Advanced Health MOT
A deeper investigation into respiratory, hormonal, and metabolic health. Includes diagnostic imaging and one year of ongoing clinical support.
About the Advanced MOT (£999)
Who is this for?
The Advanced MOT is designed for individuals wanting deeper investigation beyond basic blood tests. This package adds chest X-ray imaging, lung function testing, and comprehensive hormone profiling to the Essential MOT screening.
It's particularly appropriate for:
- Adults seeking age-appropriate screening
- Current or former smokers
- Those with respiratory symptoms or occupational lung disease risk
- Women concerned about hormonal health (fertility, PCOS, menopause)
- Men with symptoms of low testosterone
- Anyone wanting ongoing private GP access (package includes 4 GP appointments worth £600 valid for one year)
Additional Tests in Advanced MOT
Includes everything in the Essential MOT, plus:
Chest X-Ray (CXR)
A chest X-ray produces images of your heart, lungs, airways, blood vessels, and bones of the spine and chest. The procedure involves standing in front of an X-ray machine whilst radiographic images are captured from front and side views. You'll need to remove upper body clothing and metal objects. The process takes approximately 5 minutes and is painless, though you'll need to hold your breath for a few seconds whilst images are captured.
Chest X-rays can detect:
- Lung cancer: The UK's deadliest cancer, causing over 35,000 deaths annually. Early detection dramatically improves survival rates. Chest X-rays may show masses, nodules, or abnormal shadowing requiring further investigation with CT scanning
- Chronic obstructive pulmonary disease (COPD): Including emphysema and chronic bronchitis, primarily affecting smokers
- Pneumonia and tuberculosis: Infections causing lung consolidation visible on X-ray
- Pleural effusions: Fluid accumulation around lungs
- Cardiac enlargement: An enlarged heart suggests heart failure, valve disease, or long-standing hypertension
- Aortic aneurysms: Dangerous widening of the body's main artery
- Rib fractures or bone abnormalities
Radiation exposure from chest X-ray is minimal (equivalent to a few days of natural background radiation) and the cancer detection benefit far outweighs any theoretical risk. Results are typically available within 3 to 5 working days. A consultant radiologist analyses the images and provides a detailed report.
Lung Function Testing (Spirometry)
Spirometry measures how much air you can inhale and exhale, and how quickly you can exhale. This test assesses lung capacity and airflow, detecting conditions like asthma and COPD before symptoms become severe.
During the test, you'll breathe into a mouthpiece connected to a spirometer. Wearing a nose clip to ensure all breathing occurs through your mouth, you'll be asked to inhale deeply, exhale forcefully, and continue exhaling until your lungs are empty. This is repeated several times. The test takes approximately 10 to 15 minutes.
The Spirometer Measures:
- • Forced Vital Capacity (FVC): Total volume of air you can exhale after maximal inhalation
- • Forced Expiratory Volume in 1 second (FEV1): Volume of air exhaled in the first second
- • FEV1/FVC Ratio: The proportion of vital capacity expelled in the first second; reduced ratio indicates airflow obstruction
Can Detect:
- • COPD: Typically in current or former smokers, causing progressive breathlessness
- • Asthma: Reversible airflow obstruction causing wheeze, cough, and breathlessness
- • Restrictive lung diseases: Such as pulmonary fibrosis
- • Early lung function decline: Allowing intervention before symptomatic disease develops
Is spirometry uncomfortable? No. The test requires forceful exhalation which may feel tiring, and some people feel slightly dizzy from hyperventilation, but it causes no pain.
Advanced Thyroid Function Tests
In addition to the TSH and Free T4 included in the Essential MOT, the Advanced package includes:
- Free T3 (Triiodothyronine): The active thyroid hormone. Some people have normal T4 but low T3, causing hypothyroid symptoms despite standard tests appearing normal
- Thyroid Peroxidase Antibodies (TPO-Ab): Auto-antibodies attacking the thyroid gland. Presence indicates autoimmune thyroid disease (Hashimoto's thyroiditis or Graves' disease), which may cause thyroid dysfunction
These additional tests provide a more complete picture of thyroid health, particularly valuable if you have symptoms despite normal basic thyroid tests.
Vitamin B12
Vitamin B12 (cobalamin) is essential for red blood cell production, DNA synthesis, and neurological function. Deficiency causes megaloblastic anaemia, neurological problems including numbness, tingling, balance difficulties, memory problems, and in severe cases, irreversible nerve damage. B12 deficiency affects vegans/vegetarians unless supplementing, people with malabsorption conditions, those taking certain medications (metformin, proton pump inhibitors), and older adults. Easily treated with injections or high-dose oral supplements.
Vitamin D
Vitamin D is synthesised in skin exposed to sunlight and obtained from limited dietary sources. In the UK's northern latitude and indoor lifestyles, deficiency is extremely common, affecting approximately 40% of the UK population, particularly during winter. Essential for calcium absorption and bone health, immune function, muscle strength, cardiovascular health, and mood regulation. Deficiency causes osteomalacia, osteoporosis, muscle weakness, fatigue, and mood disturbances. Testing allows targeted supplementation.
Hormone Profile (Male or Female)
Hormones regulate reproduction, sexual function, mood, energy, metabolism, and numerous physiological processes. The Advanced MOT includes comprehensive sex hormone profiling appropriate to your gender.
Male Hormone Profile
- Testosterone (total and calculated free): The principal male sex hormone. Low testosterone (hypogonadism) causes reduced libido, erectile dysfunction, fatigue, loss of muscle mass, increased body fat, mood disturbances, and osteoporosis. Affects approximately 40% of men over 45 to some degree
- Sex Hormone Binding Globulin (SHBG): A protein that binds testosterone, making it biologically inactive. Only free (unbound) testosterone is active
- Free Androgen Index (FAI): Calculated ratio indicating bioavailable testosterone
- Oestradiol: The primary oestrogen. Men produce oestradiol through conversion of testosterone. Excess causes gynaecomastia, whilst low levels affect bone health and libido
- Luteinising Hormone (LH) and Follicle Stimulating Hormone (FSH): Pituitary hormones stimulating testosterone and sperm production. Levels help distinguish primary testicular failure from pituitary/hypothalamic causes
- Prolactin: Elevated prolactin causes erectile dysfunction, reduced libido, infertility, and gynaecomastia. Causes include pituitary tumours, medications, and hypothyroidism
Female Hormone Profile
- Oestradiol: The primary oestrogen produced by ovaries. Levels vary throughout the menstrual cycle. Low oestradiol suggests ovarian dysfunction or menopause. High levels may indicate PCOS or oestrogen-secreting tumours
- Testosterone: Women produce small amounts. Elevated levels suggest PCOS or other androgen disorders, causing irregular periods, excess hair growth (hirsutism), acne, and fertility problems
- SHBG and FAI: As described for males
- LH and FSH: Regulate the menstrual cycle and ovulation. PCOS: typically shows elevated LH:FSH ratio. Primary ovarian insufficiency: elevated FSH with low oestradiol. Hypothalamic amenorrhoea: low FSH and LH
- Prolactin: Elevated prolactin causes irregular periods, infertility, and inappropriate breast milk production (galactorrhoea)
For accurate results, women should ideally have blood drawn on day 2-5 of their menstrual cycle for fertility assessment, though testing can be performed at any time for other indications.
One Year Private Health Coverage
The Advanced MOT (and higher-tier packages) include four GP appointments worth £600, valid for one calendar year from your health MOT date. This provides ongoing access to private GP care for any health concerns that arise. Standard GP consultations at our clinic cost £150 each.
These appointments can be used for:
Is the Advanced MOT right for me?
Choose the Advanced MOT if you want more comprehensive investigation than the Essential package, particularly if you have respiratory concerns, want hormone assessment, or value ongoing private GP access. The inclusion of imaging and functional testing (chest X-ray, spirometry) provides additional reassurance beyond blood tests alone.
Want Even More Comprehensive Screening?
Upgrade to include ultrasound imaging, tumour markers, and specialist consultations
Treatment Menu & Fees
Transparent pricing for all our services.
