IMAGING & HORMONES · FROM £999

Advanced Health MOT

A doctor-led step above Essential with chest X-ray, lung function, VO2 Max, hormone tests and one year of follow-up GP access.

Added at £999

  • Chest X-ray, spirometry and VO2 Max
  • Male or female hormone profile
  • Vitamin D, B12 and advanced thyroid tests

75+ Markers and Measures

  • Everything in Essential
  • Heart, lung and hormone assessment
  • Interactive report of over 40 pages

12 Months of Follow-Up

  • Four GP consultations included
  • Results usually in 3 to 5 working days
  • Step up for gender-specific ultrasound
General Medical Council registered doctors

Est. 1984

Care Quality Commission

As Featured In

Advanced Health MOT in London

The Advanced Health MOT at Medical Express Clinic is a doctor-led assessment for adults who want more than the Essential baseline because lung function, fitness, hormones or follow-up GP care would answer a real question.

The Advanced MOT includes everything in the Essential MOT plus a chest X-ray, spirometry, VO2 Max, a male or female hormone profile, an advanced thyroid panel and vitamins B12 and D, covering 75+ health markers, measurements and investigations.

The Advanced Health MOT costs £999 and takes approximately 60 to 90 minutes on the day.

Advanced MOT results are usually ready within 3 to 5 working days in a secure interactive digital report of over 40 pages, and your doctor reviews every result, measurement and investigation before meeting you in person to go through the report.

The Advanced MOT also includes 4 GP appointments, unlimited in duration, to use across the 12 months from screening, which you can use yourself or share with immediate family.

Advanced MOT appointments run Monday to Friday at 117a Harley Street, London, with the chest X-ray arranged at a partner imaging centre nearby.

Services and prices

How much does an Advanced Health MOT cost in London?

The Advanced Health MOT costs £999 at Medical Express Clinic, including everything in Essential plus a chest X-ray, spirometry, VO2 Max, a hormone profile, vitamins B12 and D, an in-person review of your results and 4 GP appointments to use across the 12 months from screening, shareable with immediate family.

Advanced Health MOT

£999
  • Everything in Essential
  • 75+ health markers, measurements and investigations
  • Chest X-ray, spirometry and VO2 Max
  • Hormone profile (LH, FSH, prolactin, testosterone, oestradiol, SHBG, FAI)
  • Vitamin B12 and D
  • One year of follow-up GP access
Examination before interpretation

Why this is a doctor-led assessment

Advanced is more than extra tests added to a blood panel. Your GP takes your history, examines you and then reviews how the chest X-ray, lung function, VO2 Max, hormones and laboratory results fit the person in front of them.

That context helps the doctor decide whether a finding needs action, monitoring, repeat testing or no treatment, because a laboratory result is not a diagnosis by itself.

"The right MOT is not automatically the one with the longest list. We look at age, symptoms, family history and what the patient wants answered, then choose the level of investigation that is likely to be useful."

Dr Mohammad Bakhtiar, Clinical Lead, GMC 4694470

VO2 Max

Medical Express Clinic uses advanced algorithmic, FDA-cleared technology to estimate VO2 Max without requiring you to cycle or run to exhaustion.

Around 20%

of recent MOTs that included vitamin D testing found a low result. A low result is interpreted by the doctor with the rest of the assessment, not treated as a diagnosis by itself.

What is included

What the assessment looks at

Advanced groups the extra work around lungs, fitness, hormones and follow-up care, while keeping the Essential baseline of cardiovascular risk, metabolism, organ function and a doctor examination.

Heart, lungs and fitness

  • Blood pressure, pulse and oxygen saturation
  • 12-lead resting ECG
  • Chest X-ray, reported by a radiologist
  • Spirometry (lung function)
  • VO2 Max cardiovascular fitness assessment
  • Cholesterol and triglyceride profile
  • Glucose and HbA1c
  • Medical body composition analysis

Hormone and thyroid profiling

  • Male hormone profile: LH, FSH, prolactin, testosterone, oestradiol, SHBG and FAI
  • Female hormone profile: LH, FSH, prolactin, testosterone, oestradiol, SHBG and FAI
  • Advanced thyroid panel, including FT3 and thyroid antibodies
  • The clinic can advise the most useful timing for hormone bloods if you still have periods

Blood, vitamins and organ function

  • Full blood count
  • Iron and B12
  • Vitamin D
  • Liver function
  • Kidney function, including creatinine and eGFR
  • Uric acid, calcium, phosphate and alkaline phosphatase
  • Erythrocyte sedimentation rate
  • Urinalysis (pH, sugar, protein and blood)

Clinical examination and follow-up

  • Health & Lifestyle Questionnaire
  • GP consultation and structured physical examination
  • In-person results review
  • One year of follow-up GP access after the screening

Advanced does not include ultrasound, mammogram, tumour markers or MRI. If those investigations would answer your question more effectively, compare the four tiers on the full body MOT page.

Your visit

What happens at your appointment

Appointments run Monday-Friday at 117a Harley Street. Allow approximately 60-90 minutes on the day.

01

Before

Continue regular medicines unless instructed otherwise, arrive hydrated, and fast only if Medical Express Clinic gives you a specific instruction for your selected tests.

02

At the clinic

Your GP takes your history and examines you. The assessment then moves through vital signs, body composition, ECG, spirometry, VO2 Max and blood collection. The chest X-ray is arranged at a partner imaging centre nearby.

03

Results review

When the laboratory and imaging reports are complete, usually within 3-5 working days, you return for an included review with your doctor.

Continuity

Results, follow-up and one year of GP access

Your secure interactive digital report brings together your results, measurements and clinical findings in one place. Your GP reviews everything before the included appointment, then goes through the report with you and provides clear recommendations.

Advanced then keeps a named clinical thread after that review: one year of follow-up GP access at the same clinic. The service includes four GP consultations, unlimited in duration, for use during the 12 months from screening. You can use them yourself or share them with immediate family; they are not insurance.

47%

of screenings containing cholesterol markers had at least one high cholesterol-related finding. At the included review appointment, these results were explained, put in context and, where clinically appropriate, a treatment plan was agreed at no additional consultation cost. Prescriptions, medication, repeat tests and further appointments are separate.

This figure comes from Medical Express Clinic MOT results completed between 24/04/2026 and 25/08/2026. It describes what we see here, not UK-wide research. A high cholesterol-related result is not a diagnosis of cardiovascular disease. Results outside the reference range can be temporary, need no treatment, or be affected by medicines and supplements.

If a finding needs treatment, repeat testing or specialist input, Medical Express Clinic can coordinate the next step through a Harley Street specialist network built over more than 40 years. Ongoing care can stay within the same private GP practice rather than ending with a one-off screening report.

Choosing the right tier

When Advanced may not be the right step

Stay with the Essential MOT if you want a doctor-led baseline without chest imaging, lung function, VO2 Max, hormone profiling or follow-up GP cover. Compare the Elite MOT or Ultimate MOT when ultrasound, specialist input or MRI would answer a specific question.

Chest X-ray, spirometry and hormone bloods add useful information, but they cannot diagnose disease on their own and they cannot rule out cancer. A result outside the reference range needs interpretation, because it is not a diagnosis by itself.

New, severe or worsening symptoms need a symptom-focused GP or urgent assessment rather than routine screening. If Advanced identifies a concern, your doctor can arrange the focused test or referral appropriate to that finding.

Sources & References

  1. The NHS Health Check assesses cardiovascular risk factors including blood pressure, cholesterol and, where appropriate, blood sugar in eligible adults aged 40-74. — NHS: NHS Health Check[Link]
  2. Screening information should explain possible benefits, harms, false-positive and false-negative results, and the further tests that may follow. — UK National Screening Committee: informed choice[Link]
  3. Screening identifies people who may have an increased chance of a condition and often requires further diagnostic tests to confirm or exclude disease. — UK National Screening Committee: principles of screening[Link]
  4. NICE guidance covers identifying and assessing cardiovascular disease risk in adults without established cardiovascular disease. — NICE NG238: Cardiovascular disease risk assessment and reduction[Link]
  5. NICE uses tests such as CA125 and PSA within defined symptom-led assessment and referral pathways rather than as general cancer all-clear tests. — NICE NG12: Suspected cancer recognition and referral[Link]
Clinical leads
Dr Mohammad Bakhtiar

Dr Mohammad Bakhtiar

Health Screening and Men's Health • GMC 4694470

MD, PhD, LRCP, MSc, DHMSA

“Dr Bakhtiar has worked at Medical Express Clinic for over 20 years and leads the clinical team. His work includes health assessments, sexual health screening, diagnosis and treatment.”

Dr Penny Sheehan

Dr Penny Sheehan

Health Screening, Paediatrics and Menopause • GMC 6056535

“Dr Sheehan works in women's health, menopause care and health screening. She has training and experience in weight management, including GLP-1 receptor agonist prescribing, and a special interest in paediatric assessment.”

Service information reviewed 26 August 2026.

Guides from our clinicians

Written by Mr Stephen Lingam and reviewed by a named, GMC-registered doctor.

FAQs

Advanced MOT FAQs

What is included in the Advanced Health MOT?

Advanced includes everything in Essential, plus chest X-ray, spirometry, VO2 Max, hormone profiling, an advanced thyroid panel, vitamins B12 and D, and one year of follow-up GP access. The assessment covers 75+ health markers, measurements and investigations, with a GP consultation, physical examination, ECG, body composition analysis and an in-person doctor review. Results are usually ready within 3-5 working days.

Who is the Advanced MOT for?

It suits adults who want more than the Essential baseline because a respiratory, fitness, hormone or follow-up GP question would change the assessment. Choose it by what you need answered, not because the list is longer.

How does this differ from an NHS Health Check?

The NHS Health Check is a cardiovascular risk assessment offered to eligible adults aged 40-74. Advanced adds a private GP consultation and examination, ECG, body composition, chest X-ray, spirometry, VO2 Max, hormone profiling and broader laboratory testing. Neither replaces assessment for new or worsening symptoms.

Do I need to fast?

Fast only if Medical Express Clinic gives you a specific instruction for your selected tests, continue regular medicines unless the clinic tells you otherwise, and drink water before attending.

How long does the appointment take?

Allow approximately 60-90 minutes for the consultation, examination, ECG, chest X-ray, spirometry, VO2 Max, body composition and blood collection. Appointments are available Monday-Friday.

What report will I receive after the Advanced MOT?

You receive a secure interactive digital report of over 40 pages. Your doctor reviews every result before meeting you in person to go through the report, answer questions and agree any next step.

What follow-up GP access is included?

Advanced includes one year of follow-up GP access: four GP consultations, unlimited in duration, for use during the 12 months from screening. You can use them yourself or share them with immediate family; they are not insurance.

What happens if a result is outside range?

Your doctor interprets it with your examination, history and the rest of the profile at the included review. The next step may be no action, monitoring, lifestyle advice, treatment, repeat testing or specialist referral. A laboratory result is not a diagnosis by itself.

Should I choose Essential, Advanced or a higher tier?

Choose Essential for a baseline without imaging or hormone profiling. Choose Advanced when chest X-ray, spirometry, VO2 Max, hormones and one year of follow-up GP access would be useful. Elite and Ultimate add gender-specific imaging, specialist input or full-body MRI.

WhatsApp