Silver Full Report — Example

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Opti-Health Comprehensive AssessmentSilver · Prevent · Protect · Prioritise

PatientMr James H. Mitchell

DOB14 Mar 1972

Age52

Date3 Jun 2025

Assessed byMr P Shah MRPharmS

⚠️ BP ElevatedQRISK3 11.2%✅ ECG Normal✅ Spirometry NormalBMI 27.8Cognitive NegativeBio Age 56Heart Age 60

🏆 Health Scores

Health Score

Fair

Biological Age

+4 yrs

Heart Age

+8 yrs

UK Percentile

Below avg

❤️ Vital Signs

Blood PressureElevated

148/92 mmHg

Normal <135/85 · NICE NG136

Above the NICE threshold for stage 1 hypertension. Reduce salt to <6g/day, increase activity, and review with your GP within 4 weeks. Target <135/85.

Heart RateNormal

76 bpm

Normal 50–100 bpm

Resting heart rate within the healthy range. Regular aerobic exercise can lower this further over time.

SpO₂Normal

97 %

Normal ≥95%

Oxygen saturation is normal, indicating your lungs are oxygenating your blood effectively.

ECG (KardiaMobile 6L)Normal

Normal Sinus Rhythm

6-lead recording

Normal heart rhythm with no atrial fibrillation detected. Given your CV risk profile, annual ECG screening is recommended.

🫀 Cardiovascular & Respiratory

Auscultation (4 areas)Normal

All areas clear

Aortic · Pulmonary · Tricuspid · Mitral

Normal heart sounds at all four valve areas. No murmurs, added sounds, or rubs detected.

Spirometry FEV₁/FVCNormal

0.79

Normal ≥0.70 · NICE NG115

No obstructive pattern. Lung function is within the normal range for your age and height.

Carotid BruitsAbsent

None detected

Bilateral auscultation

No turbulent flow heard over the carotid arteries — reassuring for stroke risk.

📊 Risk Scores & Cancer Screening

QRISK3Elevated

11.2%

10-yr cardiovascular risk

Above the NICE 10% threshold — warrants a GP conversation about statin therapy and a fasting lipid profile.

QDiabetesModerate

8.7%

10-yr type 2 diabetes risk

A 5–7% weight reduction reduces progression to type 2 diabetes by 58% (Diabetes Prevention Programme).

QCancer (highest)Colorectal 2.8%

Within range

9 cancer types assessed

Highest 10-year risk is colorectal at 2.8%, driven by age and family history. Ensure NHS bowel screening is up to date.

🧘 Mental Health & Cognitive

PHQ-9 (Depression)Minimal

3 /27

Minimal 0–4

No clinically significant depressive symptoms. Good mental health is protective for cardiovascular health.

GAD-7 (Anxiety)Minimal

2 /21

Minimal 0–4

Anxiety level is minimal — not contributing to your cardiovascular risk profile.

Mini-CogNegative

5 /5

Negative screen ≥3

Full marks on recall and clock drawing. Controlling your blood pressure protects long-term cognitive health.

🤖 AI Evidence-Based Summary

Personalised Clinical Summary

Generated using current NICE/WHO guidelines · Clinician-reviewed

Executive Summary

Your assessment shows a generally well-functioning system with several modifiable risk factors that together place you above population average for cardiovascular disease. Your biological age is 56 (four years above your actual age) and your heart age is 60. The key finding is a QRISK3 of 11.2%, exceeding the NICE 10% threshold for statin discussion. Encouragingly, the main drivers — blood pressure, weight, activity and sleep — are all modifiable.

Evidence-Based Improvement Plan

Blood Pressure: Target <135/85 within 3 months. A 10 mmHg systolic reduction lowers major CV events by ~20% (BPLTTC, Lancet 2021). Reduce salt, add 150 min/week activity, lose 5kg.

Physical Activity: Reach 150 min/week moderate activity + 2 resistance sessions (WHO 2020). The single highest-impact change for your biological age.

Sleep: Aim for 7–8 hrs (currently 5.5). Short sleep raises hypertension risk by 48% (Gangwisch, Hypertension 2006).

References

NICE NG136 (2023) Hypertension in adults.
NICE CG181 (2023) CVD risk assessment and reduction.
WHO (2020) Physical Activity Guidelines.

📋 Referral & Follow-up Flags

High

QRISK3 11.2% — exceeds NICE threshold. GP review for lipid profile and statin discussion.

High

Hypertension Stage 1 (148/92), unmedicated. Lifestyle first; antihypertensive if not controlled in 3 months.

Moderate

QDiabetes 8.7%. Fasting glucose/HbA1c recommended.

📋 Your Action Plan

The key changes to maintain or improve your health score of 67/100

Changes to Improve Your Score

🏃

1. Increase your physical activity PRIORITY

Aim for 150 minutes of moderate activity per week plus 2 resistance sessions. Likely your highest-impact change for biological age.

❤️

2. Lower your blood pressure PRIORITY

Reduce salt to <6g/day, see your GP within 4 weeks. Target <135/85.

⚖️

3. Aim for a small weight reduction RECOMMENDED

Losing 5kg would move your BMI toward the healthy range and reduce metabolic strain.

😴

4. Improve your sleep RECOMMENDED

Aim for 7–8 hours. Consistent sleep times, no screens before bed, no caffeine after 2pm.

✅ Keep Doing — Protecting Your Score

✓ Stay smoke-free✓ Maintain positive mental wellbeing✓ Keep alcohol low

📅 Next review: Repeat your assessment in 6 months to measure progress against these numbers.

🥇 Available in Gold (£299)

Silver covers a full clinical assessment. Gold adds precision body composition and nutritional analysis:

🔬 Morpho Nova body scan

📊 Visceral fat & muscle mass

🧮 24-hr nutrition & protein analysis

💊 Full medication review

👂 Ears, nose & throat