Chronic Pain in Scotland: Just what have we achieved?. Dr Lesley Holdsworth Dr Steve Gilbert. Purpose of This Session. Share our story and key lessons learned; Scottish Service Model for Chronic Pain Our approach to implementation, the underpinning theory
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Chronic Pain in Scotland: Just what have we achieved?
Dr Lesley Holdsworth
Dr Steve Gilbert
Based on adult prevalence of 5.6%, CPG 4
Smith BH et al 2001
The ‘traditional’ chronic pain nightmare
1' representing no problem through to '5' representing the most severe category
1 equates to ‘full health’ and death equates to 0 (EQ5D score).
National median 0.3181
Normal population of same age = 0.80
NHS in Scotland
Service users, the public, third sector, clinicians,
Implementing the model for chronic pain
Could we create the conditions?
Create the conditions, drive & support the agenda
encourage the leadership of followers
1. Develop a quality improvement infrastructure to support NHS Boards: key aims/plans, education, research, practice
2. Provide leadership, all levels and opportunity
3. Implement the model
National and local learning days and other ongoing communications to:
Just what have we achieved?
Engaged and Proactive
Specialist Interest Groups
Leaders and critically, followers