Dear patients and friends, and after so many years at the practice many of you will fall under both headings.

 

This has been my 30th year at the practice and my 36th as a NHS doctor. I leave the practice with very mixed feelings and emotions: I'm full of enthusiasm for my next challenge doing voluntary work in remote parts of India and Nepal, but sad to end the conversations that we have had over such a long time.

 

You have shared joy and tears with me, your most happy, sad or worrying moments. Births, marriages, illness, divorce, death. 

 

I have shared the end of life with many and hope I have been able to give comfort.

 

General Practice is not just a 10 minute appointment, but a conversation that can go on over many years, and often over many generations; caring for grandparents, parents, children, and then their children. I have shared in the lives of your families and that has been a great privilege .

 

I have been lucky to have had a job  where I've loved coming to work, full of variety and challenge, with teaching, operations, and procedures to do as well as consulting and running the practice.

 

Thirty years ago I chose to come to Street Lane Practice as it was a progressive practice combining innovation with compassion. The rules and framework under which GPs work have changed constantly with every new Health Secretary bringing new systems, but the ethos of the practice remains constant. I have no doubt that Street Lane Practice will continue to innovate and lead alongside continuing compassionate care .

 

Special thanks to all those of you who contributed more than £600 to Himalayan charities to mark my leaving. I shall try to ensure that good work results from this. 

 

I wish you all well,

 

Dr Nigel Bew

 

5/10/19

Telephone Calls

Over the past year we've had a new telephone system installed. It's fair to say there have been teething problems but hopefully in the main these issues have been resolved.

We are able to review the number of calls we've received. Between 3/9/18 - 30/11/18 we received 58,000 telephone calls which is a pretty staggering number and explains why, at peak times, it can be difficult to contact us by telephone.

For those patients who are able we encourage the use of:

  • SystmOnline to review test results, look at medical records, book appointments and order repeat prescriptions (enquire at our front desk)
  • E-reception (via the link on this home page) to order medicine, for general queries and to convey messages to clinicians.

The beauty of both these systems is that, as a patient, you aren't sat getting frustrated whilst waiting to move up the telephone queue.

On 29/1/19 Dr Lolita Chan began working as a partner at Street Lane Practice. She's being phased in to replace Dr Bew who retires towards the end of 2019. Dr Chan worked with us as a registrar (trainee GP) so we're delighted to welcome her back.

Last month Dr Chiarelli left us to complete his training at Priory View Medical Practice in Armley. We all enjoyed working with him and were delighted to learn that he passed his final exam whilst working with us.

Drs Wong and Watson will be training at Street Lane Practice until August 2019. They've settled in really well.

In other news we're delighted with the ongoing success of our Paramedic home visiting program whereby patients are visited at home by paramedics working out of Street Lane Practice to try and reduce unnecessary hospital admissions.

Dr Hobman, 5/3/19

Abdominal aortic aneurysm screening

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

Smoking

Obesity

Further information is available at:

https://www.nhs.uk/conditions/abdominal-aortic-aneurysm-screening/

Dr J Hobman 8/10/18

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

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

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

Additional information