Bluecrest Wellness Liver & kidney

Enhanced Liver Fibrosis (ELF)

Combines three blood markers, hyaluronic acid, PIIINP and TIMP-1, into an ELF score used to assess the likelihood of liver scarring (fibrosis).

Sample
Blood
Collection
Venous draw at local venue
Results in
3–8 days
Biomarkers
3
Doctor reviewed
No
Tests for
  • ELF score
  • Hyaluronic acid (HA)
  • PIIINP
  • TIMP-1

Test specifications

Provider
Bluecrest Wellness
Sample type
blood
Collection method
venous draw at local venue
Turnaround time
3–8 days
Biomarkers tested
3
At-home test
No
Doctor reviewed
No
Gender focus
Both

What's tested

4 biomarkers as listed by Bluecrest Wellness.

  • ELF score
  • Hyaluronic acid (HA)
  • PIIINP
  • TIMP-1

About this test

The Enhanced Liver Fibrosis (ELF) test measures three blood markers, hyaluronic acid (HA), PIIINP and TIMP-1, and combines the results into a single ELF score. This score is used to assess the likelihood of liver fibrosis (scarring), which can develop from conditions such as fatty liver disease, alcohol-related liver disease or viral hepatitis.

Against the 21 liver and kidney tests we track, it places in the 64th percentile for clinical depth, reflecting its three combined markers. At £155, it is priced well above the £89 median for that category, which is worth weighing if you are choosing between this and a broader or cheaper liver panel.

The listing scores well for clarity, publishing a detailed description, the full marker list, the sample type and a stated turnaround. It scores lower on results and follow-up, since results are not reviewed by a doctor as standard, so a raised ELF score would need you to arrange your own GP follow-up.

Who is it for?

This suits you if you have a specific reason to check for liver scarring, such as a history of fatty liver disease, heavy alcohol use, or viral hepatitis, and want a more targeted marker than a standard liver function test. It is a poor fit if you are looking for a general liver health check on a budget, since it costs considerably more than typical liver and kidney tests in our data. If you have symptoms such as persistent abdominal pain, jaundice or unexplained weight loss, see your GP rather than relying on this test alone.

How it works

This is a blood test collected by venous draw at a local Bluecrest venue. Your sample is analysed for HA, PIIINP and TIMP-1, which are combined into an ELF score. Results are typically returned in around 3 to 8 days, and are not reviewed by a doctor as standard.

Pros & cons

Pros

  • Combines three markers, HA, PIIINP and TIMP-1, into a single ELF score for liver fibrosis risk.
  • Listing publishes the full biomarker list, sample type and expected turnaround.
  • Can be booked as a standalone test or added to an existing health assessment package.

Cons

  • At £155, it costs 74% more than the £89 median for the liver and kidney tests we track.
  • No doctor review is included as standard.
  • More specialised than a standard liver panel, so it may not suit a general check-up budget.

Our editorial score

Compare Health Test Score Specialist liver fibrosis marker, priced well above typical liver tests
Editorial confidence: 10.0/10

This £155 test measures three markers, HA, PIIINP and TIMP-1, and combines them into an ELF score used to assess liver fibrosis risk. It costs 74% more than the £89 median for the liver and kidney tests we track, reflecting that it is a more specialised marker than a standard liver function panel, and there is no doctor review included as standard.

Score breakdown

  • Clarity and documentation 9.0/10

    The listing publishes a detailed 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 8.3/10

    3 biomarkers, placing it in the 64th percentile of liver kidney tests we track.

  • Collection convenience 3.0/10

    Requires a venous draw at a clinic; results in around 8 days, slower than similar tests.

  • Results and follow-up 3.0/10

    Results are not doctor-reviewed and no consultation is included; the provider does not describe the report format.

  • Trust signals 9.5/10

    Trustpilot 4.7 from 6,787 reviews; accredited lab (UKAS ISO 15189 own lab); CQC registered; trading 14+ years.

  • Value for money 2.8/10

    £155.00 against a median of £89.00 for the 21 similarly sized liver kidney tests we track (+74%).

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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