A continuous management loop

Health for Life operates as a repeating cycle of assessment, planning, execution, and adjustment - not as a sequence of isolated appointments.

This page explains exactly what happens during your 12-month programme.

At A Glance

What happens:
Four stages over 12 months - Assess, Plan, Execute, Review & Adjust - repeated in a continuous loop.

Timeline:

  • Month 1: Foundational Assessment (baseline across all five pillars)

  • Months 2-4: Early execution and first adjustments

  • Months 5-11: Ongoing review and iteration

  • Month 12: Comprehensive annual review

What you receive:
BioStats Trajectory Report, 12-Month Health Trajectory Plan, Monitoring & Review Framework, plus ongoing physician oversight and repeat investigations throughout the year.

Investment:
Included in your annual membership (£12,500 - £26,900 depending on stewardship level).

Commitment:
12 months minimum. Renewable annually.

The Management Loop

At the centre is your health trajectory - the direction your health is moving over time.

Around this, we apply a repeatable loop across the five pillars (medical risk, nutrition, strength & conditioning, sleep, mental performance):

Assess → Plan → Execute → Review & Adjust

This loop repeats continuously throughout your membership, at a cadence determined by your level of stewardship.

Stage 1 (month 1)
Foundational Assessment

Every relationship begins with a mandatory Foundational Assessment. This is not a screening package or reassurance exercise—it's the first cycle of the health trajectory management loop.

Its purpose is to answer four questions with clinical discipline:

  1. Where are you now? (Baseline state across the five pillars)

  2. What direction are you trending? (Your trajectory, not just snapshots)

  3. What matters most for your health and performance? (Risk stratification and prioritization)

  4. How will we manage and measure this over 12 months? (The plan, monitoring framework, and review cadence)

What happens during Foundational Assessment:

Clinical intake and risk assessment:

  • Up to 2 hours of in-person physician consultation across two meetings

  • Detailed medical, family, and lifestyle history

  • Exploration of your concerns, goals, and constraints

  • Pre-consultation health questionnaire completed online

Targeted investigations (clinically indicated, not bundled for marketing appeal):

    • Comprehensive biomarker panels covering hormone health, cardiometabolic risk, nutritional status, and cancer markers (PSA for males, HPV for females, faecal immunochemical testing)

    • 12-lead ECG, ambulatory blood pressure monitoring, spirometry

    • Imaging (evidence-based and risk-appropriate): CT coronary angiogram with calcium score for those meeting clinical criteria, CT chest for those with smoking history, breast MRI for women where indicated

    • Additional imaging only when clinically warranted following risk assessment

    Important: Medical investigations are completed and reviewed before exercise testing. If we identify any reason why you should not undergo strenuous exercise assessment—uncontrolled hypertension, significant cardiac abnormalities, unstable metabolic conditions—we address these first or modify the testing protocol appropriately. Your safety during baseline assessment is non-negotiable.

    Specialist referrals when indicated: If your assessment identifies concerns or conditions requiring specialist input, we coordinate referrals seamlessly—either to specialists within our partner network (OneWelbeck) or to your preferred consultant if you have an existing relationship. You will not need to navigate the referral process yourself.

    • DEXA scan for body composition and bone density

    • Resting metabolic rate measurement

    • Continuous glucose monitoring (14 days)

    • Dietitian consultation

    • VO₂ max assessment (cardiorespiratory fitness)

    • Strength testing across major movement patterns

    • Functional movement screening

    • Grip strength and balance assessment

    • Activity monitoring (Whoop device provided)

    • Sleep quality screening questionnaires

    • Overnight oxygen saturation monitoring

    • Sleep apnoea assessment if indicated by screening or clinical suspicion

    • Validated screening instruments for anxiety, depression, and cognitive function

    • Psychologist consultation scheduled for after Foundational Assessment completion

At the end of the Foundational Assessment, you get three concrete outputs:

BioStats Trajectory Report

Not a list of numbers with reference ranges—a clear synthesis of your current state, key risk factors, baseline measurements across all five pillars.

12-Month Health Trajectory Plan

A prioritized, evidence-based strategy outlining what to address first, what to defer, and why. Includes a focused 90-day execution plan with specific actions and expected milestones, not vague advice.

Monitoring and Review Framework

What will be tracked continuously (wearables, symptoms, adherence patterns), what will be reassessed periodically (biomarkers, fitness measures, body composition), and how decisions will be made if your trajectory shifts or unexpected findings emerge.

Then you move into execution.

Stage 2 (month 2-4)
Early Execution and First Adjustments

Following Foundational Assessment, you move into active execution of the agreed plan. For most members, this phase centres on:

  • For many people, particularly those who haven't trained consistently, we start by building a foundation of regular movement and activity—often as simple as structured walking, daily step targets, and fundamental movement patterns.

    Only once that foundation is established and habitual do we progress to more demanding strength training, loaded exercises, and higher-intensity cardiovascular work.

    An individualized training programme is designed around your baseline capacity, injury history, time constraints, and current activity level. Training focuses on building strength across fundamental movement patterns, improving cardiovascular fitness, and addressing mobility or stability limitations identified during assessment.

    We provide structured programming with guidance on safe progression and appropriate loading. You execute the training with regular review and adjustment based on response, adherence, and any emerging issues.

    (We aspire to offer direct supervision of training sessions as the service develops. Current delivery is structured programming with periodic review rather than session-by-session coaching.)

  • We're not interested in body weight as an isolated metric. We focus on body composition—muscle mass, fat mass, distribution—driven by your functional goals (strength, performance, metabolic health, longevity).

    This means we don't prescribe diets in the traditional sense (restrictive meal plans, calorie counting, elimination protocols). Instead, we work from core nutritional principles tailored to your metabolic state (insulin sensitivity, thyroid function, energy expenditure), training load, and real-world constraints.

    For most busy professionals, consistently eating well is genuinely challenging—irregular schedules, travel, client dinners, family meals, limited food access during long work days. We acknowledge that reality.

    Our approach is based on trial and error within a principled framework: we test strategies, monitor response (body composition trends, energy levels, training performance, biomarkers), learn what works for you specifically, and adjust. Not theoretical perfection—practical sustainability.

  • Addressing duration, consistency, timing, and quality issues identified during baseline assessment. May include behavioral interventions, sleep hygiene modifications adapted to your schedule, treatment of identified disorders (CPAP for sleep apnoea if diagnosed), or pharmacological support where clinically appropriate.

    Where sleep disorders require specialist input beyond our scope (complex sleep apnoea, narcolepsy, parasomnias), we refer to sleep medicine consultants within our network or of your choice.

  • Scheduled after Foundational Assessment if mental performance, stress management, or psychological barriers to behaviour change are relevant to your plan.

Early review points are used to:

  • Test assumptions and confirm the plan is tolerable and sustainable in practice

  • Check adherence and identify practical barriers you're encountering

  • Make proportional adjustments based on symptoms, biomarker trends, or changes in workload or life circumstances

Medical oversight ensures that changes in biomarkers, symptoms, or capacity are interpreted correctly and acted on appropriately—not ignored, and not overreacted to.

Stage 3 (month 5-11)
Ongoing Review and Iteration

Once the programme moves beyond the initial months, the focus shifts to maintaining a steady rhythm of review and adjustment.

The goal: Detect drift early, intervene in a measured way, preserve long-term capacity and risk reduction.

The exact cadence depends on your agreed level of stewardship, but the underlying loop is consistent:

  • Review objective data at predefined intervals across all five pillars—not just medical biomarkers, but physical capacity measures, body composition trends, sleep quality metrics, and adherence patterns

  • Reassess selected metrics when clinically appropriate, not on a rigid, calendar-based schedule

  • Repeat key investigations multiple times during the year to clearly track trajectory rather than relying on two-point comparisons. For example, we typically retest relevant biomarker panels at least once more (often twice) during months 5-11, and reassess body composition and strength measures at similar intervals. This allows us to distinguish genuine trends from normal variation.

  • Evaluate progress against your intended trajectory, not isolated results or arbitrary targets

  • Adjust the plan when physiology, circumstances, or priorities change—with a bias toward proportional intervention, not overreaction to single data points

Key activities in this phase:

  • Continued physician oversight and touchpoints (frequency determined by stewardship level)

  • Repeat biomarker panels as clinically indicated (typically once more during this phase for lower-risk individuals, more frequently if monitoring specific interventions or unstable markers)

  • Strength and conditioning reassessment (at least once, often twice, to track capacity trends with confidence)

  • Body composition follow-up (DEXA repeated to assess muscle mass preservation or gain, fat mass changes)

  • Ongoing dietitian, psychologist, and specialist clinician support as needed

  • Adjustments to training, nutrition, or medical management based on response and changing needs

Stage 4 (month 12)
Year-End Review

At 12 months, we conduct a comprehensive review:

  • Objective assessment against your initial health trajectory and agreed goals

  • Longitudinal comparison showing how risk markers, physical capacity, body composition, sleep quality, and other key indicators have shifted over the year

  • Preparation of your plan for the subsequent 12 months, incorporating what we've learned about your response, adherence patterns, and evolving priorities

Your BioStats Trajectory Report is updated to reflect the year's progress, and we agree whether to continue, adjust stewardship level, or conclude the relationship.

Our business model depends on you renewing because the programme worked. If your trajectory hasn't improved—if risk hasn't declined, capacity hasn't increased, or you don't feel more in control—you won't renew, and we've failed our obligation to you. That accountability is built into the structure.

What's Included in Your Annual Membership

Your membership fee covers physician-led longitudinal management of your health trajectory within the Health for Life programme.

  • ✓ Foundational Assessment (onboarding milestone with all baseline investigations and assessments described above)

    ✓ BioStats Trajectory Report, 12-Month Health Trajectory Plan, Monitoring & Review Framework

    ✓ Structured reviews and ongoing physician oversight across the five pillars (cadence matched to your stewardship level)

    ✓ Direct physician access for questions, emerging concerns, and course corrections

    ✓ Dietitian consultations and ongoing nutritional guidance

    ✓ Psychologist consultation and support where clinically appropriate

    ✓ Specialist clinician input as needed (exercise physiology, sleep medicine, mental health)

    ✓ Repeat investigations throughout the year to track trajectory across all pillars—biomarker panels, body composition, strength and fitness measures

    ✓ Activity tracking device (Whoop) and secure clinical portal access

    ✓ Adjustments to your plan over time based on response, adherence patterns, and changing circumstances

    ✓ Annual comprehensive review and updated trajectory assessment

  • External specialist referrals (cardiology, endocrinology, sleep medicine, rheumatology, etc.) and hospital-based investigations beyond those in the Foundational Assessment are arranged when clinically appropriate and billed separately by the relevant providers.

    Where such referrals are needed, we coordinate seamlessly—either to specialists within our network or to your preferred consultant if you have an existing relationship. We explain why the referral is recommended, what's being requested, and how it relates to your overall health trajectory plan.

The Non-Negotiables

For this programme to work as designed, three things are required.

Trajectory cannot be judged over weeks or months. Sustained change in physical capacity, metabolic health, and risk markers takes time to emerge and stabilize.

This is also how we stay accountable—if your health doesn't improve over 12 months, you won't renew, and we've failed our obligation to you.

1. A 12-month commitment

For most members, progressive strength and conditioning is a core component of execution, not optional or deferred.

Physical capacity—strength, cardiorespiratory fitness, movement quality—is the strongest predictor of future healthspan. Declining capacity is often the first signal of deteriorating trajectory, and improving it is often the most powerful intervention available.

Where medical conditions complicate exercise (musculoskeletal injuries, cardiovascular limitations, neurological issues), these are identified during Foundational Assessment and managed so training can be adapted safely and progressed appropriately—rather than avoided.

2. Structured physical training

This is not a passive service where you hand over responsibility and wait for results.

You will be expected to execute the agreed plan, track the metrics we've identified as important, attend scheduled reviews, communicate when things change or aren't working, and make decisions jointly about adjustments.

If you're looking for reassurance without effort, a one-off assessment to satisfy curiosity, or a service you can ignore between annual check-ins, we're genuinely not the right fit.

3. Engagement with the process

How to Get Started

We are currently building a wait list of prospective members.

The process:

  1. Join the wait list – Express your interest and provide basic contact information

  2. Initial conversation – Once we are authorized to begin operations, we will contact you to arrange a preliminary discussion to assess mutual fit, answer questions, and determine whether the programme is appropriate for your situation

  3. Enrolment – If appropriate, you will be invited to begin with the Foundational Assessment

There is no obligation at any stage. The initial conversation exists to ensure the programme is right for you, and that you are right for the programme.