The large majority of the public don't know anything about health and therefore healthcare provision. The majority of journalists and politicians who write and speak about the NHS don't know anything about working in healthcare and therefore the realities of delivering healthcare to actual patients. If these two statements are true, then it's safe to… Continue reading This Is Why You’re Wrong About The Future Of The NHS
Maybe one day I'll hang this list in the waiting room of my clinic: I can't cure your cold I can't give you antibiotics for your cold I can't give you antibiotics for your flu I can't give you antibiotics for your diarrhoea of two days I can't give you antibiotics for sinus congestion I… Continue reading Things Your Doctor Can’t Do…
Working At Scale General Practice / Primary Care has been around for a long time in the UK (since 1911). It is currently going through a massive transition due to funding cuts by the government, the pressures of having to deal with today's needy patients and the increased work load being transferred from Secondary Care… Continue reading Healthcare & Volatility
Gosh, it's been a long time since I posted about my startup. I've decided that this will be the last blog post which talks about the minutiae of my startup and the challenges a new company in the healthcare scene has to face in the UK. The reason this will be the last update is… Continue reading NHS Startup Part XVII – The End
This is the mantra of the medical profession. When I am seeing patients basically every man over the age of 60 and every woman over the age of 75 is advised to be started on a statin. The algorithms on my computer (anyone with a QRISK2 score over 10% is advised to start on a… Continue reading Everyone Should Be On Statins!
This post may get a little heavy on theory and scientific jargon. Possibly one of the reasons why there are often so many disagreements between patients and physicians. Introduction I was having dinner yesterday evening with some friends. At the table there were a group of doctors, a computer scientist, a technical consultant and a… Continue reading Why Your Family Doctor Tells You To Go Away And Take Paracetamol/Tylenol
As a GP and entrepreneur, with my own software being used in the NHS, I have found that my opinion has continually changed with regards to businesses in the NHS. I used to think as a junior doctor that a lot of the private companies dealing with the NHS were evil for two main reasons:… Continue reading The Case For Private Businesses In The NHS
The people at the top of the NHS, it is widely thought, have it so easy. If they just had the sense to engage with the public and front line staff then they could make things better, cheaper and more efficient. The people on the front lines of the NHS such as junior doctors, nurses… Continue reading This Is Why We Can Change The NHS
We launched a new phase of our app for our patients and Primary Care services this week. The build for this phase was huge and we have been steadily working on it for the previous four months (designing, building, testing, messing up ad nauseum). I think we've really nailed what we intended to do. As… Continue reading NHS Startup Part XV – “It’s Up To Us Now.”
It's ironic how badly the NHS has been affected by ransomware. I've been having talks with people about this a lot recently. Right now my startup is jumping through hoops to comply with (outdated) data compliance issues and get access to the NHS N3 network, which is supposedly the NHS' secure server system. The actual… Continue reading NHS Hacked! The Great FHIR Wall Of The NHS Is Broken.