The Novara Healthspan Index
Medicine is built to find disease. Almost nothing is built to measure how well you're working.
Your GP has fifteen minutes. Your consultant sees one system. A scan looks for what's wrong today. All of that matters — and none of it tells you how strong you are, how you sleep, how you recover, how functional your breathing is, or whether any of it is better than last year. The Healthspan Index measures that: 19 evidence-based measures across 7 domains, in one 90-minute assessment, designed to be repeated.
Where it fits
Three different types of health check
They answer different questions. Ours is the one that is overlooked, but delivers powerful actionable insights — and the one you can actually change between visits.
The annual medical
Bloods, ECG, physician review. Genuinely valuable, and we'd encourage anyone to have one.
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Answers: is something wrong? Doesn't tell you how well you function, and rarely changes what you do on Monday.
The full body scan
Imaging and biomarkers, increasingly available across Europe, priced around a premium medical.
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Answers: is anything hiding? A snapshot of structure — not of capacity, behaviour or recovery.
The Healthspan Index Assessment
Physical capacity, physiological function and health behaviour, measured directly and scored the same way every time.
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Answers: how well am I working, is it improving, what changes can impact the most? Non-clinical, and built to sit alongside the others.
What it measures
Seven domains. Nineteen measures. One picture.
Most assessments stop at weight, blood pressure and a questionnaire. Individually, these tell a little. Together with capacity, breathing, sleep, and psychosocial measures, they start to describe a person.
Cardiometabolic (3 measures)
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Blood pressure
Waist-to-Height ratio
Resting heart rate
Lifestyle (3 measures)
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Smoking & nicotine
Diet pattern
Alcohol
Musculoskeletal (3 measures)
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Grip strength
Sit-to-stand x 5
Single-leg balance
Grip is referenced to Irish adults, not borrowed norms.
Psychosocial (3 measures)
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Stress
Social connection
Purpose
Outlook
Includes validated instruments.
Respiratory (3 measures)
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BOLT
Diaphragm check
Symptom screen
A domain overlooked, significant potential to improve life-quality — not lung disease.
Sleep (1 composite)
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Duration
Regularity
Breathing type
Weighted heavily — an important measure that can move your score.
Physical activity (2 measures)
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Aerobic activity
Resistance training
Each measure is rated on its own evidence, then combined into a single 0–100 Index with a plain-English band. The band always describes the score — never a label borrowed from medicine.
Low
Below Average
Ok
Good
Excellent
Most people who train regularly land in Ok or Good. Excellent is uncommon, by design — the scale is anchored to evidence, not graded on a curve.
All for €295.
Building trust into the number
Built like an instrument, not a quiz
Longevity is full of scores, some precise, others less so. Three commitments make ours different, and we'll show our working to anyone who asks.
Anchored to published evidence
Measures are drawn from validated instruments, and scientific research. We strive to trace every scoring decision a reference source. The weighting of the seven domains was set using this evidence in writing, and frozen — it doesn't drift between clients or between years.
Includes Irish References
Where an Irish reference population exists, we aim to use it — grip strength is banded against a nationally representative Irish study rather than imported norms. Where one doesn't yet exist, we use, where available representative populations.
We only report real change
Every measurement carries error. Each measure has a threshold below which a difference is indistinguishable from noise, and we report change only when it clears that threshold. If your re-test moves by less, we tell you it's stable — not that you improved.
The scoring engine is qualified before every release: an automated check across a range of simulated profiles. Your report only prints if that check passes.
Ninety minutes, then a plan
The assessment
Longevity is full of scores, some precise, others less so. Three commitments make ours different, and we'll show our working to anyone who asks.
1. Measurement
Blood pressure, grip, sit-to-stand, balance, breathing, waist and resting heart rate — each to a fixed protocol, so the re-test is comparable.
2. Questionnaire
Sleep, activity, diet, alcohol, nicotine and psychosocial function. Around 35 questions, all from established instruments.
3. Your report
Two pages: your Index and band, each domain, every measure with its rating, and the two strengths and one focus area that matter most.
4. Coaching debrief
Sitting down with the results — what they mean for you, what to change first, and what we'd expect to move by the re-test. This is the part a ten-minute appointment can't give you.
5. Remeasure
Select your follow up window - 90 days, 6 months? The same assessment, the same protocol, with a change report that separates real progress from measurement noise.
For employers
The same assessment runs as a workplace programme, with an anonymised cohort report showing where an organisation's gaps actually sit — sleep, activity, stress — rather than how many people attended a webinar. It sits alongside occupational health, not in place of it.
Short on time?
The Healthspan Check covers 6 of the 19 measures in 20 minutes, with a one-page card and a short coaching conversation — designed for on-site company health days.
Plain about the limits
What the Healthspan Assessment is not
This section exists because we value transparency and straightforwardness. Please review it before you book.
Not a medical assessment or a diagnosis. It doesn't detect or rule out disease, and a strong score is never evidence that nothing is wrong.
Not a biological age. No "real age", no years gained. Progress is expressed in Index points, in this tool only.
Not fully calibrated everywhere. Some measures have no Irish population reference yet, so those results are rated against evidence-based criteria rather than a percentile. We're building that reference as we go.
Not a risk score. We don't produce a probability of any health event, and we won't tell you your chance of anything.
Not a substitute for your doctor. Where a result falls outside an expected range, we suggest you discuss it with them — that's signposting, not interpretation.
Not a substitute for the work. The assessment creates awareness and a starting point. The change comes from what you do next.
Find out how well your health is working.
Ninety minutes, a report with insights you can act on and refer back to, and a number worth beating in ninety days.