The London General Practice — Executive Health Screening
At The London General Practice, our Essential, Advanced, and Ultimate Health Screens are built around your individual risk profile, age, and family history. Below is an overview of how we assess each body system, and the evidence behind the tests we use.
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Cardiovascular Health
Heart and vascular health form the foundation of every health screen we offer. We begin with the essentials — blood pressure, a resting 12-lead ECG, and a fasting lipid profile — and combine these with a formal 10-year cardiovascular risk calculation to give you a clear picture of your heart health, not just a set of numbers.
For clients at Advanced and Ultimate level, we add 3D echocardiography to assess heart structure and valve function, and carotid Doppler ultrasound to assess your arteries for early signs of atherosclerosis. At Ultimate level, we offer CT coronary angiography or stress echocardiography for a detailed, direct assessment of your coronary arteries.
References
- National Institute for Health and Care Excellence (NICE). Cardiovascular disease: risk assessment and reduction, including lipid modification. NICE guideline CG181.
- American College of Cardiology / American Heart Association. 2018 Guideline on the Management of Blood Cholesterol. J Am Coll Cardiol. 2019;73(24):e285-e350.
- European Society of Cardiology / European Atherosclerosis Society. 2019 ESC/EAS Guidelines for the Management of Dyslipidaemias. Eur Heart J. 2020;41(1):111-188.
Respiratory Health
We assess your lung health through spirometry, which measures how well your lungs are functioning, alongside a review of your smoking history and a calculated lung cancer risk score (PLCO). Where indicated by risk factors, we can arrange low-dose CT lung screening.
References
- National Health Service (NHS) England. Targeted Lung Health Check Programme.
- US Preventive Services Task Force. Lung Cancer: Screening. JAMA. 2021;325(10):962-970.
Gastrointestinal and Liver Health
Your digestive and liver health is assessed through a comprehensive blood panel
including liver function tests, alongside a calculated NAFLD (non-alcoholic fatty liver
disease) fibrosis score and a bowel screening test (FIT) to check for hidden blood in the stool.
At Ultimate level, we add Liver FibroScan for a detailed, non-invasive assessment of liver stiffness, and either CT colonography or a full abdominal ultrasound covering the liver and aorta.
References
- US Preventive Services Task Force. Screening for Colorectal Cancer. JAMA.
2021;325(19):1965-1977. - National Institute for Health and Care Excellence (NICE). Non-alcoholic fatty liver
disease (NAFLD): assessment and management. NICE guideline NG49. - NHS Bowel Cancer Screening Programme.
Kidney and Metabolic Health
We screen your kidney function through urea, electrolytes, and eGFR, alongside urinalysis. Your metabolic health is assessed through fasting glucose and HbA1c testing, which identifies diabetes and pre-diabetes at an early, manageable stage.
References
- US Preventive Services Task Force. Screening for Prediabetes and Type 2 Diabetes. JAMA. 2021;326(8):736-743.
- Kidney Disease: Improving Global Outcomes (KDIGO). Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease.
Endocrine and Nutritional Health
We assess thyroid function through TSH and T4 testing, and check for common nutritional deficiencies through vitamin D, vitamin B12, folate, and ferritin levels — all of which can affect energy, mood, and overall wellbeing.
References
- British Thyroid Association. UK Guidelines for the Use of Thyroid Function= Tests.
- National Institute for Health and Care Excellence (NICE). Clinical Knowledge Summary: Anaemia — B12 and folate deficiency.
Cancer Screening
Cancer screening is tailored to your age, sex, and personal and family history, and forms part of every tier of our health screens.
- Breast: Clinical breast examination at every tier; mammography and breast
ultrasound from Advanced level. - Cervical: HPV/cervical smear testing, where clinically appropriate.
- Bowel: FIT testing at every tier; CT colonography at Ultimate level.
- Prostate: Clinical examination and PSA testing, where clinically appropriate, at
every tier; prostate MRI from Advanced level. - Ovarian: CA-125 tumour marker testing, where clinically appropriate.
- Liver: AFP (alpha-fetoprotein) testing at every tier.
- Lung: PLCO lung cancer risk scoring at every tier.
References
- NHS Breast Screening Programme.
- NHS Cervical Screening Programme.
- US Preventive Services Task Force. Screening for Colorectal Cancer. JAMA. 2021;325(19):1965-1977.
- US Preventive Services Task Force. Screening for Prostate Cancer. JAMA. 2018;319(18):1901-1913.
- National Institute for Health and Care Excellence (NICE). Prostate cancer: diagnosis and management. NICE guideline NG131.
Musculoskeletal Health
We calculate your FRAX osteoporosis risk score — a validated tool combining your age, BMI, and personal risk factors to assess your ten-year fracture risk — alongside a full joint and gait examination as part of your physical assessment.
References
- Kanis JA et al. FRAX and the assessment of fracture probability in men and women from the UK. Osteoporos Int. 2008;19(4):385-397.
- National Osteoporosis Guideline Group (NOGG). Clinical guideline for the prevention and treatment of osteoporosis.
Neurological Health
Your neurological health is assessed as part of your consultation and full physical examination, including a review of any cognitive, mood, or sleep concerns you wish to
raise with your doctor.
References
- National Institute for Health and Care Excellence (NICE). Dementia: assessment, management and support. NICE guideline NG97.
Musculoskeletal, Vision, and Hearing
Beyond bone health, we assess your vision (including colour blindness screening) and hearing as part of your vital observations, alongside body composition analysis and BMI calculation.
References
- College of Optometrists. Clinical Management Guidelines.
- British Society of Audiology. Guidelines for hearing screening.
Well-Woman Health
Our well-woman screening includes breast examination, cervical screening where appropriate, and pelvic and transvaginal ultrasound at Advanced level and above. We also offer dedicated time to discuss contraception, pregnancy planning, and menopause, with a specialised menopausal consultation available for those who would like additional time and support.
References
- NHS Cervical Screening Programme.
- British Menopause Society. Guidance on management of the menopause.
- Royal College of Obstetricians and Gynaecologists. Green-top Guidelines.
Well-Man Health
Our well-man screening includes prostate and testicular examination, PSA testing where clinically appropriate, and prostate MRI from Advanced level — a modern, evidence-based approach that avoids unnecessary biopsy.
References
- National Institute for Health and Care Excellence (NICE). Prostate cancer: diagnosis and management. NICE guideline NG131.
- US Preventive Services Task Force. Screening for Prostate Cancer. JAMA.
2018;319(18):1901-1913.
Advanced Diagnostic Imaging
For clients seeking the most comprehensive assessment, our Ultimate Health Screen includes CT coronary angiography or stress echocardiography, Liver FibroScan, and CT colonography or full abdominal ultrasound — bringing together targeted, organ specific imaging guided by your individual risk profile.
References
- Society of Cardiovascular Computed Tomography. Guidelines for the interpretation
and reporting of coronary CT angiography. - Royal College of Radiologists. Standards for imaging referral.
Why choose health screening at The London General Practice?
- A comprehensive health assessment in just 90 minutes
- Bespoke services tailored to your company requirements
- In depth understanding of the challenges of occupational health
- Prevention, education and communication to improve health
- Individual, personal care at every level
- High quality Harley Street consulting rooms
- Full in-house testing facilities
- Access to medical care and advice 24/7
- Consultations can be arranged at your place of work
Get in touch to find out more information or book your Executive Health Check today
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