Lung Cancer Screening in London 2026. Who Should Have a Low-Dose CT, What the NHS Programme Covers and Why a Chest X-Ray Is Not Screening
The Wellness in Marylebone provides the best lung cancer screening in London for people who want a low-dose CT arranged only when the evidence supports it, with the consultation from £220, the Executive Body Scan from £5,995 and the Executive Health Programme from £11,995, inside a ladder that runs to £49,995 and a market where comprehensive programmes exceed £32,000. The evidence is among the strongest in cancer screening and the narrowest. The NELSON trial reported by de Koning in the NEJM cut lung cancer deaths by 24% in men and 33% in women at 10 years, and the American NLST trial of 53,454 people cut them by 20%, but only in current and former heavy smokers aged 50 to 74. Outside that group the scan finds nodules in around 1 in 4 people, 96% of which are not cancer, and each one needs follow-up. England's NHS Lung Cancer Screening Programme now offers the scan free to people aged 55 to 74 who have ever smoked, and this page tells you whether you qualify first. Fees appear further down this page.
Ask whether you qualify for a lung scan or email team@thewellnesslondon.com or call 020 3951 3429.
Who should have a low-dose CT of the lungs
The trials answer this precisely. NELSON recruited current and former smokers aged 50 to 74 who had smoked more than 15 cigarettes a day for 25 years or more than 10 a day for 30 years, and stopped no more than 10 years earlier. NLST recruited 55 to 74-year-olds with 30 pack-years. In those groups the scan cut lung cancer deaths by a fifth to a third, because it finds tumours at stage 1 when 3 in 4 are curable rather than at stage 4.
In England the NHS Lung Cancer Screening Programme, recommended by the UK National Screening Committee in 2022 and rolling out to full coverage by 2029, invites everyone aged 55 to 74 who is registered with a GP and has ever smoked to a lung health check, and offers a low-dose CT to those whose risk score qualifies. If you are in that group, take the NHS scan. It is the same test and it is free.
Who should not have one
A never-smoker under 60 with no family history and no asbestos or radon exposure should not, and we do not sell it to them. Around 1 in 4 screening scans show a nodule, and in NLST 96% of those were not cancer, yet each needed a repeat scan at 3 or 12 months and some needed a biopsy. The British Thoracic Society nodule guideline exists because the follow-up burden is real, and creating it in someone whose pre-test risk is a fraction of 1% is harm without benefit.
Around 15% of UK lung cancers occur in people who have never smoked, and that figure is the reason people ask. It does not change the answer, because no trial has shown that scanning never-smokers saves lives, and the Taiwanese TALENT study that scanned never-smoking women with a family history found many cancers but has not yet shown a mortality benefit. A never-smoker with a first-degree relative diagnosed under 60, or with asbestos exposure, is offered the conversation and the choice.
Send us your history and a doctor will say whether the scan applies or email team@thewellnesslondon.com.
Why a chest X-ray is not screening
The PLCO trial in JAMA in 2011 randomised 154,901 people to annual chest X-ray or usual care and found no reduction in lung cancer deaths at all. An X-ray misses tumours behind the heart, the ribs and the diaphragm, and by the time a cancer is visible it is usually past the stage where surgery cures it. A chest X-ray as a screening test on an executive package costs money and finds nothing, and it appears on many.
Low-dose CT is different because it is a thin-slice scan of the whole chest at around 1.5 millisieverts, roughly 6 months of natural background radiation in the UK, and it sees a nodule of 4 millimetres. Standard CT with contrast is not screening either, since it delivers 5 to 7 millisieverts and adds nothing for nodule detection. The scan is arranged at the London centre best equipped for it, performed by a radiographer and reported by a consultant thoracic radiologist using the British Thoracic Society nodule protocol.
How is lung screening arranged at The Wellness
You are assessed first. Smoking history in pack-years, years since stopping, family history, occupational exposure, breathlessness and cough decide whether the scan is justified, and whether the NHS programme already covers you. Where a low-dose CT is indicated, it is arranged at the specialist centre, and where the history also justifies a calcium score the 2 are often done in the same visit.
Blood collection is arranged separately at an accredited partner laboratory and compressed into the same day where diaries allow. A review appointment with the doctor who assessed you reads the report, and a nodule that needs follow-up under the British Thoracic Society guideline is booked rather than handed to you as advice. Anything needing a respiratory consultant goes to a named consultant with the appointment already booked, and the record is held so that a 12-month interval scan is read against the first.
What does lung cancer screening 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, Echelon Health spans £2,000 to more than £15,000, and the private hospital executive tier sits at £3,500 to £8,000. Bought separately, hospital imaging at £415 per region, a respiratory consultant first appointment at £250 to £500, the calcium score the same smoker needs and a private GP to read it all together already pass £1,500 across 3 providers and 3 waits.
Beneath that sits a tier defined by its conditions rather than its price, scan-only bookings with no assessment, no nodule protocol and no clinical pathway when the report says 6 millimetre nodule, follow-up advised. At The Wellness the price includes the assessment, the scan where indicated, the bloods, the review and the onward referral. 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
Executive Body Scan, including low-dose CT where history justifies it, from £5,995
Heart Health body scan programme, from £3,495
Complete Biomarker Assessment, over 100 markers, from £1,400
Additional imaging region in the same visit, from £500
Extended consultation, from £395
In-person consultation, from £220
Why The Wellness is the best lung cancer screening in London
The scan is refused more often than it is sold, and that is countable. A never-smoker under 60 is told no, a 62-year-old who smoked for 30 years is told to take the NHS scan first, and only the people the trials actually studied, or those the NHS programme has not yet reached, are offered it here. Every scan arranged carries the NELSON and NLST mortality data behind it.
Every scan is reported by a consultant thoracic radiologist under the British Thoracic Society protocol, and every report is read by the doctor who assessed you in a review appointment. That is why a 5 millimetre nodule leads to a booked interval scan at the right month rather than to 12 months of worry, and why a smoker's calcium score is read in the same appointment, because in NLST more participants died of heart disease than of lung cancer.
The pathway does not stop at the report. A nodule needing a respiratory consultant goes to a named one with the appointment booked, and the record is held so that next year's scan is compared against this one. Places on the 12-month programmes are limited by the number of people one doctor can hold properly, so they begin with an allocation call.
Book an assessment and your doctor will tell you whether the scan applies or call 020 3951 3429.
Frequently asked questions
Who qualifies for lung cancer screening in England
Everyone aged 55 to 74 who is registered with a GP and has ever smoked is being invited to an NHS lung health check as the programme rolls out to full coverage by 2029, and those whose risk score qualifies are offered a free low-dose CT. If you are in that group, take it. At The Wellness a consultation from £220 confirms whether you qualify and what the private route adds if you do not.
Should I have a private lung scan if I have never smoked
Usually not. No trial has shown that scanning never-smokers saves lives, and around 1 in 4 scans find a nodule that is not cancer but needs follow-up. A never-smoker with a first-degree relative diagnosed under 60 or with asbestos exposure is offered the conversation. At The Wellness the scan is arranged only where history justifies it, within the Executive Body Scan from £5,995.
How much does a low-dose CT lung scan cost in London
A low-dose CT sits inside executive programmes of £3,500 to £8,000 at private hospitals, up to £14,000 on Harley Street and more than £32,000 at the top of the market, and bought alone with a respiratory consultant appointment it passes £1,500 across 3 providers. At The Wellness it is arranged where indicated within the Executive Body Scan from £5,995, after a consultation from £220.
Is a chest X-ray good enough to screen for lung cancer
No. The PLCO trial of 154,901 people found annual chest X-ray did not reduce lung cancer deaths, because it misses tumours behind the heart, ribs and diaphragm until they are past the curable stage. Low-dose CT at around 1.5 millisieverts sees a 4 millimetre nodule. At The Wellness a chest X-ray is not sold as screening at any price.
What happens if the scan finds a nodule
Around 1 in 4 screening scans do, and 96% are not cancer. The British Thoracic Society guideline sets the follow-up, usually a repeat scan at 3 or 12 months depending on size, and a nodule over 8 millimetres may need a PET scan or a respiratory consultant. At The Wellness the interval scan is booked for you and a consultant referral is made with the appointment already in place, from £220 for the consultation.
Do you do the scan at the clinic
No. You are assessed at the clinic, the low-dose CT is arranged at the specialist London centre best equipped for it and reported by a consultant thoracic radiologist, blood collection is arranged separately at an accredited partner laboratory, and a review appointment goes through everything. The Executive Body Scan is from £5,995 and the Executive Health Programme from £11,995.
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. Coughing up blood, a cough lasting more than 3 weeks, unexplained weight loss or new breathlessness need a doctor this week, not a screening appointment. 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 lung screening or email team@thewellnesslondon.com or call 020 3951 3429.
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