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Sue Harmsworth: “I’m starting to hate the word wellness”
By Megan Whitby 12 May 2021
Industry influencer and founder of ESPA Sue Harmsworth has spent five decades shaping the spa, global wellness and beauty industries, having designed 500+ spas in 65 countries
In the Global Wellness Institute’s (GWI) latest Q&A, spa and wellness icon Sue Harmsworth spoke to VP of research and forecasting Beth McGroarty about the trends and challenges facing the spa and wellness industry.

“I’m starting to hate the word wellness because it’s become so generic it’s utterly confusing the consumer,” she began.

In her opinion, the industry should begin differentiating between light wellness and serious wellness.

“As the spa industry took off, the word and concept of wellness became confusing, and it has to do with what the US means by it, versus the rest of the world.

“In the US, every beauty salon, or every two treatment rooms by a pool, suddenly became a spa. When the spa movement became powerful in the 90s, stress was the overwhelming focus and most spas were built for relaxation – from massages to meditation. What I would call light wellness – with no negative connotations.

“But now, we have a much more complex set of modalities and advanced practitioners at wellness destinations. Plus, we also have more medical or ‘serious’ wellness.

“So, you have light wellness, which spas and hospitality destinations have excelled at and you have medical or serious wellness, but it’s different this time around. It’s preventative, functional medicine and diagnostics.”

Ultimately, she believes the word wellness alone is too imprecise to mean anything and that spa businesses have got to focus on what their consumers want and be clear about what they’re delivering.

Integrative wellness is the future
According to Harmsworth, an integrative approach to wellness will become standard practice due to the prevalence of so many lifestyle diseases in today’s society.

“Mental and cognitive health will be huge coming out of the pandemic, with depression and anxiety having risen exponentially since COVID and now affecting a third of the population globally.

“I’m working on properties now that bring everything together: functional medicine and diagnostics, an aesthetics clinic, and all the traditional wellness, from complementary medicine to fitness to serious meditation,” she added.

In her opinion, functional medicine and diagnostics will be a huge part of this trend and are important because they provide people with tangible results.

“It seems crazy, but you really can significantly impact your blood pressure or cholesterol in one week. What I want to do is to be able to programme individuals on a personalised plan with a very full set of stats so they can see their results over time.”

Growing interest for wellness real-estate
McGroarty next touched on how the pandemic has given wellness real estate new momentum and asked Harmsworth for her thoughts on this.

“COVID has obviously woken all of us up to working from home, and this ongoing reality will drive real growth in wellness real estate and communities. Plus, lots of people are spending a lot or all of their time in their second homes.

“As a consequence, more people will choose a wellness community as their primary (or near-primary) residence.”

Harmsworth believes this demand will naturally drive more projects to be conceptualised with more affordable options.

She illustrated this by drawing on one of her current wellness real estate projects, where the most expensive villa costs US$1mn (€825,000, £708,000) while artisan homes sit at US$300,000 (€248,000, £212,300).

"Now that’s relatively affordable," she said, "it's going to be an interesting community where everything will be grown themselves and have its own Waldorf school for the kids."

She firmly champions that the way forward will be affordable and multigenerational wellness communities encompassing an entire lifestyle of wellbeing.

The need for more intensive therapist training
Harmsworth believes the spas that will thrive in future will be underpinned by exceptional flow, therapists, treatments, design and thermal areas, as well as great hardware, air quality and infection control.

However, she urged that spa therapists and practitioners are going to have to be much better trained with deeper skills because the majority of consumers that walk in now will have some kind of contraindication.

“Therapists need a much broader knowledge set to be able to deal with all the things increasingly coming their way. They’re already being bombarded with more serious issues such as diabetes, cancer, heart disease, depression and grief.

“This is why I’m so strong on what we’re doing in the UK with the training ruling bodies, putting modules together so that well-qualified therapists can keep adding extra modules (whether cancer or nutrition training) so they can deliver more 'wellness' than just massages or facials; be empowered to deal with the day-to-day realities they see and be set on a career path of constant skill-upgrading.

“The spas that will take it to the next level will focus on training in a much more intensive way.”

To read the whole interview and hear Harmsworth’s views on why integrative wellness resorts will require a whole new kind of operator, visit the official GWI website later this week.


News
1 to 12 of 9515 news stories
17 Jul 2026
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Hand and Stone Massage and Facial Spa, the spa business with more than 650 locations across the US and Canada, has appointed franchise expert Carrie Walsh as CEO as the company plans to expand. Walsh ... More
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Turkey came first at this year’s World Championship in Massage between 3-5 July in Copenhagen, Denmark. Organised by the International Massage Association (IMA), the ninth edition of this tournament saw the highest number of participants ... More
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Synergy – The Retreat Show, the global trade show for retreats, has launched a global research initiative that will provide insights into the retreat sector from both consumer and industry perspectives. The resulting report, which ... More
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The Wellness Tourism Association (WTA) has published a non-regulatory global industry framework designed to ensure the retreat market offers responsible experiences. The Six Principles for Responsible Retreats have been created to provide a shared reference ... More
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A new survey of international spa practitioners shows that stress, burnout and wellbeing concerns have caused one in three respondents to consider leaving the industry. The Therapist Wellbeing Report is based on responses from 159 ... More
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The inaugural HCM Invest event has opened applications for pitching slots ahead of its launch in London on 21 October 2026. The event will bring together companies seeking investment and investors looking for opportunities across ... More
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Wellness hotels generating less than US$1 million (€932,700, £785,200) – or 10 per cent of total revenue from wellness and leisure – recorded the strongest RevPAR and TRevPAR growth in 2025 across categories when compared ... More
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Robert Thurman, an expert on Tibetan Buddhism and the spiritual director of Menla Retreat and Dewa Spa in Woodstock, has died, aged 84. Thurman – also known for being father to actress Uma Thurman – ... More
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Fairmont Cheshire, The Mere, has opened today (10 July) near Knutsford in the north-west of England with a 1,715sq m Fairmont Spa that has been designed using a ‘Wellness without Walls’ concept. The Select Group, ... More
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Marriott International has partnered with Fitwel, a healthy building certification system that aims to optimise occupant health.  Marriott has become Fitwel’s first Enterprise Partner and the new healthy building solutions will be implemented across the ... More
10 Jul 2026
Becky Pelkonen, the sauna advocate and researcher, has unveiled the draft of a global public sauna-bathing charter. The ten guiding principles form the foundation for people building, running and championing public sauna-bathing. The draft, which ... More
     
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