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.”
Consumers will get stronger protections with a new water watchdog – as trust in water companies takes a record dive.
Environment Secretary Steve Reed will announce on Monday that the government will set up the new water ombudsman with legal powers to resolve disputes, rather than the current voluntary system.
The watchdog will mean an expansion of the Consumer Council for Water’s (CCW) role and will bring the water sector into line with other utilities that have legally binding consumer watchdogs.
Consumers will then have a single point of contact for complaints.
The Department for the Environment, Food and Rural Affairs (Defra) said the new watchdog would help “re-establish partnership” between water companies and consumers.
A survey by the CCW in May found trust in water companies had reached a new low, with fewer than two-thirds of people saying they provided value for money.
Just 35% said they thought charges from water companies were fair – even before the impact could be felt from a 26% increase in bills in April.
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‘We’ll be able to eliminate sewage spillages’
Mr Reed is planning a “root and branch reform” of the water industry – which he branded “absolutely broken” – that he will reveal alongside a major review of the sector on Monday.
The review is expected to recommend the scrapping of water regulator Ofwat and the creation of a new one, to incorporate the work of the CCW.
Image: A water pollution protest by Surfers Against Sewage in Brighton
Campaigners and MPs have accused Ofwat of failing to hold water operators to account, while the companies complain a focus on keeping bills down has prevented appropriate infrastructure investment.
He pledged to halve sewage pollution by water companies by 2030 and said Labour would eliminate unauthorised sewage spillages in a decade.
Mr Reed announced £104 billion of private investment to help the government do that.
Victoria Atkins MP, Shadow Secretary of State for Environment, Food and Rural Affairs, said: “While stronger consumer protections are welcome in principle, they are only one part of the serious long-term reforms the water sector needs.
“We all want the water system to improve, and honesty about the scale of the challenge is essential. Steve Reed must explain that bill payers are paying for the £104 billion investment plan. Ministers must also explain how replacing one quango with another is going to clean up our rivers and lakes.
“Public confidence in the water system will only be rebuilt through transparency, resilience, and delivery.”
England star Jess Carter says she has been the victim of racist abuse online during the UEFA Women’s Euros in Switzerland.
The Lionesses defender, who has 49 England caps, said she will be “taking a step back from social media and leaving it to a team to deal with”.
In an Instagram post, the 27-year-old player said: “From the start of the tournament, I have experienced a lot of racial abuse. Whilst I feel every fan is entitled to their opinion on performance and result, I don’t agree or think it’s ok to target someone’s appearance or race.”
Image: Jess Carter. Pic: PA
Carter said she was stepping back from social media to “protect myself in a bid to keep my focus on helping the team anyway I can”.
She added: “Hopefully speaking out will make the people writing this abuse think twice so that others won’t have to deal with it.”
Carter also said that England have made some “historic changes with the Lionesses squad” that she was “so proud” of, and she hopes that by speaking out about racial abuse “it will make another positive change for all”.
‘Abhorrent abuse’
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The Football Association leadership has condemned the “abhorrent abuse” against Carter and has contacted UK police about it.
FA chief executive Mark Bullingham said in a statement: “Our priority is Jess and giving her all the support she needs. We strongly condemn those responsible for this disgusting racism.
“As soon as we were made aware of the racist abuse Jess received, we immediately contacted UK police. They are in touch with the relevant social media platform, and we are working with police to ensure those responsible for this hate crime are brought to justice.”
Image: Carter during a training session in Switzerland. Pic: PA
The Lionesses said in a statement: “We stand with Jess and all Lionesses players past and present who have suffered racism.
“No one should have to endure such vile abuse, be that in football or any walk of life.”
They added: “Those behind this online poison must be held accountable.”
Anger and sadness
England teammate Lucy Bronze said there was “anger” and “sadness” among the squad following the abuse.
Bronze said: “I think we all know that any player of colour that’s played for England has probably gone through racist abuse. That’s a sad fact.”
She told Sky News’ sports correspondent Rob Harris that social media platforms need to be held more accountable.
Bronze added: “People need to be held accountable for their actions, whether it’s in-person or online. The abuse is not okay. Racism is not okay.”
The prime minister said on X that there was “no place for racism in football or anywhere in society”.
Sir Keir Starmer added: “I stand with Jess, the Lionesses, and any players who have suffered racism, on and off the pitch.”
Carter has started all four of England’s games at the tournament.
The defending champions face Italy on Tuesday night in Geneva in the Euros semi-finals. If they win and reach the final, they will play either Germany or Spain, who face each other on Wednesday.
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The Lionesses also said that until now, they have chosen to take the knee before matches.
“It is clear we and football need to find another way to tackle racism,” they said.
England won’t be taking the knee before semi-final
The Lionesses said they have agreed as a squad to remain standing before kick-off in the match against Italy.
“We hope the game can come together to see what more can be done.”
Kneeling, a symbolic anti-racism gesture, came to prominence in 2016 when NFL player Colin Kaepernick knelt in protest during the United States national anthem and became more widespread during the Black Lives Matter movement.
As head of football’s anti-racism body, there was dread for Sanjay Bhandari watching England’s Women’s Euros quarter-final with Sweden.
But that’s, grimly, how it always is. Concerned that black players will be singled out for blame. Not with a legitimate critique of their performances, but with toxicity and racism.
And now Kick It Out is working with the Football Association to support Jess Carter after the England defender spoke out over the abuse she has been targeted with throughout the Women’s European Championship.
The players want social media firms to do more, but Mr Bhandari, the Kick It Out chairman, is concerned by their limited approach to the scourge of online hate.
Image: Jess Carter says she has been the target of racist abuse. Pic: PA
“The social media companies need to do far more,” he told Sky News. “They’ve actually gone backwards over the last four or five years, not forwards. It’s got worse on social media, not better.
“And they need to provide us with the tools to help keep us safe and to remove some of this toxicity from the platforms. They’re just not doing enough.
“I would say that X is the worst. It has become no-holds-barred.
“And with Instagram, it is much more in the direct messaging, and I think there needs to be much more done there to protect people from those messages.”
Meta, which owns Instagram, did not reply to a request for comment.
There was no response from an email sent to X’s press email address.
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‘People need to be held accountable’ after Euros racism
LinkedIn indicated that X’s UK managing director Jonathan Lewis’s account had seen a request for comment, but there was no response.
On Friday, Mr Lewis and Premier League club Burnley were celebrating a new partnership in an announcement that made no mention of the abuse that many players across the world face on X.
The hope is that the Online Safety Act will lead to social media firms implementing the safety tools required of them.
Mr Bhandari said: “They have to be enforced by law enforcement against individual perpetrators, and also the regulatory parts need to be forced against the social media companies to force them to do the things that they need to do.”
Grimly familiar situation
The FA reported the abuse suffered by Carter to police, and the hope is for speedy action because this is a grimly familiar situation.
After the men’s Euros final in 2021, Marcus Rashford, Jadon Sancho and Bukayo Saka were racially abused after missing penalties in the shootout defeat to Italy.
Image: Bukayo Saka was among the England players targeted after missing penalties in the Euros final. Pic: Reuters
While players have been taking a knee against racism in men’s and women’s games, the Lionesses feel that is no longer enough at these Euros.
They will stand instead before the semi-final with Italy because they say a new approach is needed to tackle racism.
Carter didn’t just face racism around the quarter-final that England won on penalties after fighting back from 2-0 down against Sweden here in Zurich.
She has been subjected to abuse throughout the Euros.
“I’m really feeling for Jess and what’s sad is that this is shocking, but not surprising,”Mr Bhandari said.
“I watch every England game, at every tournament, with the fear that after the match, there’s going to be abuse of a black player using the spurious basis of performance as an excuse to justify unjustifiable racism. All racism is unjustifiable.
“The fact that someone’s had a good or bad game in your opinion does not justify that kind of racist abuse.”