London · Executive health checks
A London executive health check typically runs £600 to £1,200, takes half a day, and includes a physical examination, a fitness test, a consultation and somewhere between thirty and forty blood markers. Most of the cost is the half day and the doctor's time, not the science. That can be exactly what you want, particularly if nobody has examined you in a decade. But if what you actually want is to know where your cardiovascular and metabolic risk sits, the blood panel inside those packages is the weakest part of them, and it is the part you can buy properly for a third of the price.
Harley Street, the City, Canary Wharf and 11 more London clinics, or a phlebotomist at your office. Written report in 48 hours.
Last reviewed 17 September 2026
The short answer
Buy the full assessment if you want a doctor to examine you, run an ECG and a treadmill test, and talk it through in person. Buy the blood panel on its own if you want depth: ApoB and Lp(a) rather than a basic cholesterol, fasting insulin rather than waiting for HbA1c to move, cystatin C rather than creatinine alone, a full thyroid panel rather than a TSH, and a complete hormone profile. Ultimate covers all of that for £349. Signature at £799 adds blood pressure and physical measurements at a Randox clinic and takes the count to 230, which is deeper than any package on this list.
Before your company buys one
Corporate health check packages are sold on the experience, and the specification is usually a PDF nobody reads. These are the questions that separate a thorough panel from an expensive morning.
Question 1
ApoB counts the particles that actually deposit in artery walls and predicts risk better than LDL. Around one in five people with a reassuring cholesterol result has a high ApoB. Most executive packages do not include it.
Question 2
Lp(a) is genetic, does not change with diet, affects roughly one in five people, and is tested once for life. It is the single most useful thing a first health check can tell a 40-year-old, and it is almost never in the package.
Question 3
Insulin resistance develops years before HbA1c shifts. Testing HbA1c alone means finding the problem at the point where it is much harder to reverse.
Question 4
A TSH inside a wide reference range with a free T3 on the floor and positive antibodies is the commonest missed cause of fatigue and low mood in high-functioning people. You need free T4, free T3 and antibodies to see it.
Question 5
A consultation on the day is useful and forgettable. Ask whether you get a written document explaining every marker in context, and whether next year's results will be compared with this year's, because the trend is where the value is.
And one for us
We do not examine you, run an ECG, do a fitness test or image anything. If those matter to you, a full assessment is the right purchase and we would say so. Several people do both: the assessment every few years, the blood panel annually.
Compared
| Typical London executive assessment | Harley Street consultant route | TrueVitals | |
|---|---|---|---|
| Blood markers | Roughly 30 to 40 | Usually 20 to 40 in a standard profile | 74, 114 or 230 |
| ApoB and Lp(a) | Rarely | Only if requested | ApoB in every panel; Lp(a) in Ultimate and Signature |
| Fasting insulin and cystatin C | No | Rarely | Ultimate and Signature |
| Physical exam, ECG, fitness test | Yes, and this is the main thing you are buying | Depends on the consultant | Blood pressure and physical measurements on Signature only; no ECG or fitness test |
| Time commitment | Half a day | Appointment plus a follow-up | Ten minutes, or the phlebotomist comes to your office |
| What you take away | A consultation and a summary | Results and a consultant letter | A written report explaining every marker in context, reviewed by a medical professional, with year-on-year comparison built in |
| Price | £600 to £1,200 | £400 to £1,000+ with the consultation | £349 or £799, draw included on Signature |
Package figures are approximate from public London listings in 2026. Detailed comparisons: Bupa, Nuffield, Harley Street, the premium panels.
For teams
Sending eight people to separate half-day assessments costs the best part of £8,000 and roughly four working days between them. A phlebotomist coming to the office instead takes about ten minutes per person, needs one private room, and everybody is back at their desk before the first meeting. Each person receives their own report privately: results belong to the individual, not the employer, which is the only way this works and the only way people will be honest on the lifestyle questions that personalise it.
How it works
Book the panels, pick a morning, and a registered phlebotomist attends your office. Everyone fasts from 10pm, comes in as normal, and is drawn in turn. Samples go to the laboratory the same day and reports arrive within 48 hours.
Privacy
Each report is delivered to the individual's own account. The company sees an invoice, nothing else. Health data is special category data under UK GDPR and we treat it that way. How we handle your data.
Interested for a team? Start with the partner and corporate enquiries page, or just book individually and expense it.
Which panel
The annual one
Ultimate
114 biomarkers · £349
ApoB, Lp(a), fasting insulin and HOMA-IR, cystatin C, full thyroid with antibodies, the complete hormone set, PSA with free ratio, tumour markers, hs-CRP, full iron studies and vitamins. Everything the packages leave out.
View UltimateSignature
230 biomarkers · £799
Collected at a Randox Health clinic in London with blood pressure and physical measurements taken on the day, processed in Randox's own laboratory. Extended cardiovascular, autoimmune, digestive and neurological screening. Draw included.
View SignatureHealth plans
2, 3 or 4 tests · from £706
Buy the next two or three years upfront at a lower price per test. The second test is where the value is: one panel is a snapshot, two is a direction.
View health plansClinic draw £19 at Harley Street (W1G), the City (EC1Y), Canary Wharf (E14) and eleven more London locations. At office or home £39. Fast from 10pm, book early.
Honest comparison
If you are over 50 and have not been examined in years, if you have a symptom rather than a question, if there is a cardiac history in the family and you want an ECG and an exercise test, or if you would simply rather sit with a doctor for an hour, book the assessment. Those are real things a blood panel cannot do, and no amount of biomarkers substitutes for a physical examination. What a panel does better is depth, cost, frequency and the write-up, which is why a sensible pattern for most people in their forties and fifties is a full assessment every three to five years and a comprehensive blood panel every year in between. The mistake is paying £1,000 annually for a morning out and thirty-five markers, and calling it a health check.
FAQs
Typically £600 to £1,200 for a half-day assessment including a physical examination, consultation and 30 to 40 blood markers. A TrueVitals Ultimate panel is £349 for 114 markers plus a £19 clinic draw, and Signature is £799 for 230 markers with the draw and physical measurements included.
Commonly, yes, and you will receive a receipt suitable for an expense claim or company purchase. How it is treated for tax depends on your circumstances and how your employer provides it, so check with your finance team or accountant rather than relying on a website.
Yes. A phlebotomist attends your office, needs one private room, and draws each person in about ten minutes. Reports go to each individual privately; the company receives an invoice and nothing else.
No. Results are delivered to your own account and nobody else. Health data is special category data under UK GDPR and is handled accordingly.
ApoB and Lp(a) for cardiovascular risk, fasting insulin and HbA1c for metabolic health, a full thyroid panel, cystatin C for kidney function, PSA with the free ratio for men, and the hormone picture. Those are the ones that change what you do, and the ones most packages omit.
Fourteen locations including two on Harley Street (W1G), Whitecross Street in the City (EC1Y), Canary Wharf (E14), Hampstead, Notting Hill, Westminster and the Royal Docks, or at your home or office for £39. Find a clinic.
Advanced and Ultimate reports arrive within 48 hours of the laboratory receiving your sample. Signature takes around 12 working days given the depth of testing.
114 or 230 biomarkers, drawn on Harley Street, in the City, at Canary Wharf or at your desk, with a written report in 48 hours and year-on-year comparison built in.
Executive health check · Harley Street · Canary Wharf · Health check London · Health check at 40
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