Executive Physical in London 2026. The Mayo and Cleveland Model, Delivered Around a London Diary

An executive physical is a comprehensive annual assessment of a senior leader, and the format was established by the major American academic centres, where programmes at institutions such as Mayo Clinic and Cleveland Clinic commonly run from several thousand to more than 10,000 US dollars and are built around a single long day on one campus. For executives based in or passing through London, the question is how to get the same depth without the flight. The Wellness provides it from 10 Portman Square in Marylebone, adjacent to Harley Street, sequenced around a working week rather than a clinic's schedule. An allocated doctor takes the history and specifies the testing before anything is booked. Blood collection is arranged at an accredited partner laboratory. Imaging is arranged at the London centre best equipped for each specific question, performed by an experienced sonographer and reported by a consultant radiologist. Where diaries allow, the bloods and imaging are compressed into a single morning, and an extended review then turns every result into decisions. The evidence behind the format is specific. Blood carries roughly 80% of what a comprehensive assessment finds, apolipoprotein B and lipoprotein little a change cardiovascular management more than any standard panel, and untargeted whole-body imaging has not been shown to improve outcomes across 12 studies and 5,373 participants. The Executive Health Programme is from £11,995. Fees appear further down this page.

Reviewed by the medical team at The Wellness. Last updated 1 September 2026.

Arrange an executive physical on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.

What an executive physical should include

A long consultation first. Full history, family history, medication, sleep, alcohol, exercise, travel load and examination, because family history in particular changes what should be tested and how often, and the programmes that skip this apply the same package to everyone.

Blood profiling built around the markers that change decisions. Apolipoprotein B, which counts the particles that enter artery walls and identifies people whose standard cholesterol reads acceptably while their risk does not. Lipoprotein little a, inherited, raised in around 20% of people, established as causal by Kamstrup and Nordestgaard in the Copenhagen studies, and measured once in a lifetime. HbA1c with fasting insulin and HOMA-IR, since insulin resistance precedes any rise in glucose by years and the Diabetes Prevention Program showed a 58% reduction in progression to diabetes through lifestyle change alone. Liver function with fibrosis scoring, kidney function with an albumin to creatinine ratio, full thyroid with antibodies, ferritin and iron studies, B12, folate, vitamin D, inflammatory markers, and morning testosterone, PSA after an informed choice conversation, or perimenopausal assessment as relevant.

Imaging aimed by the history rather than applied uniformly. Abdominal and aortic assessment where age or risk warrants it. Coronary artery calcium scoring in the intermediate risk band, where Detrano and colleagues in the Multi-Ethnic Study of Atherosclerosis showed it reclassifies risk better than any blood marker and a score of 0 can justify holding off on lifelong medication. Echocardiography, carotid Doppler, thyroid, liver, renal, testicular, breast or pelvic imaging where the assessment points there.

Cardiorespiratory fitness and body composition, because fitness is among the strongest predictors of survival there is and is rarely measured.

And a review appointment that turns all of it into decisions, which is where the value sits.

What the American programmes do well, and where London differs

The strength of the academic-centre model is integration. Everything happens in one building, the physician sees every result, and specialist opinions are available the same day. That is worth copying and it is what we copy.

The cost is logistics. A single long day on a distant campus, travel, hotels and time away from the business, repeated every year. For an executive in London, the same scanners, laboratories and consultants of international standing already sit within walking distance of Portman Square.

The difference in approach is ownership. We own no scanner and no laboratory, so each study goes to the centre best equipped for that specific question rather than to the machine in the building, and our advice not to image carries the same weight as our advice to image. That matters in a format where more testing is always easier to sell than better testing.

What we do not do is include tests without evidence for the purpose. No untargeted whole-body scanning of people without a reason. No resting ECG as a predictor in people without symptoms. No 100-marker panels generating results that mean nothing. No epigenetic age score presented as a clinical tool. A programme willing to tell you what not to test is the only kind worth trusting when it tells you what to test.

Ask what your physical would cover on WhatsApp or email team@thewellnesslondon.com.

How it fits into a working week

Day 1, the consultation, in person or by video before you arrive in London, so the testing is specified before the week starts rather than chosen on the day.

Day 2, an early morning of testing. Fasting bloods need 8 to 12 hours without food, and testosterone must be drawn between 7am and 11am, so collection is scheduled first, followed by imaging at the selected centre. Most people are back at their desk by lunchtime.

Later in the week, the extended review once the consultant radiologist report and the results are in, in person or by video. Specialist opinions, where needed, are arranged through the Harley Street network, often within the same week.

For executives flying in, testing on day 2 or 3 rather than the morning of arrival gives a more accurate picture, because long-haul travel raises inflammatory markers, disturbs cortisol and affects glucose handling for several days.

Every result sits in one record, so next year's physical is read against this year's rather than in isolation, which is where the most clinically important information lives.

What does an executive physical cost in London

At the top of the London 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 executive programmes at the Harley Street executive health centres reach £14,000. Echelon Health spans £2,000 to more than £15,000. Private hospital executive tiers including HCA, Cleveland Clinic London and The London Clinic sit at £3,500 to £8,000. Advanced biomarker panels alone reach around £1,000.

At The Wellness the assessment, the coordination, the consultant reporting and the review are one fee, with no membership. All figures are from prices.

  • Family Office Programme, 12 months covering a principal and up to 3 family members, each with their own doctor and record, from £49,995.

  • Principal Programme, 12 months for 1 individual at the fullest level of care available here, from £31,995.

  • Continuous Care Programme, 12 months of physician oversight with quarterly review and interval profiling, from £24,995.

  • Executive Health Programme, the complete executive physical with full biomarker profiling, imaging aimed across specialist centres, an extended review and a written plan, from £11,995.

  • Executive Body Scan, consultant-reported organ imaging with full bloods and consolidated review, from £5,995.

  • Men's, women's and heart health programmes from £3,495. Baseline Assessment from £3,495.

  • Complete Biomarker Assessment, over 100 markers with extended review, from £1,400.

Company invoicing with volume terms for leadership teams. Assessments within the week at 10 Portman Square, Marylebone, 3 minutes from Baker Street.

Why The Wellness is the best place in London for an executive physical

Because the testing is specified for you before it is booked. The 45-year-old whose father had a heart attack at 52 needs a different physical from the 45-year-old with no family history, and a fixed package cannot tell them apart.

Because the markers that most change management are included. Apolipoprotein B and lipoprotein little a are absent from most programmes sold at several times the price.

Because the imaging goes where the question is best answered, reported by consultant radiologists who read that anatomy daily, and because owning no scanner means nothing is included to keep a machine busy.

Because it fits the week. Consultation before arrival, one morning of testing, review by the end of the week, and everything held in one record for next year.

And because confidentiality is absolute. Where a company pays, it receives an invoice and nothing else, and nothing creates an NHS record or reaches an insurer without your written consent.

Related reading

Executive health screening sets out the full evidence and programme structure, executive health for international executives covers assessments during a trip, biomarker screening covers the panel in detail, high cholesterol covers apolipoprotein B and lipoprotein little a, and concierge and continuous care covers 12-month oversight.

Book an executive physical on WhatsApp or call 020 3951 3429.

Frequently asked questions

Where can I get an executive physical in London

The Wellness at 10 Portman Square, Marylebone. An allocated doctor specifies the testing before anything is booked, bloods are arranged at an accredited partner laboratory, imaging at the London centres best equipped for each question with consultant radiologist reporting, and an extended review turns the results into decisions. The Executive Health Programme is from £11,995.

How does it compare with Mayo Clinic or Cleveland Clinic executive physicals

The integration is similar, with one physician seeing every result and specialist opinions available quickly. The difference is logistics and independence. There is no flight or campus day, testing fits into one morning of a working week, and because we own no scanner each study goes to the centre best equipped for the question.

What does an executive physical include

A long consultation and examination, blood profiling including apolipoprotein B, lipoprotein little a, HbA1c with fasting insulin, liver fibrosis scoring, kidney, thyroid and iron studies, imaging aimed by your history such as coronary calcium scoring or abdominal and aortic assessment, and an extended review with a written plan.

How long does it take

The consultation can be done before you arrive, the testing takes one morning, and the review follows once the consultant radiologist report is in, usually later the same week.

Should an executive physical include a full-body MRI

Only where there is a reason, such as a BRCA or Lynch syndrome diagnosis or a strong family history. In people without those factors the pooled evidence across 12 studies and 5,373 participants shows no improvement in outcomes, while incidental findings are common.

Can my company pay without seeing my results

Yes. The company receives an invoice and nothing else, with no results, findings or indication of what was discussed. Nothing creates an NHS record or reaches an insurer without your written consent.

The Wellness is a doctor-led private healthcare group providing medical care from 10 Portman Square, Marylebone, adjacent to Harley Street. All doctors are GMC-registered. Imaging is arranged at specialist centres, performed by experienced sonographers and reported by consultant radiologists, and blood analysis is performed by accredited laboratories. Programme prices at other institutions are indicative and should be confirmed with them directly. 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, 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. Detrano R and colleagues, Multi-Ethnic Study of Atherosclerosis, New England Journal of Medicine. Systematic review of whole-body MRI screening in asymptomatic individuals, 12 studies and 5,373 participants. Published evidence on cardiorespiratory fitness and all-cause mortality. Published evidence on travel and circadian disruption effects on metabolic and inflammatory markers. Published 2026 US and London executive health programme pricing.
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