Chronic Pain Service Improvement –– Progress Monitoring Template
Name Organisation
NHS Forth Valley Chronic Pain Service Improvement Group
Reporter
Linda Frydrychova
Date of report
13 November 2014
Part one
- Key Achievements and Risks
Key achievements
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Lothian Pain Training course is being arranged for 4 local allied health professionals. It is a train-the-trainers model and learning will be cascaded.
The first of two protected learning time sessions on chronic pain management for primary care and community NHS staff was held on 23 October.
Two half-day sessions on the Pain Toolkit, led by Pete Moore and Frances Cole, have been arranged for 26 November for community, primary care and
secondary care staff; this arose from learning needs analysis, requests from clinicians at SIGN 136 information evening and was reinforced by feedback
from the Patient Subgroup on the need to train clinicians in the use of the Pain Toolkit.
An audit of current online resources, regularly recommended by clinicians, was carried out in September. Results were collated and developed into an
action plan for Web Resource Workstream in October 2014.
The Chronic Pain entry in Forth Valley Local Delivery Plan now includes a statement about the importance of developing Pain services in tandem with
MSK redesign.
A business case for a local Pain Management Programme is under development; it will be submitted to NHS Forth Valley Health Board for consideration.
Meetings have been held regarding employability with health board and Department of Work and Pensions colleagues with the aim of improving
signposting to patients and raising awareness of key issues among council, Health and third sector staff.
A meeting was held with local library staff in September regarding Wellbeing Books and recommended reading shortlisted by the Self Management
Workstream. The books have now been added to library collections, GPs informed. Joint awareness raising initiatives with library staff were also
discussed.
A meeting was held with a consultant paediatrician in September; ongoing liaison with the paediatric team is planned including sharing information about
learning opportunities.
The SIG reviewed the former, current and future patient pathway in September to assess progress in implementing the Scottish Service Model for
Chronic Pain. Actions have been allocated and are being taken forward by members of the SIG.
A patient satisfaction questionnaire is being developed and a short life working group will consider questionnaire content and consultation process.
Key risks to implementation – please include steps taken to mediate the risk
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Redesign of current services is the only option to ensure development of an improved care pathway for chronic pain which is sustainable in the future.
The SIG must consider ways to ensure new resources remain after the end of pump-prime funding.
Pain Management Programme proposal turned down by NHS Forth Valley health board. A costed and evidence-based proposal is being drafted.
Due to a divergence in understanding of the role of the national website, creating a local website will soon be revisited. This had been put on hold in early
March 2014. Focussed work will take place to accelerate progress.
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Part two
- Progress against actions to implement the Scottish service model/ Board workplan
Action
Lead / contact
Develop multidisciplinary
training
Jenny Drinkell – Multidisciplinary
Training
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Timescale /
Key milestone
RAG Status
AHPs will commence
Lothian pain training
course
A further training
session hosted by Pain
Team will be held.
November 2014
Green
26 November 2014
Green
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Ongoing liaison with
paediatric team for twoway information
sharing about learning
opportunities.
September 2014 and ongoing
Green
Progress
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Not all staff trained in
diagnosis and treatment of
chronic pain in all sectors
Earlier diagnosis
Staff lack confidence to
deal with patients with
chronic pain
Scope out local services
for children and any
assistance in chronic pain
management desired by
paediatric team
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Promote patient access to self
management tools
Clare Ballance – Self
Management Workstream
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Training in use of Pain
Toolkit and My Support
Plan will be delivered to
community, primary
and secondary care
staff on 26 November.
26 November 2014
Green
Improve signposting and access
to web-based resources
Linda Frydrychova and Florence
Miller – Web Resource
Workstream
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Due to the change in
emphasis, creating a
local website linked to
the national site will be
revisited.
Mid November 2014 – March
2015
Amber
Scope out resources and
associated risks/benefits of a
Pain Management Programme
(PMP)
Clare Ballance and Jenny
Drinkell
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Business case being
drafted for submission
to NHS Forth Valley
Health Board.
September – December 2014
Green
Employability
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Explore how service
users can access
employment schemes
to enable them to work
and remain in work and
get timely information
about resources.
Leslie Cruickshank
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Joint awareness raising
work planned for GPs,
public, third sector and
councils about what is
available for chronic
pain patients.
October 2014 – March 2015
Green
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