Bupa Complete Health
Our most popular assessment has been enhanced to include our new tests such as our 'lung age' test, where we can estimate a persons 'lung age' as well as a metabolic rate test and a diabetes risk score. A Complete Health assessment will provide you with an in-depth profile of your health and wellbeing and includes a 45-minute consultation with a Bupa doctor. So, whatever your concerns, there's no rush. You'll get plenty of time to discuss them with the doctor. We're here to help you feel better.
Based on the information we gather through an extensive questionnaire, a wide range of blood and physiological tests and a lengthy consultation with a doctor, we will give you a full picture of your health and tailored advice.
The physiological tests include assessing your heart, lungs, abdomen and central nervous system. We'll look at your blood pressure, cholesterol blood tests and your heart trace (ECG) and assess your risk of heart disease. We carry out detailed blood analysis to test for conditions such as diabetes, gout, anaemia and liver and kidney problems. Your hearing and vision will be checked, and we provide a detailed body composition profile, including your body fat percentage. We'll also talk you through diet and lifestyle.
For men, we'll provide a testicular examination; for women, a cervical smear and breast examination. We'll inform you about your potential health risks and instruct you on how to perform self-examinations and be 'body aware'.
What tests are included in this assessment?
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General
Physical examination and consultation with a doctor
- What is it?
- The doctor consultation lasts between 30 and 60 minutes depending on the assessment. As well as a physical examination, the doctor will have your test results, most of which should be available on the day.
Medical history and lifestyle questionnaire
- What is it?
- An in-depth questionnaire covering your medical history and any medical concerns you may have.
- Health implications?
- This gives us an understanding of any current or previous health issues, along with any family history that may be relevant. This enables us to ensure that we can meet your needs during the health assessment.
- What does the test involve?
- It involves you completing a questionnaire, which takes around 15 minutes. You should bring the completed questionnaire along to your assessment.
- Test results
- Most available should be available on the day for discussion with your doctor.
Health trend analysis
- What is it?
- A comparison for most repeat customers of key health indicators taken from previous health assessments.
- Why do we do this?
- So you can see how your health is changing over time.
Report and personal health action plan
- What is it?
- The results of all tests available on the day, along with a personal health profile and action plan suggesting changes to maintain and improve your health in the future.
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Quality assurance
Stringent standards to ensure high quality
- Clinical governance
Clinical governance is defined as "a framework through which the organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence of clinical care will flourish".
It requires that as an organisation we have:
- quality improvement activity, eg audit
- a process for monitoring
- internal and external reviews
- clear policies to manage risk
- clinical incidents reporting
- a clear complaints handling policy
- management and reporting of poor performance
We are registered with the Healthcare Commission.
This organisation requires that all our procedures and policies place the client as the most important stakeholder, and that we ensure client safety at all times through clear policies and procedures.
Bupa Wellness Centres are regulated and audited by the Healthcare Commission. A copy of the latest inspection reports is available from:
Healthcare Commission PVH
Finsbury Towers
103-105 Bunhill Row
London, EC1Y 8TG- Our doctors and health advisers
We choose our doctors carefully; normally they will have been qualified for at least five years and have a broad background of medical experience. Most will have a higher degree - MRCGP, MRCP or equivalent. All will have undergone a training programme to familiarise them with the concept of health assessment and Bupa Wellness protocols. All are subject to an initial three-month appraisal and then annual appraisals thereafter, with regular notes audits and report checks.
Our health advisers are either qualified nurses or exercise physiologists, both of whom have undergone a two-week full time training programme in performing health assessments. This includes training on the impact of nutrition and diet, alcohol consumption, exercise programming and the benefits of exercise, and the effects of smoking on health. They too are subject to ongoing performance appraisals.
- We have a robust complaints policy
We are always pleased to hear about aspects of our service that you have particularly appreciated. We also want to hear about any problems you have experienced, so that we can deal with them speedily and improve our service for the future.
If something goes wrong, here's a simple procedure to ensure that your concerns are dealt with quickly and effectively. If you have a complaint about any aspect of our service, we would like to address this straightaway. If possible therefore, please speak to a member of staff at the centre. All centres have a complaints handler who has had specific training. Or you may prefer to talk to the centre manager.
If we cannot satisfactorily resolve your concern there and then and you wish to make a complaint by telephone or in writing, please call or write to the centre manager.
We will aim to give you a written acknowledgement of your complaint within 24 hours of receipt. A full response will be made within 20 working days. All complaints are dealt with confidentially and impartially.
If required, your complaint will be referred to the regional manager and may be escalated to the managing director.
We keep a record of every complaint and look at how many we receive and the reasons. We use this information along with our customer surveys to help make sure we continually improve the service we provide.
This procedure does not affect your legal rights.
- ISO accreditation
We currently operate under the guidelines of the ISO9001:2000 quality management system. As part of this, we operate a stringent clinical standards policy with full internal audit of all procedures. All non-clinical staff also undergo regular appraisal through the Bupa Positive Performance Management process.
In our last audit, we received the following comments from the auditors, SGS Yardsley:
- "It is evident that a great deal of thought and commitment has been given to developing the system to meet the requirements of ISO 9001:2000 and incorporate business and clinical needs"
- "All staff involved in the audit process demonstrated excellent knowledge and ownership of the key processes and the documented Quality Management System"
- "Excellent systems in place to monitor customer satisfaction"
- "Very well managed centre with adherence to system requirements evident"
- "Staff are proactive in problem solving and demonstrated contingency plans in place to enable patients to receive blood resulted on the day of assessment when the lab equipment is not functioning"
- "Excellent controls in evidence in all areas. Communication is particularly good"
- Why do we do this?
- We are committed to quality in all clinical areas.
- Central booking facility
- Our call centre staff have access to appointments at all of our centres throughout the country. They will be therefore able to help identify suitable appointments at a number of centres.
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Heart and lungs
Carbon Monoxide
- What is it?
- A test designed to help smokers, it measures the level of carbon monoxide in your blood.
- Why do we do this?
Cigarette smoke contains a large amount of carbon monoxide, and this combines with haemoglobin and displaces oxygen. The more that people smoke, the more oxygen is displaced. Research has shown that highlighting high levels of carbon monoxide in the blood can be a powerful motivator to stop people smoking.
A carbon monoxide monitor can provide immediate results of carbon monoxide levels from a single breath. This can be shown to you before the development of a clinical disease such as emphysema or cancer.
- What does it involve?
- This is a simple test that our health adviser will conduct. It will involve blowing into a carbon monoxide monitor which will produce an immediate result.
Lung Age
- What is it?
- Based on the lung function tests that we complete we can estimate a persons 'lung age'. This test is a great motivator to encourage people to stop smoking, and may indicate early lung problems if there are symptoms.
- Why do we do this?
- Research has indicated that demonstrating to smokers that smoking has damaged their health and effectively increased the age of their lungs is a big motivator to stop people smoking. The results of the test can indicate an issue before you actually develop a clinical disease such as emphysema or cancer.
- What does it involve?
- We calculate this from the results from our lung function test. Results are based of research of normal lung function in many people of many ages.
Heart scan (option to purchase)
- What is it?
- This is a CT scan of your heart designed to look for calcium in your coronary arteries. If no calcium is detected your risk of having a heart attack is low. If calcium is present then you may have coronary artery disease, in which case we can recommend ways to minimise your personal risk.
- Why do we do this?
A heart scan gives us information about the state of your heart arteries and can indicated more precisely your risk of a heart attack.
Heart disease is the biggest killer of men and women in the developed world. According to the British Heart Foundation it kills over 125,000 people a year in the UK. Forty percent of heart disease is not explained by conventional risk factors and sudden death can be the first symptom in 25 percent of patients.
The radiation dose is equivalent to two to three months of natural background radiation that we are all subject to.
- What does the test involve?
- A scan is fast, safe, accurate, painless and non-invasive, taking just 15 minutes to perform. You simply lie on a padded table under the arch of the scanner. Your head is not enclosed at any time so there is no feeling of claustrophobia. You will simply be asked to hold your breath a few times while a series of pictures is taken.
Blood pressure and pulse rate measurement
- What is it?
- The heart pumps blood around the body through a network of blood vessels, carrying oxygen and nutrients to the body. This pumping action produces pressure within the arteries carrying blood away from the heart.
- Why do we do this?
Blood pressure tends to rise with age and high blood pressure rarely causes any symptoms. This is why it is important for adults to check it regularly.
A higher than normal blood pressure means that the heart has to work harder to push blood along. Over the long term, hypertension (high blood pressure) is associated with an increased risk of heart attack, stroke and kidney failure.
A healthy blood pressure is 140/85 or lower. If you have diabetes then it is even more important that your blood pressure is lower than this.
- What does the test involve?
- A compression cuff is inflated around the arm and the reading is taken by the health adviser.
Resting ECG
- What is it?
- An electrocardiogram measures the 'electrical signature' of each heart beat while you are at rest.
- Health implications?
- An abnormal ECG can identify coronary artery disease, an enlarged heart and disturbances in the electrical control of the heart (arrhythmia).
- What does the test involve?
- You will be hooked up to a 12-lead ECG which 'looks' at the heart from 12 different angles. This is recorded on a paper chart that is reviewed by a doctor.
Diabetes Risk Score
- What is it?
- A score that indicates your risk of developing diabetes.
- Why do we do this?
- Diabetes is becoming more common, and can lead to many other conditions including premature heart disease and stroke.
- What does it involve?
- This is a simple questionnaire based on sound research, and looks at items in your lifestyle that may increase your risk of diabetes. By knowing your risk, you can make changes, and reduce the chance of developing diabetes.
Lung function test
- What is it?
- A test measuring lung size and how well the lungs can move air in and out.
- Why do we do this?
- Measurements can indicate early signs of lung disease and certain conditions such as emphysema, chronic bronchitis and asthma.
- What does it involve?
- You are asked to blow through a tube attached to a machine called a spirometer.
Coronary risk score
- What is it?
- This score indicates the chance of you having a heart attack within the next 10 years.
- Why do we do this?
- The development of heart disease depends on a number of risk factors and management and control of these risk factors can decrease your risk of cardiovascular disease.
- What does it involve?
- The test is calculated by the doctor and is based on a widely accepted algorithm based on your age, sex, total cholesterol, HDL cholesterol, blood pressure, presence of diabetes and whether you smoke or not.
Chest X-ray (only offered if clinically necessary)
- Why do we do this?
- Any X-ray exposes you to a small amount of radiation. For this reason we only offer the chest X-ray if it is clinically necessary ie if you have symptoms of possible chest disease.
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Body composition
Waist to height ratio
- What is it?
- A measure of the degree to which fat is stored around the middle. It is calculated by dividing your waist measurement by your height.
- Why do we do this?
- The way the body fat is distributed is important. People who have body fat stored mainly around the abdomen (apple shaped) - have a higher risk of developing heart disease and diabetes than people with the same amount of body fat stored mainly around the hips and thighs (pear shaped). A higher ratio indicates a greater amount of abdominal fat.
- What does it involve?
- Measuring your height and weight.
Body mass index calculation
- What is it?
- Your body mass index (BMI) is one way to find out if you are a healthy weight. It is calculated using an accepted medical formula which involves calculating a ratio of your height to weight and comparing this to an accepted health range.
- Why do we do this?
- Carrying too much fat is the most common cause of a high BMI. Being overweight is related to health problems such as diabetes, heart disease and some cancers. People with a BMI over 25 are at a higher than average risk of these conditions.
- What does it involve?
- Measuring your height and weight.
Metabolic Rate calculation
- What is it?
- It indicates to you the minimal number of calories you need in a resting state.
- Why do we do this?
- A test which indicates an estimated daily calorie requirement which may help you understand your calorie need and help in weight control.
- What does it involve?
- This is a calculation, based on accepted science, that we make based on your age, gender and weight.
Body fat percentage
- What is it?
- This test works out how much of your body is made up of fat and how much is lean tissue, such as muscle and bone. A healthy proportion of body fat depends on your age and gender.
- Why do we do this?
- Combined with a BMI measurement this can indicate what the best healthy weight for you is. Excess body fat can increase the risk of heart disease, stroke, diabetes and some cancers.
- What does the test involve?
- Measuring the electrical resistance of your body using a tiny electrical current which is quite painless.
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Additional tests
Diabetes
- What is it?
Diabetes is a condition in which the body is unable to regulate the level of glucose (a type of sugar) in the blood. According to Diabetes UK, it is estimated that 1 million people in the UK have diabetes without their knowing. The test measures the level of blood glucose after fasting for at least six hours.
Diabetes is a significant risk factor for severe eye problems (including blindness), it greatly increases the risk of heart attack, kidney failure and severe arterial disease.
- Why do we do this?
- A raised glucose level may indicate diabetes. Diabetes can usually be controlled with diet, exercise or medicines, but if poorly controlled, it increases the risk of heart disease and strokes, nerve damage and blindness.
- What does it involve?
The health adviser takes a small amount of blood. The blood is used to carry out a wide range of tests. Results should be available on the day for discussion with the doctor.
You are asked to fast before your assessment. The test is more reliable if you have fasted for at least six hours before your assessment.
Liver function
- What is it?
The liver makes important hormones and proteins. It also breaks down toxic substances, producing less harmful ones that can be removed from the body more easily.
Your blood is tested for several substances called enzymes found in the liver - these include:
- Gamma GT
- Alkaline phosphatase
- Asparate aminotransferase
Bilirubin
- What is it?
- Bilirubin is a substance formed when old red blood cells are broken down in the liver at the end of their working life. Raised levels may indicate a liver problem or a problem with the red blood cells.
- Why do we do this?
- Raised levels of these may indicate early liver damage, and allow us to advise you on how to minimise the health risk from this.
Calcium levels
- What is it?
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Calcium is important in nerve and muscle function, as well as being an important part of bone structure.
Calcium is carried in the blood by albumin. Albumin is produced by the liver. Changes in the albumin level will also change the calcium level.
- What does it involve?
- The health adviser takes a small amount of blood. The blood is used to carry out a wide range of tests. Results should be available on the day for discussion with the doctor.
Kidney function
- What is it?
- The kidneys remove some of the body's waste products by filtering the blood. These waste products leave the body in the urine. Urea and creatinine are two waste products removed by the kidneys.
- Why do we do this?
- Higher than normal levels of creatinine and urea in your blood may indicate that the kidneys are not working properly.
- What does it involve?
- The health adviser takes a small amount of blood. The blood is used to carry out a wide range of tests. Results should be available on the day for discussion with the doctor.
eGFR
- What is it?
- This is a detailed kidney function blood test.
- Why do we do this?
Chronic kidney disease (CKD) affects about 10 percent of the population and may have no symptoms until kidney function is severely reduced.
Mild CKD is also important as it represents a significant risk factor for coronary heart disease. Once identified patients with progressive CKD can be actively treated to preserve remaining kidney function reducing the risk of kidney failure and heart disease.
- What does it involve?
- We calculate this as part of your blood tests.
Gout
- What is it?
- Gout is a painful inflammation of the joints caused by the build up of a substance called uric acid. This test measures the level of uric acid in your body.
- Why do we do this?
- The level of uric acid in your blood may be raised if you have gout or a family history of gout. Taking one of a number of drugs (including alcohol) can also cause a rise in the uric acid level. Uric acid levels can also be raised in kidney disease.
- What does it involve?
- The health adviser takes a small amount of blood. The blood is used to carry out a wide range of tests. Results should be available on the day for discussion with the doctor.
Thyroid function
- What is it?
- This test measures thyroid stimulating hormone (TSH), which helps control the thyroid gland. This is the gland that releases the hormone thyroxine, which controls metabolism. The test is offered to all women over 50 and both men and women who take the Later Life Health Assessment.
- Why do we do this?
TSH levels may be raised if your thyroid gland is underactive, which leads to a condition called hypothyroidism. Hypothyroidism often appears without obvious symptoms, but can cause weight gain, cold intolerance, constipation, depression and lethargy. It is more common in women than men, especially women over the age of 50.
TSH levels may be low if your thyroid gland is overactive (hyperthyroidism). This can cause weight loss, palpitations, nervousness and flushed skin.
- What does it involve?
- The health adviser takes a small amount of blood. The blood is used to carry out a wide range of tests. Results should be available on the day for discussion with the doctor.
Virtual colonoscopy (option to purchase)
- What is it?
- Virtual colonoscopy (also called a computerised tomography colonography or CT colonography) allows doctors to look at the large bowel (colon).
- Why do we do this?
- A virtual colonoscopy can examine the colon and rectum and detect abnormalities such as polyps and signs of bowel cancer.
- What does the test involve?
The test is done using a CT scanner. The CT scanner uses X-rays to produce two-dimensional and three-dimensional images of the whole of the colon and rectum.
For more information, please read the separate Bupa information sheet Virtual colonoscopy.
Stool test
- What is it?
- Men and women over 45 years are offered a test called a faecal occult blood test to detect hidden blood in the stools.
- Why do we do this?
Blood in the stools can be a sign of any condition that causes bleeding into the digestive tract, including stomach or peptic ulcers, benign polyps, piles or anal fissures. It can also indicate bowel cancer.
According to Cancer Research UK, bowel cancer claims the lives of more than 16,000 people every year in the UK, but if can be cured if caught early enough.
- What does the test involve?
The test involves analysing three stool specimens (samples of your bowel movement).
For more information, please read the separate Bupa information sheet Faecal occult blood test.
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Haematological profile
Haemoglobin measurement
- What is it?
- Measurement of the amount of haemoglobin in the blood. Low haemoglobin levels may indicate anaemia.
Abnormalities of red cells, white cells and platelets
- What is it?
- Tested as part of a full blood count which measures the levels of the blood cells in the blood:
- Red blood cells - these carry haemoglobin
- White blood cells - these are produced by the body to protect us against infections and repair damage. There are different types of white cells with different functions
- Platelets - these are involved in blood clotting
- Why do we do this?
- Changes in the size and number of red blood cells may indicate a number of diseases, including the cause for anaemia.
- White blood cells
- A raised level in the blood may mean you have an infection, or indicate chronic (long-term) conditions.
- Platelets
- Platelets have a wide normal range. A very low result can be a sign of a number of medical conditions, including blood clotting disorders.
- What does the test involve?
- The health adviser takes a small amount of blood. The blood is used to carry out a wide range of tests. Results should be available on the day for discussion with the doctor.
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Urinalysis
Three urinalysis tests
- What is it?
- Three tests to help detect diabetes, mellitus and kidney problems: your urine is tested for blood, glucose and protein, which should not normally be present.
- Why do we do this?
- Either blood or protein in the urine can be a sign of an infection. The presence of glucose (sugar) in the urine may be the first sign of diabetes. If you have glucose in your urine, your blood test may show a high fasting blood glucose level. Significant amounts of protein in the urine can be a sign of kidney disease.
- What does it involve?
- You will be asked to provide a urine sample at the beginning of your assessment. The urine will be analysed and results should be available on the day for discussion with the doctor.
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Sensory
Hearing test
- What is it?
- A test to measure your hearing at different frequencies.
- Why do we do this?
- Poor results may indicate hearing loss due to noise exposure or other ear conditions.
- What does it involve?
- Hearing tests involve listening out for sounds at different frequencies. The quieter sounds you can hear are compared to a 'normal' range.
Vision test
- What is it?
- A test for vision at different distances, colour vision and peripheral vision.
- Why do we do this?
- Problems with vision may indicate presence of cataract as well as the need for glasses.
- What does it involve?
- We use a special eye testing machine that involves you looking at and reading numbers and letters.
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Diet
Dietary assessment
- What is it?
For the Classic and Later Life assessments it is based on a dietary questionnaire together with a seven-day food diary. This is sent to our experts who produce a separate report indicating the amount of fat, carbohydrate, protein, fibre, caffeine, alcohol and fluids that you eat in a week.
For the Premier assessment it involves a separate consultation with a health adviser to assess your diet and dietary needs.
- Why do we do this?
- Many medical conditions are affected by what you eat. By understanding your diet we may be able to suggest changes that will improve your overall health.
- What does it involve?
- For most assessments it involves completing a seven-day food diary. This can be before or after your assessment. The diary is sent away and a dietary report provided by post.
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Female tests
Breast check
- What is it?
- A breast check is a physical and visual examination of the breasts.
- Why do we do this?
- According to Cancer Research UK, breast cancer accounts for nearly 30 percent of all cancers. Deviations from normal do not necessarily indicate breast disease. All abnormalities must be followed up either with a repeat check or with a referral to a specialist breast clinic.
Breast awareness instruction
- What is it?
- Instruction on self-examination and general awareness of breast appearance and texture.
- Why do we do this?
- Regular examination can ensure early detection of abnormal changes in breast tissue.
Cervical smear test
- What is it?
- The purpose of the test is to look for any pre-cancerous changes in the cells that may turn into cancer at a later stage. Pre-cancerous cells can usually be treated easily.
- Why do we do this?
Regular smears can help decrease the risk of getting cervical cancer. According to Cancer Research UK about 2,800 women are diagnosed with cervical cancer each year in the UK and it is the second commonest cancer in women under 35 years old.
For more information, please read the separate Bupa information sheet Important information for women about the cervical smear test
Pelvic examination
- What is it?
- An internal examination of the vagina, uterus and ovaries together with a physical examination of the pelvic area. This is only carried out if clinically indicated and cannot be carried out if you are menstruating. Please try to arrange your screen mid-cycle to avoid having to return for this part of your assessment.
- Why do we do this?
- Detection of any lumps or masses will allow further investigation to identify their nature and any course of treatment. This test is not infallible, and if you have symptoms that may indicate a pelvic problem we may suggest referral to a specialist.
HPV test
- What is it?
- Some types of HPV (Human Papilloma Virus) are associated with the development of cervical cancer in some women. If your smear is abnormal, and HPV is present, then further investigations are needed.
- Why do we do this?
- By doing this test we can discover whether an abnormal smear has a higher chance of becoming a cancer. Catching this early means we can reduce the risk of cancer dramatically.
- What does it involve?
- The sample taken for your cervical smear test will also be tested for the presence of HPV.
Mammography (option to purchase)
- What is it?
- A mammogram is an X-ray of the breasts.
- Why do we do this?
It is the most effective means of detecting and investigating breast disease. It can detect a change in breast tissue before you can feel anything unusual yourself. NHS screening programmes offer mammography to all women over 50. There is clinically evidence that mammograms from the age of 40 are valuable in detecting early breast cancer. Bupa Wellness offer mammography to all women over 40 (there may be an additional charge).
We recommend women aged 40-50 have mammograms on an annual basis, and those over 50 have mammograms every other year.
- What does the test involve?
It involves having both breasts X-rayed.
For more information, please read the separate Bupa information sheet Important information for women about breast screening mammography.
Rubella antibodies
- What is it?
Rubella (German measles) is usually a mild complaint in adults, but it can cause damage to the foetus if women catch the disease during early pregnancy.
Women of child bearing age are tested at their first health assessment to find out if they are immune to rubella. This is not necessary for women who have already had this test elsewhere.
- Why do we do this?
- If the test shows you are not protected from rubella, we recommend that you arrange with your GP to have a vaccination. This is still important even if you are not planning to become pregnant in the near future, because the less rubella there is in the population, the better for everyone.
- What does it involve?
- The health adviser takes a small amount of blood. The blood is used to carry out a wide range of tests. Results should be available on the day for discussion with the doctor.
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Male tests
Prostate specific antigen (PSA)
- What is it?
- It is a blood test offered to men over the age of 50. PSA is a substance released into the blood by the prostate gland, situated at the base of the bladder.
- Why do we do this?
The test can help in the detection of early prostate cancer.
According to Cancer Research UK the lifetime risk of men developing prostate cancer is one in 14. Currently 9,500 men die each year in the UK from the disease. Prostatic cancer is an abnormal growth of cells in the prostate and is a common form of cancer in men. It becomes more common as men grow older. In elderly men prostatic cancer usually grows slowly and may never cause any problems, but in some men, the cancer can grow rapidly and spread to other parts of the body.
- What does it involve?
We offer this test to all men aged 50 and over, and also to those aged 45 and over if there is a strong family history of prostate cancer. Except in the above circumstances, below the age of 50, prostate cancer is uncommon and the significance of a raised PSA level less certain.
For more information, please read the Bupa information sheet Important information for men about PSA testing.
Testicular examination
- What is it?
- An examination of the testicles.
- Why do we do this?
- Detection of any lumps or masses will allow further investigation to identify their nature and any course of treatment.
To book a Health Assessment call 0845 600 3458.
NEW - You can now book and pay online for your health assessment at our new Wellness Centre in Solihull.
Availability of tests
Due to the prevalence of some diseases on older people some tests are only offered to individuals of a certain age or gender or if clinically indicated (click on the test to see if restrictions apply). For medical reasons, some tests may occasionally be omitted and this will be explained on the day.
Find out about our other assessments
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