Chronic Pain Service Improvement –– Progress Monitoring Template
Name Organisation
NHS Forth Valley Chronic Pain Service Improvement Group
Reporter
Linda Frydrychova
Date of report
12 February 2015
Part one
- Key Achievements and Risks
Key achievements
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A Lothian Pain Training level 3 theory course will be delivered to 3 allied health professionals on 20 March and 17 April. It is a train-the-trainers model and
learning will be cascaded.
The third of three protected learning time sessions on chronic pain management for primary care and community NHS staff is scheduled for 17 March and
will be delivered in the Falkirk area.
Preliminary discussion has taken place about Pain Team members offering quarterly training to primary care staff on an ongoing basis through evening
sessions. If there is interest, this will follow a model used by the CHD and Diabetes MCNs.
Evaluation of two half-day sessions on the Pain Toolkit, led by Pete Moore and Frances Cole, was carried out by email questionnaire in January 2015.
A local GP has developed a chronic pain template for EMIS. The SIG is exploring the possibility of running a pilot in selected practices.
The Web Resource Workstream has worked with NHS Forth Valley’s Webmaster to upload local and national resource links to www.nhsforthvalley.com
The work is ongoing. A procedure for expansion and review of online resources will be developed to complement this.
The business case for a local Pain Management Programme awaits consideration by NHS Forth Valley Health Board. While awaiting a decision, project
funding has been earmarked for a PMP pilot.
GPs and practice staff will be informed about employability issues in two area-wide meetings held on the afternoon of 19 February. SIG members have
worked with NHS Forth Valley Public Health staff and Department of Work and Pensions colleagues to plan the sessions; employability will be one of a
number of topics raised via world café format. 180 local GPs are expected to attend. The focus will be on improving GP knowledge of their remit,
responsibilities in terms of employability and availability of resources thus improving their ability to assist patients many of whom will have chronic pain.
A “Living with Pain” pilot was run in Alloa by a pain pharmacist, physiotherapist and psychologist for patients with complex problems. Feedback is
awaited and this will be used in development of current pain services.
Two focus groups in Falkirk and in Stirling/Clackmannanshire will be held in March to evaluate patient experiences of local pain management services
and assess the effect of improvement work over the past 18 months. Originally a questionnaire was proposed but the SIG decided to adopt a more
qualitative approach. This work is being carried out in collaboration with local authority and education colleagues. Patients will be invited to participate by
physiotherapists.
An application was submitted at the end of January 2015 for Integrated Care Fund monies to develop a Rivers-type programme in Forth Valley.
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 being rejected by NHS Forth Valley health board which would leave a gap in service provision.
The practical component of the Lothian Pain Training course was lost due to a staff member at NHS Lothian changing job; this delayed the start of the
course. SIG members are currently deciding on accredited practical training to complement the theory section of the course. As an interim measure,
senior physiotherapy staff will begin rolling out level 2 training while the AHPs await appropriate practical training.
Document1
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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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
Improve signposting and access
to web-based resources
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Linda Frydrychova and Florence
Miller – Web Resource
Workstream
Timescale /
Key milestone
RAG Status
AHPs will commence
Lothian pain training
theory course.
A training session
hosted by Pain Team
will be held for Falkirk
primary care staff.
A pilot of chronic pain
EMIS template is being
considered for selected
practices.
Ongoing liaison with
paediatric team to
discuss learning
opportunities and to
examine whether there
is unmet need. If so,
how to address this.
March 17 and April 20 2015
Green
17 March 2015
Green
December – March 2015
Green
Ongoing
Green
Local and national
resources have been
uploaded to
November 2014 – March 2015
Green
March 2015
Green
February 19 2015
Green
Progress
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www.nhsforthvalley.com
Work to expand the
entries is ongoing.
Scope out resources and
associated risks/benefits of a
Pain Management Programme
(PMP)
Clare Ballance and Jenny
Drinkell
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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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Document1
Pending approval of a
costed business case
for PMP by NHS Forth
Valley Health Board,
funding has been
assigned for a pilot.
Awareness raising will
take place for primary
care staff about what is
available for chronic
pain patients.