The reception at Preventicum’s London clinic

London’s Preventicum has been at the forefront of preventative healthcare – where you see and anticipate potential health risks – for almost two decades.  Here, Preventicum’s Medical Director, Dr Ying-Young Hui speaks to Samantha Welsh about how about the importance of early detection, and how a holistic approach can give a complete picture of health, guiding on lifestyle changes and potential clinical interventions; and we present some frankly chilling case studies  

LUX:  What brought about Preventicum’s early start in the competitive health diagnostic space?

Dr Ying-Young Hui:  Preventicum launched its pioneering preventive health assessments in London in 2005 at its luxury London clinic. We developed our detailed health assessments to give clients the ultimate reassurance and peace of mind, enabling them to live their lives to the full. Instead of addressing health concerns when they arise, we can detect the earliest signs of and risk factors for heart disease, cancers, stroke, diabetes and many other conditions. This proactive approach allows us to create tailored health and lifestyle plans so that our clients can stay in optimal health and well-being.

Preventicum offers preventive healthcare, using state of the art technology

LUX:  What breakthroughs differentiate Preventicum services from those of competitors?

Dr Y-YH:  For over 19 years, Preventicum has been at the forefront of preventive health and we have developed the most advanced and safest health assessments in the world. We combine pioneering cardiac and brain analysis, laboratory tests, state-of-the-art, radiation-free MRI (Magnetic Resonance Imaging) and ultrasound scans with detailed GP and Radiologist consultations, as well as referrals to a network of specialists.

Read more: How art is remediating environmental and societal damage from overdevelopment

Preventicum offers the only doctor-led, non-invasive health assessments that are completed on a single day, under one roof, with results available before our clients leave. By consistently researching and introducing new clinical developments, we ensure that Preventicum remains at the forefront of preventive healthcare, offering our clients the very latest, gold-standard tests and technology.

LUX:  With the curated approach to the hospitality experience, what does this show about values and clienteling?

Dr Y-YH:  At Preventicum, our clients’ experience extends well beyond the medical tests and scans included in their health assessment. Many of our clients describe their experience as “spa-like” thanks to our beautiful environment and our dedicated team who provide unparalleled service and build long-lasting relationships.

Dr Ying-Young Hui, Preventicum’s Medical Director

With a tailored approach, our client’s Preventicum Doctor oversees the tests and scans that are included in their health assessment and along with two detailed consultations, they create a detailed clinical report and lifestyle prescription

LUX:  How do you structure the detailed client consultations at the beginning and end of the day?

Dr Y-YH:  Each client meets a dedicated Preventicum Doctor who guides them through their assessment and addresses any health concerns. The day begins with up to an hour with their doctor to discuss their current health, medical and family history and any specific concerns they may have. We also assess key lifestyle factors such as diet, physical activity, alcohol intake and sleep, all which are crucial in determining current health and future risks. This consultation also includes a comprehensive physical examination and a guide as to what will happen throughout the day.

Following the client’s tests, MRI and ultrasound scans, and cardiac assessment, clients have a unique opportunity to review their MRI scans in a consultation with one of our Consultant Radiologists, including viewing their beating heart. The day concludes with a consultation with the client’s Preventicum Doctor to discuss the day’s findings and results, provide reassurance and where clinically indicated, arrange referrals to specialists within our network.

‘Preventicum remains at the forefront of preventive healthcare, offering our clients the very latest, gold-standard tests and technology’ – Dr Ying-Young Hui

LUX:  Lifestyles in the developed world are contributing to rising rates of diverse cancers.  Where have you had successes in early detection, and how can we help ourselves?

Dr Y-YH:  Cancer rates are increasing, including in the younger population, with approximately 375,000 new cancer diagnoses per year in the UK. It is estimated that 1 in 2 people in the UK currently under 65 years old will be diagnosed with some form of cancer during their lifetime. Our doctors are able to detect the earliest stages of cancers thanks to the combination of their expertise and our technology.

Recently, we have found clients who showed early stages of kidney, lung, thyroid and prostate cancer.  Detecting and diagnosing these cancers at an early stage usually means shorter and less invasive treatment plan and most cancers have far higher survival rates if found early.

To reduce the risk of cancer, we recommend lifestyle changes such as stopping smoking, reducing alcohol intake, increasing physical activity and maintaining a healthy diet. Annual Preventicum health assessments also play a crucial role in identifying signs of and risk factors for cancers, further aiding early detection and prevention.

‘Each client meets a dedicated Preventicum Doctor who guides them through their assessment and addresses any health concerns’ – Dr Ying-Young Hui

LUX:  What is the approach to cholesterol management?

Dr Y-YH:  Cholesterol management is crucial for a long and healthy life with a reduced risk of cardiovascular diseases including heart disease and stroke.  Effective cholesterol management requires a multifaceted approach, combining lifestyle changes with medication and regular monitoring.

Follow LUX on Instagram: @luxthemagazine

During the client’s initial consultation, we spend up to an hour gathering vital information about their lifestyle, personal medical history, family history and any symptoms. This data, along with results from detailed blood tests, blood pressure, stress echocardiograms, cardiac MRI, oxygenation-sensitive cardiac MRI (OS-CMR) and carotid artery ultrasound allows us to create a personalised cholesterol management programme.

We provide specific and tailored advice about changes which can improve High Density Lipoprotein (HDL) cholesterol and lower Low-Density Lipoprotein (LDL) cholesterol, such as reducing the consumption of saturated fats, increasing consumption of foods high in omega-3- fatty acids (such as oily fish and avocado), setting targets for moderate and high intensity exercise and optimising sleep quantity and quality.

Our approach emphasises reducing future risk with dietary changes, regular physical activity and when necessary, the use of cholesterol-lowering medications, with referrals to lipid specialists when clinically indicated.

Client room at Preventicum

LUX:  Hereditary conditions can be the ‘silent killer’, what is your experience with investigation and proactive intervention?

Dr Y-YH:  Hereditary conditions often develop without symptoms until they reach an advanced stage, making early detection and regular health assessments even more important. At Preventicum, clients complete a detailed medical questionnaire that includes a full family history, discussed during their hour-long initial consultation. Our Preventicum Doctors oversee all test and scan results and therefore have a complete view of our client’s health.

This proactive approach has allowed us to identify conditions such as cardiomyopathies, heart valve anomalies, and familial hypercholesterolemia early, leading to timely interventions that reduce the risk of severe health issues. Over the past 19 years, we have successfully identified and managed these hereditary conditions in many clients. We also have a partnership with an expert Clinical Geneticist who we can refer to if clinically indicated.

LUX:  What other diagnostic areas offer opportunities for innovations in partnership?

Dr Y-YH:  Preventicum is committed to remaining at the forefront of preventive health by partnering with leaders and experts in many clinical specialisms.  We have worked with Perspectum to offer LiverMultiScan, which provides a comprehensive view of liver health, including detailed measures of inflammation and fibrosis.

Read more: Louis Roederer Photography Prize for Sustainability

In 2023, we introduced our Optimal assessment, the world’s most clinically advanced health assessment, featuring partnerships with BrainKey for detailed brain analysis of over 25 regions of the brain including brain age and Area19 for a world first in health screening – pioneering Oxygenation-Sensitive Cardiac MRI (OS-CMR). Additionally, our collaboration with Medical iSight allows clients to interact with 3D Augmented Reality visuals of their brain scans using Microsoft HoloLens.

LUX:  Can some investigations be unnecessarily invasive for the client, for example, cardiac diagnostics?

 Dr Y-YH:  All Preventicum assessments are safe and non-invasive. Our innovative OS-CMR technology, the most advanced cardiac assessment in the world, is non-invasive and requires no stress or medication. We rely on radiation-free MRI and ultrasound imaging, ensuring our clients avoid any adverse side effects and are not exposed to potentially harmful radiation.

‘Many of our clients describe their experience as “spa-like”’ – Dr Ying-Young Hui

This approach makes our assessments suitable for annual health screenings and also demonstrates our commitment to delivering the most advanced health assessments in the safest and most comfortable way for our clients.

Case studies: Some chilling real life case studies of lives saved and lifestyles altered from the Preventicum team.

High-grade atrioventricular block

A female client in her mid-fifties booked a Preventicum assessment after experiencing shortness of breath climbing stairs and was anxious about her health. During both the exercise stress echocardiogram and cardiac MRI scans, abnormalities were seen. Urgently referred to see a Cardiologist by her Preventicum Doctor. Further investigation revealed a high-grade atrioventricular block and a pacemaker was successfully fitted. Our client reported an upturn in her health and general wellbeing after this procedure.

Large aortic aneurysm

A healthy Orthopaedic surgeon in his late sixties booked a Preventicum assessment. He was known to have high blood pressure. During our client’s ultrasound scan, a 7cm abdominal aortic aneurysm (ballooning of the major artery running down the centre of the abdomen) was seen which had a high risk of rupturing. He was immediately referred to see a Vascular Surgeon who performed an urgent repair to the aneurysm through the main artery of his leg. Normally, large aortic aneurysms remain undetected with sudden death being the first symptom. Five years on, our client is doing very well, having made a good recovery with follow-up monitoring revealing the aneurysm to be fully repaired.

Lung cancer

A 61-year-old Company Director, returned to Preventicum for his third assessment. He was fit and well, living an active and busy life. The Consultant Cardiac Radiologist saw a 6mm lung nodule in the background of the cardiac MRI scans. The client was urgently referred for a follow-up CT scan. He attended an appointment with a specialist who made the decision to watch this for three months.

During this time, the nodule grew from 6mm to 12mm. A specialist biopsy operation at St. Batholomew’s Hospital then confirmed this was lung cancer. An operation at The Royal Brompton followed where 55% of his lung was removed. He was active straight after his operation and within three months was back to riding a bike, playing golf and running at 80% of his previous fitness.

A radiologist consultation at Preventicum

Severe heart disease

A male client in his early seventies visited Preventicum for a third time. All his cardiac investigations were normal and he was generally in good health, but experiencing shortness of breath during bursts of intense activity. Our client’s resting ECG showed severe heart rhythm abnormalities and a further resting echocardiogram showed a dilated left ventricle with poor cardiac efficiency and function.

This was confirmed in his cardiac MRI and indicated the possibility of dilated cardiomyopathy. We referred our client for review with a Consultant Cardiologist and he had an urgent coronary angiogram. He is now under ongoing specialist care.

Kidney cancer

A 54-year-old Finance Director booked his first Preventicum assessment, feeling in generally good health with no specific concerns to address. During his abdominal ultrasound and MRI scans, a suspicious kidney lesion was seen. Following a comprehensive discussion he was referred to a Consultant Urologist for further investigation. Under the expert care of this specialist, a malignant kidney tumour was diagnosed. He had a successful operation to remove the tumour and thanks to our very early detection, he has not needed any further treatment as the surgery was wholly curative.

Large brain aneurysm with no symptoms

A Property Director in his early forties, booked a Preventicum assessment. He had no symptoms and was generally in good health. During his MRI scans, a large 11mm brain aneurysm was seen. The Preventicum Doctor immediately referred him to a leading Neurosurgeon who performed a catheter angiogram to examine the anatomy of the aneurysm in more detail.

Read more: Cristal evening with Louis Roederer’s Frédéric Rouzaud

Interestingly, the year before his visit to Preventicum our client saw a Neurologist who had carried out an MRI brain scan, but the aneurysm had not been seen. The possibilities for intervention were thoroughly discussed and he opted for open surgery to the aneurysm which was a great success.

Coronary artery disease

A client attended his Preventicum assessment and mentioned a four-week history of chest pain during exertion. During his assessment, he was found to have high blood pressure, high cholesterol and a significantly abnormal ECG. The client was urgently referred to a Cardiologist who performed a cardiac CT, revealing a dangerous blockage in the main artery taking blood to his heart.

Following immediate admission into hospital, our client underwent an emergency primary angioplasty procedure to open the blockage and two stents were put into his main coronary artery. He made an excellent recovery and was put on long-term medications to control his blood pressure and cholesterol levels. Prior to his Preventicum assessment, the client had a very high risk of having a sudden, fatal heart attack.

Thyroid cancer

A 28-year-old male client booked his first Preventicum assessment as he was concerned about his general wellbeing, was feeling tired and had been experiencing night sweats. During his assessment, our client’s full blood count and inflammatory markers were normal. However, during his ultrasound examination, our sonographer noted an abnormal looking lymph node in his neck.

An urgent referral was made to a Head and Neck Consultant and following a lymph node biopsy, the client was diagnosed with a medullary carcinoma (cancer) of the thyroid gland. He had surgery to remove the thyroid gland and 50 additional lymph nodes. The client has fully recovered from this curative surgery.

preventicum.co.uk

Share:
Reading time: 11 min
woman giving a speech
a foggy mountain

Harnessing renewable energy from sources like hydro electric power is essential for investing in the future

Jessica Hodges

Jessica Hodges

From renewable energy to alternative food products, biotech to healthcare, ESG is helping to bring impact to the forefront of investment portfolios. As a partner at Deloitte, Jessica Hodges is responsible for helping private clients build responsible investments into their portfolios. She speaks to LUX about the increasing centrality of ESG to business strategy and why family offices need to be ahead of the curve. By Samantha Welsh, Philanthropy Editor.

LUX: What drove your own interest in ESG?
Jessica Hodges: I was interested in ESG issues from a young age – albeit the acronym didn’t exist yet – and was always keen to get involved in projects that had a social or environmental angle. My job means I come into contact with a large number of families, and I’m keen to ensure that we, and they, make an impact through the work we do. Considering environmental, social and governance (ESG) risks is becoming increasingly central to business strategy.

LUX: What trends are you currently noticing among family offices?
Jessica Hodges: Family offices are all unique, but generally we are seeing more of an interest from the next generation in issues that have a positive impact on the environment and on society. Younger generations are becoming increasingly involved in managing their family’s wealth and demanding investments that align with their values. They are particularly focused on how they measure ESG impact, considering on a case by case basis the impact companies are having and how they may change to align to ESG values, as well as using data to understand it.

Many next gen clients feel a real sense of obligation – particularly if the source of their wealth may not have been considered to have positive impacts in the past. Often in a family with multiple siblings, you might see one sibling managing the family business, one running the family office and one leading the philanthropic side of things.

LUX: Which sectors are next gen investors most interested in?
Jessica Hodges: Areas of focus include renewable energy infrastructure projects; alternative food products; agricultural technology and alternative farming; healthcare and biotech. What is so interesting is how ESG is bringing that ‘impact’ element into the broader investment portfolio – an area I think family offices are ahead of the curve on.

Follow LUX on Instagram: luxthemagazine

LUX: What makes family offices potentially well suited to ESG investing?
Jessica Hodges: Family offices typically have more control over deciding and managing their priorities than public funds as they are private. They do not have to respond to shareholder demand in the same way, and have flexibility over how they use their large pools of capital. Their investment horizons are also often long term: instead of looking to make a quick return, they invest over five year periods or more, and do not have the same financial return requirements that larger venture capital firms have.

Being smaller, and typically more flexible and agile, makes it easier to introduce policy change and implement if they have the skillset to do so. Additionally, there are some family offices that are heavily focused on supporting their local community, helping to make more noticeable and measurable change locally rather than on a macro level.

Jessica Hodges delivering a speech tog gusts in front of a screen

Jessica Hodges delivering a speech at the Deloitte Family Office Conference

LUX: What basic interventions can a family make to incorporate ESG targets into an investment model which has been in place for generations?
Jessica Hodges: Due diligence of sustainability practices is key. This is an area that family offices will need to consider planning for, as a resource for sufficient oversight of external managers could be an issue for smaller organisations. It’s also key to have effective controls in place to measure and monitor fund managers, and ensure strategic objectives set by the family office are met.

ESG-proof due diligence and investment processes are also extremely important. This can include fully understanding the investment philosophy of any external managers (without any complicated jargon), obtaining evidence of shareholder engagement, and verifying performance data. The easiest intervention to make is often an exclusionary policy: the family picks a few areas they are not willing to invest in, such as organisations that negatively impact the environment or public health.

Read more: Professor Peter Newell on why the wealthy need to act on climate change

LUX: The ESG sector is unregulated and family offices value authenticity and trust: how do managers evaluate risks such as data validation, fraud, and greenwashing?
Jessica Hodges: It’s key that family offices have independently verified credentials. Besides checking a firm’s governance mechanisms, internal systems and controls, assurance would focus on whether there is a positive risk or ESG culture and a good level of awareness. In the same way that auditors come in to very financial data, providers will come to verify non-financial data over ESG metrics.

LUX: How is the ESG industry model disrupting traditional investing models?
Jessica Hodges: Firms are trying to determine which of their investments have both positive and negative social or environmental impacts and want to be clear on the implications of these with their public disclosures. They are also figuring out factors that will resonate most with their clients. If product governance is not thought through properly then there could well be negative consequences. My expectation is that there will be increased monitoring requirements with regards to asset portfolios, leading to additional costs – although proponents of this would argue that it is money well spent.

The sales part of the investment cycle is more complex since investors in ESG are not seeking to solely meet financial return objectives: at what point do you determine your exit? Historically, family offices – along with private equity – might have been looking to exit at the point when they could maximise their financial profits. Now, family offices will need to consider whether the targets outlined have been achieved, along with the broader impact on society or environment.

LUX: What makes a successful family office?
Jessica Hodges: The most important thing for a ‘successful’ family office is alignment of goals, and understanding what the family hopes to achieve. It is only by knowing where you want to get to that you can understand if you have really got there and measure how you performed!

Landscape photography by Isabella Sanai

Jessica Hodges is an Investment Management Audit and Assurance Partner at Deloitte

Share:
Reading time: 5 min