✦ Membership
What membership is.
A senior Principal Physician who knows you, a team of experts behind them, and a year planned around your health and performance goals, rather than reactive.
Your care is led by your Principal Physician, and guided by a Deep Dive assessment at the start of your membership and each subsequent year. Around them sits a team of experts, two further clinicians or scientists chosen for best fits your needs and goals, and a concierge coordinator, supported by our Concierge Care Team, who arranges and chases any health-related matters, so that you don't have to.
The year begins with an extended first Deep Dive consultation and the tailored assessments that follow from it. This is followed by a results review, quarterly reviews, and a written programme that gets updated as the year goes on. Between those visits, your team is on hand for any unplanned bumps throughout the year.
You keep your own GP and any specialists you already see. We work alongside them.
A curated health journey.
✦ Wherever you are
Care that travels with you.
Most of what we do can be done remotely, which means we can support you wherever you happen to be. We look after members internationally and, where necessary, coordinate with a registered local provider.
For people who travel frequently between countries, that is usually the thing they have never had: continuity of one clinician who knows their full history, rather than a new one in each city.
✦ The two tiers
Two levels of membership.
Foundational and Comprehensive. Both have the same core foundational components; the difference is how much testing and coaching support is built into each one. We will talk you through both on the introduction call.
Foundational
For continuity, coordination and rapid expert support, with deeper assessment added as you need it.
Laboratory tests and scans, arranged at cost. Coaching built around your plan and structured research programmes, quoted in advance.
Comprehensive
Everything in Foundational, with the assessment programme and coaching included rather than arranged as you go.
Tests and scans beyond what is included are arranged at cost. Programmes and further time are quoted in advance, before any appointment is made.
✦ Annual Medicals
It starts with the Deep Dive.
Most annual medicals are a fixed battery of testing. Everyone gets the same panel, the same scans, and a report at the end. It is thorough, and much of it tells you nothing you needed to know.
Ours starts with ninety minutes with a physician. A forensic analysis of your journey you took to get to where you are today. Your medical history, what has run in your family, what you are actually worried about, and what you want to still be able to do in twenty years. Only then does anyone decide what to measure.
Some of what follows is foundational: bloods, cardiopulmonary exercise testing, body composition. Some depends entirely on you and your specific health vulnerabilities and performance goals.
You then sit down with your physician and go through what they mean, what to act on, and what to leave alone.
Inside membership, or on its own.
An annual assessment programme is included in all memberships and is available on its own for those who are not members.
✦ Questions
The questions people usually ask.
We own no laboratory, no diagnostic facility and no treatment centre, so no recommendation has to keep a facility busy. Anything arranged beyond your membership is quoted before it happens. Our revenue is the membership itself, which is why we will tell you to stop as readily as to start.
We read them properly: results from other clinics, scans, wearables, and whatever your own tools have told you. Your physician says which to repeat, which to leave, and which to act on. We do not re-run tests for the sake of thoroughness.
No. Your Principal Physician works alongside them. With your consent we bring your existing clinicians into the discussion directly, so decisions get made between the people involved rather than relayed through you. Where you would rather we kept our distance from someone, we do that instead. You decide who sees what.
No. We are a scheduled, physician-led service. Between reviews you have your team on a private message channel and we reply within one working day. In an emergency, call 999 in the UK or 911 in the US; your physician picks up the thread afterwards and, with your consent, speaks to whoever treated you.
A named colleague covers, with your notes and your plan in front of them. Your coordinator does not change, and we tell you who is covering.
Your physician stays yours. Consultations and the message channel travel with you. Where you need to be seen, we arrange it with a registered local provider we have checked, brief them, and read what comes back. We do not hand you over.
Yes. Family members join as members in their own right, each with their own physician relationship, their own plan and their own confidential record. What is shared between family members is each person's decision.
Membership is an annual fee at one of the two levels above. We give you both figures on the introduction and in writing before you decide. Tests and scans beyond your tier are billed at cost; further consultations and medicines are quoted in advance. The experiences are priced separately.
Your membership includes a defined programme of consultations: the Deep Dive, a results review, quarterly reviews and a year in review. Time beyond that, and consultations beyond your tier, are quoted in advance; tests and scans beyond your tier are arranged at cost. Medicines. Hospital and emergency care. The experiences, which are priced separately.
An introduction first: a half-hour conversation with one of our team, no charge and no obligation. If it fits, we send the agreement and introduce you to your physician and coordinator. Your first consultation follows within a few weeks. Occasionally we will say that we are not the right practice for someone; we would rather say it then than later.
✦ The next step
The next step is an introduction.
Half an hour with one of our team, at no charge and no obligation. If we are not the right practice for you, we will say so then.