Executive Health Screening for Men Over 40 -The Tests That Matter, the Ones to Question, and What It Costs
The Key Points
A proper executive health screen for a man over 40 checks cardiovascular and metabolic risk first, not just testosterone. It should cover blood pressure, a formal cardiovascular risk score, ApoB and Lp(a), glucose regulation, and an informed decision on PSA, with imaging added only where it changes the answer. London prices run from around £1,000 for a conventional check to £14,000 for imaging-led programmes. At The Wellness, doctor-led assessments start from £3,495.
A proper executive health screen for a man over 40 isn't a testosterone test, a cholesterol result and a whole-body MRI bundled under a premium name. The risks that start to matter in midlife are broader: cardiovascular disease, hypertension, diabetes and metabolic dysfunction, bowel cancer, prostate health, liver disease and, later, abdominal aortic aneurysm risk. A screen is only useful if it works through those risks systematically, adds imaging where it changes the answer, and ends with a doctor telling you plainly what needs action and what doesn't.
Where London pricing sits right now. A conventional health assessment, covering bloods, blood pressure, BMI and a brief consult, starts at around £1,000. Extensive imaging-led programmes, with multi-modality scanning and specialist reporting, run up to around £14,000. Premium longevity memberships, offering ongoing physician access and repeated testing, cost £50,000 or more a year. At The Wellness, the Baseline Assessment, covering a doctor consultation, advanced biomarkers and targeted investigation, starts from £3,495. The Executive Body Scan, adding consultant-reported imaging to full blood profiling, starts from £5,995. The Executive Health Programme, combining biomarkers, a cardiovascular workup, targeted imaging and one physician review, starts from £11,995.
Seen against that range, the Executive Health Programme sits well below the imaging-heavy end of the market while covering more clinical ground than a conventional check, because it's built around your risk rather than a fixed menu.
Reviewed by the medical team at The Wellness. Last updated August 2026.
Not sure where you sit on that table. Send us your age, family history and any previous results on WhatsApp and one of our doctors will tell you, free of charge and with no obligation, which level of assessment actually fits your risk profile, before you spend a penny.
Get a free, no-obligation recommendation on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
The biggest risk is often the one you can't feel
Men frequently book an executive screen because of cancer. That's understandable, but a serious programme spends at least as much effort on cardiovascular and metabolic disease, because these are the conditions most likely to affect an outwardly healthy 45-year-old.
High blood pressure can be entirely silent. Atherosclerosis builds for years before it causes chest pain. Type 2 diabetes typically follows a long, symptomless run of metabolic dysfunction. Fatty liver disease can exist in someone who feels completely well.
This is why an executive screen has to be organised around risk, not symptoms. Feeling fine is not the same as having nothing worth measuring.
Cardiovascular testing should go beyond total cholesterol
Blood pressure comes first. It's simple, predictive and treatable.
A formal cardiovascular risk assessment then brings together age, blood pressure, cholesterol, smoking status, diabetes and other clinical factors, rather than treating one lab result as the whole answer. NICE recommends QRISK3 for ten-year cardiovascular risk assessment in appropriate adults aged 25 to 84 without established cardiovascular disease.
A conventional lipid panel remains important, but a deeper assessment adds ApoB and Lp(a). ApoB captures atherogenic particle burden that LDL alone can miss. Lp(a) can flag largely inherited cardiovascular risk that never shows up on a standard panel.
For the right person, a coronary artery calcium CT then answers a structural question bloods can't. Is calcified plaque already present in the coronary arteries.
The sequence matters. History and blood data first, imaging when it adds something, never a CT simply because it's in the package.
Metabolic health is more than one HbA1c
HbA1c reflects average blood glucose over recent months, but the metabolic picture is wider than one number.
Fasting glucose adds a second data point. Fasting insulin can be useful in selected patients when the goal is to understand insulin resistance specifically. Triglycerides, waist circumference, blood pressure, liver markers and body composition all add context.
The reason to assess this in an apparently healthy man in his 40s or 50s is that metabolic risk moves gradually. The useful moment to intervene is before the diagnosis, not after it.
Testosterone matters when the question is actually testosterone
Male hormone testing is one of the most heavily marketed parts of private screening, and one of the most overused.
Testosterone testing is genuinely useful where there are symptoms. Reduced libido, erectile dysfunction, loss of morning erections, unexplained loss of muscle strength, infertility, or other features suggesting hypogonadism.
What it shouldn't do is distract from the health risks statistically far more likely to affect an asymptomatic executive in midlife. A beautifully presented hormone panel doesn't compensate for skipping blood pressure, ApoB, metabolic risk, smoking history, family history or appropriate cancer screening.
PSA should be a decision, not a tick box
PSA testing is useful, but it has real limitations. A raised PSA doesn't diagnose prostate cancer. Benign enlargement and infection can raise it too, while some prostate cancers occur with a normal result. Testing can lead to further imaging, repeat blood tests and sometimes procedures in men who ultimately don't have cancer.
The NHS doesn't run a universal population PSA screening programme. Men can discuss PSA testing with a doctor, who should weigh it against age, symptoms, family history, ethnicity and genetic risk. That's how it should be handled privately too. Informed testing, not indiscriminate testing.
Don't let private screening replace the NHS programmes that already work
Private screening should complement proven population screening, not replace it.
Bowel cancer screening uses a home FIT kit every two years, ages 50 to 74 in England. Abdominal aortic aneurysm screening is a one-off ultrasound in the year you turn 65. Lung cancer screening is being rolled out for eligible people with a smoking history.
These programmes exist because the evidence supports screening these specific groups. Spending thousands privately doesn't make them less important. Build your private programme around them, not instead of them.
Free 15-minute call. Which tests actually apply to your age and family history
What imaging can add after 40
Imaging is where executive programmes diverge most sharply, in both price and philosophy.
Coronary calcium CT is useful where cardiovascular risk assessment leaves genuine uncertainty. Ultrasound assesses specific abdominal organs and vascular questions without radiation. DEXA gives precise bone density and body composition. MRI provides exceptional soft-tissue detail where a specific clinical question warrants it. Whole-body MRI images large areas of an otherwise asymptomatic body. It can find the unexpected, but also generates incidental findings that need further work-up without representing important disease.
More imaging isn't automatically better screening. Better-selected imaging is, and that selection is a clinical judgement call, not a package tier.
A useful screen should tell you what not to test, too
This is one of the easiest ways to judge a clinic. If the answer to every question is another scan, another tumour marker, another exotic biomarker, the programme is selling volume, not judgement.
Some cancer blood markers are useful for monitoring known disease but poor population screening tools. Some biological-age measurements are interesting without a clear treatment decision attached. Some imaging has a genuine indication in one person and almost none in another. A doctor telling you that you don't need a test is part of what you're paying for.
What The Wellness does differently
The programme starts with you, not the package. Your age, family history, cardiovascular profile, smoking history, previous testing, symptoms and goals determine which investigations are actually useful.
Bloods and cardiovascular risk are read together. Imaging is selected because it answers a clinical question, not because a scanner happens to be available. PSA is discussed, not automatically treated as a cancer diagnosis test. Hormones are interpreted against symptoms, not sold as optimisation for its own sake.
And when something is abnormal, the assessment doesn't end with a red flag on a portal. Further imaging, repeat testing or specialist assessment is coordinated by the same team. That continuity is the difference between paying for results and paying for healthcare.
Free value, no strings. Every enquiry starts with a complimentary risk-profile call with a GMC-registered doctor, before you commit to any programme, so you know exactly what you need and what you don't.
Book your free risk-profile call on WhatsApp or call 020 3951 3429.
Frequently asked questions
What should a health check for a man over 40 include? At minimum, blood pressure, cardiovascular risk, cholesterol, glucose regulation, kidney and liver function, and relevant lifestyle and family-history risk. A more comprehensive assessment may add ApoB, Lp(a), body composition, broader biomarkers and appropriately selected imaging.
Should men over 40 have a PSA test? It can be appropriate but should be discussed rather than automatically performed on everyone. The benefits and limitations depend on age, symptoms, family history and individual prostate cancer risk.
Should men over 40 have a testosterone blood test? Where symptoms or clinical history suggest deficiency, yes. It shouldn't replace assessment of cardiovascular, metabolic and other more common midlife risks.
What cancer screening should a man over 40 have? This depends on age and risk. NHS bowel cancer screening runs from age 50 to 74 in England. PSA is an individual decision, not a universal programme. Lung screening may apply to eligible people with a smoking history.
Is a whole-body MRI worth having? It can find unexpected abnormalities, but also generates incidental findings needing further testing without representing important disease. Whether it's appropriate depends on your individual risk and objectives. Ask your doctor rather than assuming more imaging is always better.
How much is executive health screening for men in London? From around £1,000 for conventional assessments to roughly £14,000 for extensive imaging-led programmes, and £50,000 or more per year for premium longevity memberships. At The Wellness, Baseline starts from £3,495, Executive Body Scan from £5,995 and Executive Health Programme from £11,995.
The Wellness is a doctor-led private healthcare group in London. All doctors are GMC-registered. Screening has benefits and limitations and does not guarantee that disease will be detected or prevented. Individual investigations should be selected according to clinical risk. This article is general information and not a substitute for medical advice.
Enquire on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
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