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Trust score 8/100
Accepting new patients
Dr
Dr Paul Guyler
Geriatric Medicine
English
13,082+
Patients seen
13
Years in practice
5
Publications
1
Languages spoken
About
I am a Physician with a specialist expertise in Stroke and Vascular Medicine, Geriatric Medicine and General Medicine. My professional interests cover all aspects of these areas including TIA (Transient Ischaemic attacks – minor stroke), Atrial Fibrillation and anticoagulation.
In 1993, I undertook a BSc at the Atkinson Morley Neuroscience Center, London with research evaluating medication used to combat complications in subarachnoid haemorrhage. I graduated from St George's Hospital Medical School, London, and trained in my specialties in London (South West Thames Region) before moving to take up a post in Southend in 2007. I became Lead Consultant in Stroke medicine in 2010 and have led the stroke team to provide excellence in quality of stroke care and innovation which has been backed up by multiple independent healthcare awards (including National Health Service Journal, Health and Social care, and Quality in anti-coagulation awards).
Stroke and vascular medicine is about medical problems which ‘fur up arteries', and cause damage to the brain – usually via a blood clot blocking a cerebral artery, or a burst blood vessel causing brain haemorrhage. I have particular expertise in carotid artery atherosclerosis and treatments for preventing stroke - these include conditions such as atrial fibrillation (AF), hypertension and cholesterol disorder.
Stroke and vascular disease is an increasing problem in our community, and routine care often requires some specialist input. People with early arterial atherosclerosis (particularly if found in the carotid arteries), who have a history of stroke in the family, or who have suffered TIA or stroke, often have concerns about choice of treatment, the complications of stroke disease or their proposed medications and what the future holds; I am able to provide information and care to patients with these conditions.
I have previously contributed to many regional and national specialist roles; these include: Honorary Consultant at Cambridge University Hospitals Foundation Trust for Stroke Telemedicine, Lead for Acute stroke in Essex Cardiac and Stroke Network, Lead for Stroke in Essex and Hertfordshire Comprehensive Local Research Network, Lead consultant to the East of England Stroke Forum Steering Group, National Stroke Improvement Programme Associate, Member of National Priority project stroke prevention: managing atrial fibrillation (part of NHS Improvement) and Meeting secretary to NE Thames British Geriatric Society.
Diseases, Medical Tests and Treatments
• General medicine
• Stroke medicine
• Vascular medicine including minor stroke
• Funny turns
• Appropriate use of medication/polypharmacy
• Holistic approach to patients' medical problems and medication
• Investigation of ‘funny turns' or unresponsiveness
• Issues around anticoagulation to prevent stroke in patients with atrial fibrillation
• Management of complicated high risk cardiovascular/cerebrovascular disease
• Prevention of stroke and atherosclerosis (‘furred up arteries')
• Stroke medicine
• Vascular medicine including TIA (Transient Ischaemic attacks – minor stroke)
In 1993, I undertook a BSc at the Atkinson Morley Neuroscience Center, London with research evaluating medication used to combat complications in subarachnoid haemorrhage. I graduated from St George's Hospital Medical School, London, and trained in my specialties in London (South West Thames Region) before moving to take up a post in Southend in 2007. I became Lead Consultant in Stroke medicine in 2010 and have led the stroke team to provide excellence in quality of stroke care and innovation which has been backed up by multiple independent healthcare awards (including National Health Service Journal, Health and Social care, and Quality in anti-coagulation awards).
Stroke and vascular medicine is about medical problems which ‘fur up arteries', and cause damage to the brain – usually via a blood clot blocking a cerebral artery, or a burst blood vessel causing brain haemorrhage. I have particular expertise in carotid artery atherosclerosis and treatments for preventing stroke - these include conditions such as atrial fibrillation (AF), hypertension and cholesterol disorder.
Stroke and vascular disease is an increasing problem in our community, and routine care often requires some specialist input. People with early arterial atherosclerosis (particularly if found in the carotid arteries), who have a history of stroke in the family, or who have suffered TIA or stroke, often have concerns about choice of treatment, the complications of stroke disease or their proposed medications and what the future holds; I am able to provide information and care to patients with these conditions.
I have previously contributed to many regional and national specialist roles; these include: Honorary Consultant at Cambridge University Hospitals Foundation Trust for Stroke Telemedicine, Lead for Acute stroke in Essex Cardiac and Stroke Network, Lead for Stroke in Essex and Hertfordshire Comprehensive Local Research Network, Lead consultant to the East of England Stroke Forum Steering Group, National Stroke Improvement Programme Associate, Member of National Priority project stroke prevention: managing atrial fibrillation (part of NHS Improvement) and Meeting secretary to NE Thames British Geriatric Society.
Diseases, Medical Tests and Treatments
• General medicine
• Stroke medicine
• Vascular medicine including minor stroke
• Funny turns
• Appropriate use of medication/polypharmacy
• Holistic approach to patients' medical problems and medication
• Investigation of ‘funny turns' or unresponsiveness
• Issues around anticoagulation to prevent stroke in patients with atrial fibrillation
• Management of complicated high risk cardiovascular/cerebrovascular disease
• Prevention of stroke and atherosclerosis (‘furred up arteries')
• Stroke medicine
• Vascular medicine including TIA (Transient Ischaemic attacks – minor stroke)
“Evidence-based care tailored to each patient — taking the time to explain options and shared decisions.”
— Dr Paul Guyler
Education & training
-
2003–2009 MD · Medicine and Surgery
-
2009–2013 Residency · Geriatric Medicine
-
2013–2014 Fellowship · Subspecialty training
Career & appointments
-
2013-09–2014-08 Junior consultant
Licenses & insurance
Medical licenses
GB — Organización Médica Colegial de España (OMC)
Board certifications
European Board of Geriatric Medicine
Malpractice insurance:
AXA Healthcare Liability · 5,000,000 EUR coverage
· No claims on file
Procedures performed
| Procedure | Code | Lifetime count |
|---|---|---|
| GP consultation | 99213 | 958 |
| Annual physical exam | 99395 | 1,240 |
| Vaccination administration | 90471 | 1,104 |
| Minor procedure (skin) | 17110 | 2,391 |
Services & pricing
| Service | Duration | Modality | Price |
|---|---|---|---|
| New patient consultation (60m) | 60 min | in_clinic|telemed | 180.00 EUR |
| Follow-up consultation (30m) | 30 min | in_clinic|telemed|phone | 90.00 EUR |
| Vaccination administration | 60 min | in_clinic | 360.00 EUR |
| Minor procedure (skin) | 90 min | in_clinic | 270.00 EUR |
Office, team & in practice
Videos
Research & publications
h-index: 14 · i10: 12
-
European registry analysis of Geriatric Medicine outcomes
DOI: 10.6465/euroclin.2025.0 · PMID: 32245959 · cited by 190
-
Outcomes of Geriatric Medicine in adults — a multi-centre cohort
DOI: 10.8832/euroclin.2024.1 · PMID: 35177397 · cited by 156
-
European registry analysis of Geriatric Medicine outcomes
DOI: 10.9531/euroclin.2023.2 · PMID: 32661116 · cited by 194
Invited talks
- Practical updates in Geriatric Medicine European Annual Congress (Geriatric Medicine) · Vienna · 2024 · invited
- Single-centre experience in Geriatric Medicine National Society Meeting · · 2023 · oral abstract
Awards & memberships
Awards
- 🏆 Top-rated Geriatric Medicine — · EuroClinics Patient Choice · 2025 · regional
Society memberships
- WONCA Europe — Family Doctors — Member · since 2014
- national college of family doctors — Member · since 2014
- European Union of Medical Specialists (UEMS) — Member · since 2014
Patient reviews
- Bedside Manner
- 0.05
- Knowledge
- 0.08
- Wait Time
- 3.80
- Staff Friendliness
- 0.02
- Ease Of Appointment
- 4.00
- Value For Money
- 4.10
- Would Recommend Pct
- 4
-
★ 5 verified visit
“Very thorough first visit — explained every step. Booking was easy and the staff were welcoming.”
-
★ 5 verified visit
“Took time to listen and reviewed all my previous results. I would absolutely recommend.”
-
★ 4 verified visit
“Professional and knowledgeable. Wait on the day was a bit long, otherwise excellent.”
Articles by this doctor
- Patient education Patient guide to Geriatric Medicine
- Awareness When should you see a geriatric medicine?
For international patients
- Coordinator
- Patient liaison · paul.guyler@euroclinics.example
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