A new high-tech screening clinic co-founded by the boss of Spotify hopes to revolutionise healthcare by picking up signs of disease long before there are any symptoms.
Neko Health uses high resolution cameras, lasers and radar to capture millions of data points around the body, checking for problems that could become serious and even life-threatening in future.
It’s the latest in a wave of companies offering controversial high-tech MOTs. Some doctors warn they may increase health inequities and add to NHS workload by referring people with potentially insignificant findings.
Daniel Ek – the chief executive of the music streaming service – and his partner Hjalmar Nilsonne want to engage with the debate.
In one of the clinic’s softly-lit scanning rooms, Hjalmar tells me that healthcare has traditionally been about treating symptoms – “reactive”, as he calls it.
Image: Co-founder Hjalmar Nilsonne says people need to be given long-term health not medicine
“We have to find a way to become more proactive, more preventative, to help people stay healthy longer,” he says.
“Instead of giving them medicine, give them long-term health.”
Neko Health’s first clinic outside its hometown of Stockholm, Sweden, is a world away from the busy London shopping street that it lies beneath.
Image: A total of nine cameras take more than 2,000 images of your skin
It looks like something straight out of sci-fi.
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In the centre of the room is a booth not unlike the teleporters in Star Trek.
Step inside and nine cameras – HD, 3D and thermal – take more than 2,000 images to build a high-resolution map of every mole, freckle and blemish on your skin.
If you return for annual checks it allows the clinic to track changes in size, pigmentation and other warning signs of skin cancer.
Next to the booth there’s more tech that could easily have been wielded by Star Trek’s Dr McCoy on his starship crewmates.
Image: Lasers are able to spot early signs of cardiovascular disease
To spot early signs of cardiovascular disease lasers analyse the stiffness of arterial walls, shimmering patterns of green light check blood circulation and blood pressure cuffs take simultaneous readings on all four limbs.
There’s a blood sample taken too to measure cholesterol, blood glucose, biomarkers of inflammation and lots more.
In less than an hour millions of data points are collected and analysed, with a doctor explaining the findings.
For the record I, like 79% of those scanned in the Stockholm clinic’s first year, got a clean bill of health.
But 14% of the clients in Sweden needed medical treatment for something picked up in the health check. And 1% had potentially life-saving care for serious problems they were previously unaware of.
Image: In less than an hour millions of data points are collected and analysed
More than three-quarters of customers have booked again for a year’s time. Most, it seems, consider the checks worth the £300 cost.
It’s a growing market.
You can pay several thousands to companies offering whole-body MRI scans to see what’s going on below the skin.
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Kim Kardashian gave a celebrity buzz to a company called Prenuvo by referring to its scanner as a “life-saving machine” in an Instagram post.
The shift towards disease prevention has big champions.
Professor Sir John Bell, now of the Ellison Institute of Technology in Oxford, was instrumental in creating the UK Biobank, Genomics England, and more recently the Our Future Health study – all initiatives to dive deep into patient data to spot signs of disease.
Image: Professor Sir John Bell says preventative health checks will be the norm in the next 10 years
He says preventative health checks will be the norm in the next 10 years.
Not the rudimentary lifestyle questionnaires the NHS offers to mid-life patients now. There’ll be far more tech – and AI – running the rule over our inner health.
But it’s a mindshift for the NHS.
“People don’t want to talk to you about cardiac problems until you have chest pain, and then they’re quite keen to talk to you,” Professor Bell says.
“But the trouble is, they picked it up too late because for the last 35 or 40 years it’s been accumulating in your cardiac vessels. You’ve been asymptomatic, so nobody’s done anything about it.
“Understanding which diseases you have and capturing them fast at their earliest stage will mean you have a much longer, healthy life expectancy.”
But other doctors are more cautious.
Dr Saira Ghafur, a respiratory physician at Imperial College London, is concerned that the people who are most likely to have underlying health problems are the least likely to be able to afford private check-ups. It could make existing health inequalities even worse, she fears.
Image: Dr Saira Ghafur fears health MOTs could worsen inequalities
There’s also the risk private health checks will add to NHS waiting lists, Dr Ghafur tells me. They’ll pick up lots of issues that need NHS follow-up but ultimately turn out to be nothing to worry about.
And then there’s the lack of evidence that the issues picked up actually matter.
“We have to make sure that we’re doing prevention right,” she says. “For that, we need a very strong evidence base.
“But we are going to have to wait many years to be able to show that doing this screening, collecting these data points, has actually resulted in better (health) outcomes.”
That hasn’t deterred people from signing up to Neko Health. Its Stockholm clinic has a waiting list of 20,000 and it expects strong demand for checks at its London branch.
Hjalmar Nilsonne comes from a family of doctors and says he understands the concerns of an overworked medical profession.
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The company does follow-up checks itself to be sure the problems picked up on scan are significant before telling people to seek NHS treatment.
He wants the health service to see preventative health checks as a help, not a hindrance.
“70% of the healthcare costs in society come from chronic disease,” he says. “Most chronic disease can be prevented or greatly delayed if you find it early enough.
“So we’re really focused on finding the early signs that things are going in the wrong direction and helping you find the ways to counteract that and avoid it in the first place.”
The family of Virginia Giuffre has said Prince Andrew’s decision to give up his titles, including the Duke of York, is “vindication for our sister and survivors everywhere”.
“This is not just a victory for her, but for every single survivor of the horrific crimes perpetrated by [Jeffrey] Epsteinand his co-conspirators,” they said in a statement.
Andrewwill no longer be known as the Duke of York, in a move which finally completes his banishment from royal life. However, he will remain a prince, as the son of Queen Elizabeth II.
His former wife, Sarah Ferguson, will also no longer use her title of The Duchess of York, it is understood.
In a statement, Prince Andrew said: “In discussion with The King, and my immediate and wider family, we have concluded the continued accusations about me distract from the work of His Majesty and the Royal Family.
“I have decided, as I always have, to put my duty to my family and country first. I stand by my decision five years ago to stand back from public life.
“With His Majesty’s agreement, we feel I must now go a step further. I will therefore no longer use my title or the honours which have been conferred upon me.
“As I have said previously, I vigorously deny the accusations against me.”
Image: Prince Andrew leaves Westminster Abbey following the Coronation of the King in 2023
Why is this happening now?
The decision comes following increased pressure on Prince Andrew after continuing reports of his relationship with paedophile financier Jeffrey Epstein, and his relationship with an alleged Chinese spy.
The posthumous memoir of Virginia Giuffre, who died in April, is due to be released on Tuesday. She had accused Andrew of sexual assault, and sued him in August 2021.
The book will go on sale a week after an email emerged showing Andrew told Epstein “we are in this together”, three months after he said he had stopped contact with the convicted sex offender.
Image: Flight logs released by a US committee from Epstein’s estate name Prince Andrew. Pic: House Committee on Oversight and Government
On Friday evening, the US House Oversight Committee also released documents from Epstein’s estate showing “Prince Andrew” listed as a passenger on the financier’s private jet – the so-called Lolita Express – from Luton to Edinburgh in 2006, alongside Ghislaine Maxwell.
He was also listed on another flight to West Palm Beach, Florida, in 2000.
The flight logs have been reported on for years but the release may have added to pressure.
“The situation has become untenable and intolerable, and this week in particular, the tipping point had been reached,” said Sky News royal correspondent Laura Bundock.
What is Prince Andrew giving up?
Prince Andrew is giving up his Duke of York title
His knighthood as a Knight Grand Cross of the Royal Victorian Order (GCVO)
His Garter role as a Royal Knight Companion of the Most Noble Order of the Garter
Christmas with the Royal Family at Sandringham
He had already stopped using his HRH title and and was stripped of military patronages by the Queen in 2022
He will retain his dukedom, which can only be removed by an Act of Parliament, but will not use it
He will also remain a prince as he was born the son of Elizabeth II
It is understood the changes will take effect immediately, with the Giuffre family calling for the King to go further and “remove the title of Prince”.
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9:31
‘Extreme pressure’ on Prince Andrew
King ‘glad’ of the outcome
The King is glad of the outcome, it is understood, and the decision was taken in close consultation with His Majesty and other members of the Royal Family.
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1:02
Pressure ‘piled on’ Prince Andrew
Jack Royston, chief royal correspondent at Newsweek, told Sky News: “This does not go far enough.”
There should be an acknowledgement from the Royal Family, he said, “irrespective of whether Prince Andrew denies the substantive allegations against him [that] it was morally wrong for him to grovel to Jeffrey Epstein”.
The Guardian’s former royal correspondent Stephen Bates also told Sky News: “He’s shown no sign of any sort of contrition. He continues to deny all the allegations against him. And he speaks of his duty to the family. Well, it’s a bit late to be thinking about that.”
What is Prince Andrew accused of?
Prince Andrew has denied allegations made by Ms Giuffre – one of Epstein’s victims – of sexual assault.
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1:11
‘Next step might be to squeeze Andrew out of royal lodge’
She had filed a civil lawsuit against him, accusing him of sexually assaulting her on three occasions after she was introduced to him by Epstein.
In a 2019 interview with BBC Newsnight, Andrew said he had no knowledge of ever meeting Ms Giuffre, claiming a well-known image of them together had been doctored.
Image: The 2001 photo of Prince Andrew and Virginia Roberts which the royal claimed had been doctored. Pic: Shutterstock
The case was settled outside court for a sum believed to have been around £12m.
Following Ms Giuffre’s death in April, aged 41, her family said she “lost her life to suicide” at her farm in Western Australia.
Giuffre’s family: ‘Victory for Virginia’
In a statement, the family of Ms Giuffre said they supported Andrew’s decision but repeated accusations that he had made misleading statements. Andrew has repeatedly denied any wrongdoing.
Analysis: Prince Andrew giving up titles was clearly not entirely his decision
It is extraordinary that it has come to this but the distraction had to stop.
The statement comes straight from Prince Andrew, the tone of it very personal as he says he is putting his “duty to my family and country first”.
But this was clearly not entirely his decision.
From the first sentence, where he says “in discussion with the King”, we’re left in no doubt that his brother must have said enough was enough.
“We, the family of Virginia Roberts Giuffre, believe that Prince Andrew’s decision to give up his titles is vindication for our sister and survivors everywhere.
“This decisive action is a powerful step forward in our fight to bring Jeffrey Epstein and Ghislaine Maxwell’s child sex-trafficking network to justice.
“This moment serves as victory for Virginia, who consistently maintained, ‘He knows what happened, I know what happened, and there’s only one of us telling the truth, and I know that’s me.’
“This is not just a victory for her, but for every single survivor of the horrific crimes perpetrated by Epstein and his co-conspirators.”
Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.
It is extraordinary that it has come to this but the distraction had to stop.
The statement comes straight from Prince Andrew, the tone of it very personal as he says he is putting his “duty to my family and country first”.
But this was clearly not entirely his decision.
From the first sentence, where he says “in discussion with the King”, we’re left in no doubt his brother must have said enough was enough.
The fact we’re being guided that the King is glad of this outcome says it all; for the monarch and the wider family, the questions of what they were going to do about Andrew had to stop.
Image: Andrew at Charles’s coronation in 2023 Pic: PA
After years of upset caused by his association with convicted paedophile Jeffrey Epstein, he has done the family one favour by personally announcing that he will no longer use his titles.
For the King to forcibly remove them would have taken up precious parliamentary time and weeks of column inches.
More on Prince Andrew
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Image: The King is said to be ‘glad’ of the decision
To be clear, his titles aren’t removed, they remain extant but inactive like his HRH title.
But Andrew won’t use them any more, and that will be humiliation enough for a man who has already been stripped of his military affiliations, his charity patronages and his ability to have any kind of public profile.
This ends the questions on what more the monarch could do to show how the family felt about the accusations, the upset and the embarrassment caused.
Will it stop the stories, the allegations and the interest in Prince Andrew? That is far less certain.
But in what is his first public statement since that ill-fated Newsnight interview in 2019, it is striking that he signs it off by saying: “I vigorously deny the accusations against me.”
Prince Andrew has announced he is giving up his royal titles, including the Duke of York.
The decision is understood to have been made in close consultation with King Charles and other members of the Royal Family.
Prince Andrew said continued accusations against him were distracting from the King’s work.
He had been accused by Virginia Giuffre, who died in April, of sexual assault. He denies this.
Which titles is he giving up?
Prince Andrew is giving up his Duke of York title. Sky News understands this will be immediate.
He will also give up his knighthood as a Knight Grand Cross of the Royal Victorian Order (GCVO) and his Garter role as a Royal Knight Companion of the Most Noble Order of the Garter.
He will retain the dukedom, which can only be removed by an Act of Parliament, but will not use it.
Prince Andrew will also remain a prince, as the son of Queen Elizabeth II.
Image: Virginia Giuffre had accused Prince Andrew of sexually assaulting her before her death. Pic: AP
Why is this happening now?
Ms Giuffre, who was one of billionaire paedophile Jeffrey Epstein’s victims, alleged Prince Andrew sexually assaulted her on three occasions when she was 17, and sued him in 2021.
In her posthumous memoir Nobody’s Girl, due to be published on Tuesday, she alleged he was “entitled” and “believed having sex with me was his birthright”.
Prince Andrew has always denied the allegations.
He has also always claimed that a well-known image of them together was doctored. Before her death, which her family said was by suicide, the case was settled outside of court for a sum believed to have been around £12m.
Ms Giuffre’s posthumous memoir goes on sale a week after an email emerged showing Andrew told Epstein “we are in this together”.
The email was reportedly sent three months after he said he had stopped contact with the convicted sex offender.
Image: Flight logs released by a US committee from Epstein’s estate name Prince Andrew. Pic: House Committee on Oversight and Government
On Friday evening, the US House Oversight Committee also released documents from Epstein’s estate showing “Prince Andrew” listed as a passenger on the financier’s private jet – the so-called Lolita Express – from Luton to Edinburgh in 2006, alongside Ghislaine Maxwell.
He was also listed on another flight to West Palm Beach, Florida, in 2000.
The flight logs have been reported on for years but the release may have added to pressure.
“The situation has become untenable and intolerable, and this week in particular, the tipping point had been reached,” said royal correspondent Laura Bundock.
It is understood that the changes will take effect immediately.
The Giuffre family has called for the King to go further and “remove the title of Prince”.
Image: The move will not impact the Princesses, including Princess Beatrice, here.
Will this affect his ex-wife and daughters?
Sky News understands that Andrew will continue to live at the Windsor Estate at the Royal Lodge. His ex-wife, Sarah Ferguson, will also remain living at the Royal Lodge.
But for the second year running, he will not attend the Royal Family’s annual Christmas celebrations at Sandringham, it is understood.
Andrew’s ex-wife will also no longer use her Duchess of York title.
She was dropped by numerous charities last month after it emerged that she wrote to convicted sex offender Epstein, calling him a “supreme friend”, despite publicly disowning him in the media.
The decision over Andrew’s titles will not impact on the position of his daughters, Princess Beatrice and Princess Eugenie, it is understood.
She said: “This ends the questions on what more the monarch could do to show how the family felt about the accusations, the upset and the embarrassment caused.
“Will it stop the stories, the allegations and the interest in Prince Andrew? That is far less certain. But in what is the prince’s first public statement since that ill-fated Newsnight interview in 2019, it is striking that he signs it off by saying, ‘I vigorously deny the accusations against me’.”
Image: Prince Andrew made the decision to give up his titles in close consultation with King Charles, it is understood. Pic: Reuters
What did Prince Andrew say in his statement?
In his statement, Prince Andrew said: “In discussion with The King, and my immediate and wider family, we have concluded the continued accusations about me distract from the work of His Majesty and the Royal Family.
“I have decided, as I always have, to put my duty to my family and country first. I stand by my decision five years ago to stand back from public life.
“With His Majesty’s agreement, we feel I must now go a step further. I will therefore no longer use my title or the honours which have been conferred upon me.
“As I have said previously, I vigorously deny the accusations against me.”
Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.