Practice News October 2018

Abdominal aortic aneurysm screening

Aortic aneurysm screening video

There is a national screening programme for abdominal aortic aneurysm (AAA). This is a condition where the main blood vessel from the heart to the legs becomes widened with age. In severe cases this vessel can rupture and cause instant death. If caught early using a non-invasive ultrasound scan then it can be cured with an operation. One of the locations where the scanners work is Street Lane Practice.

Last year 84 Street Lane Practice patients were invited for scan with 74 attending. No cases of AAA were detected.

I would encourage all eligible patients invited to attend for the ultrasound scan to attend for their appointment. The target population is men in their 65th year. Men are at far greater risk of AAA than women.

The hyperlink explains the benefits of the screening.

The risk of AAA is greatly increased by the same factors which increase the risk of heart attack stroke:

Uncontrolled high blood pressure

Uncontrolled diabetes



Further information is available at:

Dr J Hobman 8/10/18

March 2017 News

I'd first like to start with an apology. It's been a while since I updated the News section and there's been lots happening in the interim.

We always listen to and encourage patient feedback. One of the commonest complaints on NHS Choices is of the difficulty getting an appointment in a timely manner. At present there's a wait of upto 3 weeks for a routine appointment. It's also frustrating for we clinicians and the reception staff. We spend a lot of time thinking about how to improve patient access to appropriate clinicians.

At present as I'm sure you're aware we operate a 3 tier appointment system:

  1. Routine appointments monday to friday including wednesday and thursday evenings. These are both face to face and telephone appointments.
  2. 72 hour appointments for slightly more urgent cases.
  3. Emergency appointments for people needing to be seen the same day.

The reception staff have been trained to ask some basic questions and can place you on the Emergency telephone callback list if that's the most appropriate option. Sometimes it's more appropriate for us to advise that patients call 999 rather than coming to see a GP if a patient is very poorly. With the triage we would always see somebody who is acutely unwell on that same day. Clearly the earlier in the day you call the better for us to find an appointment because the surgery closes for emergencies at 6pm.

We are trying other systems to try and help patients access their usual GP. For instance Dr Sunderland is trialling a system whereby she calls patients on her list and, if necessary, brings them in the same day for face to face review. Its actually possible, and often more convenient for patients, to deal with a substantial proportion of patient issues by telephone. If this system proves effective, and popular with patients, we will use it for other clinicians.

In time we hope also to get Skype consultations up and running.

We also have other experts within the practice:

Jackie Craven

The return of Jackie Craven, in addition to Nina Smith, as Advanced Care Practitioners will improve patient access to appointments. Jackie and Nina have slightly longer appointments than GPs (15 minutes compared to 10 minutes with a GP) and perform any duty which a GP could do. The one exception is that they can't issue death certificates.

Simon Miller, Physiotherapist

Simon has worked within our surgery for several years on behalf of Chapel Allerton Hospital. This continues but in addition we now have him to ourselves for several sessions per week. We've trialled a very successful system whereby Simon is involved from a much earlier stage than was previously the case in all patients with musculoskeletal (MSK) problems.

Patients are put on Simon's list by GPs and increasingly by reception. So if you call reception with back pain you may find reception offering to put you onto Simon's caseload rather than seeing a GP. The wait to speak with Simon is less than that for a GP.

The initial consultation is by phone. Simon offers advice and will send out educational material, either in the form of video or website links. He has the facility here to arrange face to face assessment. Options from this assessment would be: communicating with a GP about further appropriate tests or analgesia, treatment from Simon, or referral into the Leeds Hospitals MSK system.

We have found that actually Simon can deal with most issues without patients enduring what can often be an inconvenient visit to the hospital.

Morna Barker, Pharmacist

Many of our patients will already have spoken with or met Morna. She has oversight of all our prescribing to ensure that we GPs prescribe in a safe, efficient and cost effective way. She frequently calls patients to clarify any medication issues. She also performs medication reviews on our patients, including those in our Residential and Nursing Home population.

If anybody has any thoughts or suggestions we're always happy to listen. You can contact us at This email address is being protected from spambots. You need JavaScript enabled to view it. or on 0113 2371128

Best Wishes,

Dr Hobman, 17/3/17

News March 2016

GP earnings

As part of a national initiative NHS England have decreed that we must publish the mean earnings (ie average pay) of GPs working at Street Lane Practice for NHS work. So for anybody who is interested the figures are as follows:

The average pay for GPs working in Street Lane Practice in the last financial year was £95,960 before tax and National Insurance. This is for 4 full time GPs and 2 part time GPs who worked in the practice for more than six months.

Musculoskeletal triage sytem

From 1/4/16 we will be utilising the skills of 2 experienced physiotherapists, Nicky and Simon, from Chapel Allerton Hospital. The idea is that patients with joint/muscle problems will be signposted from reception, or their GP, to a callback list. They will then be called back by a physiotherapist.

Outcomes will either be: telephone advice, patients will be sent exercise sheets or links to relevant online videos, or will be seen by the physiotherapists for assessment.

We hope that this will streamline the care of patients with Musculoskeletal problems so that they recieve the most appropriate advice, from experts quickly.

Dr J Hobman 22/3/16

December 2015

It is with great pride that I can announce the following:

Dr Bew has been voted Doctor of the Year 2015 at the Best Of Health Yorkshire Evening Post Awards.

The reward confirms what we already knew!

I'd also like to take this opportunity to wish all of our patients a Merry Christmas and a Happy New Year.

Best Wishes,

Dr Hobman, 14/12/15

May 2015

There is a shortage of people registered on the organ donor register. Although almost everybody would accept a donated organ if required, only 1/3 of the population has registered to donate an organ.

Since April 2015 114 people have made an organ donation. The problem is that 6965 patients needed an organ donation.

Please could I encourage our patients to visit or call 0300 1232323 to find out more about registering as an organ donor.

Thank you

Dr J Hobman, 12th May 2015.

Practice News November 2015

Two of our GPS have recently been nominated for awards:

Dr Sunderland was nominated as GP of the Year at The Primary Care Awards 2015. She was a runner-up.

Dr Bew has been nominated for GP of the Year at The Yorkshire Evening Post Best of Health Awards 2015. The result will be declared on 7/12/15.

We have also achieved national prominence for our work in encouraging patients to register for online access to their medical records. As a practice we strongly believe in the use of innovation and IT solutions to improve patient care. A film crew recently visited from London with a video now appearing on the NHS England Website.

The link is as follows:

Best Wishes

Dr J Hobman, 14/11/15

Practice News March 2015

Named GP for patients aged 75 and over

From April 2014, all patients aged 75 and over will have a named GP who will have overall responsibility for the care and support that our surgery provides them.

If you fall within this group you will have received a letter detailing who your named GP is. This GP will work with other relevant health and care professionals, who are involved in your care, to ensure that your care package meets your individual needs.

I would stress that you can still choose to see whichever GP you prefer.

If you have any questions please contact the surgery

 Computerised paper records

As our list size grows we've found that our premises have been bursting at the seams. We therefore looked at innovative ways of creating more space. The eagle-eyed amongst you will have noticed some recent building and improvement works at the practice.

To create more space we encountered St Helens and Knowsley NHS Informatics. With their help we've been able to convert the old paper Lloyd George medical records onto NHS data servers to be stored as secure digital files. These can still be accessed by your GP should the need arise.

This has resulted in 2 large rooms being freed up and converted into an IT hub for clinicians. When clinicians aren't seeing patients they vacate their consulting room so that it can be used by other clinicians - thus allowing more efficient use of clinical rooms.

 Best Wishes, Dr J Hobman, 20/3/2015

Additional information