Corporate Executive Health Screening London
For a company, an annual health screening for senior staff is one of the few benefits that is both valued by the people receiving it and exempt from tax. Under section 320B of the Income Tax (Earnings and Pensions) Act 2003, one employer-provided health screening and one medical check-up per employee per tax year carry no income tax or National Insurance charge. The value of the programme depends almost entirely on what is tested and who interprets it.
Key points
Section 320B exempts one health-screening assessment and one medical check-up per employee per tax year from income tax and National Insurance, where the employer pays directly or provides a non-cash voucher.
HMRC has confirmed employers do not have to offer screening to all employees to qualify, so it can be provided to a leadership team alone.
The exemption covers screening and check-ups, not treatment or diagnosis of an existing illness, so the scope of the programme needs defining carefully.
Executive programmes in London range from around £1,129 to £1,199 at the large insurers to £5,500 at Cleveland Clinic London and up to £14,000 for multi-day Harley Street programmes.
Scoping a programme for your team? Message a GMC-registered doctor on WhatsApp or email team@thewellnesslondon.com.
The tax position, in plain terms
What the law says
Section 320B was introduced by the Finance Act 2009 and has applied since the 2009 to 2010 tax year. It provides that no income tax arises when an employer provides an employee with a health-screening assessment or a medical check-up, limited to one of each per tax year.
The legislation defines a health-screening assessment as an assessment to identify employees who might be at particular risk of ill health, and a medical check-up as a physical examination by a health professional for the sole purpose of determining the employee's state of health.
What that means for a company
The employer can pay the provider directly, or give the employee a non-cash voucher for it, and the benefit is not reportable as taxable. HMRC has confirmed the screening does not have to be offered to every employee, which means a business can fund it for its leadership team or key staff alone.
Where the line sits
The exemption covers screening and check-ups. It does not cover treatment, and the exemption does not extend to diagnosing an existing illness, which HMRC treats as medical treatment. There is a separate exemption, under section 320C, for up to £500 of medical treatment to help an absent employee return to work.
The practical consequence is that the programme should be scoped so that the screening and the review of results sit clearly within the exemption, with any onward treatment arranged separately. It is worth confirming the arrangement with your accountant, and we will provide the scope in writing to make that straightforward.
What a good executive screening should include
The test for every element is whether an abnormal result would change a decision. Everything else is expense.
The core panel
Cardiovascular risk, including a full lipid profile and ApoB, which counts the atherogenic particles in the blood and predicts risk better than LDL cholesterol alone, plus lipoprotein(a), measured once in a lifetime. Lipoprotein(a) is genetically determined, raised in roughly 1 in 5 people, and invisible on a standard cholesterol test.
Metabolic health, including HbA1c, which detects prediabetes years before symptoms appear.
Kidney and liver function, full blood count, full thyroid function, ferritin, vitamin D and B12.
High-sensitivity CRP, which adds to cardiovascular risk assessment.
Additions by age, sex and history
PSA as a discussion rather than a default, from around 50 or earlier with family history. Hormonal assessment where symptoms suggest it. Targeted tests for anything in the family history.
What to leave out
Routine tumour marker panels in well people, which are not screening tests and generate false positives that lead to anxiety, repeat testing and cost. Very large micronutrient panels with no established action. Whole-body imaging as a default, which frequently produces incidental findings that cost more than they save.
A provider that recommends removing tests from your programme is doing the job properly.
Want a programme scoped for your team? Ask a doctor on WhatsApp.
Why the doctor matters more than the panel
The most common failure of corporate screening is not the tests. It is what happens after them. A colour-coded report emailed to a busy executive, with two or three results flagged just outside the reference range, produces either unnecessary worry or no action at all.
On a 50-marker panel it is statistically normal for 2 or 3 results to fall just outside the reference range in a healthy person, because ranges are built so that around 5 percent of healthy people sit outside them. What matters is a doctor reading the whole picture, deciding what is significant, and agreeing a plan with the individual.
That consultation is also where the value to the company sits. A senior person who learns their ApoB is high at 45 and acts on it is a different long-term proposition from one who learns about it from a first cardiac event at 55.
How the market compares
The London market spans a wide range, and the price does not track usefulness.
At the entry level, basic health checks run £169 to £400 for 20 to 40 markers with minimal interpretation. The large insurers and hospital groups offer comprehensive assessments at around £1,129 to £1,199. Central London executive programmes typically sit between £3,500 and £8,000. Cleveland Clinic London's executive assessment is £5,500, Echelon Health spans £2,000 to more than £15,000, multi-day Harley Street programmes reach £14,000, and comprehensive imaging programmes exceed £32,000.
For a company buying for several people, the useful comparison is what each programme includes, how quickly results are reviewed, whether the reviewing doctor can act on them, and whether scheduling fits around senior diaries.
How our corporate programme works
A short call with a GMC-registered doctor to scope what your team needs, by age range and any particular concerns.
A written scope, which also makes the tax position straightforward to confirm with your accountant.
Same-day and short-notice appointments, including weekends, at 10 Portman Square, so senior staff are not taken out of the diary for half a day.
Blood testing run from our own clinic, with results reviewed by a GMC-registered doctor in a consultation with each individual rather than sent as a report.
Individual results stay confidential between the doctor and the employee. The company receives confirmation of attendance, never clinical information, unless the employee chooses to share it.
Where something needs follow-up, we arrange it, including onward specialist referral, and it is handled separately from the screening itself.
Programmes are priced per organisation, depending on the number of people and the scope agreed, and set out in writing before anything is booked.
Ask for a scoped proposal. Message us on WhatsApp.
Why companies choose The Online GP by The Wellness
Every consultation is with a GMC-registered doctor, testing is run from our own clinic, and the doctor who orders the tests is the doctor who explains them and acts on them. Appointments fit around senior schedules, including same day and weekends, and our doctors speak several languages, which matters for international teams.
We will also tell you which tests are not worth paying for, which in a market that sells programmes by marker count is the fastest way to protect the budget.
Book a scoping call. Message us on WhatsApp, email team@thewellnesslondon.com, or call +44 20 3951 3429.
Frequently asked questions about corporate health screening
Is employer-provided health screening a taxable benefit?
Not for one health-screening assessment and one medical check-up per employee per tax year. Section 320B of the Income Tax (Earnings and Pensions) Act 2003 exempts them from income tax and National Insurance.
Do we have to offer screening to all employees?
No. HMRC has confirmed employers do not have to offer medical checks to all employees to qualify, so screening can be provided to a leadership team alone.
Does the exemption cover treatment?
No. It covers screening and check-ups only. Treatment, including diagnosis of an existing illness, falls outside it, though section 320C separately allows up to £500 of treatment to help an absent employee return to work.
What should an executive health screening include?
A core panel covering lipids including ApoB and lipoprotein(a), HbA1c, kidney and liver function, full blood count, thyroid, ferritin, vitamin D and B12, with additions by age, sex and history, and a consultation with a doctor to review results.
Does the company see individual results?
No. Results stay confidential between the doctor and the employee. The company receives confirmation of attendance only, unless the employee chooses to share more.
How much does corporate health screening cost in London?
The market ranges from around £1,129 to £1,199 at the large insurers to £5,500 at Cleveland Clinic London and up to £14,000 for multi-day Harley Street programmes. Our programmes are priced per organisation and set out in writing after a scoping call.
This article is for information and does not constitute tax or medical advice. Confirm the tax treatment of any arrangement with your accountant. Test selection should be individualised by a doctor. All consultations at The Online GP by The Wellness are with GMC-registered doctors. Reviewed by [GMC-REGISTERED DOCTOR NAME, GMC NUMBER TO CONFIRM], The Online GP by The Wellness. Last updated September 2026.
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