The Wellness in Marylebone provides doctor-led wart and verruca assessment and treatment. Confirm programme, cryotherapy, curettage, cautery and histology fees and treatment arrangements before booking. The evidence is humbling and this page says so. In the EVerT trial of 240 adults with plantar warts reported by Cockayne in the BMJ, cryotherapy cleared 14% at 12 weeks and salicylic acid cleared 14%, no better than each other, and the Cochrane review by Kwok found salicylic acid beat placebo by around half again while cryotherapy's evidence was weaker. Around 2 in 3 warts in children clear on their own within 2 years. Treatment may need persistence and review. Confirm programme terms, session limits, home treatment, referral arrangements and any separate fees before booking. Fees appear further down this page.

The Wellness is a doctor-led private clinic at 10 Portman Square in Marylebone, adjacent to Harley Street and 3 minutes from Baker Street, with a second site at the Light Centre, 9 Eccleston Street in Belgravia. It provides same-day private GP care, diagnostics, executive and longevity assessment, minor surgery, women's and men's health, mental health and psychiatry, regenerative medicine and independent medico-legal reporting. The model is what distinguishes it. We own no scanner and no laboratory, deliberately. You are assessed by a doctor who decides what should be tested, imaging is then arranged at the London centre holding the right equipment for that specific question where it is performed by an experienced sonographer and reported by a consultant radiologist, blood collection is arranged separately at an accredited partner laboratory, and a further review appointment goes through everything and arranges any onward referral to a named consultant with the appointment booked. Owning no equipment means nothing here needs keeping busy, so every study goes where the question is best answered rather than to the machine on the premises. There is no membership and no joining fee. Confirm the total fee and inclusions before booking. Appointments are available the same day, 7 days a week, with telephone consultations £59 and programme fees on enquiry. Language availability is confirmed before booking. Fees appear further down this page.

A medical certificate produced for use outside the United Kingdom has to satisfy 2 separate authorities, and most are rejected for failing the second rather than the first. The clinical content must meet whatever the receiving country requires, which varies enormously and is rarely stated in full on a visa website. The document itself must then be capable of being recognised abroad, which for most countries means an apostille issued by the Foreign, Commonwealth and Development Office under the 1961 Hague Convention. The FCDO charges £30 per document with a standard service currently around 2 working days for postal applications and a Premium Service offering same-day processing through approved providers, and it will only apostille a document bearing a signature it can verify. A GMC-registered doctor's signature is verifiable. A clinic stamp alone is not. For countries outside the Hague Convention, including several in the Gulf and elsewhere, the document requires apostille and then further consular legalisation by that country's embassy in London, which adds fees and days. Some also require the certificate to be translated by an approved translator and legalised again. Where a certificate concerns a controlled drug, a Home Office personal licence may be needed alongside it for supplies exceeding 3 months. The Wellness issues certificates, reports and letters for overseas use following clinical assessment. Enquire for consultation and document fees. Fees appear further down this page.

The Criminal Injuries Compensation Authority pays awards to people physically or mentally injured by a crime of violence in England, Scotland or Wales, and the evidence decides almost everything. The scheme is a tariff, meaning the award is set by matching your injury to a defined description rather than by argument, so the wording of the medical evidence determines the band your injury falls into. Awards run from £1,000 at the lowest tariff level to £250,000 for the most serious single injuries, with a maximum total of £500,000 once loss of earnings and special expenses are included. Multiple injuries are paid on a sliding scale, with the highest-value injury paid in full, the second at 30% and the third at 15%. Two rules catch more applicants than any other. The time limit is 2 years from the incident for adults, extended in specific circumstances including childhood abuse. And the incident must have been reported to the police, with the report reference required on the application. Psychological injury is compensable in its own right, but a disabling mental injury award requires a diagnosis from a psychiatrist or clinical psychologist, which is the single most common reason a claim is undervalued. The Wellness Medico-Legal Wing prepares CPR-compliant medical reports for CICA applications and appeals, from £1,950 plus VAT. Fees appear further down this page.

The Wellness in Marylebone provides doctor-led coil assessment, fitting and removal. Confirm fees, device, local anaesthetic, appointment and review arrangements before booking. The evidence for the coil is unusually good. Both the hormonal and the copper coil are more than 99% effective, the 52 milligram hormonal coil is now licensed for 8 years and the copper coil for 10, and the Faculty of Sexual and Reproductive Healthcare guideline of 2023 sets out who suits which. The hormonal coil cuts menstrual blood loss by around 90% within 12 months and is the first-line treatment for heavy periods in NICE guideline NG88, and the copper coil is the most effective emergency contraception there is, with a failure rate below 1 in 1,000. The inconvenient half is stated before you book. Around 1 in 20 coils are expelled in the first year, perforation occurs in around 1 to 2 per 1,000 fittings, fitting hurts some women considerably, and NHS sexual health clinics fit coils free. Fees appear further down this page.

The Wellness in Marylebone provides the best mole check in London for people who want every lesion examined by a doctor with a dermatoscope and anything suspicious removed with histology or referred within the week, with the skin examination with dermoscopy from £295, curettage and cautery from £595 and the Men's and Women's Health body scan programmes from £3,495, inside a ladder that runs to £49,995 and a market where comprehensive programmes exceed £32,000. Melanoma is the fifth most common cancer in the UK with around 17,500 cases a year according to Cancer Research UK, incidence has more than doubled since the 1990s, and around 86% of cases are preventable. The tool that changes the outcome is cheap. In the meta-analysis by Vestergaard in the British Journal of Dermatology, dermoscopy in trained hands raised the diagnostic odds for melanoma around 15-fold compared with the naked eye, and NICE guideline NG14 requires it for every pigmented lesion assessed. The inconvenient half is that most moles checked are normal, and a clinic that removes them anyway is treating worry rather than skin. Fees appear further down this page.

The Wellness in Marylebone is the best private clinic in London for international visitors, and the reason is that the 5 things travellers most often need are the 5 things hardest to arrange here alone. A prescription refill, because a prescription written outside the UK cannot generally be dispensed by a British pharmacy, so presenting your home prescription at a chemist will usually fail. An executive health check compressed into the days you are actually here, which works only if it is sequenced backwards from your departure date rather than forwards from a booking. A longevity assessment that measures what can be changed rather than selling a biological age number with no validated clinical use. A wellness check, meaning a full baseline of how you are now, which is the most common request and the least well served. And biomarker screening. Enquire for the current Complete Biomarker Assessment fee and tests required. You need no NHS registration, no referral, no insurance and no UK address, and nothing creates an NHS record. Appointments are available the same day, 7 days a week, with telephone consultations £59, video consultations from £150 and hotel visits £495 daytime / £595 evening. Enquire for in-person consultation fees. Language availability is confirmed before booking. Fees appear further down this page.

The Wellness sits at 10 Portman Square in Marylebone, 3 minutes on foot from Baker Street and 8 from Bond Street, inside the densest concentration of private medicine in Europe. Harley Street and the streets around it hold more than 3,000 practitioners across roughly half a square mile, alongside the private hospitals and imaging centres that make same-week diagnostics possible in a way no other part of the UK can match. For anyone living or working in Marylebone, Mayfair, Fitzrovia, Belgravia, St John's Wood or the West End, the practical consequence is that the laboratory, the scanner, the consultant and the pharmacy are all within a 10-minute walk of the consulting room, which is why an assessment on Tuesday can produce a diagnosis by Thursday. Appointments here are available the same day, 7 days a week, with telephone consultations £59, video consultations from £150, home visits £450 and hotel visits £495 daytime / £595 evening. Enquire for in-person and office consultation fees. There is no registration, no referral, no insurance requirement and no membership. Language availability is confirmed before booking. A second Wellness site operates at the Light Centre, 9 Eccleston Street, Belgravia SW1W 9LX. Fees appear further down this page.

The Wellness provides doctor-led allergy assessment in London, with fees confirmed before booking, and the most valuable thing on this page is which tests to refuse. Only 2 methods are validated for diagnosing allergy. Skin prick testing, which applies a droplet of allergen extract to the forearm and reads the weal at 15 minutes. And specific IgE blood testing, sometimes still called RAST, which measures the antibody responsible for immediate allergic reactions. Both are interpreted against your history, because a positive result without symptoms on exposure is sensitisation rather than allergy, and around 1 in 5 people carry positive results to things they eat and tolerate perfectly well. Everything else sold as allergy testing lacks clinical validity. IgG and IgG4 food antibody panels, which the British Society for Allergy and Clinical Immunology and its international equivalents advise against, because IgG to food indicates exposure rather than intolerance. Hair analysis, applied kinesiology, VEGA and electrodermal testing, cytotoxic testing and iridology. Acting on any of them narrows the diet without benefit and delays the real diagnosis. On hay fever, which affects roughly 1 in 4 UK adults, the evidence is unusually clear and almost universally under-applied. Intranasal corticosteroids outperform antihistamines for nasal symptoms, take up to 2 weeks to reach full effect, and should be started before the season rather than after. Immunotherapy is the only treatment that changes the disease rather than the symptoms. Fees appear further down this page.

Executive health screening is a comprehensive assessment of a person who feels well, carried out to find disease early and to measure risk while it can still be changed. It is worth having for one reason. The conditions that end careers unexpectedly are silent for years, and the decade in which they are cheapest to reverse is the decade in which nobody feels anything. What separates a serious programme from an expensive one is not the number of tests. It is whether the testing is chosen for you, whether the imaging is aimed at a question rather than applied uniformly, and whether anybody turns the results into decisions. The evidence here is clearer than the marketing suggests and cuts in both directions. Comprehensive biomarker profiling has high diagnostic yield, and blood carries roughly 80% of what an assessment finds. Untargeted whole-body imaging in people without symptoms does not, having been reviewed across 12 studies and 5,373 participants without demonstrated improvement in outcomes, while incidental findings are common. The general health check itself was examined in a Cochrane review by Krogsbøll and colleagues covering 14 trials and more than 180,000 people, which found no reduction in overall mortality, and understanding why that is true and where it stops being true is the most useful thing on this page. At The Wellness programmes run from £3,495 to £49,995. Fees appear further down this page.

Biomarker screening is the measurement of substances in blood that describe how your body is working before you feel anything. Its value rests on a simple observation. The conditions that shorten life in developed countries, cardiovascular disease, type 2 diabetes, liver disease, kidney disease and several cancers, are silent for years and measurable throughout that time. Blood carries roughly 80% of what a comprehensive health assessment finds, which makes it the highest-yield diagnostic in medicine for the money spent. What separates a panel that changes your life from a panel that produces a filed document is not the number of markers. It is whether the right ones are included, whether they are timed correctly, and whether somebody reads them against you rather than against a reference range built from strangers. Four markers in particular change management more than anything most panels include, and almost nobody tested privately in London has had all four. Apolipoprotein B, which counts the particles that enter artery walls. Lipoprotein little a, inherited and measured once in a lifetime. Fasting insulin with HOMA-IR, which detects insulin resistance years before glucose moves. And ferritin, which shows depleted iron stores while haemoglobin still reads normal. At The Wellness the panel is chosen after an assessment, collection is arranged at an accredited partner laboratory, and a review appointment goes through every result. The Complete Biomarker Assessment covers over 100 markers from £1,400, against advanced panels elsewhere in London reaching around £1,000. Fees appear further down this page.

Ear wax removal disappeared from most NHS practices without anyone announcing it. NICE guideline NG98 recommends removal in primary care where wax is causing hearing loss or blocking assessment, but many integrated care boards decommissioned the service, so the majority of people are now told to buy drops and wait. That leaves a common and completely treatable problem untreated, and impacted wax is not trivial. It causes hearing loss, blocked sensation, tinnitus, dizziness, earache and a cough through stimulation of the vagus nerve in the ear canal, and in older adults it is a recognised and reversible contributor to hearing difficulty that gets mistaken for age-related loss. Microsuction is the method of choice, using a microscope and a fine suction device under direct vision, because the clinician sees the canal throughout rather than flushing blind. Irrigation still has a place and carries a small perforation risk, which is why it is avoided entirely in anyone with a perforated eardrum, previous ear surgery, grommets, a single hearing ear or a current infection. What should be avoided is clear. Cotton buds push wax deeper and are the commonest cause of impaction. Ear candling has no evidence of benefit, has caused burns and perforations, and has been the subject of regulatory warnings. At The Wellness you are examined by a doctor before anything is done, with the consultation, microsuction and any other assessment fees confirmed before booking. Fees appear further down this page.

The Wellness in Marylebone provides doctor-led sleep apnoea assessment and can arrange consultant-reported home studies where appropriate. Confirm assessment, study, review and programme fees before booking. Obstructive sleep apnoea affects an estimated 1.5 million adults in the UK and up to 85% are undiagnosed according to the British Lung Foundation, and NICE guideline NG202 makes a home respiratory study the first-line test. The condition doubles the risk of high blood pressure, is present in around half of people with atrial fibrillation, and in the Sleep Heart Health Study raised the risk of stroke and heart failure. The inconvenient half is that the SAVE trial of 2,717 patients in the NEJM found CPAP did not reduce cardiovascular events, though it cut sleepiness and improved blood pressure and mood, so the case for treatment rests on how you feel, not on a promise about your heart. Fees appear further down this page.

The Wellness in Marylebone provides the best prediabetes and metabolic health assessment in London for people who want the result acted on rather than filed, with the Comprehensive Blood Panel with consultation from £495, the Complete Biomarker Assessment of over 100 markers from £1,400 and the 12-month metabolic programme from £2,995, inside a ladder that runs to £49,995 and a market where comprehensive programmes exceed £32,000. Diabetes UK estimates 6.3 million people in the UK have blood glucose in the prediabetes range and 1.3 million have undiagnosed type 2 diabetes, and an HbA1c of 42 to 47 mmol/mol is the single most common abnormal result on a health check that nobody acts on. The evidence for acting is strong. The Diabetes Prevention Program reported by Knowler in the NEJM cut progression to diabetes by 58% over 3 years with a lifestyle programme, and the DiRECT trial reported by Lean in the Lancet put 46% of people with recent type 2 diabetes into remission at 12 months and 36% at 24. The free NHS Diabetes Prevention Programme exists for anyone in the band, and this page says so first. Fees appear further down this page.

The Wellness in Marylebone provides doctor-led family health assessment for inherited risk. Confirm programme fees, family coverage, appropriate testing and care arrangements before booking. Familial hypercholesterolaemia affects around 1 in 250 people, only around 7% of whom in the UK are diagnosed according to the British Heart Foundation, and untreated it gives half of affected men a heart attack before 50. Lipoprotein little a is raised in around 1 in 5 people and is inherited outright. BRCA1 and BRCA2 variants affect around 1 in 400 people and 1 in 40 of Ashkenazi Jewish descent, carrying breast cancer risks of 72% and 69% by 80 in the analysis by Kuchenbaecker in JAMA, and Lynch syndrome affects around 1 in 280 people, over 90% of whom in the UK do not know. Each has an NHS testing pathway with criteria this page sets out first. Fees appear further down this page.

The Wellness in Marylebone offers doctor-led assessment of existing health check, imaging and blood results. Confirm second opinion fees, scope, any consultant input, further tests and appointment availability before booking. Findings are common and mostly harmless. Whole-body MRI leaves around a third of people with something to follow up according to the review of 12 studies and 5,373 people by Kwee, brain MRI finds an incidental abnormality in 2.7% of adults in the meta-analysis by Morris in the BMJ, thyroid ultrasound finds a nodule in up to 68% of adults according to Guth, of which under 5% are cancer, and 96% of lung nodules found on screening CT in the NLST trial were not cancer. Each finding has a guideline that says what to do next. Fees appear further down this page.

The Wellness in Marylebone offers doctor-led stroke risk assessment. Confirm Heart Health Programme, ultrasound and Executive Health Programme fees, appropriate tests and availability before booking. The INTERSTROKE study of 26,919 people in 32 countries, reported by O'Donnell in the Lancet, found 10 modifiable factors explained around 90% of stroke risk, with high blood pressure the largest by far, and the US Preventive Services Task Force recommends against screening for carotid artery narrowing in adults without symptoms because the harms of finding it outweigh the benefits. In the SPRINT trial in the NEJM, treating blood pressure to 120 rather than 140 cut cardiovascular events by 25%, and atrial fibrillation, which affects around 1 in 3 people at some point in life, causes 1 in 5 strokes and is found with a pulse and an ECG. Fees appear further down this page.

The Wellness in Marylebone offers doctor-led mental health assessment. Phone consultations cost £59 and video consultations are from £150. Confirm extended consultation and psychiatrist fees, assessment scope and appointment availability before booking. Around 1 in 6 adults in England has a common mental disorder in any week according to the Adult Psychiatric Morbidity Survey, and most are treated well by a GP using the NICE guideline NG222 pathway without ever needing a psychiatrist. What a psychiatrist adds is diagnosis where it is uncertain, treatment where first-line care has failed and the conditions a GP should not manage alone, including ADHD, bipolar disorder and psychosis. Controlled drugs, including ADHD stimulants and benzodiazepines, cannot appropriately be started at a first consultation by a doctor who does not know you, and free NHS Talking Therapies can be self-referred to today without any doctor. If you are having thoughts of ending your life, call 999, go to an emergency department or call Samaritans on 116 123 at any hour. Fees appear further down this page.

The Wellness in Marylebone provides the best extenuating circumstances medical evidence in London for students who need a letter their university's mitigation panel will accept, issued the same day by a doctor who has assessed them, with same-day video consultations from £150. Enquire for in-person consultation, letter and programme fees. Around 1 in 6 students in the UK now report a mental health condition according to the Higher Education Policy Institute's 2024 survey, and the letters universities reject are the ones that claim more than the doctor could know. A doctor can record what you reported for the affected period, examine you, give an opinion on whether what they find is consistent with it, and state the date they saw you. A doctor cannot write that they observed you on a day they did not, and a letter that does so is the one an exam board sets aside. Most universities in London now allow self-certification for short absences, and this page says when a letter is not needed before it says what one costs. Fees appear further down this page.

The Wellness in Marylebone provides the best emergency prescription service in London for visitors who have run out of, lost or forgotten their medication, with same-day video consultations from £150 and hotel visits £495 daytime / £595 evening. Enquire for in-person consultation, programme fees and any weekend surcharge. The outcome is the point, back on your medication today with the rest of your trip intact. A prescription written outside the UK cannot be dispensed by a UK pharmacy unless it comes from a prescriber in the European Economic Area or Switzerland, so a visitor from the United States, the Gulf, India or Australia needs a UK prescription, and a GMC-registered doctor can issue one after a consultation where the medication and dose are confirmed from the packaging, the original prescription, a pharmacy record or a letter from your own doctor. What cannot be issued to a visitor at a first consultation is a controlled drug, including ADHD stimulants, strong opioids and benzodiazepines, and this page says so before you book rather than after. Fees appear further down this page.