The idea appeals to everyone: an annual health MOT that catches problems before they become serious, like servicing your car before it breaks down. Private clinics offer packages from £500 to £5,000+, promising comprehensive assessment.

The real question isn't whether preventive health assessment has value. It does. The question is whether the package you're buying gives you useful medical intelligence — or just expensive reassurance with impressive branding.

What a solid health assessment should include

Heart health assessment: Blood pressure, full lipid panel (including ApoB), blood sugar (HbA1c), kidney and liver function. For men over 65, check for abdominal aortic aneurysm. For anyone with family history of heart disease, advanced markers like Lp(a) and coronary calcium scoring.

Age-appropriate cancer screening: Follow national screening recommendations for your age, plus additional screening based on your personal or family risk factors.

Metabolic health: Fasting blood sugar, insulin resistance, thyroid function. This is basic but often skipped in standard NHS checks.

Lifestyle review: A structured conversation, not a questionnaire, about your exercise, sleep, stress, alcohol use, and work environment risks.

What most health MOTs include that you probably don't need

Whole-body MRI without a clinical reason. Extensive food sensitivity tests. Telomere length testing. "Biological age" scores. IV vitamin infusions. These are impressive marketing, not evidence-based medicine.

Who should actually get one

Adults over 40 with heart disease risk. Anyone with family history of cancer, heart disease, or diabetes. High-stress professionals without time for preventive care. People who haven't had a full assessment in years.

The real value isn't the tests themselves — it's someone reviewing all your results, understanding your complete health situation, identifying what actually matters, and creating a plan you can follow. More on what's worth the money and what isn't.