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Greater Glasgow and Clyde Managed Clinical Network for Chronic Pain

Greater Glasgow and Clyde Managed Clinical Network for Chronic Pain. Dr. Colin P. Rae Consultant in Anaesthesia and Pain Management North Glasgow Pain Service Lead Clinician GG&C MCN. Chronic Pain. Common problem Estimated prevalence 1 in 5 of general population

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Greater Glasgow and Clyde Managed Clinical Network for Chronic Pain

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  1. Greater Glasgow and Clyde Managed Clinical Network for Chronic Pain Dr. Colin P. Rae Consultant in Anaesthesia and Pain Management North Glasgow Pain Service Lead Clinician GG&C MCN

  2. Chronic Pain • Common problem • Estimated prevalence 1 in 5 of general population • Pain part of many different chronic conditions/illnesses • Chronic pain often not recognised and difficult to manage • Increasing incidence • Big medical, social and political cost

  3. Chronic Pain Management Service in GG&C • Small secondary care based service based at 3 sites in GG&C • Consultant Anaesthetist/Pain specialist led with Multidisciplinary team • Little awareness in primary and secondary care of service or principles of chronic pain management • Historically under resourced and very variable provision between sites

  4. What were the issues for the chronic pain service in GG&C? • How to reduce inequalities in service provision • How best to provide pain management services in secondary care? • How to improve management in primary care? • How to improve ‘patient journey’and improve patient information • How to improve communication and information? - primary and secondary care - patient and health care professionals • How to encourage and promote self management? • How best to link with other existing services?

  5. GRIPs report July 2008

  6. GRIPs report RecommendationsJuly 2008 Priority Action 1 Scottish Government to designate chronic pain as a condition in its own right, welcome the inclusion of chronic pain on the agenda of the Long Term Conditions Alliance and support uptake of Managed Clinical Networks (MCN) in Chronic Pain

  7. GRIPs report RecommendationJuly 2008 Priority Action 2 NHS Boards to develop core secondary services, clear referral pathways from primary care to secondary care chronic pain services, and for tertiary services such as Spinal Cord Stimulators (SCS), Intrathecal Drug Delivery (IDD) and Pain Management Programmes (PMP). These should take into account the administrative reforms recommended by the McEwen Report, Chronic Pain Services in Scotland, 2004 and will support the development of chronic pain services at Managed Clinical Network and Community Health Partnership (CHP) level

  8. Managed Clinical Networks • Streamlining patient journey and improving quality of service • Making most effective use of resources • Patient involvement / Multi-professional • Planning forum • Education and training • Quality assurance programme • Annual report and work plan

  9. Chronic Pain MCN Structure • Lead Clinician(s) • Administrator • Executive group • Steering Group • Standards sub group • Pathways sub group • Education sub group • Audit and Research sub group • IT sub group

  10. Other functions of the MCN • Representation on GG&C Long Term Conditions Group • Learning from other MCNs • Representation on Chronic Pain National Steering group • Cross Party Working Group • Involving clinicians, patients and third sector groups • Area Drugs and Therapeutics committee • Examining inequalities • IT developments

  11. Chronic Pain MCN Achievements • Primary Care guidelines developed and updated • Standardisation of patient information and drug information • Development of regional chronic pain websitehttp://www.knowledge.scot.nhs.uk/pain.aspx • Development of referral criteria • Development of standards for chronic pain service

  12. Chronic Pain MCN Achievements • Training needs assessment undertaken of primary care professionals in GG&C and secondary care nurses and physiotherapists • Survey of needs of patients with chronic pain • Rolling education programme started • Increased access to pain clinics for advice • Pilot of Specialist Nurse led local access chronic pain clinic in Paisley and Clydebank • Improving data collection

  13. Work in progress • Improving chronic pain management pathways in primary care • Improving data collection • Development of chronic pain management ‘app’ • Further development of chronic pain web site • Development of e-learning modules • Improving prescribing and monitoring of analgesic medications (opioids) • Monitoring of quality of care • Examining health inequalities • Continuing input to National Steering Group

  14. Summary GG&C MCN for chronic pain • Cheap! • Good planning vehicle for service • Provides continuing focus for improvement in service quality and efficiency • Patient and third sector key involvement • Tangible achievements

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