NHS Startup Part X – Vanity Metrics

We have a 100% growth rate per day at the moment.

What does this mean?  Nothing.

Vanity metrics or getting “high on your own supply” is so easy to do.  But what matters is Continue reading “NHS Startup Part X – Vanity Metrics”


Two Key Things To Consider Before You Create An App

Having a software based start up is really popular.  Mainly because the costs of starting one are so miniscule.  You can literally have an idea and if you’re a coder, get something up and running.  If you’re not a coder then you can usually cajole someone you know into building something for you or spend a few thousand on something kind of rubbish or spend around ten thousand on something really quite good.

But what is software actually good for and what should you build?  I think there is a really simple and easy way to think about what it is you should initially build, or not build and why.  All you have to do is think about what software is actually good at, because if you don’t think of it in this way then why are you creating software in the first place?  I’ve noticed that a lot of people create or build something and then realise that actually, they didn’t even need to build anything and perhaps they could have created a viable business with absolutely no software involved at all!

So let’s talk about the two reasons why software is awesome.  If you think of these two things carefully then I think it’ll really help you get to the crux of what you need to build (if anything!).

Continue reading “Two Key Things To Consider Before You Create An App”

The Indifferent, The Early Adopters, The Haters

Being a founder is like being a school child again.  You have to put your hand up a lot, ask a load of questions, then do the work to get to the next chapter.  It can be scary putting yourself in this position, but it’s a must.  If you’re a know it all then you’ll be reluctant to learn and keep moving forward.

Who you approach when looking for help is crucial.  Startups are fragile.  And the earlier you are in the process the more fragile it is.  Having just an idea, a little thought in your mind that you think could be a big deal is the most fragile position of all.  Your idea is unique, special and clearly means something to you if you’ve even thought about pursuing it.  You’ve probably spent hours thinking about it.  It takes a lot of courage to then take the leap and start executing it.

In my experience there are generally three types of people you will encounter on your journey.  It’s important to know who you are dealing with in any given situation as some people will be your number one fan, while others will be hoping you fail from the outset and may even go out of their way to sabotage you (there always seems to be one saboteur in any organisation/sub-organisation whose life’s purpose seems to be to hold you back at any cost).

Continue reading “The Indifferent, The Early Adopters, The Haters”

Multitasking Is Not A Myth…(Kind Of)

People say that multitasking is impossible to do.  The human mind simply cannot process more than one thing at a time.  As soon as you change gears from reading, to checking e-mail, to answering a phone call etc. you are wasting valuable time switching from one gear to another.

Interestingly enough good organisations and highly productive people take the opposite approach.

Bad organisations often limit the number of projects a manager has responsibility for to around 7.  This ensures that managers can oversee their projects adequately and get the results they have been hired to get.

Similarly, people who are not highly productive limit the amount of work they do.

Continue reading “Multitasking Is Not A Myth…(Kind Of)”

Consultation Skills – Three Golden Rules

My consultation skills are gradually improving.  I’m currently seeing a patient every 10-12.5 minutes.  By the time I finish my training next August I need to be consistently at 10 minutes per consultation.

A couple of years ago when I started my GP training I really had no clue how GPs could see patients so quickly.  In the hospital doctors get more like 30-40 minutes to clerk a patient when they arrive to the ward.

I’ve found a few tricks that are really helpful for any budding GPs out there.  It’s also very handy for hospital doctors to know this stuff as well.  GPs have a very patient-centric approach in the way that they provide care.  Most patients genuinely appreciate this approach as it takes into consideration the patients social issues, their health beliefs and ultimately treats them like a human being.  I have often heard hospital doctors get into confrontations with patients because they have not taken a patient centred approach.  A lot of altercations could be avoided if more doctors would take the rules below into account.

So here are the three golden rules to get a super quick focused history: Continue reading “Consultation Skills – Three Golden Rules”

Holding Up The Mirror

Every time you make a positive change in your life you will face a lot of resistance.

Sometimes it’s the people who are closest to you that will try to dissuade you.  You might have started that work out programme, changed your diet to get into shape, or started to pursue something that is deeply important to you.

Realise it is not you who they are fighting against.  They are fighting for their own belief system, their world view and their way of life.

As soon as you make that positive change, you are holding up a mirror to those that surround you.  You’re saying to them: “Look at what is possible.  Look what happens when you take responsibility for your health, wealth and happiness and take action.”

This makes people uncomfortable.  They’ll naturally have that knee jerk reaction and tell you what you can’t do, because the realisation that they were wrong, that their believe system and world view was wrong is too much to bear.

If you love these people then speak to these people.  Just say: “Look, I know you think this is crazy, but I need to do this because it’s important to me.  I need your support.  I don’t need you to tell me I’m right or wrong.  Just be there for me when I need you.”

If you don’t love these people then just move on.  If they’re not in the arena getting their ass kicked like you then cut the ties and let them be.  Remember, it’s not the critic who counts.  It’s the man in the arena who is daring greatly that counts.