What was the inspiration behind Concierge Screening?
The standard approach to screening has traditionally leant heavily on tests, the implication being that if your tests were normal then so were you. Unfortunately, this often isn’t the case. Our focus is on cardiovascular disease and cancers. Blood tests in general are typically useless predictors of your risk of having or developing these conditions. I want the patients to understand the nuances of testing rather than placing blind faith in any single test. This demands we educate our patients to make better and informed choices about their health and future choices.
What sets Concierge Screening apart from other screening offerings?
Consultant Led -Our service is designed, led and overseen by a consultant who works carefully to train our doctors to provide an individualised assessment for each patient.
Patient Specific -We recognise that there is no one size fits all approach to screening so we ask each patient to fill out a detailed questionnaire in the weeks prior to their arrival. This allows us to analyse each person’s unique risk profile and history in advance so we can plan which elements to focus on in the consultation.
Holistic – We appreciate the roles that sleep, stress, society, diet and exercise play in our lives and engage with our patients to prioritise these areas in their lives.
Point of care diabetic and cholesterol blood tests mean patients get results there and then which allows real time doctor review and interpretation.
Specialist access – Throughout my 25 year career in Emergency Medicine I have been privileged to work closely alongside consultant colleagues in disciplines such as cardiology, gastroenterology and radiology. Their expertise and professionalism are available to all of our Concierge Screening clients should they be needed. Our vision is to provide the complete journey from screening to diagnosis to treatment should it be required.
What does a consultation entail?
- A pre-assessment Questionnaire is to be filled in by the patient in the week before the consultation. This allows us the time to focus on the particular medical history of each individual as each questionnaire is analysed by the doctor before the consultation.
- Nurse assessment on the day of the consultation.
- Blood pressure
- Weight, Height
- Waist-to-hip ratio
- Body Mass Index
- Respiratory Spirometry Test
- Electrocardiogram. (Resting ECG – tracing of the heart)
- Urinalysis for blood, protein, infection and kidney function.
- Diabetic and cholesterol bloods by point of care with results immediately available.
- Further Laboratory tests available include
- Full Blood Count and differential
- Liver Function Profile – Bilirubin, Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST), Gamma-Glutamyl transferase, Total Protein, Albumin, Globulin.
- Bone Profile – Calcium, Magnesium, Phosphate
- Kidney Profile – Sodium, Potassium, Chloride, Urea and Creatinine
- PSA blood test for prostate
- Doctor consultation
- Health Issues
- Medical History
- Family History
- Lifestyle Analysis
- Cardiovascular Risk Assessment
- Osteoporosis Risk assessment
- Doctor Examination
- Cardiac Examination
- Respiratory Examination
- Abdominal Examination
- Testicular Examination in men
- Breast Examination in women
- Dermatology Exam
- Other tests are available should they be deemed necessary on the basis of the consultation and will be organised by our doctors with our specialist consultant partners. Examples include.
- Colonoscopy / Gastroscopy
- CT Calcium Cardiac Score
- Genetic Counselling and Specialist Referral
- Cervical Smear Test
- Chest x ray
- Wellness discussion – Many people would define being “well” as the absence of disease and attend screenings to be hopefully told that on the day there are no red flag findings noted. We would take an alternative view. For many of us there exists a large gap between not having any current diseases and being “well”. Lots of us thankfully are not suffering from medical conditions and yet do not feel well. My hope is to switch the focus from looking for illness to the search for wellbeing.
- A full written record of the visit with the patient’s results and doctor’s recommendations are sent to each patient after the visit.
- Any onward consultant specialist referrals are made on the patient’s behalf by our doctors.
How long does it take?
1.5- 2 hours
Can I have a whole body MRI which would clearly show me if there is anything to worry about?
No, you can’t. We wish such a test existed but the truth is that there are no perfect tests in medicine and screening in particular is bedevilled with the often false promises that lots of testing equates to value for money and better outcomes for the patient.
Our responsibility is to educate each patient and become their advocates in trying to choose which tests if any are suitable for them.