Full Blood
Count
What Is a Full Blood Count?
A Full Blood Count (FBC) is one of the most commonly requested blood tests in medicine — and for good reason. In a single sample, it gives a detailed analysis of the three major types of cells that circulate in your blood: red blood cells, white blood cells, and platelets. Each tells a different part of the story of your health.
Red blood cells carry oxygen from your lungs to every tissue in your body. White blood cells form the front line of your immune system. Platelets are responsible for clotting, preventing excessive bleeding when blood vessels are damaged. An FBC measures not just the counts of these cells, but their size, shape, and characteristics — giving clinicians a window into conditions ranging from simple iron deficiency anaemia to infection, inflammation, clotting disorders, autoimmune disease, and haematological malignancies.
It is often the first test ordered when someone presents with fatigue, unexplained weight loss, recurrent infections, unusual bruising, or a general sense that something is not right — because it casts a wide and informative net across many possible causes.
An FBC is also used routinely to monitor the effects of certain medications, assess the impact of chronic disease on the blood, and as part of pre-operative screening. It is a foundational test that underpins a large proportion of clinical decision-making in general practice and hospital medicine alike.
What Does a Full Blood Count Include?
The protein in red blood cells that carries oxygen. Low haemoglobin = anaemia. High haemoglobin may indicate dehydration, lung disease, or polycythaemia.
The total number of red cells per litre of blood. Used alongside haemoglobin to characterise the type and severity of anaemia.
The average size of red blood cells. Low MCV (small cells) suggests iron deficiency or thalassaemia. High MCV (large cells) suggests vitamin B12 or folate deficiency.
The proportion of blood volume occupied by red cells. A low haematocrit confirms anaemia; a high haematocrit may indicate polycythaemia or dehydration.
The average amount of haemoglobin per red cell. Low MCH means cells are under-filled with haemoglobin — characteristic of iron deficiency.
Measures variation in red cell size. A high RDW indicates cells vary significantly in size — seen in iron deficiency, B12 deficiency, and some haematological conditions.
The total count of all immune cells. Elevated in infection, inflammation, or blood disorders. Low counts raise concern about immune suppression or bone marrow problems.
The most abundant white cell — the first responders to bacterial infection. A raised neutrophil count strongly suggests bacterial infection or steroid use. Low counts (neutropenia) increase infection risk significantly.
Key players in viral immunity and immune memory. Elevated in viral infections and some leukaemias. Low in HIV, certain medications, and following chemotherapy.
Involved in allergic responses and defence against parasites. Elevated eosinophils can indicate asthma, allergies, eczema, or a parasitic infection.
The cells responsible for clotting. Very low platelets (thrombocytopenia) can cause abnormal bruising or bleeding. Very high counts may indicate inflammation or, rarely, a bone marrow condition.
The average size of platelets. Larger platelets are more active; elevated MPV alongside a low platelet count can help characterise the cause of thrombocytopenia.
When Do You Need a Full Blood Count?
What's Involved in Getting an FBC
A Full Blood Count is one of the simplest and least invasive investigations available. Here is what the process looks like end to end — as it will work when we launch this service.



What Can an Abnormal FBC Tell You?
An FBC result is most useful when abnormal values are interpreted together — not in isolation. The pattern of which values are raised or low, and by how much, usually points towards a specific diagnosis or category of diagnoses.
