelve physician sessions across the year, four NAD+ IV infusions and priority concierge access. Foundation (£6,995) is the entry physician-led programme, and the exact panel is fixed with your doctor at the first consultation.
What the evidence supports, and what it does not
Honesty first. The largest review of general health checks, a Cochrane review by Krogsbøll and colleagues updated in 2019, found that routine annual check-ups in unselected adults did not reduce overall mortality. That is not an argument against testing. It is an argument against undirected testing. A programme earns its keep when each test answers a question that changes what you do next.
Directed screening has strong evidence behind it. Blood pressure treatment to tighter targets reduced cardiovascular events in the SPRINT trial published in the New England Journal of Medicine in 2015. Stool blood screening reduces deaths from bowel cancer, as shown in the Cochrane review by Hewitson and colleagues. Lipid testing that includes ApoB and Lp(a) refines heart risk beyond standard cholesterol, per the 2019 European Society of Cardiology and European Atherosclerosis Society guideline. Fitness measured as VO2 max is one of the strongest predictors of mortality in large cohort studies, including the 2018 JAMA Network Open analysis by Mandsager and colleagues of over 120,000 people.
Whole-body MRI is the honest counterweight. No randomised trial has shown that scanning healthy people from head to toe extends life, and incidental findings are common. Where imaging is included in our programmes, it is reported by a consultant radiologist and reviewed with your doctor against your actual risk, so a finding leads somewhere useful rather than to anxiety.
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How the programme runs around a London diary
The assessment is arranged in one block where possible, with early appointments for fasting bloods. Results return to the doctor who ordered them. You then sit down, in person or by video, for the interpretation: what is normal, what is not, what changes now, and what we simply watch. The written roadmap records the decisions. Through the year, the same team handles your day-to-day GP needs, so the programme is the start of the relationship rather than a one-off event.
When an executive programme is not the right spend
If you have a specific symptom, book a consultation for that symptom first, from £59 by phone or £150 by video. If you are under 35 with no family history of note, a focused consultation and basic blood panel will usually serve you better than a full programme. And no screening programme replaces emergency care: chest pain, stroke symptoms or severe breathlessness need 999, not an assessment booking.
Free checklist: questions to ask before buying any health assessment
Who interprets my results, and will I ever speak to them again after this visit?
Which tests on my list have evidence for my age and risk, and which are included because the machine exists?
What happens when something borderline appears: who owns the follow-up?
Is the imaging reported by a named consultant radiologist?
What does the price include in writing: consultations, tests, reporting, follow-up?
Ready when you are: WhatsApp, call 020 3951 3429, or email team@thewellnesslondon.com
Frequently asked questions
Q: What does an executive health programme in London cost?
A: At The Wellness, programmes run from £6,995 for Foundation to £14,995 for Elevation and £34,995 for Echelon. A standalone Executive Body Scan is £5,995 and an Executive Physical is £2,995.
Q: Is an executive health check worth it?
A: Directed testing with a doctor who acts on the results is worthwhile. Undirected testing, done without a doctor who owns the result, is not, and the evidence says so: the 2019 Cochrane review of general health checks found no mortality benefit from undirected annual checks. The value is in the interpretation and follow-through.
Q: How long does the assessment take?
A: Most assessments complete in one extended visit, with fasting bloods taken early. Results and the full consultation follow within days.
Q: Do I keep my NHS GP?
A: Yes. A programme sits alongside your NHS care, and letters can be shared with your NHS practice if you ask.
References
Krogsbøll LT, et al. General health checks in adults for reducing morbidity and mortality from disease. Cochrane Database of Systematic Reviews, 2019.
SPRINT Research Group. A randomized trial of intensive versus standard blood-pressure control. New England Journal of Medicine, 2015.
Hewitson P, et al. Cochrane systematic review of colorectal cancer screening using the faecal occult blood test: an update. 2019 update.
Mach F, et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias. European Heart Journal, 2019.
Mandsager K, et al. Association of cardiorespiratory fitness with long-term mortality among adults undergoing exercise treadmill testing. JAMA Network Open, 2018.
Reviewed by The Wellness Clinical Team. Last updated 18 October 2026.