AI — Dr Neil Paul

27 Sept 2026 Marking my own homework: a full review of the Usual GP Continuity Analyser Four AI reviewers went through the Usual GP Continuity Analyser in parallel. What they found, what was fixed in v1.5.0, and what the exercise says about checking AI-built clinical tools.

28 Jul 2026 Neil's AI Tip #9 — Stop reading about AI. Build something. Here's a starter project that could save you money! LinkedIn Invites readers to build their own electricity-usage analyser with AI on the Octopus API — a three-stage starter project, with the full prompt and guardrails on the blog.

28 Jul 2026 Neil's AI Tip #9 — Here's Your Starter Project: Your Own Energy Analyser A worked example: prompting an AI into building a private electricity-usage analyser on the Octopus API — API keys, guardrails, model choice, and the mistakes that taught the most.

26 Jul 2026 Fourteen versions later: what a silly holiday game taught me about listening to users The holiday card game's changelog as a user-research diary: nine complaints from family playtesters, and how each one — with an AI pair-programmer — became a shipped fix by bedtime.

23 Jul 2026 Get Me To The Hotel! What building a silly holiday game taught me about serious software The story behind a multiplayer phone game built on a family holiday in Bermuda with AI — the PDSA-style iterations, the game-design rabbit holes, and what it shares with GP triage.

22 Jul 2026 Who do your patients actually see? A free continuity tool for GP practices Introduces a free browser-based tool that checks a practice's Usual GP field against who patients really see, and reflects on building clinical software with AI.

22 Jul 2026 The first time I met AI was 1993 In 1993 I spent two months testing whether a neural network could predict insulin doses better than a pharmacokinetic model. It couldn't — the data was the problem, not the maths. Thirty-three years on, it's a product you can buy.

20 Jul 2026 This site was rebuilt by an AI (mostly) Why drneilpaul.blog moved off WordPress to a fast static archive built with Claude — recovering lost columns, folding in 1,300+ LinkedIn posts, and keeping a human in the loop.

5 Jul 2026 As well as writing AI tips, I've really been using AI to learn how useful it can be. LinkedIn Shares an appointment simulator he built showing how same-day slot holdback and workforce mix trade off patient access, continuity and GP workload.

19 Jun 2026 When AI Gets It Wrong LinkedIn A partnership profit-split calculation where AI stayed confidently wrong for several rounds illustrates why outputs must be sense-checked — right and wrong answers sound identical.

17 Jun 2026 Vibe Coding Is Brilliant. Information Governance Still Matters. LinkedIn Applauds GPs vibe coding their own tools but warns nobody is asking information governance questions — staff data counts too, DPIAs exist for this, and free AI tiers offer no data protections.

13 Jun 2026 Wow Anthropic have just had to pull Fable 5 (their most powerful ai model yet) from… LinkedIn Reacts to Anthropic reportedly pulling its powerful Fable 5 model after a US government edict, lamenting a possible cap on AI capability.

10 Jun 2026 Choose your AI App Wisely LinkedIn A framework for picking an AI tool: separate the app from the model, match the engine to the job, weigh generalists against specialists like Medwise, and mind where your data goes.

5 Jun 2026 Ask AI how you can use it better LinkedIn Suggests asking AI tools directly how to use them better, surfacing features like Projects, scheduled tasks and connectors, explained in your own working context.

3 Jun 2026 If you want to try Vibe Coding - Use GIT LinkedIn Why anyone letting AI write code should learn git first: snapshot-and-rollback protects vibe-coding experiments, and AI assistants can run the commands for you.

29 May 2026 Come see me at MIP next week - Ive got a great talk about 7 amazing projects I've done… LinkedIn Promotes his MIP and Birmingham show talk on seven projects built with Claude AI and the lessons learned for others exploring AI.

26 May 2026 Just been informed my poster for the Primary Care Cardiovascular Society Spring… LinkedIn Marks his Highly Commended poster on using AI to write code that mined 16,000 free-text echo reports to improve a PCN heart failure register.

1 May 2026 AI Does What You Ask — Not What You Mean LinkedIn Why vague AI prompts produce generic results: a headshot-editing demo showing how explicit constraints, especially what not to do, get the output you actually want.

15 Apr 2026 Should we invest in an AI Machine? LinkedIn Explores running local AI models with Ollama on Mac hardware and asks whether each neighbourhood should own an AI service for data analysis and risk stratification, keeping patient data on-site.

13 Apr 2026 ive also been playing with claude and national data sets but not done anything as clever… LinkedIn Notes experimenting with Claude on national datasets, crediting Anne Marie Cunningham's more sophisticated analyses.

13 Apr 2026 Stop Starting From Scratch: Use Projects LinkedIn Explains how AI Projects give ongoing work persistent context — an instructions file, reference documents and a living knowledge base — so serious collaboration stops restarting from scratch.

8 Apr 2026 Stop Asking AI for Word Docs LinkedIn Practical tip for non-techies: ask AI for Markdown rather than Word documents, using plain-text files as knowledge bases, handoff notes and task lists that survive copy-paste and versioning.

18 Mar 2026 Building Primary Care Tools Without Coding: An AI Experiment LinkedIn A conference poster on using AI as a programming collaborator so clinicians can build in-practice data analysis tools, applied to heart failure register validation in SMASH PCN.

2 Feb 2026 Can artificial intelligence (AI) save UK primary care? BJC TV Video interview for the British Journal of Cardiology: Dr Neil Paul and Dr Martin Godfrey on how AI and digital healthcare may revolutionise general practice.

26 Jan 2026 At last weeks all docs meeting at my surgery - I demo'd the free to use Medwise AI and… LinkedIn Reports demoing Medwise AI's UK-guidance-locked search at a practice meeting, where colleagues found it game-changing and now use it constantly.

19 Jan 2026 Used Lexacom's Ambient Voice AI today to listen in to a two and a half hour meeting with… LinkedIn Reports using Lexacom's ambient voice AI to minute a long meeting, suggesting uses beyond consultations.

19 Nov 2025 Another post about Microsoft copilot for the NHS? LinkedIn Asks whether practices can use Microsoft Copilot, now in NHS mail, to build a RAG chatbot over their policies, procedures and clinical guidelines.

28 Oct 2025 IT & AI Can Help Us Deliver Commercial Research at Scale LinkedIn Five ways IT and AI could enable research at scale: federated patient searches, in-consultation prompts, pre-populated e-worksheets, shared IMP tracking and remote site access.

22 Jul 2025 Could AI be the answer LinkedIn Questions routine blood-test monitoring when nearly all results are normal, asking whether AI could predict which tests would change management and safely cut volumes.

29 Jun 2025 Since they had a stand at Howbeck Healthcare Limiteds AI conference I’ve been giving… LinkedIn Recommends medwise.ai, a free tool giving AI answers from curated sources, with a localised version being explored.

4 Jun 2025 Ambient AI is so exciting and a complete game changer. LinkedIn Shares a Howbeck Healthcare governance document on the rules and legalities of using ambient AI scribes in practice.

13 May 2025 We are rolling out Lexacom's Ambient AI to our practice. LinkedIn Shares partners' enthusiastic reactions to rolling out Lexacom's ambient AI scribe, citing faster, better-quality consultation notes.

28 Apr 2025 Secret AI Club? LinkedIn A consultant compliments an Advice and Guidance request actually drafted by Lexacom's ambient AI, prompting musings on whether AIs will soon be praising each other's clinical letters.

27 Apr 2025 Come listen to me talk about AI in general practice. LinkedIn Previews his virtual MPE talk on AI in general practice - covering AI types, ambient AI and implementation - ahead of chairing a NW AI conference in Chester.

17 Mar 2025 Lexacom's Ambient AI LinkedIn Lexacom's ambient AI summarised a complex mother-and-child consultation and drafted the referral letter unprompted, showing where the real productivity gain will come from.

11 Mar 2025 Using Lexacom's AI Product in Surgery LinkedIn First impressions from a live surgery day with Lexacom's ambient AI scribe: impressive multi-problem summaries and differentials, with a tip to verbalise examination findings for the microphone.

6 Mar 2025 Some are saying that LLM AIs are running out of training materials and that AI won't keep… LinkedIn Counters fears that AI is running out of training data, arguing coded consultations, outcomes and wearables could unlock new health insights.

1 Mar 2025 Once again I'm jealous of Raza's skills and knowledge and range of interests. LinkedIn Recommends Raza Toosy's machine-learning blog and floats inviting him to present his predictive work at an AI conference.

12 Feb 2025 Benefits of API to ICE LinkedIn Calls for a proper API to Clinisys ICE so practices can automate test ordering for repeat prescriptions and DMARD monitoring instead of manual box-ticking.

30 Jan 2025 Early news - Howbeck Healthcare Limited will be delivering a conference on AI in primary… LinkedIn Announces a Howbeck Healthcare conference on AI in primary care with Cheshire and Merseyside ICB, seeking speakers with case studies.

14 Jan 2025 Puzzled by the focus on AI? LinkedIn Draws on Kahneman's book Noise to argue that AI's consistency could reduce the variability in clinical decisions.

29 Dec 2024 Are Docman doing the right thing? LinkedIn Questions Docman's plan to charge extra for its AI letter summarisation, arguing it should add value to its centrally funded core product before ICBs cut the cost.

19 Oct 2024 Having recently become an expert on robotic mowers (thinking of adding mower guru to' LinkedIn A tongue-in-cheek gadget riff imagining an AI-powered autonomous flying hedge trimmer, prompted by his robotic mower and drone.

14 Jul 2024 My comment would be while Ai interpretation may speed some aspects up don’t assume that… LinkedIn Argues AI image interpretation alone won't fix radiology delays, as reported scans often go unviewed until a later appointment.

7 May 2024 My new favourite primary care review podcast https://lnkd.in/ee95VhCc' LinkedIn Neil recommends Amar Ahmed and Fari Ahmad's primary care review podcast for its coverage of impressive new AI tools.

16 Oct 2023 Outsourcing / Insourcing?' LinkedIn Asks whether practices have outsourced coding and admin work or set up PCN hub services amid staff turnover and emerging AI.

20 Mar 2023 Can you live forever? LinkedIn Muses on whether the Turing test needs updating: could an AI trained on your language and memories become indistinguishable from you, and even advise your children after death?

15 Feb 2023 oh no another ChatGPT post... LinkedIn Links to a piece asking whether ChatGPT can write hospital discharge summaries better than clinical staff.

15 Feb 2023 I've tried to avoid posting about chatGPT... LinkedIn A ChatGPT diagnosis case prompts Neil to reflect on whether a chatbot could take on his role of explaining plans and risk to patients.

18 Dec 2021 Had a really interesting meeting with Rapid Health yesterday - they have some really… LinkedIn Reports a meeting with Rapid Health about their AI technology and possible joint work to ease GP workload.

17 Dec 2021 AI amazes me more and more every day. LinkedIn Shares his surprise that solving image captchas helps train Google's driverless-car algorithms.

19 Oct 2021 Mediwise - UK Medical Search Engine LinkedIn A short note on meeting the Medwise.ai team, whose UK medical search engine answers clinical questions from curated national and local sources on a freemium model.

24 Jul 2021 Is it time to replace EMIS? LinkedIn Reports Cheshire GP leads seriously discussing alternatives to EMIS, and suggests the appointments module, messaging and consultation screens are ripe for disruption and AI.

23 Oct 2019 Docman 10 is trying to become artificially intelligent! Backs Docman 10's project with the University of Manchester to train an AI on real letters to work out which need a GP's attention, and urges practices to sign up.

23 Jul 2019 Implementing Innovation Surveys the technologies that could genuinely cut NHS workload — smartphones, AI diagnosis support, remote consultation cubicles — and asks why innovators get so little structured NHS support.

30 Apr 2019 Wearables and Data Collection From paper diabetes diaries as a medical student to wearables and smartphone sensors: how continuous data capture could transform research, chronic disease self-management and prevention.

3 Apr 2019 My latest column is out https://lnkd.in/drgs3-n Do we need to learn from how AI learns… LinkedIn Shares a column asking whether clinician training should be reinvented using lessons from how AI learns.

11 Dec 2018 Docman 10 is trying to recruit practices to join its AI experiment to reduce GP workload… LinkedIn Encourages practices to join Docman 10's AI experiment to cut GP document workload, since more data improves the AI.

22 Aug 2018 Thoughts on Babylon’s Healths recent announcement LinkedIn Argues Babylon Health's claim that its AI passed the MRCGP exam is publicity rather than a breakthrough — artificial cases lack real-world confounders, and misdirected AI spend is failure waste.

22 Aug 2018 RCGP’s thoughts on AI A quick recommendation of the RCGP's short document on AI in primary care, covering forms of AI, opportunities, risks and case studies from other sectors.

29 Jun 2018 Thoughts on Babylon's Healths recent announcement LinkedIn Argues Babylon Health's claim that its AI passed the MRCGP exam is publicity rather than a breakthrough — tidy exam cases are nothing like real patients, and misdirected AI money is failure waste.

22 May 2018 Can AI deliver a Smarter Problem based Past Medical History and Improve Prescribing? Argues GP problem lists are a coding mess and that AI trained on millions of records could tidy them, link medications to indications and flag data-quality gaps automatically.

21 May 2018 More thoughts on use of AI in healthcare - better coding in the EPR! Suggests AI could fix variable clinical coding in GP records — prompting missed codes, extracting codes from free text, and even transcribing consultations into coded entries.

2 May 2018 AI predicts cardiac risk from a photo - Get down to your optician to help your heart! On Google research showing AI can predict cardiovascular risk from retinal photographs, and why opticians' retinal cameras could make risk screening easy and non-invasive.

2 May 2018 Google researchers have published some data from an AI that has been reviewing fundoscopy… LinkedIn Explores Google's AI analysis of retinal images to predict cardiovascular risk and how opticians' cameras could aid prevention.

15 Dec 2017 Another View: of artificial intelligence Weighs the ethics and near-term limits of AI replacing doctors, and where it could genuinely help GPs: smarter prescribing warnings, filtering blood results and letters, and note-taking.

23 Nov 2017 Thanks for all the contacts re a mental health bid - the deadline is short and we are… LinkedIn Thanks contacts on a mental-health bid and appeals for AI experts to help build applications easing GPs' workload across 200-plus practices.