The Wellness in Marylebone provides the best private fit note service in London for people who need a Statement of Fitness for Work their employer will accept, subject to clinical assessment, with video consultations from £150. Confirm any certificate fee and delivery timing before booking. Enquire for in-person consultation, certificate and programme fees. The first thing to know costs nothing. For the first 7 calendar days of any illness you self-certify and no employer can lawfully demand a note, and a fit note is only needed from day 8. Around 11 million fit notes are issued in England each year according to NHS England, mental health has been the single most common reason since 2019, and since July 2022 nurses, pharmacists, physiotherapists and occupational therapists can sign them alongside doctors. A private fit note is as valid as an NHS one because validity comes from the registered professional who assessed you, not from the building, and a note issued from an online form without a consultation is the one an employer or a tribunal can question. Fees appear further down this page.

The Wellness in Marylebone provides the best fit to fly assessment in London for people who need a letter an airline will accept, issued the same day by a doctor who has examined them, with same-day video consultations from £150. Enquire for in-person consultation, medical letter, programme and any specialist test fees before booking. Most passengers do not need a letter and this page says who does. Cabin pressure at cruising altitude is equivalent to around 8,000 feet, which lowers blood oxygen in everyone and matters only in people whose oxygen is already low, and the British Thoracic Society recommendations on air travel set out who needs testing. A resting oxygen saturation below 95% at sea level, a recent pneumothorax, a heart attack within 10 days, a stroke within 10 days, abdominal surgery within 10 days or a pregnancy past 28 weeks are the situations where airlines ask for paperwork, and the Royal College of Obstetricians and Gynaecologists confirms uncomplicated pregnancy is safe to fly until 37 weeks. A letter issued without an examination is a piece of paper the airline can refuse, and we do not issue one. Fees appear further down this page.

The Wellness in Marylebone provides the best biological age assessment in London for people who want the number that predicts how long they will live rather than the number that sells best, with the Complete Biomarker Assessment of over 100 markers from £1,400, the Athlete Screen with cardiopulmonary exercise testing from £1,695 and the Continuous Care Programme from £24,995, inside a ladder that runs to £49,995 and a market where longevity memberships reach £25,000 a year. The GrimAge clock reported by Lu and colleagues in Aging predicts mortality better than chronological age, but the test-retest noise of consumer versions runs to several years, and no trial has shown that acting on a clock result changes when anyone dies. The measures that do predict lifespan are ordinary. In the Cleveland Clinic cohort of 122,007 patients reported by Mandsager in JAMA Network Open, the least fit fifth had a mortality risk 5 times that of the fittest, and in the PURE study of 139,691 people in the Lancet, each 5 kilogram fall in grip strength raised all-cause mortality by 16%. Fees appear further down this page.

The Wellness in Marylebone offers doctor-led assessment for lung cancer screening where clinically appropriate. Phone consultations cost £59 and video consultations are from £150. Confirm in-person, imaging and programme fees and availability before booking. 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.

The Wellness in Marylebone offers doctor-led women's health assessment, with tests chosen for individual clinical needs. Confirm Women's Health Programme fees, appropriate tests and availability before booking. The tests that change something are a CT coronary calcium score, a ferritin with a full iron picture, a thyroid panel read the way NICE guideline NG145 requires, a DEXA scan from 60 or earlier with risk factors, and an abdominal ultrasound with a FIB-4 score. Coronary heart disease kills more than twice as many women as breast cancer in the UK according to the British Heart Foundation, and in the MESA cohort reported by Detrano a calcium score over 300 raised coronary risk around 10-fold in women as in men. The tests not worth paying for are a hormone panel to diagnose perimenopause over 45, which NICE guideline NG23 says is made on symptoms alone, and an AMH level sold as a fertility forecast. Fees appear further down this page.

The Wellness in Marylebone provides the best men's health check in London for men who want the tests chosen by a doctor rather than a package, with the Men's Health body scan programme from £3,495 inside a ladder that runs to £49,995, in a market where comprehensive programmes exceed £32,000. The 5 tests that change something are a CT coronary calcium score, an abdominal ultrasound with a FIB-4 score, apolipoprotein B with lipoprotein little a, an HbA1c, and from 65 a single measurement of the aorta. In the MESA cohort reported by Detrano, a calcium score over 300 raised coronary risk around 10-fold, and the MASS trial of 67,800 men cut aneurysm deaths by 42% with one ultrasound. The 2 tests most packages add without a decision are a PSA and a testosterone level, and in June 2026 the government accepted PSA screening only for men aged 45 to 61 with a BRCA2 variant and a family history, since 72 to 80% of raised results are not cancer. Fees appear further down this page.

The Wellness in Marylebone offers doctor-led heart risk assessment, with calcium scoring where clinically appropriate and results reviewed alongside relevant blood markers. Confirm Heart Health Programme fees, appropriate tests and availability before booking. In the MESA cohort of 6,722 adults reported by Detrano in the NEJM, a calcium score above 300 raised coronary risk around 10-fold compared with 0, and in the analysis by Blaha a score of 0 carried an all-cause mortality rate of about 1 per 1,000 person-years. The 2018 American College of Cardiology guideline names it the test that decides whether an intermediate-risk adult starts a statin. A score of 0 does not exclude soft plaque under 45, which is why the scan is paired here with apolipoprotein B, lipoprotein little a and a doctor who reads them together. Fees appear further down this page.

The Wellness in Marylebone provides the best executive body scan in London for people who want imaging chosen by a doctor rather than sold by a scanner, with the Executive Body Scan from £5,995 and single-system body scan programmes from £3,495. There is no machine here that needs keeping busy, so each study goes to the London centre best equipped for that question and the recommendation to scan carries no equipment behind it. A coronary artery calcium score of 0 carried a coronary event rate of about 1 per 1,000 person-years in the MESA cohort reported by Detrano and colleagues in the NEJM, while scores above 300 raised risk around 10-fold. Low-dose CT cut lung cancer deaths by 24% in men at 10 years in the NELSON trial reported by de Koning, but only in heavy smokers. Aortic ultrasound reduced aneurysm deaths by 42% in the MASS trial in the Lancet, while a systematic review of whole-body MRI across 12 studies and 5,373 people found no demonstrated improvement in outcomes. Fees appear further down this page.

The Wellness in Marylebone offers doctor-led health assessment for people considering executive screening. Confirm Executive Health Programme, Executive Body Scan and ongoing programme fees, appropriate tests and availability before booking. Neko is a good product and this page says so. Its 70 sensors capture 50 million data points in 10 minutes, a doctor explains the results the same hour, and in its first year 14.1% of 2,707 people scanned needed treatment and 1% received potentially life-saving care. What it does not do is image any internal organ, calculate a coronary calcium score or measure the markers that decide treatment. In the MESA cohort reported by Detrano, a calcium score over 300 raised coronary risk around 10-fold, and apolipoprotein B disagrees with LDL cholesterol in 1 in 5 people in the UK Biobank analysis by Marston. A healthy 32-year-old should have Neko and stop. A 52-year-old whose father had a heart attack at 60 needs the inside imaged and the markers measured, and buying those separately costs more than having them organised once. Fees appear further down this page.

The Wellness in Marylebone provides the best executive blood tests in London, with the Complete Biomarker Assessment covering over 100 markers from £1,400 inside programmes that run to £49,995, against a market where comprehensive programmes exceed £32,000 and a single consultant appointment costs £250 to £500 before any blood is taken. Four markers most panels omit change management more than anything they include. Apolipoprotein B disagrees with LDL cholesterol in around 1 in 5 people and was the better predictor in the analysis of 389,529 UK Biobank participants by Marston and colleagues. Lipoprotein little a is inherited, raised in 1 in 5 people and doubled heart attack risk in the Copenhagen study by Kamstrup and Nordestgaard, though the HORIZON trial reported on 4 September 2026 that lowering it with pelacarsen did not reduce events. An HbA1c of 42 to 47 mmol/mol carries a risk of diabetes that the Diabetes Prevention Program cut by 58%, and a FIB-4 score sorts the 1 in 4 adults with fatty liver into those who need a hepatologist. Fees appear further down this page.

"Is this normal?" is the single most common question underneath every worry a parent has about development, and the honest answer is that the range of normal is wider than most baby apps and milestone charts suggest. Children reach milestones in moving, playing, speaking, thinking and relating to others at genuinely different rates, and being a little behind in one specific area, on its own, is frequently not a sign of anything beyond ordinary variation. What actually matters far more than any single milestone is the pattern across several areas together, and whether a delay is isolated or affecting more than one domain at once.

Most young children have several ear infections before the age of five, and most need nothing more than time, pain relief and, occasionally, antibiotics. Ear infections cluster in early childhood because a young child's Eustachian tube is shorter and more horizontal than an adult's, making fluid and infection easy to get in and hard to get out. The question that actually matters is not how many infections your child has had, it's whether fluid is persisting between infections and whether it's affecting hearing.

Dry, itchy, red patches on a child are usually eczema, and eczema is usually not caused by a food allergy, which surprises most parents. Atopic eczema affects around 1 in 5 children in the UK at some point, typically starting before the age of 2, and it is a skin barrier problem, not primarily an immune reaction to something eaten. That matters, because it means cutting foods out of a child's diet on suspicion, without proper testing, rarely clears eczema and can create new nutritional problems instead.

Abdominal pain is one of the most common reasons people seek medical attention, but it can also be one of the most difficult symptoms to interpret from location alone. Pain in a similar part of the abdomen can arise from completely different organs, which means choosing the right investigation matters as much as getting the investigation quickly.

Medical weight management has changed significantly in the past few years. Modern treatments can influence the hormonal pathways involved in appetite and fullness, which is one reason medically supervised weight loss can produce substantially different outcomes from attempting calorie restriction through willpower alone.

IV therapy has become one of the most visible wellness treatments in London, and also one of the easiest to overstate. The underlying principle is fairly straightforward: nutrients and fluids taken by mouth have to pass through the digestive system before entering the circulation, and the amount absorbed varies according to the nutrient, the dose and the individual.