Sama Clinic. The medical spine, held in one place.
Sama Clinic is the hotel's clinical operation, occupying the first floor of the Spa Wing — eight clinic rooms arranged along a shared corridor, with a waiting area, WCs, and balcony access. The name (Sanskrit sama — even, balanced) sits alongside the outcome the clinic exists to produce: a physiology that has moved toward balance, evidenced. Everything a guest experiences on the clinical side of a programme — the bloodwork interpretation, the Ayurvedic consultation, the aesthetic conversation, the psychological work, the movement assessment — happens in these rooms, delivered by a small credentialed team held together by a Medical Director on our own premises. The specialist streams below each have their own page; this page is the whole clinic in one place.
Six doors off the same corridor.
The clinic is deliberately organised around six specialist streams, each with its own scope of work, its own credentialed lead, and its own detailed page. A programme guest typically moves through several of them across a single stay. The streams are not separate departments; they are the readable divisions of a single clinical operation, held together by the case-conference chaired by the Medical Director.
Gut, microbiome, digestive fire
Agni →
Where the hotel's Ayurvedic heritage and the modern microbiome literature converge. Standard scope includes GI-MAP microbiome analysis for every Agni consultation, kitchari monodiet protocols, targeted removal and reinoculation, and dietary translation. Ayurvedic-clinical lead: Dr Prasanna Kerur; clinical-nutrition lead: the HCPC dietitian; medical oversight: Dr Shiv Chande.
Skin, hormones, aesthetic medicine
Kanti →
The K-clinic model — aesthetic medicine held to the standard the Seoul aesthetic clinics operate at, paired with the systemic skin conversation (bloods, DUTCH hormone panel, perimenopausal-skin work). Aesthetic lead: Dr Alexa Kerr, joining Kanti as the employed aesthetic doctor; systemic-skin work: Dr Shiv Chande and the wider clinical team.
Mental health, contemplative practice
Manas →
Manas (मनस्) — the Sanskrit word for mind, the room where the psychological work happens. One-to-one talk therapy, MBSR delivery, structured pranayama and yoga nidra, trauma-informed care. Psychologist (to hire) delivers; Arti Kukreti's yoga-therapy sits alongside; Dr Shiv Chande governs the contemplative side.
Physiotherapy, kinesiology, movement analysis
Kaya →
Kāya (काय) — the body as a mechanical system. Where the physiotherapist assesses injury, manual therapy is delivered, and movement analysis (video capture, force-plate, functional movement screen) identifies patterns that predict injury or that Bala's training programming should work around. Complements Bala training and Ayush bodywork with a clinical read of the body's mechanics.
Diagnostic pathology · operated by Medilab
Nidana →
Nidana (निदान — cause, diagnosis) is the diagnostic-pathology stream — a fitted blood-draw room on the clinic floor, staffed and operated by Medilab under a service contract. Phlebotomy in-suite, panels processed at Medilab's Strive facility, results returned with consultant-level lab sign-off within two working days. Clinical interpretation and the guest conversation stay in-house with Dr Shiv Chande and the medical team; the pathology infrastructure is Medilab's.
Body-composition scanning · DEXA
Deha →
Deha (देह — body) is the hotel's DEXA scan room. A dedicated clinical space housing a refurbished clinical-grade DEXA scanner, staffed by an IR(ME)R-certified DEXA operator (per IR(ME)R 2018 the operator role does not require full HCPC-radiographer registration for this scanner class — the model BodySpec and several UK private DEXA services already run). Bringing DEXA in-house rather than referring across the road closes the loop between the scan and the clinical conversation — a scan taken in the morning is available for the Naya consultation alongside the Nidana bloodwork the same afternoon. Fat mass, lean mass (regional and whole-body), visceral-fat quantification, and bone-mineral density.
The physical clinic. Sama Clinic occupies the first floor of the Spa Wing — eight clinic rooms opening off a single corridor, with a shared waiting area, male and female WCs, a store room, and balcony access from three points along the corridor. Most of the rooms are deliberately flexible — configured for phlebotomy, aesthetic procedures, one-to-one consultation, or movement-analysis work as the appointment book requires. Two rooms are single-purpose: the Nidana blood-draw room (fitted for Medilab's protocol) and the Deha DEXA scan room (built to Ionising Radiation Regulations spec with dedicated shielding and workstation). The waiting area serves the whole floor rather than each stream having its own reception.
The four kinds of clinical conversation that happen inside Sama Clinic.
Named after Sanskrit mati (मति) — the discerning mind, judgment, understanding — Mati is the group name for the four distinct kinds of one-to-one consultation a programme guest has during their stay. Each consultation is delivered by the right specialist for the question, in one of the eight clinic rooms. Together they form the clinical dialogue that turns a physiological picture into a protocol the guest leaves with.
Naya (नय) · GP consultation
The Western clinical conversation
Delivered by Dr Shiv Chande as Medical Director, with Dr Marie-Christine Dix supporting the chronic and integrative cases. The consultation that interprets the Nidana (Medilab) bloods, translates them into a protocol, and holds the prescribing decisions and onward referrals. Every programme guest has at least one Naya session; the flagship programmes have several across the stay — arrival, mid-week recheck, departure sign-off. Named after naya — guidance, prudence, the shaping principle of a plan.
Prakriti (प्रकृति) · Ayurvedic consultation
The classical constitutional conversation
Delivered by Dr Prasanna Kerur, the hotel's Ayurvedic clinical lead. Named after prakriti — the classical Sanskrit term for a person's constitutional type, the specific dosha balance the Ayurvedic tradition treats as the starting condition of the individual body. The consultation that identifies dosha balance, agni state, and the classical intervention (dietary, oil, elimination, breath) the presentation calls for. Feeds into the case conference alongside the Naya reading; the resulting protocol combines what each tradition does best.
Manas (मनस्) · mental health consultation
The psychological conversation
Delivered by the hired Manas clinical psychologist, with Arti Kukreti's yoga-therapy sessions sitting alongside as evidence-based contemplative practice. The one-to-one work with a HCPC-registered clinical psychologist or accredited psychotherapist, scoped to anxiety, mild-to-moderate depression, insomnia, perimenopausal mood work, burnout, and structured MBSR delivery. Full scope, staffing and clinical framework on the Manas page.
Pathya (पथ्य) · nutrition consultation
The dietary and nutrition conversation
Delivered by the HCPC-registered dietitian. Named after pathya — the classical Ayurvedic term for "wholesome food; the diet appropriate to the condition." The clinical-nutrition consultation covering every food-and-nutrition touchpoint: the Agni gut protocol, the Ahara menu design (in collaboration with Dr Prasanna Kerur on the dosha-tuned side), the fasting-programme daily monitoring, CGM interpretation, and the dietary translation of any Naya or Manas protocol.
Kaya (काय) · movement consultation
The mechanical-body conversation
Delivered by the kinesiology / movement scientist launch hire. Named after kaya — the Sanskrit word for body, the physical organism as a mechanical system. The consultation that runs the Functional Movement Screen, the Theia3D 3D-motion-capture gait and squat analysis, the force-plate work, and translates the resulting movement-quality picture into targets for the guest's training and mobility work. Sits alongside the four clinical consultations above as the fifth register the guest is read in — not injury treatment (that is referred out to sessional physio), but the preventative movement-quality read that shapes what Bala should load next. Full detail on the Kaya page.
What the Mati structure gives the guest. Rather than one generalist "wellness consultation" bundling every register into a single conversation with a single practitioner, the guest gets five distinct conversations with five specialist practitioners — each qualified in their own discipline, each producing a specific input the case conference then integrates. The take-home protocol reads as one coherent plan; the five consultations that produced it are legible in the plan for the guest who wants to see how it was built.
Nidra — the sleep work, done at the depth the evidence supports.
Named after Sanskrit nidra (निद्रा) — sleep — the Nidra service inside Sama Clinic covers the analytic and therapeutic work around sleep. Sleep is one of the strongest single predictors of healthspan, and it is one of the most underdiagnosed complaints in the midlife guest cohort the hotel serves. Nidra sits inside the clinic rather than as a spa-adjacent amenity because the interventions that actually change sleep are clinical rather than atmospheric.
Overnight sleep analysis via the Orion Sleep System
Every programme guest sleeps on the Orion Sleep System — the mattress-embedded sensor stack that captures sleep-stage architecture, heart-rate variability, respiratory rate, movement, and temperature across the night. Data is returned as a plain-English report the guest can read alongside their bloodwork. Longitudinal record accumulates across return visits, in the same way the Medilab bloodwork does.
Sleep apnea screening — AcuPebble by Acurable
Guests whose Orion data flags patterns consistent with apnea risk — or who self-report snoring on the pre-arrival questionnaire — are offered a single-night AcuPebble screen. Acoustic sensor worn on the throat, clinical-grade apnea report returned by Acurable. The finding either closes the question or gives the guest a documented result they can take to their physician at home. Absorbed into the programme fee where clinically indicated.
Cognitive Behavioural Therapy for Insomnia (CBT-I)
For guests presenting with insomnia — either self-reported at intake or surfaced through the assessment — CBT-I is the intervention with the strongest evidence base and NICE-recommended first-line status for chronic insomnia. Structured protocol delivered by the Manas psychologist across the residential stay, with the take-home continuation handled via video review over the following weeks. Meaningfully more effective than sleep-hygiene advice alone, and meaningfully safer than long-term pharmacological approaches.
Clinical sleep-hygiene consultation
Structured review of the guest's sleep environment, chronotype, evening rhythm, caffeine and alcohol pattern, light exposure, temperature regulation, and pre-sleep behaviour. Delivered by Dr Shiv Chande or the health coach depending on the picture's complexity, integrated with the Orion data and any protocol arising from the Naya consultation. The unglamorous foundation that CBT-I builds on.
Onward referral for complex sleep medicine
Where a presentation exceeds what the hotel is scoped to treat — severe apnea requiring CPAP fitting, narcolepsy or other sleep-medicine specialist territory, complex circadian disorders — Dr Shiv Chande's onward-referral pathway routes the guest to Jersey's sleep-medicine specialists or the guest's home-country provider. What Nidra treats, it treats properly; what it does not treat, it refers cleanly rather than half-attempting.
Klesha — the chronic-stress and burnout stream, led by Dr Marie-Christine Dix.
Named after Sanskrit klesha (क्लेश) — affliction, distress, the mental afflictions that Patanjali's Yoga Sutras name as the underlying disturbances a settled mind is contending with — the Klesha service inside Sama Clinic is the specific clinical stream for stress physiology and burnout recovery. Distinct from the psychological work in Manas: Manas is the psychology hire's scope (anxiety, depression, insomnia, MBSR, trauma-informed care); Klesha is the functional-medicine and integrative-clinical scope on the body's response to sustained stress load. The two work together on many of the same guests, from different sides.
Why burnout needs a functional-medicine reading, not just a psychological one
Sustained stress is a whole-body phenomenon that expresses itself in HPA-axis dysregulation, mitochondrial fatigue, systemic inflammation, altered cortisol rhythms, and downstream effects on sleep, immune function, insulin sensitivity, and hormonal balance. A guest presenting with burnout — the executive who has stopped sleeping properly, the parent whose energy has been depleted for a year, the professional in the middle of a career pivot — needs both the psychological work Manas provides and a proper read on the physiological picture underneath it. Klesha is where the second half of that conversation happens.
The clinical work Dr Marie-Christine Dix leads
DUTCH cortisol-rhythm testing, extended thyroid panels including reverse T3 and antibodies, comprehensive nutrient status (magnesium, B vitamins, vitamin D, ferritin, zinc), functional-medicine root-cause questioning (mold exposure, chronic infection, mitochondrial support markers), review of medications and supplements against the burnout picture, and a structured protocol combining nutrition, sleep, movement, and — where clinically indicated — targeted supplementation or pharmacological support in coordination with Dr Shiv Chande. Dr Marie-Christine Dix's chiropractic and craniosacral scope also supports the somatic dimension of chronic stress where a hands-on modality serves better than a talk-therapy one.
How Klesha and Manas cross-refer
Guests presenting with mental-health primary (anxiety, low mood, insomnia, trauma) start in Manas with the psychologist; if the picture surfaces a substantial physiological component (dysregulated cortisol, thyroid issues, nutrient deficiency, chronic-inflammation load), Klesha is brought in as a parallel workstream. Guests presenting with burnout primary (exhaustion, loss of function, physical-picture-first) start in Klesha with Dr Marie-Christine Dix; if the picture surfaces psychological components that talk therapy would serve (which is common in burnout), Manas is brought in alongside. The two teams share the case conference, and the take-home protocol integrates both sides.
The specific presentations Klesha is scoped to serve
Occupational burnout, sustained chronic-stress physiology, post-illness / post-viral fatigue where a psychological label does not fit the picture, HPA-axis dysregulation with objective markers, chronic exhaustion in the perimenopausal transition where sleep and mood are entangled with hormonal shifts, and the general "I have been running on empty for two years" presentation that a longevity-programme guest cohort routinely arrives with. Not scoped to acute mental-health crisis (referred to Manas or emergency services), not scoped to specific medical conditions requiring specialist care (referred out), and not marketed as a cure for chronic-fatigue syndromes where the evidence base does not yet support a specific intervention.
Programme integration
Available to any programme guest via referral from Naya (Dr Shiv Chande) or self-request at intake. Automatically included in the Long Reset and Long View intake screen — the pre-arrival questionnaire has specific items designed to flag guests whose picture warrants a Klesha workup. Membership guests with chronic-stress patterns visible in their bloodwork and Orion sleep data are offered a Klesha assessment as part of their quarterly review. The stream is small on volume but high on depth per case.
The guest interpretation is the product. It cannot be outsourced.
An earlier version of this proposal placed clinical governance with Medilab — the laboratory partner would sign off the guest results, hold the referral pathway, and carry the indemnity for the interpretation. That structure is legible and cheap. It is also wrong for what this hotel is trying to be. Three reasons this changed.
The guest conversation is where the value sits
A guest paying £5,075 for the Long Reset is not paying for the panel of numbers. They are paying for the conversation in which those numbers become a protocol they can live with. If that conversation is delivered by a laboratory partner over Zoom the week after the guest leaves, it is not the product we described. The lab supplies the number; the hotel supplies the meaning; and meaning is what carries the price tag. Ownership of the interpretation is not a compliance question — it is the entire commercial argument.
Consistency across programme touchpoints requires a single medical spine
A guest on the Long Reset moves through Medilab bloods, Kanti aesthetic consultation, Agni gut work, Bala performance testing, Manas mental-health screening, Ayush Ayurvedic consultation, and Ahara dietary planning inside a single stay. Each of those touchpoints has to speak to the same clinical picture and land in the same take-home protocol. That coherence comes from a single Medical Director chairing the team and holding the case-conference conversation — not from three separate outside consultancies each writing their own report. In-house governance is what makes the hotel readable to the guest.
The referral pathway is Jersey-specific and hotel-specific
Onward imaging goes to the Elinor Ruth Medical Centre (the sister medical centre across the road, currently branded Lido) and Jersey X-Ray Services. Onward specialist review typically returns to the guest's home country. Emergency escalation goes to Jersey General Hospital. Prescribing follows Jersey formulary rules. None of that is standard-issue — it is a specific pathway built by and for a Jersey hotel, and it needs to sit with the clinician standing in the hotel, not the one signing off in a Strive laboratory fifteen minutes away.
What Medilab does, and does not do, in the new structure. Medilab supplies the pathology: mobile phlebotomy, the analyser, the panels, and consultant-level lab sign-off on the result itself. They are the reference laboratory, at consultant quality, and the SLA between our medical team and theirs is set out on the Nidana (Medilab) page. What they no longer own is the guest conversation, the protocol, or the onward referral. That work sits with us, on our premises, delivered by the team below.
Five clinicians, each credentialed in their own discipline.
The clinical operation rests on five named clinicians. Each has a real credential in the specific discipline they lead — no one is stretching outside their scope of practice. The five are complementary rather than overlapping: Western medicine, Ayurveda, aesthetic medicine, yoga therapy, and integrative / functional medicine, held together by a Medical Director who chairs the weekly case conference and owns the referral pathway.
Medical Director · Western clinical lead
Dr Shiv Chande
To be appointed at launch · currently in advanced conversation
General Practitioner (GMC-registered), 200-hour Yoga Teacher Training certified, longstanding interest in mindfulness and the integration of contemplative practice into primary care. The Medical Director role is what makes the rest of the structure legible: he chairs the weekly clinical case conference, is the named responsible clinician on the hotel's Jersey healthcare-premise registration, holds the prescribing formulary, owns the onward-referral pathway to Lido and Jersey X-Ray, and is the escalation point for any guest whose findings require urgent clinical action.
The YTT credential matters because it lets him credibly govern the contemplative and yoga work without needing to deliver it. He can sit in the case conference for a Manas-flagged guest and speak the language of the yoga therapist and psychologist at the table, rather than treating those disciplines as adjacencies he cannot supervise. It is a rare and specific combination — a GP who can integrate the Ayurvedic-yoga axis into a Western clinical framework without either flattening one or the other.
What Dr Shiv Chande owns. Sama Clinic, prescribing, Medilab result interpretation, protocol sign-off, onward referral, mindfulness supervision within Manas, case-conference chair, regulatory face of the hotel to the Jersey healthcare regulator.
Ayurvedic clinical lead · Ayush spa
Dr Prasanna Kerur
On staff · continuing in the Ayush role
Ayurvedic practitioner leading the hotel's Ayurvedic clinical work — dosha assessment, panchakarma protocols, Ayurvedic dietary consultation, and the Ayush spa. Dr Prasanna Kerur is not a Western-trained physician and does not diagnose or prescribe outside the Ayurvedic scope; his work sits alongside the Western clinical team rather than duplicating it. That distinction is important because it protects both disciplines from being blurred into a wellness-generic composite that neither tradition would recognise.
His clinical contribution is the Ayurvedic reading of the guest — where their agni sits, which dosha is destabilised, which classical intervention (dietary, oil, elimination, breath) the presentation calls for. That reading feeds into the case conference alongside the Western clinical picture, and the resulting protocol combines what each tradition does best. The Long View programme, which includes a genuine panchakarma sequence, is his to design and lead.
What Dr Prasanna Kerur owns. Ayush spa clinical work, dosha assessment across all programmes, panchakarma protocols, Ayurvedic dietary consultation, agni readings that feed the Agni programme, oil and eliminatory therapies, the classical side of the Ahara menu design.
Aesthetic medicine · Kanti
Dr Alexa Kerr
To be appointed at launch · currently in her own independent private practice
Aesthetic medicine doctor, currently running her own independent private practice. On joining Kanti at Phase 02 launch she would come across as the employed aesthetic doctor leading the room — a substantive career move rather than a residency arrangement. As an employee she would deliver Kanti's aesthetic scope (tox, fillers, thread lifts, PRP for aesthetic indications, energy-device treatments) under the hotel's clinical governance and her own GMC registration, with the hotel carrying the employer weight rather than her carrying her own practice's regulatory and administrative overhead.
Kanti's non-aesthetic work — the diagnostic imaging referrals, the systemic skin conversations, the perimenopausal-skin bloods, the DUTCH hormone panel — sits with Dr Shiv Chande and the wider medical team, with Dr Alexa Kerr consulting where the aesthetic pathway is relevant. The employment terms for Dr Alexa Kerr are the subject of a separate commercial conversation; the appointment is at the "advanced conversation" stage rather than a signed contract.
What Dr Alexa Kerr owns. Aesthetic procedures inside Kanti, aesthetic-side clinical consultation, aesthetic device operation and sign-off, the clinical reputation of the Kanti aesthetic offer — under the hotel's employment and clinical governance rather than her own independent practice's.
Yoga therapy · Prana lead
Arti Kukreti
On staff · developing yoga programming for the hotel's retreats
Master's in Yoga from an academic yoga institution — a materially different credential from the standard 200-hour or 500-hour Yoga Teacher Training, and one that carries competence in yoga philosophy, therapeutic applications, teaching methodology, and research literacy. She leads the daily Prana room programming — morning pranayama and asana, restorative and yoga nidra in the evening — and delivers the yoga-therapy work embedded across every programme tier.
Inside Manas she runs the structured pranayama protocols and yoga-nidra sessions that sit alongside the clinical psychology work. Inside the Long View she supports the panchakarma sequence with the yoga programming that classically accompanies eliminatory therapies. Her Master's-level credential lets the hotel make yoga a genuine clinical modality rather than a wellness accessory.
What Arti owns. Prana room programming across all programmes, therapeutic yoga referrals from within the clinical team, pranayama and yoga-nidra delivery inside Manas, yoga integration into Long View panchakarma, the daily rhythm of contemplative practice that every programme guest experiences.
Integrative & functional medicine · chronic conditions lead
Dr Marie-Christine Dix
To be appointed at launch · currently in independent practice at the Elinor Ruth Medical Centre · confirmed interested in joining Sama Clinic
Doctor of Chiropractic (DC), Functional Medicine Certified Practitioner (FMCP), Medical Acupuncturist, and Craniosacral Therapist. Currently practises independently from the Elinor Ruth Medical Centre (the sister medical centre across the road, currently branded Lido) — the same building the hotel already routes MRI through — with a global virtual practice alongside the in-person work. On joining Sama Clinic at Phase 02 launch she comes across as an employed hire, similar to Dr Alexa Kerr's arrangement — a substantive career move from her current independent practice rather than a residency arrangement. Her clinical focus is chronic and multifactorial health challenges: chronic pain, mold toxicity, chronic infections, and burnout recovery, worked through a functional-medicine root-cause frame rather than a symptom-management one.
Dr Marie-Christine Dix fills the specific gap the four-specialist structure leaves open — the chronic, multi-system, root-cause presentation that does not sit inside GP scope, Ayurvedic scope, aesthetic scope, or yoga scope. Her four-pillar working frame (physical, chemical, emotional, spiritual) maps cleanly onto how the wider hotel is organised, and her existing Jersey base at Elinor Ruth means she is operationally straightforward to onboard: no relocation, existing relationships across the wider group, and a patient base that already understands what an integrative practice looks like.
What Dr Marie-Christine Dix owns. Chronic pain protocols (in collaboration with Kaya and Manas), chronic multi-system presentations (fatigue, autoimmune-adjacent, post-viral), functional-medicine root-cause work (mold, chronic infection, mitochondrial, burnout), and the chiropractic / craniosacral / medical-acupuncture modalities specifically, for guests who ask.
Three named hires needed for launch, plus the wider clinical workforce.
Beyond the five named clinicians, three hires are needed before the Phase 02 clinical operation is complete. Each is a specific credential rather than a general wellness role, and each closes a gap in the current team that the existing clinicians cannot cover from within their own scope of practice.
Clinical nutrition · launch hire
Registered Dietitian (HCPC)
To hire · before Phase 02 launch
An HCPC-registered dietitian, not a nutritionist. The distinction matters because dietetics is a regulated clinical profession — a dietitian can prescribe therapeutic diets under clinical framework, be named on regulated-clinic paperwork, work with medical conditions, and monitor the fasting programme's daily physiological parameters. A nutritionist (ANutr or RNutr via the AfN) is a genuine credential in its own right but a narrower one, and for a hotel building the clinical operation this proposal describes, dietitian is the defensible hire.
The role spans every food-and-clinical-nutrition touchpoint: the Agni gut protocols, the Ahara menu design (in collaboration with Dr Prasanna Kerur on the dosha-tuned side), the fasting programme daily monitoring, CGM interpretation for guests on continuous glucose monitors, the Bala performance-nutrition work, and the Kanti gut-skin dietary translation. One dietitian is expected to cover the launch workload; a second hire, or an SENr sport-and-exercise nutritionist alongside the RD, opens in Phase 03 if Bala grows into a distinct product tier.
What the dietitian owns. All clinical-nutrition work across Agni, Ahara, Bala, Kanti, fasting, CGM interpretation, and dietary sign-off on programme protocols where nutrition is part of the intervention.
Clinical psychology · launch hire
Manas Clinical Psychologist
To hire · before Phase 02 launch
A HCPC-registered clinical psychologist or BACP-accredited psychotherapist to lead the Manas talk-therapy work. This is a one-to-one clinical role — a proper credentialed psychology hire rather than a coach or a wellness-therapy generalist. The Manas page describes the mental-health scope in detail; the psychologist is the practitioner who delivers the one-to-one work inside that scope and supervises the trauma-informed protocols the yoga and Ayurvedic teams operate within.
The scope is deliberately bounded. The Manas psychologist handles anxiety, low mood, insomnia (in liaison with the sleep-medicine work), perimenopausal mental-health presentations, work-related burnout, and structured MBSR delivery. They do not handle acute crisis (referred to Jersey Talking Therapies or emergency services) or severe mental illness requiring psychiatric management (referred to the on-call consultant psychiatrist retainer described below).
What the psychologist owns. One-to-one talk therapy inside Manas scope, MBSR delivery and supervision, trauma-informed supervision for the yoga and Ayurvedic teams, mental-health case-conference input, escalation to on-call psychiatrist where required.
Movement science · launch hire
Kinesiology / Movement Scientist
To hire · before Phase 02 launch
A sports-science-trained movement scientist to lead Kaya — the room where the body is examined as a mechanical system. BSc in Sport and Exercise Science, ideally with an MSc in Biomechanics, Sports Medicine, or a related discipline. Runs the Functional Movement Screen, the Theia3D 3D-motion-capture gait and squat analysis, the force-plate work, and the longitudinal movement-quality record that becomes the mechanical companion to the bloodwork and DEXA record.
The choice of a kinesiology scientist rather than a physiotherapist as the primary Kaya hire is deliberate. Physiotherapy is a reactive discipline — assessment and treatment of presenting complaints, injury rehab, post-surgical work. That reactive work is real but relatively rare in the guest profile the hotel is serving; when it presents, it is referred out to Jersey's existing physiotherapy market on a sessional basis (see below). Movement science is the preventative and optimisation-shaped discipline — the one that produces a screen every guest benefits from, whether they're injured or not. It fits the hotel's positioning; physiotherapy fits an injury clinic's.
What the kinesiology scientist owns. All movement assessment inside Kaya — FMS, gait analysis, force-plate, video capture, functional movement screens, longitudinal movement-quality data. Shares the grip-strength and VO₂ testing station with Bala. Does not treat, does not diagnose, does not rehab — feeds the movement picture into the case conference and into Bala's training programming.
Supporting clinical workforce
The five named clinicians and three launch hires are the credentialed spine. Around them sit seven further clinical roles, mostly part-time, sessional, or on-call, that support the operation without needing to be named clinicians in their own right.
- Nurse (RGN) — full-time. Handles phlebotomy under Medilab protocol, clinical admin, guest medication administration, and support to the Medical Director in the clinical rooms.
- DEXA operator (IR(ME)R-certified) — 0.5–1.0 FTE. Not required to be a full HCPC-registered radiographer for this scanner class per IR(ME)R 2018 — an "adequately trained" operator (nurse, biomedical scientist or dedicated DEXA technician with manufacturer training + short IR(ME)R course) meets the requirement. Runs every Deha scan, ensures positioning and protocol consistency across visits (which is what makes comparison scans meaningful), and produces the initial report that Dr Shiv Chande interprets alongside the bloodwork.
- Sessional physiotherapist (referred) — the injury, rehab, and pre-hab work Kaya does not carry in-house at launch. Contracted from a small preferred panel of Jersey private-practice physios on a per-session basis, called in for the specific guest presentations that need it (torn cuff, post-op recovery, elective-surgery pre-hab). Sits alongside the kinesiology scientist rather than reporting into them. Converts to a full-time in-house HCPC-registered physiotherapist as a Phase 03 contingent hire if sustained demand shows in the sessional data — see the Kaya page for the trigger conditions.
- Somatic and bodywork practitioner — part-time. Trauma-informed bodywork inside Manas scope, referred by the psychologist where somatic work would land better than talk therapy.
- Health coach — full-time. Non-clinical protocol-delivery role — takes the guest's take-home plan and walks them through it, checks in during the stay, holds the twelve-week post-stay follow-up cadence. Not a therapist and not a clinician, deliberately.
- Consultant psychiatrist on retainer — fractional. Named referral point for the Manas psychologist when a presentation exceeds psychological scope. No routine on-site presence; on-call for consultation and prescribing where required.
- Additional Ayurvedic therapists — part-time. Support Dr Prasanna Kerur in Ayush spa delivery, particularly during Long View panchakarma weeks and peak programme occupancy.
What sits with Dr Shiv Chande specifically.
The Medical Director role is the single most important clinical appointment the hotel makes. It is what converts a collection of good practitioners into a legible medical operation. The role is time-bounded and specific — a fractional three-to-four-day-a-week commitment rather than a full-time consultant post — and its scope is deliberately not delivery-heavy. Dr Shiv Chande governs and integrates; the specialist team below him delivers.
Named responsible clinician on Jersey regulatory paperwork
The hotel's Jersey healthcare-premise registration lists a single named responsible clinician. Dr Shiv Chande is that named clinician. He carries the regulatory face of the hotel to the Jersey healthcare regulator, to the professional indemnifier (MPS or MDDUS), and to the safeguarding pathway. This role cannot be shared, delegated, or outsourced; it belongs to one identifiable GMC-registered doctor.
Chair of the weekly clinical case conference
Every Monday morning the five-clinician team plus the dietitian and the psychologist meet to review the guests arriving that week — their bloods (where drawn in advance), their stated goals, any red flags from the pre-arrival questionnaire, and the specialist inputs each team member is planning to make. Every Friday the same group meets to review the departing guests — what was found, what was done, what the take-home protocol says, and what the twelve-week follow-up will look for. Chairing this meeting is the single most consequential piece of Dr Shiv Chande's week; it is where the hotel's clinical coherence is produced.
Prescribing authority and formulary sign-off
All prescribing on the premises flows through Dr Shiv Chande as the GMC-registered prescriber. This includes any pharmacological intervention arising from the bloods (vitamin D at prescription doses, iron infusion referral, thyroid medication review, statin considerations) and any programme-specific formulary decisions (the standing supplement protocol, sleep-support pharmacology within scope, HRT conversation triage). The formulary itself is his to define and revise; the specialist team can recommend but not prescribe.
The mindfulness governance role
This is the specific reason the YTT credential matters. Manas delivers structured psychological interventions (CBT-informed protocols, MBSR, trauma-informed care) that need medical governance. Dr Shiv Chande's contemplative-practice background lets him sit in the mental-health case conference and understand what is being proposed, rather than nodding through recommendations he cannot evaluate. The Manas psychologist reports up through him, not around him; the yoga therapy delivered by Arti reports up through him; the mindfulness content in the Long Reset takes his sign-off. This is the integrated-primary-care role his training equips him for.
Onward-referral pathway ownership
Guests routinely need to be referred outward — for MRI, for cardiac stress testing, for specialist gynaecology, for endocrinology, for oncology work-up when a tumour marker comes back flagged. The pathway is a network of named clinicians in Jersey and, for guests wishing to return to their home country, a small set of trusted specialist referrers Dr Shiv Chande has vetted personally. Maintaining this network — refreshing it, replacing referrers who leave, adding new ones as gaps emerge — is his ongoing responsibility.
What we do offer, what we refer out, and what we explicitly decline.
A scope-of-practice statement is the most important piece of writing a clinical operation produces. It tells the guest — and the regulator, and the referring clinician — what they can expect from us and what they cannot. Longevity hotels routinely offer treatments the evidence does not support, largely because the marketing case for offering them is strong and the clinical case for declining requires a longer conversation. The Long Hotel's position is that the longer conversation is worth having.
What we do offer
- Comprehensive bloodwork drawn on-site and processed by Medilab, with clinical interpretation delivered by Dr Shiv Chande and the specialist team.
- Ayurvedic clinical consultation, dosha assessment, panchakarma protocols, and Ayurvedic dietary consultation under Dr Prasanna Kerur.
- Aesthetic medicine — tox, fillers, thread lifts, PRP for aesthetic indications, energy-device treatments — under Dr Alexa Kerr as the employed aesthetic doctor inside Kanti.
- Yoga therapy — daily Prana class programming plus one-to-one therapeutic yoga referrals — under Arti Kukreti.
- Clinical psychology — one-to-one talk therapy, MBSR delivery, trauma-informed care within Manas scope — under the hired psychologist.
- Clinical nutrition — every food-and-nutrition touchpoint from Agni protocols to fasting-programme monitoring to CGM interpretation — under the hired dietitian.
- Sleep and apnea assessment — the Orion overnight data plus AcuPebble screening for flagged guests, described on the Nidana (Medilab) page.
- DUTCH hormone metabolism panel, for guests where the metabolism read adds to the serum picture.
- One-off lifetime genetic panel via a UK reference laboratory.
- Structured fasting programmes, medically monitored, under Dr Shiv Chande's governance and the dietitian's daily oversight.
What we refer out
- MRI, CT, X-ray — the Elinor Ruth Medical Centre (the sister medical centre across the road, currently branded Lido), at their existing corporate rate, with Jersey X-Ray Services as the second X-ray route. Booked as part of programme-tier scheduling where indicated. DEXA is not on this list — body-composition and bone-density scanning runs in-house in the Deha room at Sama Clinic, because it is used on nearly every programme guest and cannot sit at the end of an external referral queue.
- X-ray — Jersey X-Ray Services. Same-day capacity for programme guests when clinically indicated.
- Cardiac stress testing, echocardiography — Jersey cardiology private practice, on Dr Shiv Chande's referral.
- Specialist gynaecology, endocrinology, oncology work-up — Dr Shiv Chande's vetted network in Jersey and (for guests returning home) in the guest's home country.
- Acute mental-health crisis — Jersey Talking Therapies or emergency services, with the Manas psychologist supporting the handoff.
- Severe mental illness requiring psychiatric management — the on-call consultant psychiatrist retainer, escalating to inpatient care in Jersey General or the guest's home country as required.
- Reproductive medicine — assisted-conception treatment of any kind sits outside the hotel's scope; it is delivered by the guest's own provider, and nothing here is offered as a substitute for it.
- Acute emergency care — Jersey General Hospital, via the same 999 pathway any Jersey resident would use.
What we explicitly decline to offer, and why
The following is a deliberate list, written down so that the answer to can you do X exists in advance rather than being improvised at the reception desk. Each is a treatment competitor properties routinely offer; each is one we have concluded the evidence base does not support at the price point and premise our guests are being asked to accept.
IV vitamin drips and myers-cocktail infusions
The evidence for intravenous vitamin therapy in asymptomatic adult populations is weak. Vitamin deficiencies identified on the Medilab panel are corrected orally where possible and by prescription-strength oral or intramuscular routes where indicated, both of which are supported by the evidence and neither of which requires a cannula in a spa room. IV therapy is offered by many wellness hotels because the theatre of the drip is highly saleable, not because the clinical case is strong. We would rather decline the sale than deliver a treatment we do not stand behind.
Hyperbaric oxygen therapy at commercial-hotel spec
HBOT has genuine indications — chronic non-healing wounds, radiation injury, decompression sickness — that a hotel is not set up to treat. The wellness-market use of HBOT for generalised longevity claims sits well outside the current evidence base. The hyperbaric literature does not support the marketing case that has attached to it. We do not offer it, and we do not market against it.
Ozone therapy, chelation, unlicensed peptide protocols
Each has an active wellness-industry market and a weak-to-non-existent clinical evidence base. Peptide protocols marketed in the longevity space — semaglutide-adjacent stacks, growth-hormone secretagogues, unlicensed injectables — are, by definition, unregulated and cannot be prescribed under Jersey formulary rules. The GLP-1 medication class is the exception where a licensed prescribing pathway does exist — Dr Shiv Chande will consider prescribing under narrow clinical criteria, and separately runs a supervised cessation pathway for guests coming off. Full clinical position in the section below.
Regenerative injections outside aesthetic scope
Exosomes, stem-cell infusions, growth-factor injections for systemic (non-aesthetic) indications are not part of the offer. Dr Alexa Kerr's aesthetic practice includes PRP where clinically indicated for aesthetic outcomes; that is a bounded, evidenced application. Broader regenerative-medicine claims are not supported by her practice or by ours.
On-site MRI, CT, or X-ray
MRI, CT, and X-ray need to be run in properly designed imaging suites by properly trained radiographers, with results reported by consultant radiologists. Jersey already has excellent providers for all three modalities. Building a lower-spec imaging capability inside the hotel would be worse for the guest and worse for the hotel's clinical reputation than referring five minutes down the road to the Elinor Ruth Medical Centre or Jersey X-Ray, on the corporate rates we already have in place. DEXA is the exception — the modality is low-dose enough, standardised enough, and integral enough to longevity work that we bring it in-house inside Deha rather than refer out.
Assisted conception — IVF, IUI, ICSI
Assisted-conception cycles need to be run by reproductive-medicine clinics with their own laboratories, embryologists, and regulatory framework. Nothing offered here is a preparation for, substitute for, or adjunct to that work, and a guest under the care of such a clinic should treat their own consultant as the authority on anything that touches it.
Hydrocolonic therapy (colonic irrigation)
The systematic-review evidence base does not support colonic hydrotherapy as a treatment for any of the endpoints it is typically marketed on — detoxification, wellness, or constipation. Meta-analyses (Ernst 2010; Mishori et al 2011) find no good evidence for benefit, and documented adverse events (electrolyte disturbance, colon perforation, infection risk) are non-trivial. Mainstream gastroenterology societies do not recommend it, and NICE has no positive recommendation. It sits inconsistently with the hotel's evidence-only clinical posture and we do not offer it. Guests who specifically ask are referred to a Jersey provider rather than delivered in-house.
Why saying no matters commercially. A guest paying a premium longevity fee is, in many cases, sophisticated enough to know when they are being sold theatre in place of medicine. The properties that lose credibility fastest in this category are the ones that offer everything the guest asks for, regardless of whether it is defensible. The properties that build long-term reputational moats are the ones with a published list of what they will and will not do, and a clinical team who can explain each decision. This page is that list.
A stated position on the biggest metabolic-medicine shift of the decade.
Semaglutide, tirzepatide, and the wider GLP-1 receptor agonist class have moved from type-2-diabetes management into broader metabolic and weight-management use faster than any drug class in recent memory. A significant fraction of the science-literate longevity cohort is already on them, is thinking about starting them, or is thinking about coming off them. A longevity operation that has no stated view on these medications is either avoiding the question or unprepared for it. Ours is neither.
What we do
Prescribe under narrow, evidence-based indications
Dr Shiv Chande, as Medical Director and prescribing GP, is authorised to prescribe semaglutide or tirzepatide where the clinical criteria are met — BMI ≥ 35, or ≥ 30 with a comorbid metabolic condition (established type 2 diabetes, hypertension, dyslipidaemia), consistent with NICE TA875 and the EASD position on obesity as a chronic metabolic disease. Prescribing sits with the Naya Mati consultation, always paired with an explicit muscle-preservation protocol (the well-documented lean-mass loss risk on GLP-1s is the intervention we take most seriously) and a written cessation plan agreed at the outset. Not offered as a walk-in service; the prescribing conversation happens in the context of a full clinical picture.
Support supervised cessation
The most common request we anticipate is not prescribe me one but help me come off one safely. Guests who have been on a GLP-1 for 6-24 months and are now looking to sustain the metabolic gains without the medication need a structured wean-off, muscle-preservation exercise programme, and dietary transition — this is the guest for whom our Vikrama + Agni + Kaya Focus stack was already the right answer. We formalise this as the GLP-1 transition pathway: pre-cessation medical review with Dr Chande, wean-off cadence supervised medically, muscle-preservation kinesiology programme under the Sama Clinic Kinesiologist, dietary bridge under the dietitian, and a post-cessation 8-week follow-up arc.
Compete on the underlying causes, honestly
Our Focus programmes — Agni for gut and metabolic dysfunction, Vikrama for cardiovascular fitness and muscle mass, Kaya for body composition, Upavasa for structured fasting — address the metabolic dysregulation that GLP-1s pharmacologically manage. For guests whose clinical picture does not meet prescribing criteria, or who prefer a non-pharmacological approach, this stack is the honest alternative. We do not oversell it — GLP-1s work when clinically indicated — but we hold the ground that lifestyle interventions have a real, evidenced role for the guest whose metabolic dysfunction is early-stage or moderate.
What we don't do
Off-label prescribing for cosmetic weight loss
A guest with BMI 24 who wants a GLP-1 for aesthetic reasons is not a guest we prescribe for. This is the market's biggest ethical failure point in this drug class right now — the private-clinic sale of GLP-1s to people who do not meet clinical criteria, at the muscle-loss cost documented in the literature. Dr Chande's answer to that request is a longer conversation about what the guest is actually trying to achieve, not a prescription.
Unlicensed peptide stacks
Semaglutide-adjacent unlicensed peptides — retatrutide clones, unbranded semaglutide from grey-market sources, "research-grade" injectables offered by some wellness clinics — are outside our formulary. If prescribing is clinically indicated it happens under the licensed medication and the licensed dose; if it is not, no unlicensed substitute is offered.
Marketing GLP-1s as a differentiator
The prescribing pathway is available where clinically indicated but we do not lead marketing with it. The guest who wants an aesthetic-only clinic will find one; the guest who wants their metabolic health taken seriously by a clinical team that neither refuses nor over-prescribes is the guest this operation is built for.
How this changes the programme architecture. The Naya Mati consultation now explicitly includes a current or prior GLP-1 use screen. For guests actively on the medication: nutritional protocol modified (muscle-preservation prioritised, protein floor raised), Vikrama training block prescribed with hypertrophy emphasis, dietitian check-ins increased in cadence. For guests coming off: the transition-pathway protocol above kicks in. Cost implications: negligible — this is Chande's existing consultation time + dietitian time already in scope. No new capex; no fee change.
The Jersey framework the operation sits inside.
Running clinical services from a Jersey hotel means sitting inside a specific regulatory frame. The requirements are not onerous, but they are non-negotiable, and they inform how the physical space and the appointment book are designed. Six points that the Phase 02 operation needs in place before opening.
Jersey healthcare-premise registration
The clinical wing (Sama Clinic and the consultation rooms on the restaurant floor) is registered as a healthcare premise under Jersey's regulatory framework. Dr Shiv Chande is the named responsible clinician on that registration. The registration process is currently in scoping conversation with Jersey's Health and Community Services regulator.
Professional indemnity
All named clinicians carry personal professional indemnity through the Medical Protection Society (MPS) or the Medical and Dental Defence Union of Scotland (MDDUS). The hotel carries corporate medical-malpractice cover as backup. Dr Alexa Kerr's aesthetic practice is separately indemnified through her own arrangements; the hotel is named as an operating location on her indemnity, not as an employing entity.
Data protection
Guest clinical data is handled under Jersey Data Protection Law 2018 and GDPR-equivalent standards. Medilab's ISO 27001 controls govern data on the pathology side; the hotel's own clinical records sit inside a healthcare-grade EHR system procured for the launch. Data transfers to specialist referrers require guest consent and are logged.
Prescribing and formulary
All prescriptions are issued under Dr Shiv Chande's GMC number, dispensed through a partnering Jersey pharmacy. The hotel does not hold controlled-drug stock on the premises beyond the small standing supply defined in Dr Shiv Chande's formulary and audited monthly. Guest-imported medications are handled per Jersey customs and clinical-governance rules.
Medilab service-level agreement
The pathology-side agreement with Medilab covers sample handling, turnaround, consultant sign-off, and the escalation pathway when a critically abnormal result is returned. That SLA is set out on the Nidana (Medilab) page; it is the boundary between what Medilab is responsible for (the correctness of the result) and what the hotel is responsible for (the interpretation and the guest conversation).
Imaging referral pathways
Corporate-rate referral arrangements are in place with the Elinor Ruth Medical Centre (the sister medical centre across the road, currently branded Lido) for MRI, CT and X-ray, and with Jersey X-Ray Services as the second X-ray route. Both are operational Jersey providers with their own consultant radiologist reporting. Neither relationship requires the hotel to build cross-sectional or radiographic imaging capability of its own. DEXA is the deliberate exception — it is owned and operated in-house at Sama Clinic, because it runs on nearly every programme guest and is the anchor measurement for the body-composition record.
How the team interlocks around a single programme guest.
A worked example makes the structure legible. A guest arriving on Monday for the Long Reset moves through the following sequence — every appointment already scheduled, every clinician already briefed at the Monday case conference, every finding surfacing back into the shared clinical record. The point of the walkthrough is not the timetable itself but the coherence: one guest, one integrated clinical picture, six specialists reading from the same page.
Monday · arrival day
Pre-arrival preparation and same-day baseline
Monday morning case conference: the five-clinician team plus dietitian and psychologist review the incoming guest cohort, including any pre-arrival bloods and questionnaire responses. Guest arrives late morning. Medilab phlebotomy in-suite before lunch; Ayurvedic consultation with Dr Prasanna Kerur in the afternoon (dosha assessment); Prana orientation with Arti at the end of the day. No consultation with Dr Shiv Chande yet — that lands on Tuesday, once the bloods are back.
Tuesday · results conversation and protocol design
The clinical week begins in earnest
Bloods returned mid-morning. Dr Shiv Chande's forty-five-minute consultation is the day's anchor: results walkthrough, the guest's stated goals, provisional protocol, and the schedule for the rest of the week. Dietitian consultation in the afternoon builds the food-and-nutrition side of the protocol. Kanti consultation with Dr Alexa Kerr if aesthetic work is booked into the programme. Prana class in the morning; restorative yoga in the evening.
Wednesday · Manas and mid-week recheck
The mental-health and rechecked-marker day
Manas psychologist consultation in the morning, with structured pranayama with Arti later. Mid-week recheck bloods drawn on any flagged marker Dr Shiv Chande wants to see move (typically hs-CRP, fasting glucose, fasting insulin). Prana morning class; optional Ayush spa treatment slot in the afternoon (guests book directly from the Ayush menu — optionally guided by an Ayurvedic prescription from Prakriti Mati if they've requested one).
Thursday · integration and specialist rooms
The specialist-therapy day
Depending on what the arrival panel surfaced, Thursday runs a specialist room — Kanti aesthetic procedure, somatic bodywork (Manas referral), a Deha comparison scan for programmes running mid-stay imaging, or an à la carte Ayush treatment slot for guests booking further against their prescription. The mid-week recheck is returned. Dr Shiv Chande's mid-week catch-up is a shorter appointment focused on any adjustment to the protocol before departure.
Friday · departure conversation and take-home protocol
The week closes with the document the guest leaves with
Departure bloods drawn early. Friday morning case conference: the team reviews the departing cohort, agrees the take-home protocol, and signs off the twelve-week follow-up plan. Dr Shiv Chande's forty-five-minute departure consultation reviews arrival vs departure data side by side and hands over the written protocol. Dietitian appointment finalises the food-and-nutrition side. Health coach appointment sets up the twelve-week home-check cadence. Guest departs Saturday morning; the twelve-week follow-up bloods post to their home address on schedule.
The rhythm above is the Long Reset baseline; the Long Weekend compresses it into three days, the Long Pause runs the middle without the departure recheck, and the Long View extends it across two weeks with a full panchakarma sequence layered on top. The underlying pattern — case-conference sign-off at both ends of the stay, the five-clinician-plus-two-hires team reading from a single clinical record, and the Medical Director as the integrating figure — is the same at every tier.
Indicative annualised cost of the clinical team.
The table below is indicative — the Phase 02 launch year clinical workforce cost — for orientation. Workforce modelling evolves with programme volume across the ramp period.
| Role | Commitment | Indicative annual cost |
| Dr Shiv Chande — Medical Director / GP | 5 days / week (full-time) | £90k |
| Dr Prasanna Kerur — Ayurvedic clinical lead | Existing on-staff role | Held at existing cost |
| Dr Alexa Kerr — Kanti aesthetic | Employed, full-time or 0.8 FTE | £90k – £145k |
| Arti Kukreti — Yoga lead | Existing on-staff role | Held at existing cost |
| Dr Marie-Christine Dix — Integrative & functional medicine | Employed, full-time or 0.8 FTE | £65k – £100k |
| HCPC Dietitian — launch hire | Full-time | £50k – £70k |
| Manas Psychologist — launch hire | Full-time or 0.8 FTE | £60k – £90k |
| Kinesiology / Movement Scientist — launch hire | Full-time or shared with Bala | £40k – £60k |
| DEXA operator (IR(ME)R-certified, not full HCPC radiographer) — launch hire (for Deha) | 0.5–1.0 FTE | £30k – £50k |
| Sessional physiotherapist (referred) | Per session, on demand | £10k – £15k |
| Nurse (RGN) | Full-time | £40k – £55k |
| Health coach | Full-time | £35k – £50k |
| Somatic practitioner | Sessional | £10k – £20k |
| Consultant psychiatrist retainer | On-call fractional | £15k – £25k |
| Employer on-costs (NI, pension, insurance ~15% on employed salaries) | Applied across employed roles | £70k – £100k |
| Indicative new clinical workforce cost, Phase 02 launch year | ~£645k – £950k |
Reading this table. The figure above is the incremental cost of standing up the launch-year clinical operation. Salary ranges use standard UK-market pay for each role with a +10% Jersey uplift applied — reflecting Jersey's smaller labour market, cost-of-living premium, and the need to attract candidates who would otherwise stay in London or the UK mainland. Dr Prasanna Kerur and Arti Kukreti are already on payroll and their costs are held in the existing hotel wage bill. Dr Alexa Kerr and Dr Marie-Christine Dix both come across as employed hires at market rate — both are currently in their own independent practices and would move onto hotel employment on joining Sama Clinic. The remainder — the Medical Director, the four launch hires (dietitian, Manas psychologist, kinesiology scientist, DEXA operator), and the supporting cast — is the new commitment the Phase 02 clinical operation adds to the base cost line.
Capex additions from the current architecture: the Deha DEXA (refurbished machine + IRR-spec room fit-out ~£70–120k), the Hima cryotherapy chamber and LN2 infrastructure (~£53–90k), plus the Nidana blood-draw room fit-out.
Figures are indicative UK+10% Jersey market rates for the roles described. Final compensation will reflect the specific candidates hired and the fractional structures agreed.
Structural credibility: a UK university partnership + an external Medical Advisory Board.
Two structural moves that lift the operation from "wellness hotel with a clinic" to a longevity practice with genuine scientific standing. Both are cheap; both compound in credibility over time; both are absent from every UK-based competitor at this tier.
UK university longitudinal-cohort research partnership
Jersey has a rare structural advantage as a research setting: a ~100k population with high-density longitudinal accessibility, geographical containment, and a single healthcare regulator. Partnering with a UK research group at Imperial College London (Institute of Global Health Innovation), King's College London (School of Life Course & Population Sciences), University of Exeter (Medical School's ageing / metabolic-health cluster), or UCL (Institute for Longevity) on a longitudinal longevity-cohort study — using programme guests plus consented Jersey residents as the cohort — is the credentialing move Buchinger Wilhelmi and the F. X. Mayr clinics have run for decades to justify their scientific positioning.
The cohort
Programme guests who opt in on the intake questionnaire (expected ~40-60% consent based on comparable wellness-clinic research programmes) plus a matched Jersey-resident cohort recruited via the Long Reset resident-access programme. Realistic recruitment: 200-400 guests in Y1, ramping to ~1,000/year at Y3 steady-state. Small by NHS study standards but genuinely large for a longevity-intervention cohort with the density of biomarker, movement, and outcome data we already collect.
The research questions
Priority areas the operation can uniquely answer: (a) does a structured five-to-fourteen-night residential intervention produce measurable ≥6-month changes in VO2max, DEXA lean-mass, HbA1c, and validated wellbeing scales? (b) which Focus programmes generate the strongest measurable-outcome differential across cohort segments (age, baseline metabolic health, chronic-stress load)? (c) does the GLP-1 transition pathway sustain metabolic gains at 12 months post-cessation vs matched controls? Answering any one of these at publication standard is a moat competitors cannot replicate without a comparable data infrastructure.
The commercial return
Peer-reviewed publication with a UK Russell Group institution as co-author. Speaking slots at longevity-medicine conferences (RSM, BSLM, EASD, ACE) that money cannot buy. A defensible "our approach is being studied by [Institution]" line across every marketing channel. Recruitment of clinical staff who value working somewhere with a research programme. The kind of positioning Chenot and Lanserhof pay seven figures to manufacture; here it comes near-free with the underlying data infrastructure already in place.
Medical Advisory Board
A three-to-five-member external advisory board of senior clinicians who lend their names to the operation, review the clinical protocol architecture twice a year, and act as a public-facing credibility signal. Not a governance body — Dr Chande retains all clinical authority as Medical Director — but an advisory / reputational structure.
Composition
Target four members across four disciplines: (a) a UK longevity-medicine practitioner in the Peter Attia / Rangan Chatterjee visibility tier — probably a British name at that seniority (Tim Spector, David Sinclair-adjacent UK academic, or an emerging BSLM figure); (b) a geroscience / basic-longevity researcher from the university partnership above; (c) a functional / integrative-medicine authority (Institute for Functional Medicine UK leadership tier); (d) a senior Jersey-medical-community figure (former Chief Medical Officer, senior consultant at Jersey General) providing local-community grounding and regulatory-relationship warmth.
Cadence
Twice-yearly convened meeting (spring + autumn), one in Jersey at the hotel, one virtual. Each member commits ~6-10 hours per year (two meetings + ad-hoc review of clinical-protocol updates + a named-quote availability for PR). Written protocol-review letter published on the Sama Clinic page after each meeting — cheap credibility, and visible discipline.
Cost
Honoraria at £3-6k per member per year (four members = £12-24k) plus one hosted meeting cost (accommodation, transfers, hospitality ~£8-16k). Total £20-40k/year. Zero additional capex. Materially higher perceived-credibility yield per pound than any single marketing line.
Why both together. The research partnership and the Medical Advisory Board are complementary: the university relationship gives the operation a formal research programme other longevity operations cannot match; the MAB gives it visible external clinical review the science-literate cohort responds to. Together they take the credibility positioning from "trust our internal team" to "reviewed externally by people whose names you recognise." Both structures build over three-to-five years — the MAB starts adding perceived value from Y1, the research programme reaches first-publication threshold around Y3.