Dr Neil Paul

LinkedIn: 2017

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Interested in providing your GPs with dermatology advice from consultants to reduce…

Interested in providing your GPs with dermatology advice from consultants to reduce referrals and improve quality? Get in touch..“ “ “see https://lnkd.in/ePXKMRW

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Do you have a product or service aimed at GPs or GP Federations that isn't well known and…

Do you have a product or service aimed at GPs or GP Federations that isn’t well known and would like some free publicity? We work with practices and GP federations and realise that often there is a small startup or company out there with ideas/products that would solve their problems but perhaps because they aren’t as well known as the “famous” ones the connection and deal never happens.“ “ “We are also aware that some companies are keen to find clinical input, just to run their ideas past, to beta test their software on or to become early adopters. “ “ “We are planning to start listing innovative products and companies on our website (the page/section isnt live yet) and in our newsletters that go out to our 200+ GP practices and hopefully work with those that our practices find interesting. “ “ “So Get in touch if you’d like to be listed. We need your product name, your company name, your website address, an email contact and a brief description of your product. A logo and screenshot/image would be good too! “ “ “Send your details to lisa(@)howbeckhealthcare.co.uk.

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PCNs & working at scale
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Thanks for all the contacts re a mental health bid - the deadline is short and we are…

Thanks for all the contacts re a mental health bid - the deadline is short and we are looking at whether any will be workable up in such a short time. There will be other bids..so great to make new contacts - speaking of which - is anyone working in the AI field? We are convinced there are a range of applications for AI to make GPs lives easier and would love to develop a relationship with someone working in this field even if they aren’t in health yet. We work with over 200 practices and have programmers who understand the primary care systems APIs what we need is some experts in AI.

AI
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Are there any startups or small IT companies who are operating in the Mental Health arena…

Are there any startups or small IT companies who are operating in the Mental Health arena that want to get in touch? Our GP federation and Mental Health Trust have the opportunity to bid for some funding to trial/test/develop a product. We have the patients, the clinicians, the IT support - we need an innovative app or product? “ “ “(I’ve edited this post - im loving the attention this is getting and I’ve made some amazing contacts which will stand us in good stead for future bids but some people aren’t understanding that 1. i dont have the money - this is a fund we are willing to help someone with a new product or idea bid for -we can provide the clinical input and the early adopters to test the idea and the bid writing expertise- 2. this isnt a call for people to sell me their existing app/service - i dont mind those contacts - in fact - feel free to send your details to my director of innovation Susan Ikin we are building a database of products to offer to practices/federations/CCGs but thats not what this is about 3. this particular fund is looking for real innovation and in particular doesnt want another online CBT - its looking at utilising Games or VR or other cutting edge stuff. Its looking for new ideas. We can then build an app as needed - i know people for this!)

PCNs & working at scale
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Howbeck Healthcare Limited has setup six GP Hubs - enabling patients to be seen out of…

Howbeck Healthcare Limited has setup six GP Hubs - enabling patients to be seen out of hours 7 days a week - by local GPs with full access to shared records. We have a model and plans in place to replicate easily. If you are interested in setting up a hub as part of the New Extended Access to Primary care Access Scheme (just published and due to go live in April) and want some help get in touch!

Appointments & access
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really like this kickstarter project - off grid mesh networks - wouldn't a few of these…

really like this kickstarter project - off grid mesh networks - wouldn’t a few of these be good on school trips to the wild - or even in rural areas. seems a shame it can only cope with 2 bounces and unless using them in a group you’d want a decent chance of someone else having one for it to work??? Could this type of thing work in rural areas where comms are bad?? perhaps stuck to lampposts powered from a solar cell?? https://lnkd.in/ggvMAue

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Should the NHS invest in google adwords?

Should the NHS invest in google adwords? signposting away from GPs is a hot topic at moment. we have practice websites trying to do it - nhs choices - self care websites but in my experience most people just google - they don’t go to a website. Try googling UTI or thrush or ear ache or tonsillitis or chickenpox - why isn’t there a nhs sponsored adwords box popping up - adwords campaigns can be localised to postcodes and areas, you could have local information - which chemists are open - what minor ailment services exist - even just links to self care. ok sometimes nhs websites come near the top of the list but a big adwords box with NHS all over it?

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Lets save a fortune for the NHS by getting rid of post!

Lets save a fortune for the NHS by getting rid of post! If every person was given for free a secure private online mailbox that could receive authorized “post” in such a way that was secure and confidential - linked perhaps to apps or SMS so that you got a notification or SMS that a message was waiting for you - perhaps with read receipts ability to reply and a built in calendar. Wouldn’t this save millions? My surgery spent £10K on posting last year - there are 8000 GP surgeries  in England. There are 200+ hospitals who write out to patients with appointments and scan results. Millions is being spent on post needlessly. often it goes to wrong address or doesn’t arrive in time - or the person is on holiday. If i was sat on a yacht in the med and my phone pinged and i logged into my mailbox and saw my scan appointment letter how much better would that be than arriving home and finding id missed it? you could fund this by a nominal charge - would my surgery pay £1K to save £9K you bet (at 8000 surgeries that makes this an £8Million business for primary care alone!) . Would opticians, dentists, physios - others Taxman etc pay to use the system? probably if it saved them money - especially if it was authorized not spam senders only.

Remote & digital care
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Can the NHS learn from Amazon?

Can the NHS learn from Amazon? In the book the “Amazon Way” one of the key messages is that you can deliver an amazing customer experience by automating a process and it also takes real cost out of the system. Instead of having an expensive call center Amazon use their website to handle returns and have designed & refined it to cope with most eventualities. In GPland annual reviews are a huge burden both for practices & patients. BP, Asthma, Diabetes, COPD, etc. Most of these require a practice to operate some form of call/recall system, the patient to take time off work, to attend for a bloods then come back for the appointment. In most cases this might be normal and they are told to come back in a year. People have talked about using Skype but that still involves an appointment and a person. A real disruptive change could be achieved if we could automate these reviews on a website. Blood testing kits now exist that can be posted to the patients house so they can do their own bloods on capillary samples, home bp machines, ecgs and other kit are now cheap and could be sent to a person. Using the Pareto principle if the NHS could move 80% of this work out it would free up huge amount of resource and the lesson from Amazon is the customer loves the flexibility and convenience.

Appointments & access
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Here's an idea for a website/service that could revolutionize patient care - its needs a…

Here’s an idea for a website/service that could revolutionize patient care - its needs a catchy name. “What side effects are my drugs combined giving me dot com”. Its relatively easy to find out the side effects of any one drug. each drug has side effects ranked in order. frequent, rare, very rare etc. I come across patients on 20, 30 or more meds. I’m a great believer in stopping meds and only using the least you can get away with. I think a lot of symptoms people suffer with are side effects that stopping meds would help and that’s the answer not giving more to counter act them. However I cant find anywhere a website or tool where entering all the meds a person is on, will combine all the side effects possible and rank them in order of likelihood. The info exists it just needs a programmer to build. We spend our lives changing drugs from one to another because its slightly cheaper. Stopping drugs that aren’t doing any good and may be causing harm is the way to save money!

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We need more anger emojis!

We need more anger emojis! The inuits allegedly have over 80 words for snow. I have at least 80 types of anger - i cant cope with 1 emoji! The anger when the water goes off for the 3rd time in 8 weeks, the anger when some idiot leaves their fog lights on and its not foggy, the anger when my nhs smart card fails 5 mins before surgery, the anger when a solicitor tries to get a report done for cheap, the anger when the Vat advice company give rubbish advice, the anger when you are driving along at 60 and some idiot pulls out in front of you and does 40 slowing you down, the anger… i could go on and thats just this week! i NEED more ANGER emojis!!! #INEEDMOREANGEREMOJIS

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Free Conference on GP Federations and what they are up to'

Free Conference on GP Federations and what they are up to“ “ “Our conference is next week (Tuesday 13th in Crewe): https://www.eventbrite.co.uk/e/the-south-cheshire-vale-royal-gp-alliance-expo-sharing-examples-of-innovative-federated-working-registration-33010703904?aff=ehomesaved we have representatives of over 20 GP federations coming and 20 Exhibitors talking about their federated products. Plus sessions from us and others on schemes that have been successfully been delivered. Can you afford to miss it??

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PCNs & working at scale

GP federation conference next week'

GP federation conference next week“ “ “Our conference is next week (Tuesday 13th in Crewe): https://www.eventbrite.co.uk/e/the-south-cheshire-vale-royal-gp-alliance-expo-sharing-examples-of-innovative-federated-working-registration-33010703904?aff=ehomesaved we have representatives of over 20 GP federations coming and 20 Exhibitors talking about their federated products. Plus sessions from us and others on schemes that have been successfully been delivered. Can you afford to miss it??

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PCNs & working at scale

Free Conference next week on GP Federations'

Free Conference next week on GP Federations“ “ “Our conference is next week (Tuesday 13th in Crewe): https://www.eventbrite.co.uk/e/the-south-cheshire-vale-royal-gp-alliance-expo-sharing-examples-of-innovative-federated-working-registration-33010703904?aff=ehomesaved we have representatives of over 20 GP federations coming and 20 Exhibitors talking about their federated products. Plus sessions from us and others on schemes that have been successfully been delivered. Can you afford to miss it??

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PCNs & working at scale

Our conference is next week (Tuesday 13th in Crewe): https://lnkd.in/gTa3tBQ we have…

Our conference is next week (Tuesday 13th in Crewe): https://lnkd.in/gTa3tBQ we have representatives of over 20 GP federations coming and 20 Exhibitors talking about their federated products. Plus sessions from us and others on schemes that have been successfully been delivered. Can you afford to miss it??

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PCNs & working at scale
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Despite the IT issues..

Despite the IT issues.. really pleased that our GP Federation DVT service has successfully finished its first week! Any patient from 30 surrounding practices with a suspected DVT are referred to my surgery - we do the Ultrasound and if positive their bloods using a Point of Care machine from Siemens then dose them with a NOAC. Its all done in the community by GPs and my GP federation is managing the £250K contract - generating a saving for the CCG. Satisfaction is high and despite the IT everything has gone well. Want to hear more about this service or some of the other things we are up to - well spaces left at our conference… https://lnkd.in/gTa3tBQ

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Do you or anyone you know live within travelling distance of Nantwich or Sandbach and are…

Do you or anyone you know live within travelling distance of Nantwich or Sandbach and are over 60, have gout and are currently on allopurinol? If you/they would like to hear more about a research study we are doing with the university of dundee comparing different treatments get in touch - you will need to come for regular visits over a couple of years. We have >130 on the trial already and have capacity for more. Its all approved and legit - and your own GP gets paid a small fee for sending us info (so they will be happy!)

Research & trials
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Free Not for Profit Conference on June 13th for GPs & GP Federations sharing success and…

Free Not for Profit Conference on June 13th for GPs & GP Federations sharing success and innovation.“ “ “sign up at:” “https://www.eventbrite.co.uk/e/the-south-cheshire-vale-royal-gp-alliance-expo-sharing-examples-of-innovative-federated-working-registration-33010703904” “ “The South Cheshire & Vale Royal GP Alliance Expo! is a GP Federation Conference with a difference. In our experience there are no shortage of conferences that focus on the policitical reasons for working at scale and the various legal structures available to federations, but few who concentrate on what to do once you have a GP federation and how to make it sucessful. Not being able to find such a conference we decided to create our own!” “This is a ‘free to attend’, not for profit event funded through sponsorship.” “The South Cheshire & Vale Royal GP Alliance Expo! will be a practical GP led exploration of schemes and innovations that have actually been introduced across the South Cheshire and Vale Royal GP Alliance. We will (assisted by our partners) explain what has been done locally, why this benefits our patients and our practices.” “Delegates will leave with lots of ideas, contacts, and we hope enthusiasm to learn from our successes (and of course our failures)! We have also invited some speakers from around the country to tell us about their sucess stories.

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PCNs & working at scalePractice business & finance

Free Not for Profit conference sharing innovation & successful schemes for GP Federations.

Free Not for Profit conference sharing innovation & successful schemes for GP Federations. “ “ “sign up at https://gpfederation_expo.eventbrite.co.uk/ “ “June 13th.” “ “The South Cheshire & Vale Royal GP Alliance Expo! is a GP Federation Conference with a difference. In our experience there are no shortage of conferences that focus on the political reasons for working at scale and the various legal structures available to federations, but few who concentrate on what to do once you have a GP federation and how to make it successful. Not being able to find such a conference we decided to create our own!” “ “This is a ‘free to attend’, not for profit event funded through sponsorship.” “ “The South Cheshire & Vale Royal GP Alliance Expo! will be a practical GP led exploration of schemes and innovations that have actually been introduced across the South Cheshire and Vale Royal GP Alliance. We will (assisted by our partners) explain what has been done locally, why this benefits our patients and our practices.” “ “Delegates will leave with lots of ideas, contacts, and we hope enthusiasm to learn from our successes (and of course our failures)! We have also invited some speakers from around the country to tell us about their success stories.

PCNs & working at scalePractice business & finance

Good meeting about the conference we are running today June 13th - shortlisting the…

Good meeting about the conference we are running today June 13th - shortlisting the sponsors and products to discuss. If you are a GP federation who want to speak at our conference on stuff/a project you have delivered and want others to hear about - can you get in touch - (sorry but including if you have already as ive had so many emails on this it i think ive lost track of a couple !

PCNs & working at scale
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Met with Richard Cardow from Qardio discussing their MD portal for their products…

Met with Richard Cardow from Qardio discussing their MD portal for their products Qardioarm, QardioBase and Qardiocore. We were discussing how to get primary care interested in purchasing the devices and different potential models of use. Hes left me a couple of samples to play with and I’m trying to create a possible case study possibly in heart failure patients.

Research & trials
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We have a vacancy coming up for a IT person to help us support the GP federations and…

We have a vacancy coming up for a IT person to help us support the GP federations and practices we work with. We are working on the job description but its a bit of everything - we need someone who can liaise with the CCG and CSU supported by us - someone who can run projects - deal with all the IT companies we work with - provide IG expertise, liaise with practices, do some training both 1:1 and 1:group, get involved in sorting problems at a practice and federation level. We have a great team already. Knowledge of EMIS useful. Experience of primary care useful. We are based in south cheshire and cover across the A500 to Stoke looking after >100 practices. email me!

PCNs & working at scale
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My NFP GP federation is putting on a Free conference for GPs & GP Federations interested…

My NFP GP federation is putting on a Free conference for GPs & GP Federations interested in sharing solutions. June 13th, Crewe, Cheshire. 10 mins from J16 M6 or 10 mins taxi from Crewe station. “ “ “We are running sessions with presenters giving real life examples of innovative/disruptive change they have introduced to their practices / federations aimed at improving quality and safety but also at improving working lives, increasing income, cutting expenses, making home/life balance better!” “ “Interested in attending? - Interested in speaking? (we have some gaps) - Interested in sponsoring? - get in touch!” “ “If you don’t leave with at least one idea to improve your practice we will have failed!

PCNs & working at scale
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Free conference for GPs and GP Federations - June 13th Crewe, Cheshire'

Free conference for GPs and GP Federations - June 13th Crewe, Cheshire“ “ “Hi my local (not for profit) GP federation is putting on a conference for GPs and GP Federations - aimed at GPs in the North West and Midlands but as Crewe is 1h35 from London - anyone is welcome. The aim is to focus on ideas and solutions that have helped practices or federations. Solutions that delivery better quality, improve income, cut expenses, deliver new services, improve your working life! “ “ “Anything that works - with an IT solutions lean. We aim to present a series of case studies from both local innovation and from other practices we have come across across the country. It will be a all day event, free to attend, if you don’t leave with at least one idea to improve your practice we will be disappointed.” “ “Im interested in initial expressions of interest of attendance - this will help us get the conference paid for. So if you would like to come - please email me - neil.paul@nhs.net at this point i wont hold you to it - but ill send you more details when they are available.” “ “Also any potential speakers (I’ve asked previous and have a list - but feel free to get in touch again - speakers should be GPs who’ve implemented a change to their practice, locality or preferably federation (i.e. at scale) that has delivered real benefits, yes to the patients, but mainly to the practices in terms of making their lives better/easier/more profitable. e.g. cutting paperwork, speeding up processes, improving standardisation and harmonising care.” “ “Any sponsors - feel free to get in touch! This is a not for profit event, we are just aiming to cover costs - any surplus goes to the Federation.” “ “The likely venue is 10 mins from J16 M6 and a 10 minute taxi from Crewe station.

PCNs & working at scalePractice business & finance

Free Conference for GPs and GP Federations - June 13th Crewe, Cheshire.'

Free Conference for GPs and GP Federations - June 13th Crewe, Cheshire.“ “ “Hi my local (not for profit) GP federation is putting on a conference for GPs and GP Federations - aimed at GPs in the North West and Midlands but as Crewe is 1h35 from London - anyone is welcome. The aim is to focus on ideas and solutions that have helped practices or federations. Solutions that delivery better quality, improve income, cut expenses, deliver new services, improve your working life! “ “ “Anything that works - with an IT solutions lean. We aim to present a series of case studies from both local innovation and from other practices we have come across across the country. It will be a all day event, free to attend, if you don’t leave with at least one idea to improve your practice we will be disappointed.” “ “Im interested in initial expressions of interest of attendance - this will help us get the conference paid for. So if you would like to come - please email me - neil.paul@nhs.net at this point i wont hold you to it - but ill send you more details when they are available.” “ “Also any potential speakers (I’ve asked previous and have a list - but feel free to get in touch again - speakers should be GPs who’ve implemented a change to their practice, locality or preferably federation (i.e. at scale) that has delivered real benefits, yes to the patients, but mainly to the practices in terms of making their lives better/easier/more profitable. e.g. cutting paperwork, speeding up processes, improving standardisation and harmonising care.” “ “Any sponsors - feel free to get in touch!” “ “The likely venue is 10 mins from J16 M6 and a 10 minute taxi from Crewe station.

PCNs & working at scalePractice business & finance

Free Meeting for GPs and GP Federations June 13th, Crewe, Cheshire'

Free Meeting for GPs and GP Federations June 13th, Crewe, Cheshire“ “ “Hi my local (not for profit) GP federation is putting on a conference for GPs and GP Federations - aimed at GPs in the North West and Midlands but as Crewe is 1h35 from London - anyone is welcome. The aim is to focus on ideas and solutions that have helped practices or federations. Solutions that delivery better quality, improve income, cut expenses, deliver new services, improve your working life! “ “ “Anything that works - with an IT solutions lean. We aim to present a series of case studies from both local innovation and from other practices we have come across across the country. It will be a all day event, free to attend, if you don’t leave with at least one idea to improve your practice we will be disappointed.” “ “Im interested in initial expressions of interest of attendance - this will help us get the conference paid for. So if you would like to come - please email me - neil.paul@nhs.net at this point i wont hold you to it - but ill send you more details when they are available.” “ “Also any potential speakers (I’ve asked previous and have a list - but feel free to get in touch again - speakers should be GPs who’ve implemented a change to their practice, locality or preferably federation (i.e. at scale) that has delivered real benefits, yes to the patients, but mainly to the practices in terms of making their lives better/easier/more profitable. e.g. cutting paperwork, speeding up processes, improving standardisation and harmonising care.

PCNs & working at scalePractice business & finance

My GP federation is planning a (not for profit) conference on Tuesday 13th June, in Crewe…

My GP federation is planning a (not for profit) conference on Tuesday 13th June, in Crewe Cheshire aimed at GPs and GP Federations; aiming to share innovative ideas & success stories, especially IT innovations. (If successful we aim to replicate around the country). It will be free to attend for delegates - and we will advertise around the NW & midlands (crewe is only 1h35 from London so who knows!) We are looking for 10-20 sponsors to hire an exhibition stand (to cover costs only). We are looking for products/companies that are directly connected to improving primary care/GP federations that add value to the conference. If you are interested in sponsoring get in touch: neil.paul@nhs.net

PCNs & working at scalePractice business & finance
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