Community Pain Management

What is the Service?

The Chronic Pain Management Service, based within Kingswood Health Centre, is a multi-disciplinary service designed to provide pain management for patients with chronic pain. The team consists of a Physician, an Osteopath, Specialist Nurses, a Psychological Wellbeing Practitioner, Physical health trainers, an Active Lifestyle practitioner and Complementary therapists.

The Multi Disciplinary Team offers a range of treatments and interventions, including: pain management programmes; trigger point injections; medication management; Western Medical Acupuncture; auricular acupuncture; osteopathy; sacro-cranial therapy, massage therapy, TEN’s, individualised exercise and individualised weight loss regimens, one to one talking support, CBT, EMDR and clinical hypnotherapy.

The team has established links with all services within City Health Care Partnership CIC, primary care GPs, physiotherapy services, secondary care pain services, secondary care specialities e.g. rheumatology, active lifestyle and voluntary agents.

The patients’ referral is triaged, and then the patient is appointed to be seen by the most appropriate clinician within the service who will assess the patient using a bio psychosocial approach to develop a management plan which may also include a group programme to improve the patient’s ability to manage their pain. The service offers appointments at a variety of clinic sites across the city of Hull and the east Riding of Yorkshire.

The service will ensure that patients with chronic pain are assessed and referred to the most appropriate health professional as soon as possible.

It is thought that the majority of patients with chronic pain can be managed within a pain management service based in the community, which will, where necessary, refer patients to hospital for specialist treatment only, e.g. for epidurals and radio frequency.

This means that patients can be seen more quickly and closer to home and have a local contact number for advice and information.

Aim of Service

The service aims to:

  • Reduce pain experience and improve health, well being and life quality of the patient.
  • Develop confidence and motivation.
  • Use own skills, information and professional services to enable the patient to take effective control over living with a chronic pain.
  • Offer choices about their own care and management of their pain, enabling them to see the most appropriate health professional(s) for their need.
  • Develop skills and attitudes initiating positive health behaviour change.
  • Inform and encourage concordance of medication and treatment.

The service will ensure that patients with chronic pain are assessed and referred to the most appropriate health professional as soon as possible. It is thought that the majority of patients with chronic pain can be managed within a community Pain Management Service, where necessary patients will be referred to the hospital for specialist treatments only, e.g. epidurals. This means that patients can be seen more quickly and closer to home and have a local contact number for advice and information.

Service Referral - How to Refer and Criteria

Patients can be referred through; GP referral, Physio Hull (for Hull Patients only) and Secondary care pain services.

Patients who have completed their treatment can self refer for maintenance treatment or advice within 6 months of discharge.

Referral can be made directly via Choose and Book, by post or fax using the service referral leaflet or by letter (to include appropriate referral information as identified on the referral form).

The Pain Management Service
Kingswood Health Centre
10 School Lane
Kingswood
Hull
HU7 3JQ

Tel: 01482 247111

Service Inclusion Criteria:

  • Referral via the patients GP and/or community musculoskeletal (MSK) Service for Hull registered patients and in addition via the secondary care pain service for those already receiving treatment and requiring ‘step down’.
  • Referral via the patients GP only, for patients registered to GP practices in the East Riding and in addition via the secondary care pain service for those already receiving treatment and requiring ‘step down’.
  • Patients must have a diagnosis, where possible.
  • Patients must be a minimum of 18 years old.
  • Patients must have experienced pain for more than 3 months - less than 3 months will be accepted if there is a risk of the pain becoming chronic.
  • Patients have had investigations by the referring GP, to ensure diagnosis is of chronic non-malignant pain.
  • Patients are not under another team/provider for the same problem, unless considered appropriate and core to the patients treatment plan.

Service Exclusion Criteria:

  • Patients with a Musculoskeletal (MSK) condition that have not been triaged by Community - MSK Services (Nb: East Riding patients are to be referred back to their GP for re-referral to a pain service).
  • Acute pain / pain less than 3 months duration unless there is a risk of the pain becoming chronic.
  • Known / suspected pathology requiring further investigation.
  • Pre-natal back pain / pelvic pain.
  • Patients under the age of 18.
  • Chronic Fatigue Syndrome (unless their primary presenting symptom is pain).
  • Palliative pain. 

Expected Outcomes for the Service

  • Improved quality of life for patients.
  • Improved self management.
  • Increased access and reduced patient waiting times to visit the Pain Clinic.
  • Appropriate treatment by the most appropriate Health Professional – MDT management.
  • Reduction in chronicity by quicker assessment and input from Health Professionals.
  • Creating a culture of joint working between primary, secondary and private sector providing a joined up service.
  • Targeting the most appropriate referral pathway for the patients that are cost effective.
  • Reduce reliance on secondary care Pain Management Services.
  • Reduced reliance on medication alone, minimising use where appropriate and maximising medication effects.
  • Provide care closer to home. 

Future Developments

The service is working towards introducing new non invasive or medication based therapies and is also developing a comprehensive ‘maximising physical health , activity and strength’ pathway and programme suitable for all patients referred to the service.

Contact and Availability

Contact details, where the service can be accessed and what hours it can be accessed:

This service is available Monday – Friday 09.00 – 17:00 (excluding Bank Holidays)

The service undertakes clinics in a variety of clinic sites across the city of Hull and the east riding of Yorkshire

The Pain Management Service
Kingswood Health Centre
10 School Lane
Kingswood
Hull
HU7 3JQ

Tel: 01482 247111