Comparison · Nuffield Health assessments vs deeper blood testing
A Nuffield Health 360 assessment is a proper medical: two hours with a doctor and a physiologist, an ECG, body composition, blood pressure and a written report a fortnight later. It is a good product. But the blood testing inside it covers around 30 markers, roughly what a thorough GP would order, and the questions most people bring to a private health check, about hormones, insulin resistance, thyroid conversion, iron stores and genetic cardiovascular risk, are not among them. Here is exactly what each option includes, what each costs, and when the right answer is both.
Comparison based on Nuffield Health's published assessment contents and pricing, checked September 2026. We are one of the providers compared and have tried to be fair, including where Nuffield is the better choice.
What Nuffield offers
Nuffield sells four assessments. Lifestyle (from about £399) is an hour with a physiologist and basic bloods. Female adds a smear and breast check. The 360 (about £1,065) adds a doctor, a resting ECG, a bowel cancer test over 45, a "physiological resilience" measure and two hours of contact time. The 360+ (about £1,129) adds a dynamic ECG or VO2 max and a third hour. All of them share the same blood panel: cholesterol, a full blood count, a biochemistry profile covering liver and kidney function, glucose, HbA1c if clinically indicated, and urinalysis. Results available on the day are discussed in the room; the personalised written report arrives within two weeks.
That is the honest shape of it. You are paying for a doctor's time, a physiologist's time, an ECG and a hospital setting, with a modest set of bloods to inform the conversation. If a face-to-face examination is what you want, Nuffield does it well. If what you want to know is what is going on in your blood, the panel is the limiting factor, and it is the same panel at every price point.
Side by side
| Nuffield 360 / 360+ | TrueVitals Ultimate | TrueVitals Signature | |
|---|---|---|---|
| Price | About £1,065 / £1,129 | £349 + £19 clinic draw (£39 at home) | £799 all in |
| Blood markers | Around 30: lipids, FBC, liver, kidney, glucose, HbA1c if indicated, urinalysis | 114 across every body system | 230, processed by Randox |
| Hormones | Not included | Testosterone, SHBG, oestradiol, cortisol, DHEA-S, LH, FSH, prolactin, progesterone | Full set plus extended |
| Thyroid | Not included as standard | TSH, Free T4, Free T3, TPO and TG antibodies | Full panel |
| Cardiovascular depth | Total cholesterol, HDL, LDL, ratio; resting ECG | Full lipids plus ApoB and Lp(a); no ECG | Extended apolipoproteins, homocysteine; physical measurements |
| Metabolic | Glucose, HbA1c if indicated | Glucose, HbA1c, fasting insulin, HOMA-IR, C-peptide | Metabolic syndrome profile |
| Iron, vitamins, inflammation | Not included | Full iron studies, vitamin D, B12, folate, magnesium, hs-CRP | Included |
| Cancer markers | Bowel test (over 45); PSA if indicated | PSA (men) or CA-125 and CA 15-3 (women) | Included |
| Physical examination | Yes: doctor, physiologist, ECG, body composition, BP, movement screen | No | Physical measurements at the Randox clinic |
| Report | Face-to-face discussion, written report within two weeks | 30-plus page written report within 48 hours, every marker explained, reviewed by a medical professional | Same report, around 12 working days |
| Locations | Nuffield hospitals and medical centres | 103 UK clinics or at home across 200+ areas | Randox Health clinics |
Nuffield contents from nuffieldhealth.com assessment pages as of September 2026; prices vary slightly by site. TrueVitals figures are current list prices. See every TrueVitals biomarker by panel.
The gap
Most people booking a private health check are not worried about their liver enzymes. They are tired, gaining weight, sleeping badly, losing their drive, or watching a parent's heart disease and wondering about their own. Those questions live in markers a 30-test panel does not reach.
Ferritin, full iron studies, B12, folate, vitamin D, Free T3 and thyroid antibodies. A Nuffield 360 tests none of these as standard. All are in Advanced and Ultimate. Always tired guide.
An ECG shows electrical problems today. ApoB and Lp(a) show the risk of a heart attack in 15 years, and Lp(a) is genetic and untested by the NHS. Ultimate tests both. Heart health guide.
HbA1c rises last. Fasting insulin and HOMA-IR show insulin resistance 10 to 15 years earlier, while it is still reversible. In Ultimate. Prediabetes guide.
Testosterone, cortisol, oestradiol, thyroid and the rest are the markers behind libido, mood, weight and sleep, and the ones a private check is most often bought to see. Ultimate carries the full set. Hormone guide.
hs-CRP, immunoglobulins and coeliac screening catch low-grade inflammation and autoimmune activity years before symptoms crystallise. In Ultimate. Autoimmune guide.
A baseline is only useful if it is wide. 114 markers this year against 114 next year is a trend across every system. 30 markers is a trend across the ones least likely to change first. Why test annually.
The alternative
Advanced
74 biomarkers · £269
Already more than double a Nuffield 360's blood panel: full thyroid with antibodies, ApoB, hs-CRP, full iron studies, core hormones, liver, kidney, vitamins and HbA1c.
View AdvancedMost chosen
Ultimate
114 biomarkers · £349
Everything in Advanced plus Lp(a), fasting insulin and HOMA-IR, the complete hormone set, tumour markers, immunoglobulins, cystatin C and urinalysis. Nearly four times the blood depth of a 360 at a third of the price.
View UltimateSignature
230 biomarkers · £799
Processed by Randox, with physical measurements taken at the clinic. Extended cardiovascular, autoimmune, digestive and neurological screening. Still £266 less than a 360, with seven times the markers.
View SignatureClinic draw £19 at 103 UK clinics. At-home phlebotomist £39 across 200+ areas. Pay monthly available. No GP referral needed.
Honest comparison
If you want to be examined by a doctor in person, have an ECG, discuss symptoms face to face, or need a smear, a breast check or a bowel cancer test in the same visit, Nuffield delivers something a blood panel cannot, and the 360 is a sound way to get it. Over 50 with cardiac symptoms, or with a specific worry you want a clinician to look at rather than read about, book the examination.
The combination many of our customers land on: a Nuffield Lifestyle assessment (from about £399) for the physical, the ECG and the doctor's time, plus a TrueVitals Ultimate (£349) for the blood depth. Together they cost less than a 360 and cover far more. Take the TrueVitals report to the Nuffield appointment and the doctor has 114 markers to work with instead of 30. See the same comparison against Bupa.
FAQs
As of September 2026, the Lifestyle assessment starts around £399, the 360 around £1,065 and the 360+ around £1,129, with prices varying slightly by location. Nuffield offers 0% finance over 6 or 12 months through Chrysalis Finance.
Cholesterol, a full blood count, a biochemistry profile including liver and kidney function, blood glucose, HbA1c if clinically indicated, and urinalysis, plus a bowel cancer test over 45. That is roughly 30 markers. Hormones, thyroid, iron studies, vitamins, ApoB, Lp(a), insulin and inflammatory markers are not included as standard.
For the blood testing, it goes considerably further: 114 or 230 markers against about 30, with a written report in 48 hours. It does not include a physical examination, an ECG or face-to-face doctor time. If you want those, Nuffield or Bupa provide them, and many people combine a basic assessment with a TrueVitals panel for the blood depth.
No. TrueVitals is blood testing with a professional venous draw and a comprehensive written report. The Signature panel includes physical measurements taken at the Randox clinic, but not an ECG or a doctor's examination.
Nuffield discusses same-day results in the appointment and sends the written report within two weeks. TrueVitals delivers the full written report and dashboard within 48 hours of the laboratory receiving your sample for Advanced and Ultimate; Signature takes around 12 working days.
Yes. The report is a downloadable PDF with every result, reference range and explanation, designed to be read by a clinician. Taking it to an appointment gives the doctor far more to work with than a standard panel.
For blood testing, the TrueVitals Signature panel at 230 biomarkers is the deepest available in the UK. For a combined physical and blood assessment, the Nuffield 360+ and Bupa's top packages offer the most contact time but with around 30 to 40 blood markers. Full comparison of the most comprehensive UK tests.
74 to 230 biomarkers. Venous draw at 103 UK clinics or at home. A report that explains every result, in 48 hours.
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