The scope of care
Everything your health needs, coordinated by one team.
Six standing areas of care, held together by a named physician and a single record. Some of it happens once a year in one building. Some of it happens quietly, all year, in the background of a life that is already busy.
01 — Assessment
The annual assessment.
Two days, in one place, once a year. Non-contrast whole-body MRI with dedicated brain and spine sequences, read by a subspecialist radiologist and then compared against your prior year. More than a hundred and fifty biomarkers. Coronary calcium scoring, advanced lipids and lipoprotein(a), and a cardiopulmonary exercise test that establishes what your heart and lungs actually do under load.
Alongside that: multi-cancer early detection blood testing, DEXA, a continuous glucose monitoring period, VO₂ max, a cognitive baseline, an at-home sleep study and genomic sequencing with counselling. Two weeks later you sit down with your physician for the findings consultation, which is written and spoken in plain language, with the uncertainty named where it exists.
Included
- Whole-body MRI, subspecialist read
- 150+ biomarker panel
- CAC score, Lp(a) and ApoB
- CPET, VO₂ max and DEXA
- MCED cancer screening blood test
- Cognitive baseline, sleep study, genomics
The assessment year, from imaging day to interim review
02 — Care team
Your care team.
Three people, named to you at the start and unchanged unless you ask. A lead physician who holds the whole picture and reads your results before you see them. A care manager who books, chases, collects and files, so that no appointment depends on you remembering it. A clinical nurse for the work that happens at home.
Behind them is one record. Imaging, bloodwork, cardiac studies, genomics, wearable data and every clinical note sit in the same encrypted file, versioned by year. The member line answers twenty-four hours a day and puts a physician on the call, not a triage script.
One record, six strata, one owner
Included
- A named lead physician
- A care manager, weekdays
- A clinical nurse for at-home work
- Member line, 24 hours
- One record, one login
- Written summary after every episode
03 — Protocols
Longevity protocols.
What the assessment finds has to turn into something you can do. Your physician writes an individual plan across sleep, training, nutrition and metabolic health, sized to the life you actually lead rather than an ideal one. Every current medication and supplement is reviewed, and the list is usually shorter afterwards.
These are protocols we coordinate and monitor, not outcomes we promise. Each one has a measure attached and a date to look at it again, at three, six and nine months. Where something is not working we say so and change it, and where the evidence is thin we tell you that too.
Included
- Sleep assessment and plan
- Training prescription, reviewed quarterly
- Nutrition and body composition
- Metabolic and glycaemic control
- Medication review and deprescribing
- Structured follow-up at 3, 6 and 9 months
04 — Specialists
Specialist access and second opinions.
We hold named consultants in cardiology, oncology, neurology, endocrinology and orthopaedics across London, Zurich, New York and Singapore. They are people the practice has used before, not a directory. When you need one, the appointment is made for you and the timing is measured in days.
Before you arrive, your care manager sends a prepared case file ahead: the relevant imaging, the trend rather than a single reading, prior letters and a clear question. A second opinion on a diagnosis or a proposed procedure is a normal part of membership, and asking for one is never treated as a complication.
Included
- Named consultants in four cities
- Second opinions coordinated within days
- Case file prepared and sent ahead
- A physician attends where it helps
- Multidisciplinary review for complex cases
- Written summary of every opinion given
05 — Travel
Medical travel.
Members are away for a large part of the year, so the practice works on the assumption that you will need care somewhere we are not. Before you go, we advise on vaccination and on what to carry, and we identify accredited facilities at your destination that we would be content to send you to.
If something happens while you are travelling, the member line reaches a physician regardless of the hour. We brief the treating clinicians, send the record, and where repatriation is appropriate we coordinate it with your insurer and your family rather than leaving you to negotiate it from a hospital bed.
Included
- Medical cover while travelling
- Vetted facilities by destination
- Repatriation coordinated with your insurer
- Vaccination and pre-travel advice
- Records and prescriptions in transit
- Member line across time zones
06 — At home
At home.
A great deal of routine medicine does not require a waiting room. Our clinical nurses draw bloods at home, give vaccinations, supervise infusions and follow up after procedures. Portable imaging is brought to the home where the modality allows it, and where it does not we book the shortest possible visit.
Membership is held by household, so a spouse and children sit on the same record and are seen by the same physician. Parents can be added case by case, which is often the part members value most, and usually the part they ask about last.
Included
- At-home phlebotomy
- At-home imaging where possible
- Vaccination at home
- Infusion supervision by a nurse
- Spouse and children on the same record
- Parents, case by case
07 — Boundaries
What membership does not do.
Worth saying early, and plainly. A practice that is clear about its edges is easier to rely on inside them.
We are not an emergency service.
In an emergency you call your local emergency number first. Then you call the member line, and we take over the coordination from there — records sent, consultants briefed, family informed.
We do not replace your GP.
Your family doctor and local providers stay exactly where they are. We write to them, share findings with your consent, and make their job easier rather than duplicating it.
We sell nothing but our time.
No supplements, no devices, no commission from any laboratory, imaging centre or facility we send you to. Our fee is the whole of our income, which is what keeps our advice worth having.
08 — Next
One fee, one team, the whole of the above.
Membership is annual and held by household. What it includes, what sits outside it, and what a year with the practice costs are set out in full on the membership page.