Advice on why this URL cant rank high enough please

Maybe he's linking to websites that have been banned by Google?

I also think Google sees stuff like this as complete rubbish:

"Adswood, Adlington, Alderley Edge, Alsager, Altrincham, Appleton, Ashley, Ashton-in-Makerfield, Ashton-on-Mersey, Ashton under Lyme, Barton, Baguley, Belfast, Benchill, Beswick, Blackley, Blackrod, Bollington, Boothstown, Bolton, Bowdon, Bramhall, Bredbury, Billinge, Brinnington, Broadheath, Brooklands, Bucklow Hill, Burnage, Bury, Carrington, Cadishead, Carrington, Castlefield, Castleton, Cheadle, Cheadle Hulme, Cheetham Hill, Chelford, Chester, Chorlton, Church Lawton, Clayton, Compstall, Congleton, Cranage, Croft, Crewe, Crumpsall, Culcheth, Cumbria, Daresbury, Davenham, Davyhulme, Davenport, Denton, Derbyshire, Didsbury, Disley, Dumplington, Dunham, Dunham Massey, Eccles, Edgeley, Fallowfield, Farnworth, Firswood, Flixton, Frodsham, Gatley, Gorse Hill, Hale, Hale Barns, Handforth Dean, Hazel Grove, Heald Green, Heaton Moor, Heaton Norris, Heaton Chapel, Heaton Mersey, Heavily, Heywood, High Lane, High Legh, Hyde, Holmes Chapel, Horwich, Irlam, Kearsley, Knutsford, Lancaster, Leeds, Leigh, Levenshulme, Liverpool, Littleborough, Little Lever, London, Longsight, Lostock, Lymm, Lower Peover, Macclesfield, Manchester, Marple, Mere, Middlewich, Middleton, Milnrow, Mobberley, Monton, Nantwich, Nice(France), Northenden, North Wales, Northwich, Nottingham, Offerton, Oldham, Old Trafford, Ollerton, Orrel, Partington, Pendlebury, Penketh, Prestbury, Preston, Prestwich, Poynton, Radcliffe, Ramsbottom, Reddish, Rochdale, Romiley, Royton, Rusholme, Saddleworth, Saint Helens, Sale, Sale Moor, Salford, Salford Quays, Sandbach, St Petersburg (Russia), Staffordshire, Standish, Stalybridge, Stretford, Stockport, Stockton Heath, Swinton, Tameside, Tarporley, Tatton, Thelwall, Timperley, Trafford Park, Tytherington, Urmston, Victoria Park, Walkden, Warburton, Wardle, Wardley, Warrington, Westhoughton, Whalley Range, Whitefield, Widnes, Wigan, Wilmslow, Winsford, Winstanley, Wirral, Withington, Woodford, Woodhouse Park, Worsley, Wythenshawe"

try and concentrate more on getting up for the one keyword when you're doing all the SEO.
For example build the backlinks using websites that are related to the niche and have a bit more authority. Also post some new and fresh content on the website a bit more often. So broaden you're SEO efforts basically.

The keyword that you will use is strong enough to be in competition with its quality content the story is highly relevant to the keyword.

Yes, website title, description, heading and text must match your keywords. You can see exaple here. The keyword is "Power of Hypnosis" (intitle, inurl, indescription, in image alts). - powerofhypnosisrevealed.com

its cant be the fact he has keyword stuffing (hypnosis manchester etc), as Google doesnt count that anymore.

When i compared it to the netdoctor on number 1 spot my friends site has around 250 links to 3 links (Yahoo) for the number 1 ranked term. Not all of those results on page 1 are well optimised, or higher pr or much else so i cant see why he has trouble getting his site further up the rank. He has now slipped to position 11!

Any other input on why this might be, apart form what others have said?

thanks for the reply Yukon. I know that if you have keyword in your url/title etc that is how to got to the top, but i ve checked 2 or 3 other reuslts on the 1st page and they dont have the keyword in their title or url either.

I suppose that his page is not exactly about anxiety, and it is probably all hese things adding up that is leading to poor positioning.

thanks