Nelson Advisors have researched 20 future Healthtech and MedTech leaders in 20 European countries, highlighting the founders, scientists and technologists building innovative solutions and companies. In addition to the 20 x 20 Series, we have also predicted 3 HealthTech and MedTech hubs across Europe with the potential to become centres of excellence.

The Spanish healthcare technology landscape entering 2026 is defined by a transition from a nascent, fragmented ecosystem into a phase of "industrial maturity". This evolution is characterised by a disciplined approach to capital allocation, a focus on measurable clinical outcomes and the emergence of regional hubs that are increasingly competitive on a global scale. While historically overshadowed by the larger hubs of London, Paris and Berlin, the Spanish market, led by Ca