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Community Pain Management

The Chronic Pain Management Service, based at New Green Surgery, is a multi-disciplinary service designed to provide support, education and pain management interventions for patients experiencing chronic pain. The Pain Management Service encourages and allows patients to take control and self-manage their pain in a safe, supportive and professional environment. The team consists of Physicians, Healthcare Assistants, Acupuncturists, Nurses, Osteopath, Psychological Wellbeing Practitioner, Physical Activity Trainers and a Specialist Pharmacist. The team accept referrals from GPs and Physiotherapists. Our inclusion and exclusion criteria can be found further down the page.

The referral is triaged, then the patient is booked in and seen by one of the Pain Management Nurses, who will perform a full holistic assessment using a biopsychosocial approach. This will enable a specific care plan to be formulated relating to that patients’ individual self-management needs. The service offers appointments at a variety of clinic sites across the city of Hull and the East Riding of Yorkshire which can be found at the bottom of this page.

Some of the interventions and treatments delivered within Pain Management are; The Pain Management Programme, Postural Assessment and individualised guidance around specific strengthening exercises and stretches, chair based exercise, Trigger Point Injections, Pharmacy input, Western Medical Acupuncture, Osteopathy, TENs and one to one talking support in relation to Pain Management.

The team has established links with all services within City Health Care Partnership CIC, GPs, MSK services, Secondary Care Pain Services, Secondary care specialities e.g. Rheumatology, Orthopaedics, and external agencies such as Connect Well.

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 on to a secondary care service for specialist treatment.

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 & Inclusion/Exclusion Criteria

Patients can be referred via a GP, Physiotherapy (MSK) and Secondary Care Pain Services.

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

Service Inclusion Criteria:
  • Referral via the patients’ own GP and/or community musculoskeletal (MSK) Services, 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 on chronic non-malignant pain.
  • Patients are not under another team or provider for the same problem, unless considered appropriate and core to the patient's treatment plan.    
Service Exclusion Criteria:
  • Patients with a Musculoskeletal (MSK) condition who have not been triaged by Community MSK Services
  • 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 the 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 Pain Management.
  • Creating a culture of joint working between primary, secondary and private sector.
  • 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.
  • 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

This service is available Monday – Friday, 9am - 5pm (excluding Bank Holidays).

The service offers appointments at a variety of clinic sites across the city of Hull and the East Riding of Yorkshire; including New Green Surgery, Elliott Chappell, Wilberforce, Marfleet Health Centre, Bilton Grange, Longhill, East Riding Community Hospital, Beverley Health Centre, Hedon Group Practice, Bridlington Hospital, Practice 2 in Bridlington and Withernsea Hospital. This list is not exhaustive and often added to when space becomes available.

New Green,
Morrill Street,
off Holderness Road,
Hull, HU9 2LJ.