Blue Horizon Medicals Liver & kidney

Enhanced Liver Fibrosis - ELF

This test combines three biomarkers into a single ELF score, used to assess the level of liver fibrosis without a biopsy. It suits people with liver health concerns who want this more specific marker checked, usually alongside other liver tests.

  • Doctor reviewed
Sample
Blood
Collection
Venous draw at clinic or nurse home visit
Results in
10 days
Biomarkers
1
Doctor reviewed
Yes
Tests for
  • Enhanced Liver Fibrosis

Test specifications

Provider
Blue Horizon Medicals
Sample type
blood
Collection method
venous draw at clinic or nurse home visit
Turnaround time
10 days
Biomarkers tested
1
At-home test
No
Doctor reviewed
Yes
Gender focus
Both

What's tested

1 biomarker as listed by Blue Horizon Medicals.

  • Enhanced Liver Fibrosis

About this test

The Enhanced Liver Fibrosis (ELF) test combines three serum biomarkers into a single score. The provider says this score correlates well with the level of liver fibrosis usually assessed by biopsy, which it suggests can reduce the need for that more invasive procedure. It reports a single ELF score rather than the three underlying markers separately.

At £196.25, this is priced around 45% above the £135 median for the 17 similarly sized liver and kidney tests we track, making it one of the pricier tests in this category. It requires a venous blood draw, either at a clinic or during a nurse home visit, with results back in around ten days.

Value for money is one of its weaker scores, reflecting the above-median price, and collection convenience is limited by the lack of an at-home option and the ten-day wait. Clinical depth sits below the midpoint for liver and kidney tests, since it reports as a single combined score. Clarity and documentation score well, as the listing sets out the sample type, turnaround and what the test measures clearly, and results are reviewed by a doctor.

Who is it for?

This suits you if a GP or specialist has raised the possibility of liver fibrosis and wants a non-invasive marker to help inform whether further investigation, such as a biopsy, is needed. It is not a screening test for the general population and works best alongside other liver function testing and clinical advice, so speak to your GP about your specific situation.

We do not currently track a comparable ELF test from another provider to offer as a cheaper alternative.

How it works

You give a venous blood sample at a clinic or during a nurse home visit; there is no at-home finger-prick option for this test. Once the sample reaches the lab, the three underlying biomarkers are measured and combined into a single ELF score, which is reviewed by a doctor before being sent back to you, typically within around ten days.

Pros & cons

Pros

  • Combines three biomarkers into one score rather than requiring separate tests.
  • You can opt for a nurse home visit instead of a clinic appointment.
  • Clearly documents the sample type, turnaround and what the test measures.
  • Results are reviewed by a doctor before being sent back to you.

Cons

  • No at-home option; requires a venous blood draw at a clinic or nurse visit.
  • Priced around 45% above the median for liver and kidney tests of similar size.
  • Results take around ten days.

Our editorial score

Compare Health Test Score Liver fibrosis test priced well above the market median
Editorial confidence: 10.0/10

At £196.25, this ELF test is priced around 45% above the £135 median for the 17 similarly sized liver and kidney tests we track. It combines three biomarkers into a single score used to assess liver fibrosis without a biopsy. It requires a venous blood draw, with results in around ten days and doctor review.

Score breakdown

  • Clarity and documentation 8.0/10

    The listing publishes a short description, the full biomarker list, a stated turnaround, clear collection options, the sample type; it does not state what the report looks like.

  • Clinical depth 6.1/10

    1 biomarkers, placing it in the 26th percentile of liver kidney tests we track.

  • Collection convenience 8.0/10

    A blood sample taken at home by a visiting nurse or phlebotomist; with a venous or clinic option as well; a home nurse visit is offered; results in around 10 days, slower than similar tests.

  • Results and follow-up 7.0/10

    Results are reviewed by a doctor; the provider does not describe the report format.

  • Trust signals 7.5/10

    Trustpilot 4.2 from 395 reviews; accredited lab (UKAS ISO 15189 partner labs); trading 17+ years.

  • Value for money 4.2/10

    £196.25 against a median of £135.00 for the 17 similarly sized liver kidney tests we track (+45%).

Calculated 13 September 2026 from the facts we hold about this test and provider, using our published scoring formula. Scores are not hand-edited.

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