Chronic pain service 2014
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Chronic Pain Service 2014. Dr J M Davies Consultant Anaesthetist. Development timeline. Appointed 2002, 2 clinics per month, Oban 2004, Monthly clinics, Oban 3. Peripheral clinics delivered in primary care (Lorn, C’town.,Tarbert, Connel and LGH medical centres)

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Chronic Pain Service 2014

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Chronic pain service 2014

Chronic Pain Service 2014

Dr J M Davies

Consultant Anaesthetist


Development timeline

Development timeline

  • Appointed 2002, 2 clinics per month, Oban

  • 2004, Monthly clinics, Oban 3. Peripheral clinics delivered in primary care

    (Lorn, C’town.,Tarbert, Connel and LGH medical centres)

  • 2007, 3 Oban monthly, C’town. and Lochgilphead 0.5


Time line

Time line

  • 2011 0.5 wte Pain Nurse appointed, provision increased, 5 Oban, 0.5 C’town. +LGH monthly.

  • 2014 Oban sessions increased for treatments.

    3 Block sessions, 2Nurse treatment clinics

    2 Outpatient clinics per month

    Some treatments now delivered in LGH and C’town. with nurse support.


Chronic pain service 2014

Service

2014


Services provided

Outpatient clinics

Assessment

Advice

Investigation

Minor procedures

Treatment OP

Interventions (Blocks)

Acupuncture

Qutenza

Day case procedures

x-ray guided blocks

complex needs patients

Higher risk interventions

Services provided


Activity

Activity


Outpatients aug12 july13

Outpatients(Aug12-July13)

  • Oban, 24 clinics per year

    • 59 New, 155 reviews

  • Lochgilphead 6 clinics per year

    • 11 New, 48 reviews

  • C’town., 6 clinics per year

    • 15 New, 41 reviews


Interventions 2013

Interventions(2013)

  • Consultant blocks, 25 clinics

    • X-ray 81treatments

    • Non-x-ray 89 treatments

  • Nurse led sessions

    • Acupuncture,49 sessions, 141 treatments

    • Quatenza,11 sessions (shared Aug. 2013)

      15 treatments


List of consultant procedures

List of consultant procedures

  • Facet nerve blocks

  • Epidural injections

  • Nerve root injections

  • Lidocaine infusions

  • Botox injections

  • Specific nerve blocks

  • Joint injections

    To name a few!


Referred out of area

Referred out of area

  • Complex interventions

  • Comprehensive psychology

  • Other specialties for intervention

    • Neurosurgery

    • Rheumatology

    • Orthopaedics

    • others


The way ahead

The way ahead

  • Currently a Highland wide review underway as part of a National process.

  • Movement towards a more telephone based triage system.

  • Improve psychology input locally, PMP

  • Expand the team including other disciplines


Thank you

Thank you.


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