Longevity & prevention
Know your risk while you can still change it
Cardiovascular disease and type 2 diabetes develop over decades and are largely preventable. A structured assessment of where you actually stand, explained in numbers you can understand, with the honest version of what changes them.
Fully online. Video consultation with Dr Qurbain, medication dispensed to your door, and no need to travel anywhere.
Feel fine, and want to keep it that way?
If any of these sound familiar, this consultation was built for you.
Nothing is wrong. That is exactly why this is worth doing now.
You want your real risk, calculated, not a wellness score.
You want to know which numbers matter and which do not.
You want it in writing, and your GP told what counts.
This service measures and explains. It does not prescribe.
You get an objective risk assessment: measured blood pressure, measured weight and waist, blood tests, family history, and a validated cardiovascular risk score calculated from all of it. Then the result explained properly — including your absolute risk and the absolute benefit of any intervention, not just the percentage reductions that sound more impressive than they are.
What this service deliberately does not do is prescribe. If your risk score indicates a statin discussion, or your HbA1c meets the threshold for diabetes, you get the result, the discussion and the letter — and your GP makes the prescribing decision, because they hold the ongoing relationship and the follow-up. That is the right place for it.
How it works
Four steps, all from home
Measured properly, not once
Blood pressure measured by you on a validated home monitor, with your technique checked on video, and at least two readings on separate occasions before any risk calculation is finalised. Weight, height and waist measured on camera with instruction.
Blood tests
Lipid profile, HbA1c, kidney and liver function, thyroid function, and anything else clinically justified and recorded. Results are reviewed by the doctor before any risk discussion and before any referral letter is written.
Your risk, calculated and explained
A validated cardiovascular risk score calculated from your own measurements and bloods, then explained in plain terms — what the number means, what moves it, and by how much. Family history and lifestyle factors recorded.
Written up, and referred where it counts
You get the result and the discussion in writing. Where it crosses a threshold that needs acting on, your GP is written to with the reasoning — and a diagnostic-level HbA1c goes to them the same working day.
The thresholds that change what happens next
This service measures and explains. Where a number crosses one of these lines, you get the result and the discussion in writing, and your GP makes the prescribing decision.
10%
Cardiovascular risk score
At or above 10% over ten years, a statin discussion is indicated. We do not prescribe it — you are referred to your GP, who holds that decision.
48
HbA1c, mmol/mol
At or above 48 — confirmed on a second occasion if you have no symptoms — is a diagnosis of diabetes. Your GP is told the same working day.
45–61
The only group offered PSA screening
Men in that age range with a confirmed pathogenic BRCA2 variant and relevant family history. Population screening is explicitly not recommended.
12 months
When to repeat
Or sooner if something changes — a new diagnosis, a new family history, a significant change in weight.
What is assessed
Cardiovascular
- Blood pressure, measured properly and more than once
- Full lipid profile
- A validated risk score using your own numbers
- Family history of premature cardiovascular disease
- Smoking, alcohol, activity, diet and sleep
Metabolic
- HbA1c, against the diagnostic threshold
- Weight, height, BMI and waist circumference
- Kidney, liver and thyroid function
- Where diabetes is diagnosed, you are told, your GP is told the same working day, and management moves to them
Advice and signposting
- Diet, activity, alcohol and smoking advice, as set out in the diet and nutrition service
- Which NHS screening programmes you should be in, and a nudge to attend them
- A point-in-time assessment, repeatable in 12 months or sooner if something changes
What this is, and what it is not
This is a risk assessment and advice service. It identifies risk and signposts; it does not make diagnoses that need examination or investigation beyond what a remote service can do, and it does not prescribe. It also does not replace or duplicate NHS screening — bowel, breast, cervical, aortic aneurysm and diabetic eye screening all stay with your GP and the national call-and-recall systems, which is where they belong. Where a referral is made, our involvement ends at that point; we do not track what your GP does next.
On PSA testing, specifically
Side effects, and what to do about them
Read
This is where honest practice and commercial appeal part company, so it is worth being direct.
- The UK National Screening Committee, confirmed at its March 2026 meeting, recommends PSA screening only for men aged 45 to 61 with a confirmed pathogenic BRCA2 variant and a relevant family history. For that group we identify eligibility and refer you into the proper pathway.
- Population screening, and screening of any other risk group, is explicitly not recommended. That is a narrower position than the “informed-choice PSA for any man who asks” you will see advertised, and this service is written to the narrower one.
- If you are outside that group and still want the test, you get a full recorded discussion of its poor specificity and the real risk of over-investigation and overdiagnosis from a raised result. If you still want it, it is arranged through your GP — so that an abnormal result is followed up inside normal urological care rather than as a one-off remote finding.
When this is the wrong service for you
Who this service cannot treat, and why
Read
Several groups are better served elsewhere, and being told that is more useful than being assessed anyway.
- Already under GP or specialist management for the thing being assessed — for example already on a statin and under review. You are signposted back rather than having that work duplicated
- Known diabetes, established cardiovascular disease, or familial hypercholesterolaemia — your baseline risk is higher than any risk calculator assumes, and you need GP or specialist assessment. Referred
- Pregnancy — the risk tools and the lipid pathway are not validated in pregnancy
- Anyone under 18
- Chest pain, breathlessness, or anything suggesting acute cardiovascular disease — that is an emergency pathway, not a risk assessment
- Unexplained weight loss, blood in the urine, bone pain or anything else suggesting cancer — referred on the relevant urgent pathway
- Excessive thirst and passing urine frequently with a raised glucose — possible new diabetes needing prompt management, not a routine appointment
A point in time, repeatable
The full review and monitoring schedule
Read
This is not an ongoing prescribing relationship, so there is no supply-linked review cycle. Where no referral is triggered, you are told plainly that this is a point-in-time assessment, and offered a repeat in 12 months — or sooner if something changes: a new diagnosis, a new family history, a significant change in weight. Your GP is written to with the risk score and the discussion whether or not a referral is made.
Our approach follows current national guidance. See the guidelines we work to.
Initial consultation
Your initial consultation is paid when you book, before the consultation, and is charged whether or not treatment is prescribed. A follow-up review is paid when it happens, and only if you or your doctor decide you need one.
Joining the waiting list is free. Medicine, if prescribed, is bought separately from the dispensing pharmacy and its cost is confirmed with you before you pay for each supply.
Video consultation, measured blood pressure and body measurements, full blood panel reviewed by the doctor, risk score calculation and explanation, written summary, and a GP letter where one is indicated. This service does not prescribe, so there is no medication cost.