Built around what actually changes after 50. Starts by making sure you are using the free screening you are entitled to.
Referred by a GMC-registered GP, results reviewed by the same doctor
Taken at a partner site near you
Results explained in plain English, not just a number
Your NHS records in the room, with your consent
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
Five-star Google reviews from the people we have looked after
Registered with the Care Quality Commission
Fifty is a reasonable point to take stock. Blood pressure has usually been drifting up for a decade, cholesterol matters more for treatment decisions than it did at forty, bone density starts falling in earnest after the menopause, and several national screening programmes become available to you.
We are going to start this page with something that costs you nothing.
The single most valuable health check available to you after 50 is free, arrives through your letterbox, and is thrown away by a third of the people who receive it. The bowel cancer screening kit is one of very few screening tests proven to reduce deaths. It takes a couple of minutes.
If you do only one thing after reading this page, do that one. It is worth more than any panel we could sell you.
This screen exists for what the free programmes do not cover — and the consultation starts by checking you are actually using the ones you are entitled to.
Cardiovascular risk — full lipid profile with LDL, HDL, the ratio and triglycerides, plus high-sensitivity CRP, feeding into a formal QRISK3 calculation. After 50 this stops being an abstract number, because it is the point at which the decision about whether to start a statin becomes a real one for many people.
Diabetes — HbA1c. Around one in three UK adults over 50 has blood sugar in the prediabetes range, and most do not know.
Kidney function — creatinine, eGFR, electrolytes and urine albumin-to-creatinine ratio. Kidney function declines gradually with age and causes no symptoms until it is well advanced, which is precisely why measuring it is useful.
Liver — ALT, AST, GGT, ALP, bilirubin, albumin.
Thyroid — with antibodies. Underactive thyroid becomes considerably more common after 50, particularly in women, and its symptoms are routinely put down to age.
Full blood count and ferritin. Iron deficiency after 50 is not a supplement decision — it is a signal to investigate the bowel, and this is one of the commonest ways bowel cancer is picked up in someone with no other symptoms.
B12 and folate — absorption falls with age, and B12 deficiency causes fatigue, tingling, poor balance and memory problems that get attributed to getting older.
Calcium, phosphate, vitamin D and bone profile — relevant to fracture risk.
PSA, for men, by discussion only — never as a default tick box.
If you already have annual reviews for diabetes, blood pressure or kidney disease, you are having most of these tests already. Paying to repeat them a few months out of step adds cost and no information, and we will tell you that rather than take the booking.
Included: full blood count · heart health with cholesterol, LDL, HDL, ratio, triglycerides and hs-CRP · formal QRISK3 cardiovascular risk calculation · HbA1c · kidney function with eGFR and urine ACR · liver function · thyroid function with antibodies · iron status with ferritin · B12 and folate · bone profile with calcium and vitamin D · urinalysis · total PSA for men where agreed after discussion.
Also included, and arguably the more useful half: a structured review of every free NHS screening programme and vaccination you are eligible for, and a written note of which ones you are behind on.
1. Consultation. We go through your history, your family history, and — first — which national screening programmes you are eligible for and which you have actually taken up. For a good number of people this is where the consultation ends up being worth the fee, because the answer is that the free checks cover what they needed.
2. Referral. To a Randox Health clinic at a time that suits you.
3. The sample. Fasting is usually required. If PSA is included, avoid vigorous exercise, cycling and ejaculation for 48 hours beforehand.
4. Results review. A full consultation, not a PDF. Every result read against your history, a QRISK3 score calculated, a FRAX fracture risk assessment where relevant, and a written plan setting out what to act on, what to ignore, and what to recheck and when.
Fasting is usually required. If PSA is included, avoid vigorous exercise, cycling and ejaculation for 48 hours beforehand, and the sample should not be taken within six weeks of a urine infection.
Raised cholesterol, HbA1c in the prediabetes range, mildly abnormal liver function, low vitamin D, and borderline kidney function. In this age group at least one of these is more likely than not.
An HbA1c of 42 to 47 mmol/mol means blood sugar above normal but below the diabetes threshold. It is a warning with a proper response.
The NHS Diabetes Prevention Programme is free and roughly halves progression to type 2 diabetes in people who complete it. You can be referred, and it is the single most useful thing a raised HbA1c leads to.
Kidney function declines gradually with age, and a single mildly reduced eGFR in someone over 60 is often normal for them. It needs repeating after three months before it means anything, and the urine ACR matters more than the eGFR alone for predicting what happens next.
Being told you have "stage 3 kidney disease" at 70 with a stable eGFR of 55 and a normal urine test is, for most people, not the frightening thing it sounds like.
What matters is your overall QRISK3 score, not the cholesterol number. That combines cholesterol with age, blood pressure, smoking, weight, ethnicity and family history.
A score of 10% or more over ten years is the threshold at which a statin is offered — and age alone pushes many people over it, which is worth understanding before deciding. That is a conversation, and we will have it properly rather than handing you a number.
Fatigue, pins and needles, unsteadiness, low mood and poor concentration — all frequently attributed to getting older, all reversible if B12 is the cause.
Low ferritin in anyone over 50, and in any man at any age, warrants investigation of the bowel rather than a course of iron tablets.
Taking iron and feeling better masks the problem without addressing it, and this is a recognised route to a delayed bowel cancer diagnosis. If your ferritin is low, ask what is being done about the cause.
General health checks in people without symptoms have not been shown to reduce death or serious illness. That has been examined repeatedly in large trials, and we are not going to pretend otherwise on a page selling one.
What broad panels reliably produce is borderline results. Across twenty tests, at least one falling outside the reference range is more likely than not — reference ranges are constructed that way. Each of those generates worry and sometimes further testing.
The national screening programmes. Bowel, breast, cervical and AAA screening are population programmes with evidence behind them. A blood panel is not an alternative to any of them, and anyone implying otherwise is misleading you.
PSA is not included by default and should never be added without a conversation. There is no national prostate screening programme precisely because the balance of benefit and harm is close, and overdiagnosis is the central problem. Twenty minutes on that decision is worth more than the test.
This list is the point of the page. All of it is free, and most of it has better evidence behind it than any private panel.
Return the bowel screening kit. It is free, it arrives in the post, it takes a couple of minutes, and it is one of the few screening tests proven to reduce deaths.
About a third of people never send theirs back. Nothing on this page beats it.
Possibly not, and we will say so. General screening in people without symptoms has not been shown to reduce death or serious illness.
If you are 40 to 74, the NHS Health Check covers much of this free. Start there.
There is overlap, but the emphasis is different. Those panels are organised around general and hormonal health.
This one is organised around what actually changes after 50 — cardiovascular risk that now drives treatment decisions, kidney function, bone health, B12, and a structured review of the free screening you have become eligible for.
The cholesterol number alone does not answer that. The decision rests on your overall ten-year cardiovascular risk, calculated from cholesterol, blood pressure, age, smoking, weight and family history.
A score of 10% or more is the threshold at which one is offered — and age alone moves many people over it. Whether to take it is your decision, properly informed.
Usually not, and it needs repeating after three months before it means anything. Kidney function falls gradually with age.
The urine protein test matters more than the eGFR, and a stable eGFR with a normal urine result in someone over 65 is generally not the alarming thing the label suggests.
No — and this is the most important answer here. Iron deficiency over 50 warrants investigating the bowel.
Taking iron and feeling better hides the cause, and it is a recognised route to a delayed bowel cancer diagnosis.
Only after a proper conversation. It is not included by default here.
There is no national prostate screening programme because the balance of benefit and harm is close, and most raised results are not cancer. Family history and Black African or Caribbean heritage shift the argument towards testing.
Blood tests do not measure bone density. Fracture risk is assessed with a FRAX calculation, and confirmed with a DEXA scan where indicated.
This matters most for women after the menopause, and for anyone who has broken a bone from a minor fall.
Sometimes. Anaemia, iron deficiency, thyroid disease, B12 deficiency and undiagnosed diabetes all show up here and all are treatable.
But sleep apnoea is a very common cause in this age group and does not show on a blood test, so a normal panel does not close the question.
Because it matters more than most of this panel and we cannot measure it remotely.
High blood pressure is silent, common after 50, and one of the most treatable causes of stroke. Many pharmacies check it free without an appointment, and a home monitor costs less than a panel.
It is worth doing occasionally, and it is free. Feel it for 30 seconds — if it is irregular, get an ECG.
Atrial fibrillation is often symptomless and substantially raises stroke risk, and it is very treatable once found.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 30, 2026
On this page
Ongoing
Time to be seen
Appointment length
Your NHS record in the room
Written treatment plan
Told when a test isn’t needed
Cost
Same day, usually
20 minutes
Yes, with your consent
Included
Yes, and told why
£40 for 20 minutes
Varies by practice
Typically 10 minutes
Yes, your full record
Not routinely
Usually
Free
Same day
Often 10 to 15 minutes
Usually not
Sometimes charged
Varies by provider
Often a subscription
Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.
Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.
Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.
No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.
Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.
£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.
It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.
Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.
If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.
Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.
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