Prostate and urinary health · London
The full prostate check-up, in one day.
An enlarged prostate is most common in men over 50.1 Prostate cancer mainly affects men over 50 too,2 and it often has no symptoms at first.3 Routine PSA testing is not currently offered on the NHS, except to men known to carry a faulty BRCA2 gene, although any man can ask his GP about the test.4
Our doctors drew up the list, drawing on the published guidelines and research of the world’s leading medical institutions. We organise all of it for you at leading London clinics, and you have every result the same day. A PSA test has limits, and we set them out before you book.
The check-up at a glance
- What we check
- Seven laboratory tests, a transabdominal ultrasound scan, a urine flow test and a transrectal ultrasound scanThe PSA in full, the prostate measured two ways, the flow of urine, the kidneys, the blood and the urine.
- Where
- Your samples are taken at your home, or at a clinic if you prefer.Your clinic tests are at our partner clinics in central London.
- How long
- One day.With an early start, every result is with you by mid-afternoon.
- Who looks after you
- One medical coordinator.In touch with you and with every clinic, all day.
- What you receive
- Your full results: the laboratory report and all three clinic reports.And a summary that sets out every result, to take to your own doctor.
- Price
- £1,300Everything included.
The medical basis
What a PSA result can and cannot say
PSA is the blood test at the centre of any prostate check. The number alone settles little: many men with a raised PSA do not have cancer, and some men with a normal PSA do. For men who have urinary symptoms, NICE sets a level for each age group above which a GP should consider referral. The check-up reads the PSA with the free fraction, with the size of the prostate measured two ways, and with the flow of urine.
How it works
We make the check-up as convenient as possible. You spend no time arranging it.
- Tell us about yourselfA few short questions and your postcode. From your answers we draw up your plan and your day.
- Your blood is taken at homeA nurse comes to you in the morning. It takes about 20 minutes. If you prefer, come to a clinic instead.
- Your clinic tests, close togetherWe book them in one clinic, or in clinics a short distance apart, in central London. You wait as little as possible.
- Full results the same dayYou receive the full laboratory and clinic reports, and a summary that sets out every result. You take them to your own doctor.
What we check
Seven laboratory tests from one blood sample and one urine sample, and three clinic tests.
- PSA2 tests
- PSA and free PSA
- General blood tests3 tests
- A full blood count with ESR, blood chemistry and blood sugar
- Urine2 tests
- A urine test and urine albumin
- At the clinic3 clinic tests
- A transabdominal ultrasound scan of the prostate and bladder, a urine flow test and a transrectal ultrasound scan of the prostate
- Your results
- The full laboratory and clinic reports, and a summary of every result, the same day
What the day looks like
This is an example, with the nurse arriving at 07:30. You choose the day and the time, and we plan the rest around where you live.
The laboratory works on your samples while you have your clinic tests. That is how everything fits into one day.
An example day
- At home
- 07:30Your nurse arrivesOne blood sample and one urine sample for seven tests. About 20 minutes.
- 08:30The laboratory begins your seven tests
- At the urology clinic
- 09:30Transabdominal ultrasoundAbout 30 minutes.
- 10:00Urine flow testAbout 30 minutes.
- 11:00Transrectal ultrasoundAbout 20 minutes.
- 11:20You are freeYour coordinator gathers each result as it is ready.
- 15:30Your full results and your summaryThe laboratory report for all seven laboratory tests and all three clinic reports, with a summary that sets out every result.
Your medical coordinator follows every step and stays in touch with you all day.
One person, from start to finish
Your medical coordinator
Your coordinator is in touch with you and with every clinic throughout, so that the check-up takes as little of your time as possible. You have one person to speak to, and one telephone number.
- Before your dayPlans the day around your address and books every appointment with the clinics. Sends you one itinerary, and tells you how to prepare.
- On the dayStays in touch with you and with each clinic. Every clinic is expecting you. If an appointment runs late, your coordinator rearranges the rest.
- AfterwardsCollects each report from the laboratory and the clinics as it is ready, checks that nothing is missing, and sends you your full results and your summary the same day.
Your coordinator organises your day and does not give medical advice. More about your coordinator
Who is behind it
- A plan designed by our Medical BoardOur doctors designed the full check-up from the published guidelines and research of the world’s leading medical institutions. It is the same for every man: we leave out only a test you have had in the last two years. Where it goes further than the guidelines, we say so. See the evidence
- Leading London clinicsYour tests are carried out by London laboratories, clinics and nurses. Each one is chosen by us and approved by our Medical Board.
Why these checks are so often left undone
About 57,900 men are diagnosed with prostate cancer in the UK each year, and about 12,300 die of it.5 About one man in three over 50 has urinary symptoms, most often because of an enlarged prostate.6
There is no screening programme for men in general. In 2026 the UK National Screening Committee recommended against one, because for men as a whole screening is more likely to do harm than good.7 A man who wants a PSA test can ask his GP, who will talk through the benefits and risks first. The other tests here usually follow only after a referral to a specialist.
Often the obstacle is time. Booked one by one, the blood tests, two scans and a flow test mean several appointments in several places, with days of waiting between them. We arrange all of it in one day.
What it costs
£1,300
The price covers your nurse at home, seven laboratory tests, three clinic tests and your results in full with a summary. It does not include coordination, which is not yet priced.
If you have had an ultrasound scan of your prostate or a urine flow test in the last two years, we leave it out and you do not pay for it.
- NHS, Enlarged prostate: “An enlarged prostate is most common in men over 50 years old.”
- Prostate Cancer UK, Are you at risk?: “Prostate cancer mainly affects men over 50, and your risk increases as you get older.”
- NHS, Symptoms of prostate cancer: “Prostate cancer often has no symptoms at first.”
- NHS, PSA test: “Routine PSA testing is not currently offered on the NHS, unless genetic tests have shown that you have a faulty version of a gene called BRCA2.” “Men and anyone with a prostate can ask a GP about PSA testing.”
- Cancer Research UK, Prostate cancer statistics: 57,898 new cases a year (2019, 2021–2022) and 12,300 deaths a year (2022–2024) in the UK.
- Prostate Cancer UK, Enlarged prostate: “About 1 in 3 men over 50 have urinary symptoms.” NICE guideline CG97, Lower urinary tract symptoms in men: management: in men, the most common cause is benign prostate enlargement.
- UK National Screening Committee, Prostate cancer, review of March 2026: it “does not recommend population screening for this condition”; “screening is more likely to cause more harm than good in the whole population”.
How it works
One plan, one day, and one person who arranges all of it. This page takes you through the day in order.
You tell us about yourself and where you live
A few short questions and your postcode. It takes a minute.
From your answers we draw up your plan. It is the full prostate check-up our doctors designed, leaving out only what does not apply to you.
Your samples are taken at home
A nurse comes to you in the morning, at a time you choose, and takes one blood sample and one urine sample for seven laboratory tests. It takes about 20 minutes.
Your coordinator tells you how to prepare. For 48 hours before a PSA test you should not ejaculate, cycle or exercise hard.
You do not need a home visit. If you prefer, your samples are taken at one of our partner clinics.
Your three clinic tests are in one visit
You arrive with a comfortably full bladder, and the three tests follow in the order the bladder dictates. First the scan through the abdomen, which needs the bladder full: it measures the prostate and shows how the bladder is coping. Then the flow test, when you pass urine. Then the transrectal scan, which measures the gland itself accurately.
The transrectal scan uses a thin probe passed a short way into the back passage. It is uncomfortable rather than painful and it takes a few minutes. If you would rather not have it, tell your coordinator: it is left out and you do not pay for it.
If you would like a car to the clinic, we arrange one. It is charged separately.
Everything happens in one day
The laboratory works on your samples while you have your clinic tests, so nothing waits for anything else. With the nurse at 07:30, every result is ready by 15:30.
Nothing in this check-up needs to be cultured or read by a cytologist, so there is nothing here that takes days: every test is measured in hours and every scan is read on the spot. The only exception is something you add yourself — the report on an MRI scan follows within two days, and on a whole-body MRI within three. We tell you before you book.
You receive your full results and a summary
You receive two things, the same day.
- Your full results
- The original reports: the laboratory report for every test, and the report on each clinic test.
- Your summary
- One document that sets out every result clearly, in one place, beside its reference range where it has one.
What you receive. The drawing shows the form of the two, not real results. 1 Anything the laboratory or a reporting clinician marks as urgent is stated first. 2 Every result is set beside its reference range, where it has one. 3 On a later check-up, your summary shows what has changed. Take both to your own doctor. The summary sets out results and gives no medical advice. If you would like to see one of our doctors, we arrange it as a separate service.
Your medical coordinator looks after all of it
One person organises your check-up from the first booking to your finished results. Your coordinator is in touch with you and with every clinic throughout the day, so that the check-up takes as little of your time as possible.
- Before your day
- Plans the day around your address, books every appointment, sends you one itinerary and tells you how to prepare.
- On the day
- Makes sure each clinic is expecting you, follows each step, and rearranges the rest if an appointment runs late.
- Afterwards
- Collects each report as it is ready, checks that nothing is missing and sends you your full results and your summary the same day.
You have one person to speak to and one telephone number. You have nothing to arrange and nothing to chase. Your coordinator does not give medical advice.
Where we work
Our partner clinics are in central London. Our nurses visit homes across London.
If you live outside London, you can still have the check-up. You come to central London for the day, and your samples are taken at a clinic instead of at home.
Every laboratory, clinic and nurse is chosen by us and approved by our Medical Board.
What we check
One full prostate check-up, drawn up by our doctors and the same for every man: seven laboratory tests and three clinic tests. We leave out only a test you have had in the last two years.
Select a test to read what it measures, why it is in the check-up, what the guidelines say and where the evidence comes from. The last column shows how each result is reported.
PSA
Three figures from one blood test: the total, the free fraction and the ratio between them.
PSA total, free and the ratioA protein made by the prostate, measured in the blood.ng/ml · %
What it measures
PSA is a protein made by the prostate. The test measures the total amount in your blood, in nanograms per millilitre, the part that circulates unattached to blood proteins, and the free part as a percentage of the total.
Why it is in the check-up
Prostate cancer often has no symptoms at first, and a PSA test can help to find it before there are any. About 57,900 men are diagnosed with prostate cancer in the UK each year.
The total level can be raised for other reasons, such as an enlarged prostate, an infection or inflammation, and it is a guide to how large the prostate is. The free percentage is lower in men who have prostate cancer than in men who do not, and when the total is in the borderline range, between 4 and 10, it helps a doctor decide whether a biopsy is needed.
What the result can and cannot show
A raised PSA does not mean cancer, and a normal PSA does not rule it out. Only about a quarter of men who have a biopsy because of a raised PSA are found to have prostate cancer, and one major study found that 1 in 7 men with a normal level may have it. A test can also find a slow-growing cancer that would never have caused harm.
There is no single threshold. For many men a normal level is below 3 ng/ml, says Prostate Cancer UK. For men who have urinary symptoms, NICE gives a level for each age group above which a GP should consider referral: above 2.5 at 40 to 49, above 3.5 at 50 to 59, above 4.5 at 60 to 69 and above 6.5 at 70 to 79. Finasteride and dutasteride lower the level by about half.
For the free percentage, many doctors treat 10% or less as a reason for a biopsy and 10% to 25% as a reason to consider one. Not all agree on the cut-off, and the American Cancer Society describes this use only for a total PSA in the borderline range.
Guidelines Wider than UK screening policy: a test you choose. The UK National Screening Committee does not recommend PSA screening for men in general, and the NHS does not offer routine PSA testing, although any man can ask his GP about it. The US Preventive Services Task Force leaves the decision to each man from 55 to 69 (grade C) and recommends against testing from 70 (grade D). European guidelines advise offering the test to well-informed men from 50, and from 45 to men at higher risk. UK guidelines set their referral levels on the total alone. The check-up includes all three figures for every man, from 45.
Sources NHS, PSA test. Prostate Cancer UK, The PSA blood test. US National Cancer Institute, Prostate-specific antigen (PSA) test. American Cancer Society, Screening tests for prostate cancer. NICE guideline NG12, Suspected cancer: recognition and referral. NHS, Symptoms of prostate cancer. Cancer Research UK, Prostate cancer statistics. European Association of Urology, Guidelines on prostate cancer, 2026. European Association of Urology, Guidelines on male lower urinary tract symptoms, 2026. UK National Screening Committee, Prostate cancer. US Preventive Services Task Force, Prostate cancer: screening, 2018.
General blood tests
Three laboratory tests from the same blood sample.
Full blood count with ESR FBC and sedimentation rateYour red cells, white cells and platelets, and how fast the red cells settle.g/L · mm/hour
What it measures
The number and size of the cells in your blood, including your haemoglobin, and the erythrocyte sedimentation rate: the time your red blood cells take to settle at the bottom of a tube.
Why it is in the check-up
A full blood count is the test that shows anaemia, and it is the broadest single look at the blood: the red cells that carry oxygen, the white cells that fight infection and the platelets that help blood to clot.
The sedimentation rate is added to it. It rises when there is inflammation anywhere in the body, and it is one of the oldest and least specific markers in medicine.
What the result can and cannot show
A low haemoglobin or red cell count may be a sign of anaemia; the count does not show its cause.
A raised sedimentation rate means inflammation somewhere, not where or why. It rises with age, in women, in pregnancy and with anaemia, so it is read with everything else and never alone.
Guidelines Wider than the guidelines. No guideline we have found asks for a full blood count or a sedimentation rate in people without symptoms. The NHS uses a full blood count when iron deficiency anaemia is suspected. Both are on the list our doctors drew up, and the check-up measures them for everyone.
Sources MedlinePlus (US National Library of Medicine), Complete blood count. MedlinePlus (US National Library of Medicine), Erythrocyte sedimentation rate (ESR). NHS, Iron deficiency anaemia.
Blood chemistry kidney function and electrolytesHow well your kidneys filter, and the salts they balance.ml/min · mmol/L
What it measures
Creatinine and urea, the waste products the kidneys clear, with the estimated glomerular filtration rate (eGFR) worked out from your creatinine, age, size and sex; and the salts the kidneys balance: sodium, potassium, chloride and bicarbonate.
Why it is in the check-up
A bladder that does not empty, which an enlarged prostate can cause, can damage the kidneys if it is not treated, says Prostate Cancer UK. Kidney disease does not usually cause symptoms in its early stages.
The salts are what the kidneys hold in balance, and they are the first thing to shift when the pressure in the system rises. Bicarbonate, read with the rest, shows whether the blood has turned acid.
What the result can and cannot show
Healthy kidneys filter more than 90 ml a minute. A figure between 60 and 89 counts as kidney disease only when other tests also show signs of damage.
The estimate is less reliable in some people, for example those with a great deal of muscle. Meat eaten in the 12 hours before the test can affect the result, which is why we ask you to avoid it.
Guidelines Wider than the guidelines. For men with urinary symptoms, NICE advises a kidney blood test only when kidney impairment is suspected. Its guideline on kidney disease advises offering one to adults with risk factors, among them an enlarged prostate, and says that age alone is not a reason to test. The check-up measures the panel for every man.
Sources NHS, Chronic kidney disease: diagnosis. NHS, Chronic kidney disease. Prostate Cancer UK, Enlarged prostate. NICE guideline CG97, Lower urinary tract symptoms in men: management. European Association of Urology, Guidelines on male lower urinary tract symptoms, 2026. NICE guideline NG203, Chronic kidney disease: assessment and management.
Blood sugar HbA1cYour average blood sugar over the last two to three months.mmol/mol
What it measures
HbA1c is glycated haemoglobin: glucose that has attached itself to your red blood cells. It reflects your average blood sugar over the last two to three months. No preparation is needed.
Why it is in the check-up
Diabetes UK estimates that almost 1.3 million people in the UK have type 2 diabetes that has not been diagnosed. Prediabetes does not usually cause symptoms.
Adults with diabetes are three to five times more likely to die of cardiovascular disease than adults without it, according to the British Heart Foundation.
What the result can and cannot show
Below 42 mmol/mol is normal, 42 to 47 is the range known as prediabetes, and 48 or above is the level used to diagnose diabetes.
In a person without symptoms, one result of 48 or more is not a diagnosis: the test is repeated first. A result below 48 does not by itself rule diabetes out.
Guidelines Wider than the guidelines. The NHS Health Check includes a blood sugar test only for some people. The US Preventive Services Task Force recommends screening from 35 to 70 for adults who are overweight or obese (grade B), and NICE asks for HbA1c in everyone with high blood pressure. The check-up measures it for everyone.
Sources Diabetes UK, What is HbA1c?. Diabetes UK, Prediabetes. Diabetes UK, Diagnostic criteria for diabetes. Diabetes UK, How many people in the UK have diabetes?. Lab Tests Online UK, HbA1c test. British Heart Foundation, UK cardiovascular disease factsheet, July 2026. NHS Health Check. NICE guideline NG136, Hypertension in adults: diagnosis and management. US Preventive Services Task Force, Prediabetes and type 2 diabetes: screening, 2021.
Urine
Two tests on the urine sample your nurse takes.
Urine test urinalysisA check for infection, blood, protein and sugar.Pos / neg
What it measures
Your urine sample is tested with a test strip for signs of infection, and for blood, protein and glucose.
Why it is in the check-up
NICE and the European Association of Urology both include a urine test in the first assessment of urinary symptoms, to look for infection, blood in the urine and diabetes.
An infection also matters for the PSA: it can raise the level, and the NHS advises waiting four to six weeks after an infection has cleared before a PSA test.
What the result can and cannot show
Signs of infection and blood in the urine are for a doctor to follow up; blood in the urine needs further tests. In men who have none of the symptoms of an infection, the value of the test for finding one has been questioned.
If the test suggests an infection, it is stated at the top of your summary, because the PSA taken the same day may then need to be repeated once the infection has cleared.
Guidelines In line with the guidelines for men with symptoms. NICE and the European Association of Urology recommend a urine test for men with urinary symptoms. The check-up includes it for every man.
Sources NICE guideline CG97, Lower urinary tract symptoms in men: management. European Association of Urology, Guidelines on male lower urinary tract symptoms, 2026. NHS, PSA test. Prostate Cancer UK, The PSA blood test. Mayo Clinic, Urinalysis.
Urine albumin albumin to creatinine ratioWhether protein is leaking into your urine.mg/mmol
What it measures
Albumin and creatinine in your urine sample, reported as their ratio, the ACR.
Why it is in the check-up
It is one of the two tests the NHS uses to look for kidney disease, and it can be abnormal while the blood test is still normal. NICE treats albumin in the urine as a sign of high cardiovascular risk.
What the result can and cannot show
The NHS reports the ratio in three bands: below 3 mg/mmol, 3 to 30, and above 30. NICE regards a confirmed ratio of 3 mg/mmol or more as clinically important.
One raised result is not a diagnosis. NICE asks for a result between 3 and 70 mg/mmol to be confirmed on a second, early-morning sample. Blood in the urine and a urine infection both disturb it.
Guidelines Wider than the guidelines. NICE advises the test for adults with risk factors such as diabetes or high blood pressure, and says that age alone is not a reason to test. The check-up measures it for every man.
Sources NHS, Chronic kidney disease: diagnosis. NICE guideline NG203, Chronic kidney disease: assessment and management. NICE guideline NG238, Cardiovascular disease: risk assessment and reduction, including lipid modification.
At the clinic
Three tests in one visit, in the order the bladder dictates: the scan through the abdomen on a full bladder, then the flow test, then the scan that measures the gland itself.
Transabdominal ultrasound prostate and bladderMeasures the prostate and shows how the bladder is coping.Report
What it measures
An ultrasound scan through the wall of the lower abdomen, with nothing inserted. It measures the prostate and shows the bladder: how much it holds and whether its wall has thickened. It takes about 30 minutes, uses no radiation, and needs a comfortably full bladder.
Why it is in the check-up
The size of the prostate predicts how symptoms are likely to progress, according to the European Association of Urology, and it is what a urologist wants to know before any treatment is considered.
The NHS lists an ultrasound scan of the bladder among the hospital tests for an enlarged prostate. A thickened bladder wall is a sign that the bladder has been working against resistance.
What the result can and cannot show
Ultrasound through the abdomen shows size and shape. It is not a test for prostate cancer: the scan the NHS uses for a man referred with suspected prostate cancer is an MRI.
The volume it gives is an estimate. The transrectal scan that follows measures the gland more accurately, which is why both are in the check-up.
Guidelines Wider than the guidelines. NICE advises against routine imaging at a first assessment of uncomplicated urinary symptoms, and the European Association of Urology recommends imaging of the prostate when treatment is being considered. The NHS lists a bladder ultrasound among hospital tests that follow a GP’s referral. The check-up includes the scan for every man, unless he has had one in the last two years.
Sources NHS, Enlarged prostate. Prostate Cancer UK, How is an enlarged prostate diagnosed?. European Association of Urology, Guidelines on male lower urinary tract symptoms, 2026. NICE guideline CG97, Lower urinary tract symptoms in men: management. NHS, Tests and next steps for prostate cancer.
Urine flow test uroflowmetryHow fast and how much urine you pass.ml/s
What it measures
You pass urine into a machine that measures the speed of the flow and the volume passed. It is done in private, and it takes as long as it takes.
Why it is in the check-up
Men with an enlarged prostate usually have a slower flow than other men. The measurement puts a number on a symptom a man can only describe, and it gives your doctor a baseline to compare with in later years.
It is the test that distinguishes a slow stream a man has noticed from a slow stream that can be measured.
What the result can and cannot show
The test shows that a flow is slow, not why: a slow flow can come from a blockage, from a weak bladder or from a bladder that was not full enough.
It needs at least 150 ml to be reliable. If you pass less, it is repeated after you have drunk more water, which makes the visit longer. The result is for your doctor to read.
Guidelines Wider than the guidelines. NICE advises against offering a flow test routinely when a man first reports urinary symptoms, and recommends one at specialist assessment. The European Association of Urology recommends it at first assessment, weakly. The check-up includes it for every man, unless he has had one in the last two years.
Sources NHS, Enlarged prostate. Prostate Cancer UK, Enlarged prostate. Prostate Cancer UK, How is an enlarged prostate diagnosed?. NICE guideline CG97, Lower urinary tract symptoms in men: management. European Association of Urology, Guidelines on male lower urinary tract symptoms, 2026. British Association of Urological Surgeons, Flow rate measurement. Royal Berkshire NHS Foundation Trust, Having a flow rate test, 2026.
Transrectal ultrasound TRUSThe accurate measurement of the prostate itself.ml · report
What it measures
A thin ultrasound probe, about the width of a finger, is passed a short way into the back passage, where it sits directly behind the prostate. It measures the volume of the gland and shows its shape and its zones. It takes about 20 minutes.
Why it is in the check-up
It is the accurate way to measure the prostate. Specialists measure the volume this way; a scan through the abdomen gives only an estimate.
It also shows the shape of the gland and how far it presses into the bladder, which is what a urologist wants to know before any treatment is considered.
What the result can and cannot show
It is uncomfortable rather than painful, and it takes a few minutes. It is not a test for prostate cancer on its own: ultrasound cannot reliably tell cancer from benign tissue, which is why the scan the NHS uses for suspected prostate cancer is an MRI, and why a biopsy is guided by one.
A normal scan does not rule cancer out. If you would rather not have it, tell your coordinator: it is left out and you do not pay for it.
Guidelines Wider than the guidelines. No guideline we have found recommends a transrectal ultrasound scan for men without symptoms. In the NHS it is used to guide a biopsy or to measure the gland before treatment. It is on the list our doctors drew up, and the check-up includes it for every man, unless he has had one in the last two years.
Sources NHS, Tests and next steps for prostate cancer. Prostate Cancer UK, How is an enlarged prostate diagnosed?. European Association of Urology, Guidelines on male lower urinary tract symptoms, 2026. European Association of Urology, Guidelines on prostate cancer, 2026.
What you can add
None of these is part of the check-up. You add them when you see your plan.
Kidney and bladder ultrasound with residual volumeAdds the kidneys, and measures what the bladder leaves behind.ml · report
What it measures
An ultrasound scan of both kidneys and the bladder, with a measurement, straight after you have passed urine, of how much is left behind.
Why you might add it
A bladder that does not empty can damage the kidneys if it is not treated, says Prostate Cancer UK, and watching the amount left behind over time may identify men at risk of suddenly being unable to pass urine, according to the European Association of Urology.
What the result can and cannot show
No level has been agreed above which the urine left behind needs treatment. Men with urinary symptoms are no more likely than other men to have an abnormality of the kidneys, the European Association of Urology notes, which is why this is an addition and not part of the check-up.
Guidelines Your choice. The European Association of Urology recommends measuring the urine left behind in men with symptoms, and gives ultrasound of the kidneys only a weak recommendation. NICE advises against routine imaging of the kidneys at a first assessment.
Sources European Association of Urology, Guidelines on male lower urinary tract symptoms, 2026. NICE guideline CG97, Lower urinary tract symptoms in men: management. Prostate Cancer UK, Enlarged prostate. Prostate Cancer UK, How is an enlarged prostate diagnosed?.
Lymph node ultrasoundLooks at the lymph nodes in the groin and the pelvis that ultrasound can reach.Report
What it measures
An ultrasound scan of the lymph nodes a probe can reach, which for the prostate means the groin and the lower pelvis.
Why you might add it
Prostate cancer that has spread may reach the lymph nodes, and a scan can show a node that is enlarged.
What the result can and cannot show
Ultrasound cannot see the nodes deep in the pelvis where prostate cancer spreads first; that is what an MRI is for. An enlarged node is not a diagnosis, and most are reactive. No guideline recommends this scan for men without symptoms.
Guidelines Your choice. No guideline we have found recommends a lymph node ultrasound scan for men without symptoms. It is on the list of additions our doctors drew up.
Sources NHS, Tests and next steps for prostate cancer. European Association of Urology, Guidelines on prostate cancer, 2026.
MRI of the pelvisA detailed scan. Its report follows within two days.Score 1–5
What it measures
An MRI scan uses magnets to create a detailed picture of the prostate, the tissue around it and the pelvis. It takes 30 to 40 minutes, and some scans include an injection of dye. A radiologist gives the prostate images a score from 1 to 5.
Why you might add it
In the NHS, a man referred to a specialist because he may have prostate cancer has an MRI scan first. An MRI is less likely than a biopsy to pick up a slow-growing cancer.
In the PROMIS study of 576 men who were already suspected of having prostate cancer, MRI found 93% of the clinically significant cancers, and the biopsy that was then standard found 48%.
What the result can and cannot show
A score of 1 or 2 means that cancer needing treatment is very unlikely or unlikely, 3 means the scan cannot tell, and 4 or 5 means it is likely or very likely. A low score does not rule cancer out.
MRI also raises concern in men who turn out not to have significant cancer: in PROMIS it correctly cleared only 41% of them, against 96% for the biopsy. Those men had a raised PSA. In men with no such suspicion cancer is less common, so a larger share of the scans that raise concern will be false alarms.
An MRI may not be possible if you have a pacemaker or other metal in your body.
Guidelines Your choice: not part of the check-up. NICE recommends MRI as the first investigation for people with suspected prostate cancer, not for men without symptoms or a raised PSA. European guidelines list MRI among the tools for deciding on a biopsy when the PSA is between 3 and 20 ng/ml. The UK National Screening Committee does not recommend screening men in general.
Sources Prostate Cancer UK, MRI scan. Ahmed et al., Lancet 2017 (PROMIS). NHS, Tests and next steps for prostate cancer. NICE guideline NG131, Prostate cancer: diagnosis and management. European Association of Urology, Guidelines on prostate cancer, 2026. UK National Screening Committee, Prostate cancer.
Male hormones seven resultsTestosterone and the hormones that govern it.nmol/L
What it measures
FSH and LH, the pituitary hormones that drive the testes; total and free testosterone; sex hormone binding globulin, the protein that carries testosterone; the free androgen index worked out from them; prolactin; and DHEA-S.
Why you might add it
Testosterone falls slowly with age, and low levels cause tiredness, low mood, loss of muscle and loss of sex drive — complaints easy to put down to getting older. The panel separates a testicular cause from a pituitary one.
What the result can and cannot show
Testosterone follows a daily rhythm and is highest in the morning, which is when your sample is taken. One low result is not a diagnosis: it is confirmed on a second morning sample before any treatment is considered, and the figure is read with your symptoms, not instead of them.
Guidelines Your choice. No guideline recommends measuring testosterone in men without symptoms. The panel is on the list of additions our doctors drew up, and it is measured from the same blood sample.
Sources MedlinePlus (US National Library of Medicine), Testosterone levels test. Lab Tests Online UK, Testosterone test. MedlinePlus (US National Library of Medicine), Prolactin levels.
Whole-body MRIA scan of most of the body. Its report follows within three days.Report
What it measures
An MRI scan covering, in most packages, the brain, the chest, the abdomen, the pelvis and the spine. It takes about an hour, and it uses no radiation.
Why you might add it
It is the broadest look at the body that can be had without X-rays, and it is on the list of additions our doctors drew up. People choose it to see everything at once.
What the result can and cannot show
It is not a screening test for cancer, and no screening body recommends one for people without symptoms. Its weakness is the mirror of its breadth: in a well person most of what it finds is of no consequence, and each finding has to be chased down.
Expect findings. A scan of this kind commonly shows cysts, small nodules and wear in the spine, and sorting the harmless from the important takes more tests, more time and more money.
Guidelines Your choice; no guideline supports it. No screening body recommends whole-body MRI for people without symptoms. It is on the list of additions our doctors drew up, and we set out plainly what it does and does not do.
Sources UK National Screening Committee, Prostate cancer. NHS, Tests and next steps for prostate cancer.
Symptom score IPSS, no chargeSeven questions about how you pass urine.Score 0–35
What it measures
The International Prostate Symptom Score has seven scored questions: incomplete emptying, frequency, stopping and starting, urgency, weak stream, straining and getting up at night. Each is scored from 0 to 5. A further question, not counted in the score, asks how you would feel about living with your symptoms as they are. You fill it in online before your day.
Why you might add it
About one man in three over 50 has urinary symptoms, according to Prostate Cancer UK, and in men the most common cause is an enlarged prostate. The symptoms usually develop slowly.
A score puts a number on them, so that a change can be seen from one year to the next, and it is what gives your flow rate its context. It is a questionnaire, so it costs nothing.
What the result can and cannot show
A total of 0 to 7 counts as mild, 8 to 19 as moderate and 20 to 35 as severe. The score describes symptoms; it does not show their cause. Prostate cancer that has grown can cause the same changes as an enlarged prostate, and so can other conditions.
Guidelines Your choice, at no charge; in line with the guidelines for men with symptoms. The European Association of Urology recommends a validated symptom score at the first assessment of urinary symptoms, and NICE recommends one for men considering treatment. It is not on our doctors’ mandatory list, so you choose it; there is no charge either way.
Sources NICE guideline CG97, Lower urinary tract symptoms in men: management. European Association of Urology, Guidelines on male lower urinary tract symptoms, 2026. Prostate Cancer UK, Enlarged prostate. NHS, Enlarged prostate. NHS, Symptoms of prostate cancer.
Cholesterol profileThe different kinds of cholesterol and fat in your blood.mmol/L
What it measures
Total cholesterol, HDL cholesterol and triglycerides are measured, and non-HDL and LDL cholesterol are worked out from them. LDL is the main source of blockages in the arteries. HDL is often called “good” cholesterol, because it helps to clear LDL.
Why you might add it
High cholesterol is very common, and most people do not know they have it, because it does not usually cause symptoms. The excess is laid down in the walls of the arteries as fatty plaques, which stiffen and narrow them. This can lead to heart attacks and strokes, says the charity HEART UK.
The British Heart Foundation estimates that around half of adults in the UK have a total cholesterol above 5 mmol/L.
What the result can and cannot show
The NHS gives healthy levels for adults as a total cholesterol below 5 mmol/L and a non-HDL cholesterol below 4 mmol/L.
The figures are not a verdict on their own. A doctor reads them with your age, your blood pressure and your other results to estimate your risk over the next ten years. NICE asks for that estimate to be made with the QRISK3 tool, and for a statin to be offered when the risk is 10% or more.
Guidelines Your choice. A cholesterol test is part of the NHS Health Check. NICE asks for total and HDL cholesterol to estimate cardiovascular risk in people aged 25 to 84, and does not require a fasting sample.
Sources MedlinePlus (US National Library of Medicine), Cholesterol levels. HEART UK, What is high cholesterol?. British Heart Foundation, UK cardiovascular disease factsheet, July 2026. NHS, Cholesterol levels. NICE guideline NG238, Cardiovascular disease: risk assessment and reduction, including lipid modification. NHS Health Check.
Vitamins B12, vitamin D and folateThree results that explain a good deal of ordinary tiredness.nmol/L · ng/L · µg/L
What it measures
Vitamin D, which regulates the calcium and phosphate that keep bones, teeth and muscles healthy; vitamin B12; and folate. Three results from the same blood sample.
Why you might add it
A low vitamin D level is common in the UK: in the National Diet and Nutrition Survey, 18% of adults aged 19 to 64 had a level below 25 nmol/L, the level below which the risk of poor bone and muscle health is considered to rise.
B12 and folate are measured with it because a shortage of either causes anaemia, and because tiredness has several possible explanations. All three come from the sample already being taken.
What the result can and cannot show
Each shows your level on the day of the test and no more. Vitamin D is lowest from January to March, so a low result in February says less than the same result in August.
A low B12 or folate is a finding to act on; a normal one does not rule out every cause of tiredness. Whatever your vitamin D result, UK government advice is that everyone should consider a daily supplement in autumn and winter.
Guidelines Your choice. UK government advice is a daily vitamin D supplement in autumn and winter; it does not call for a blood test, and no guideline asks for B12 or folate in people without symptoms. The health assessment at Mayo Clinic Healthcare in London includes vitamin D.
Sources NHS, Vitamin D. Office for Health Improvement and Disparities, National Diet and Nutrition Survey 2019 to 2023. Mayo Clinic Healthcare, Executive health assessment. NHS, Iron deficiency anaemia.
Units are those commonly used by UK laboratories. Your own report states the unit and the reference range beside each result. This page explains the tests; it is not medical advice.
What you receive
Two things, the same day.
- Your full results
- The original reports: the laboratory report for every test, and the report on each clinic test.
- Your summary
- One document that sets every result beside its reference range, where it has one, so that you and your doctor can read it at a glance.
The summary gives results, not medical advice. What the results mean for you is for your doctor to say. When you come back another year, your new summary shows what has changed.
The evidence behind it
The check-up was designed by the doctors of our Medical Board from published guidelines and research. Where it goes further than the guidelines, each test above says so.
If you would like more
When you see your plan you can add an ultrasound scan of the kidneys and bladder, a lymph node scan, an MRI of the pelvis, the male hormone panel or a whole-body MRI — the five our doctors list — and three more they agreed to offer: the symptom score, which is free, a cholesterol profile, and the vitamin panel. Each is explained above. None of them is part of the check-up.
The medical basis
The evidence
The check-up follows what is known about the prostate in the years after 45, and about what a PSA test can and cannot show. This page sets out the main findings, what the published recommendations say about each test, and where the check-up goes further than they do.
What a PSA level means, and at what age
There is no single threshold that separates a normal PSA from an abnormal one, says the US National Cancer Institute. For men who have urinary symptoms, NICE sets, for each age group, the level above which doctors should consider referral.
What the recommendations say
The recommendations are cautious about testing men who feel well, and above all about PSA testing, for good reasons. Guidelines are written for whole populations: they weigh benefit, harm and cost for everyone at once. A person who chooses a check-up may weigh them differently. Our doctors designed a fuller check-up than the guidelines call for, and the table shows, test by test, what the published recommendation is and where the check-up goes beyond it.
In line: a named body recommends the test for you.Wider: the check-up goes further than the recommendation.
| Test | What the recommendations say | In the check-up |
|---|---|---|
| PSA: total, free and the ratio | NHS: routine PSA testing is not currently offered, unless genetic tests have shown a faulty BRCA2 gene; any man can ask a GP about the test. UK National Screening Committee, 2026: no screening of men in general; PSA every two years for men aged 45 to 61 with a pathogenic BRCA2 variant and a family history of breast, ovarian, pancreatic or prostate cancer. US Preventive Services Task Force, 2018: an individual decision from 55 to 69 (grade C); against testing from 70 (grade D). European Association of Urology, 2026: offer to well-informed men from 50, and from 45 to men with a family history or of African descent. American Urological Association, 2023: a baseline test may be offered between 45 and 50. American Cancer Society: free PSA is used when the total is borderline, between 4 and 10. | All three for every man who chooses the check-up, from 45, with the limits of the test set out first. Wider than UK screening policy. |
| Full blood count with ESR | No guideline we have found asks for either in men without symptoms. NHS: a full blood count when iron deficiency anaemia is suspected. | For every man. Wider. |
| Blood chemistry and urine albumin | NICE CG97: for men with urinary symptoms, a kidney blood test only if kidney impairment is suspected. NICE NG203: offered to adults with risk factors, among them an enlarged prostate; age alone is not a reason to test. | Both, for every man. Wider. |
| Blood sugar | NHS Health Check: “possibly a blood sugar level test”. US Preventive Services Task Force: screening from 35 to 70 for adults who are overweight or obese (grade B). | For every man. Wider. |
| Urine test | NICE CG97 and European Association of Urology, 2026: for men with urinary symptoms. NHS: wait four to six weeks after a urine infection before a PSA test. | For every man. In line for men with symptoms. |
| Transabdominal ultrasound | NHS: an ultrasound scan of the bladder is among the hospital tests for an enlarged prostate. NICE CG97: no routine imaging at a first assessment. European Association of Urology, 2026: imaging of the prostate when treatment is being considered. | For every man, unless scanned in the last two years. Wider. |
| Transrectal ultrasound | No guideline we have found recommends it for men without symptoms. NHS: it is used to guide a biopsy. European Association of Urology: to measure the gland before treatment. | For every man, unless scanned in the last two years. Wider. |
| Urine flow test | NHS: hospital tests that follow a GP’s referral. NICE CG97: not offered routinely at a first assessment; offered at specialist assessment. European Association of Urology, 2026: at first assessment (weak recommendation). | For every man, unless he has had one in the last two years. Wider. |
| Physical examination | NICE CG97, NICE NG12 and the European Association of Urology: an examination of the prostate is part of assessing urinary symptoms. | Not in the check-up: no doctor examines you. Your own doctor can. |
| MRI of the pelvis | NHS and NICE NG131: an MRI scan for a man referred to a specialist because he may have prostate cancer. | An addition. A man adds it himself. |
| Whole-body MRI | No screening body recommends it for people without symptoms. | An addition, with its limits set out. A man adds it himself. |
Who designed the check-up
The doctors of our Medical Board drew up the list. They worked from the published guidance of NICE, the NHS and the UK National Screening Committee in the UK, of the European Association of Urology, and of the American Urological Association, the US Preventive Services Task Force, the National Cancer Institute and the American Cancer Society in the United States; from research, including the PROMIS study; and from what London clinics publish, such as The London Clinic’s Rapid Urology Diagnostics, a consultant-led service for people with symptoms or a raised PSA, whose tests include PSA, a flow rate test, bladder scans, ultrasound and MRI. None of these organisations has reviewed or endorsed our service.
Where the check-up goes further than the guidelines, we say so, and here it does so in most places. The guidelines on urinary symptoms are written for men who have symptoms; none recommends this set of tests for men who feel well. The UK National Screening Committee does not recommend PSA screening for men in general. This is not a screening programme: it is a set of tests that a man chooses for himself, with the limits of the PSA test set out before he books.
What a check-up can and cannot do
A check-up measures. It does not diagnose, and it does not treat. Each result needs to be read by a doctor who knows you, which is why your summary is written to be handed to one.
Before you book, weigh what a PSA test can do. It can help to find prostate cancer before there are symptoms, including a fast-growing cancer at a stage when treatment could stop it spreading. Against that, the result may not be accurate, and it may lead to tests and treatment you do not need. Only about a quarter of men who have a biopsy because of a raised PSA are found to have prostate cancer, and one major study found that 1 in 7 men with a normal PSA may have it.
A PSA test can also find a cancer that would never have affected your health. For screening of men in general, the government’s assessment estimates that for every 1,000 men offered screening, two lives may be extended, up to 20 men are likely to be over-diagnosed, and 12 of those to have treatment they did not need. Treatment can cause incontinence and erectile dysfunction, which the UK National Screening Committee names as the main harms of screening.
A wider check-up finds more, and not everything it finds matters. A result just outside its reference range may mean nothing, and may still lead to further tests. That is the cost of looking more closely, and it is one reason why guidelines written for whole populations are more sparing than this check-up.
A physical examination of the prostate is not part of the check-up, and a check-up is not the way to investigate a symptom: the NHS advises an urgent GP appointment if you have blood in your urine, pain when you pass urine, or cannot pass urine at all.
The limits of each test are set out, test by test, on the What we check page.
References
- Ahmed HU, El-Shater Bosaily A, Brown LC, et al. Diagnostic accuracy of multi-parametric MRI and TRUS biopsy in prostate cancer (PROMIS): a paired validating confirmatory study. Lancet 2017;389(10071):815–822. doi:10.1016/S0140-6736(16)32401-1
- UK National Screening Committee. Prostate cancer, review of March 2026. Department of Health and Social Care. Major expansion of research and treatment for prostate cancer; Equality impact assessment: introduction of a targeted prostate cancer screening programme. Both published 2 June 2026.
- National Institute for Health and Care Excellence. Suspected cancer: recognition and referral, NG12, published 2015, PSA thresholds updated December 2021; Prostate cancer: diagnosis and management, NG131, published 2019, updated December 2021; Lower urinary tract symptoms in men: management, CG97, published 2010, updated 2015; Chronic kidney disease: assessment and management, NG203; Cardiovascular disease: risk assessment and reduction, NG238.
- European Association of Urology. Management of non-neurogenic male lower urinary tract symptoms: diagnostic evaluation; Prostate cancer: diagnostic evaluation. EAU Guidelines, edition presented at the EAU Annual Congress, London 2026.
- Wei JT, Barocas D, Carlsson S, et al. Early detection of prostate cancer: AUA/SUO guideline part I: prostate cancer screening. J Urol 2023;210(1):46–53. doi:10.1097/JU.0000000000003491
- US Preventive Services Task Force. Prostate cancer: screening, 2018; Prediabetes and type 2 diabetes: screening, 2021.
- NHS. PSA test; Enlarged prostate; Symptoms of prostate cancer; Tests and next steps for prostate cancer; Chronic kidney disease: diagnosis; Iron deficiency anaemia; NHS Health Check.
- Prostate Cancer UK. The PSA blood test; MRI scan; Are you at risk?; Enlarged prostate; How is an enlarged prostate diagnosed?.
- US National Cancer Institute. Prostate-specific antigen (PSA) test, updated 31 January 2025. American Cancer Society. Screening tests for prostate cancer, last revised 22 November 2023.
- MedlinePlus (US National Library of Medicine). Complete blood count; Erythrocyte sedimentation rate; Testosterone levels test; Prolactin levels; Cholesterol levels; Urinalysis.
- Cancer Research UK. Prostate cancer statistics. Diabetes UK. How many people in the UK have diabetes?.
- British Association of Urological Surgeons. Flow rate measurement. Royal Berkshire NHS Foundation Trust. Having a flow rate test, March 2026.
- A few questions
- Your check-up
- Your day
Question 1
How old are you?
This check-up is for men aged 45 and over.
Under 45 we do not arrange it. Prostate Cancer UK says that for men under 50 without other risk factors, the risk of prostate cancer is very low. If you have urinary symptoms, a family history of prostate cancer or a faulty BRCA2 gene, please speak to your GP.
Your prostate check-up
This is the full prostate check-up. The doctors of our Medical Board designed it from the published guidelines and research of the world’s leading medical institutions.
£1,300
Add something
These are not part of the check-up. Add one only if you want it.
Choose your day
Tell us where you live and which day suits you. We plan the day around your address.
Your day in outline
Your day
- Your check-up, payable once your day is confirmed
- £1,300
Separately: an appointment with one of our doctors, charged at its usual London price and payable when it is booked.
If your appointments are in different places and you would like a car between them, it is charged separately.
Your coordinator telephones you, checks your address and confirms your final plan. Nothing is booked until you agree.
Thank you.
- Your coordinator telephones you and checks your address.
- You receive your final plan and one itinerary, with how to prepare.
- You pay once your day is confirmed. Nothing is booked until you agree.
This site is a prototype: no request has been sent and nothing has been booked.
Questions
Who is the check-up for?
Men aged 45 and over who want to know where they stand: the PSA in full, the size of the prostate, the flow of urine, the kidneys, the blood and the urine. It includes a PSA test, so read what that test can and cannot show before you book. It is not the way to investigate a new symptom: the NHS advises an urgent GP appointment if you have blood in your urine, pain when you pass urine, or cannot pass urine at all.
Is this prostate cancer screening?
It is not a screening programme. The UK has none for men in general: in 2026 the UK National Screening Committee recommended against one, because for men as a whole screening is more likely to do harm than good. It recommended PSA testing every two years only for men aged 45 to 61 who have a pathogenic BRCA2 variant and a family history of breast, ovarian, pancreatic or prostate cancer; the government accepted this in June 2026, and the programme is expected to begin in England in 2027. The check-up includes a PSA test that you choose for yourself, as any man may by asking his GP. Before you decide, read what a PSA test can and cannot show on the evidence page.
Why from 45?
An enlarged prostate is most common in men over 50, and prostate cancer mainly affects men over 50. European guidelines advise offering a PSA test to well-informed men from 50, and from 45 to men with a family history of prostate cancer or of African descent. American guidelines say that a baseline PSA test may be offered between 45 and 50. Prostate Cancer UK advises Black men and men with a family history to speak to their GP from 45. The check-up is therefore available from 45; for a man of 45 to 49 at ordinary risk, that is earlier than the European advice.
Why two ultrasound scans?
Because they measure different things. The scan through the abdomen shows the bladder and gives an estimate of the size of the prostate. The transrectal scan sits directly behind the gland and measures it accurately. Both are on the list our doctors drew up. If you would rather not have the transrectal scan, it is left out and you do not pay for it.
Is a physical examination included?
No. An examination of the prostate is carried out by a doctor, and no doctor examines you during the check-up. Your own doctor can do one, and your results will help.
Who designed the check-up?
The doctors of our Medical Board. They designed the plan from the published guidelines and research of the world’s leading medical institutions, and they approve every laboratory, clinic and nurse we use. Where the check-up goes further than the guidelines, we say so, test by test. The sources are on the evidence page.
What does my medical coordinator do?
Everything except the tests themselves. Your coordinator plans the day around your address, books every appointment, stays in touch with you and with every clinic through the day, gathers every report and makes sure your results are complete and on time. Your coordinator does not give medical advice.
How do I prepare?
Your coordinator sends you instructions with your itinerary. In outline:
For 48 hours before your blood test, do not ejaculate, do not cycle and do not do anything else that leaves you out of breath. The NHS also says no anal sex in those 48 hours, and Prostate Cancer UK advises avoiding any stimulation of the prostate for a week.
If you have had a urine infection, the PSA test has to wait: the NHS says four to six weeks after the infection has cleared. Tell your coordinator, too, if you have had a prostate biopsy, a catheter or an operation on your bladder or prostate in the last six weeks, or if you take finasteride or dutasteride, which lower the PSA level.
You can eat and drink as usual, but do not eat meat in the 12 hours before your nurse arrives: NICE advises this before a kidney function test.
Come to the clinic with a comfortably full bladder. If you can manage it, do not pass urine for two to three hours beforehand. The scan through the abdomen is done first, on the full bladder; then the flow test; then the transrectal scan.
Does my blood have to be taken at home?
No. A nurse at home saves you a journey. If you would rather not have a visit, your samples are taken at one of our partner clinics on the same morning. The price is the same.
I do not live in London. Can I have the check-up?
Yes. Our partner clinics are in central London, and you come in for the day. Our nurses visit homes in London only, so your samples are taken at a clinic. Your coordinator plans the appointments close together.
Can I leave something out?
Only what you have already had. If you have had an ultrasound scan of your prostate or a urine flow test in the last two years, we leave it out and you do not pay for it. Add your earlier report when you see your plan, and it goes into your summary. The transrectal scan is also left out, and not charged, if you would rather not have it.
Can I add something?
Eight things, and only those eight: an ultrasound scan of the kidneys and bladder with the residual volume, a lymph node scan, an MRI of the pelvis, the male hormone panel, a whole-body MRI, the symptom score (no charge), a cholesterol profile, or the vitamin panel. They are not part of the check-up, and you add them when you see your plan.
Is it really all done in one day?
Yes, genuinely, for the whole check-up: nothing in it has to be cultured or read by a cytologist, so nothing takes days. Your samples are taken first, so the laboratory works while you have your clinic tests. The laboratory needs up to six hours, each clinic reports to us the same day, and your summary follows within the hour. With the nurse at 07:30, every result is ready by 15:30. The blood and urine tests are measured in hours and all three clinic tests are read on the spot. If you add an MRI scan, its report follows within two days; a whole-body MRI, within three.
Does any of it involve radiation?
No. All three scans in the check-up use ultrasound, and the MRI scans you can add use magnets. None of them uses X-rays.
Who explains my results?
Your doctor. You receive the full reports and a summary. The summary sets out every result clearly and gives no medical advice. Take both to your own doctor, or we can book you an appointment with one of ours as a separate service.
What if a result needs urgent attention?
That is decided by the laboratory and by the clinician who reports your clinic tests. If either marks a result as urgent, your coordinator telephones you the same day, and it is stated at the top of your summary.
Do I need a referral?
No. None of the tests in the check-up uses X-rays, so no referral is needed. If you add an MRI scan, the imaging clinic first checks that it is safe for you: it may not be possible if you have a pacemaker or other metal in your body.
Who carries out the tests?
London laboratories, clinics and nurses chosen by us and approved by our Medical Board. We work only with clinics and nursing services registered with the Care Quality Commission, with nurses on the Nursing and Midwifery Council register, and with laboratories accredited by UKAS.
What does the price cover?
Everything in the check-up: the plan, your nurse at home, every laboratory test and clinic test, your medical coordinator and your results in full with a summary. If something is left out of your plan, you do not pay for it. A car between clinics and an appointment with one of our doctors are separate.
When do I pay?
Once your day is confirmed. Your coordinator telephones you, checks your address and agrees your final plan with you. Nothing is booked, and nothing is charged, until you agree.
Can I arrange it for someone else?
Yes. Say so when you send your request, and your coordinator will contact him directly.