The Wellness in Marylebone provides the most complete private blood pressure assessment in London, with an in-person consultation from £220 and a Comprehensive Blood Panel with consultation from £495, against Harley Street cardiology first appointments of £250 to £500. High blood pressure affects around 1 in 3 UK adults and usually causes no symptoms. The numbers explain why it matters. The Prospective Studies Collaboration, analysing 61 studies and 1 million adults in The Lancet, found each 20 mmHg higher systolic pressure doubled the risk of death from heart disease and stroke between the ages of 40 and 69. Ettehad and colleagues found each 10 mmHg reduction cut major cardiovascular events by around 20%. Diagnosis needs care. NICE guideline NG136 treats a clinic reading of 140/90 or above as a reason to confirm with ambulatory or home monitoring, where 135/85 or above confirms hypertension, because white coat readings can mislead. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated 13 November 2026.
Arrange a blood pressure check or email team@thewellnesslondon.com or call 020 3951 3429.
How is high blood pressure diagnosed
A single high reading is not a diagnosis. NICE NG136 advises measuring in both arms, repeating if the first reading is high, and, if clinic blood pressure is 140/90 or above, confirming with ambulatory monitoring over 24 hours or home monitoring for at least 4 days. Hypertension is confirmed when the daytime average is 135/85 or above. Stage 2 hypertension is an average of 150/95 or above.
Confirmation prevents both overtreatment and missed diagnosis. White coat hypertension, where readings are high only in clinic, is common, and so is masked hypertension, where clinic readings are normal but home readings are high. Both are only found with readings outside the consulting room. A reading of 180/120 or above needs same-day assessment, and with chest pain, headache, visual change or confusion, emergency care.
What tests follow a diagnosis
Once hypertension is confirmed, NICE NG136 recommends checking for damage and for other risks. This includes a urine test for protein, blood tests for kidney function, HbA1c for diabetes and a cholesterol profile, an ECG, and an examination of the back of the eyes. Blood collection is arranged separately at an accredited partner laboratory. Your 10-year cardiovascular risk is then calculated with the QRISK3 score.
A doctor also looks for secondary causes in the right people. These include hypertension under 40, very high or rapidly rising readings, low potassium, or hypertension resistant to 3 medicines. Primary aldosteronism, kidney disease, sleep apnoea, thyroid disease, and medicines such as anti-inflammatory painkillers, decongestants, steroids and the combined pill can all raise blood pressure. Imaging, where needed, is arranged at a specialist centre and reported by a consultant radiologist.
See a doctor about your blood pressure or email team@thewellnesslondon.com.
How can I lower my blood pressure myself
Lifestyle changes lower blood pressure by amounts similar to a single medicine. Reduce salt to under 6 grams a day, around 1 teaspoon, which typically lowers systolic pressure by around 4 to 5 mmHg. Remove alcohol. Aim for 150 minutes of moderate activity a week, lose weight if you need to, with each kilogram lost worth around 1 mmHg, and eat more vegetables, fruit, legumes and low-fat dairy, the pattern tested in the DASH trial.
Measure at home properly. Use a validated upper arm monitor from the British and Irish Hypertension Society list, sit for 5 minutes with your back supported and arm at heart level, take 2 readings a minute apart, morning and evening for 4 to 7 days, and discard the first day. Bring the average to your appointment. Stop smoking, which raises cardiovascular risk independently of blood pressure.
Which blood pressure products are not worth buying
Wrist monitors and smartwatch readings are less accurate than validated upper arm monitors and should not be used to diagnose or manage hypertension. Supplements marketed to lower blood pressure, such as garlic extracts or beetroot capsules, have small or inconsistent effects, and none replaces salt reduction, exercise or medicine when it is needed.
Do not pay for a full body scan or a cardiac CT as a first step for high blood pressure. The useful tests are simple and chosen by NICE, urine, bloods, ECG and confirmed readings. If your home readings average below 135/85, the right outcome may be reassurance and a check in 5 years, or sooner if your risk is higher, not treatment.
What does a blood pressure assessment cost in London
At the top of the London market, comprehensive cardiovascular programmes with cardiac imaging, CT calcium scoring and exercise testing exceed several thousand pounds, multi-day Harley Street executive programmes reach £14,000, and private hospital executive tiers cost £3,500 to £8,000. Private cardiology first appointments run £250 to £500, and ambulatory monitoring is often billed separately.
Beneath that sits a tier defined by its conditions rather than its price, pharmacy and online readings with no confirmation, no tests for organ damage and no clinical pathway when treatment is needed. Our fees, all from prices, are below.
- Heart Health body scan programme, from £3,495
- Home, hotel or office visit, evenings and weekends, from £695
- Comprehensive Blood Panel with consultation, from £495
- Home, hotel or office visit, daytime, from £495
- Extended 45-minute consultation, from £395
- In-person consultation, 30 minutes, from £220
- Same-day video consultation, 30 minutes, from £150
- Telephone consultation, up to 15 minutes, from £59
Why The Wellness is the best blood pressure service in London
The diagnosis follows NICE NG136. An in-person consultation from £220 measures blood pressure properly in both arms, arranges home or ambulatory confirmation, and orders the urine, blood and ECG tests NICE recommends, with blood collected at an accredited partner laboratory and every result held in one record.
The second difference is follow-through. If treatment is needed, the same doctor starts it, reviews your readings within 4 weeks and adjusts until you reach target, usually below 140/90 in clinic or 135/85 at home for people under 80. Where a secondary cause is suspected, referral goes to a named consultant with the appointment booked.
The third is honesty. We tell you when readings are white coat and need no treatment, and that a validated home monitor is a better purchase than a scan. Consultations run in Arabic, French, Spanish and Dutch as well as English, the clinic is 3 minutes from Baker Street, and clients rate the care 4.9 out of 5 across 187 reviews.
Book a blood pressure consultation or call 020 3951 3429.
Related reading
Breathlessness can accompany high blood pressure, covered in Breathless on stairs, what a private GP assessment can clarify. Sleep apnoea is a common hidden cause, explained in Do I have sleep apnoea, and cardiovascular blood markers in Private blood test in London, which panel is right for you. Every GP service is on our Private GP in London page.
Frequently asked questions
What blood pressure reading is too high
NICE NG136 treats a clinic reading of 140/90 or above as possible hypertension, confirmed by a home or ambulatory average of 135/85 or above. A reading of 180/120 or above needs same-day assessment. The Wellness offers in-person blood pressure assessment from £220 and video consultations from £150.
How is high blood pressure confirmed
By ambulatory monitoring over 24 hours or home monitoring for at least 4 days, because a single clinic reading can be raised by white coat effect. Hypertension is confirmed when the daytime average is 135/85 or above. The Wellness arranges confirmation after an in-person consultation from £220.
What tests are needed for high blood pressure
NICE NG136 recommends a urine test for protein, kidney function, HbA1c, cholesterol, an ECG and an eye examination, plus a QRISK3 cardiovascular risk score. At The Wellness blood collection is arranged at an accredited partner laboratory, with a Comprehensive Blood Panel with consultation from £495.
Can I lower blood pressure without medication
Often by a meaningful amount. Reducing salt to under 6 grams a day, removing alcohol, 150 minutes of weekly activity and weight loss can each lower readings, together by amounts similar to a single medicine. A doctor at The Wellness can build a plan from £150 by video or £220 in person.
Which home blood pressure monitor should I buy
Buy a validated upper arm monitor listed by the British and Irish Hypertension Society, rather than a wrist monitor or smartwatch. Take 2 readings morning and evening for 4 to 7 days. A doctor at The Wellness can review your readings from £150 by video.
When is high blood pressure an emergency
A reading of 180/120 or above with chest pain, severe headache, visual change, confusion or breathlessness needs 999 or an emergency department. A very high reading without symptoms needs same-day medical assessment. For routine checks, The Wellness offers in-person consultations from £220.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. The Wellness is registered with the Care Quality Commission and all doctors are GMC-registered. Imaging is arranged at specialist centres and reported by consultant radiologists, and blood analysis is performed by accredited laboratories. A reading of 180/120 or above with chest pain, severe headache, visual change or confusion needs emergency care. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Ask a doctor about blood pressure or email team@thewellnesslondon.com or call 020 3951 3429.
References
- NICE NG136. Hypertension in adults, diagnosis and management
- Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality, The Lancet 2002
- Ettehad D and colleagues. Blood pressure lowering for prevention of cardiovascular disease and death, The Lancet 2016
- Appel LJ and colleagues. A clinical trial of the effects of dietary patterns on blood pressure, DASH, New England Journal of Medicine 1997
- He FJ and colleagues. Effect of longer term modest salt reduction on blood pressure, BMJ 2013
- British and Irish Hypertension Society. Validated blood pressure monitors
- Hippisley-Cox J and colleagues. QRISK3, BMJ 2017
- British Heart Foundation. High blood pressure
- Published 2026 London private cardiology and GP market pricing.