Chronic Pain Service Improvement –– Progress Monitoring Template
Name Organisation
NHS GGC Chronic Pain MCN
Reporter
Dr. C. Rae Lead Clinician for MCN, Heather Harrison Primary Care Project Manager, Camilla Young, MCN Co-ordinator
Date of report
February 2015
Part one - Key Achievements
 Scoping exercise completed to plan implementation of Scottish pain model in primary care - stakeholder days and mapping exercise Feb 2014
 Development of referral criteria and patient pathways underway - piloting services in one geographical area November 2014
 Discussions underway to agree Outcome Measures –- liaising nationally to agree tools that can be used universally across all services
 Training needs analysis done with GPs and education delivered in one locality - to be rolled out to other areas
 Building on work of MCN Education subgroup to develop learning strategies to meet primary care needs- rolling educational programme delivered on
a 3 monthly basis
 GP education evenings are videoed and added to the MCN website
 Work ongoing to bring together and develop the primary care multi-disciplinary team
Integration of Professionals’ perspectives
 Continue to work together to improve the communication between primary and secondary care services – regular MCN pathways meetings held
 Engagement and motivation of primary care professionals is vital, ensuring the perspectives of professionals working in primary care are integral in
the development of the primary care model. Primary care subgroup formed from multi professions, patient and third sector
 Improved adherence to the GG&C Primary Care Chronic Pain Management Guidelines – GGC chronic non malignant opioid guidelines reviewed,
ratified and posted March 2014, Neuropathic guidelines for publication May 15, primary care chronic pain management guideline review group to
meet March 2015.
Feasibility of incorporating chronic pain in to a chronic disease Local Enhanced Service

Feasibility study facilitated by development of an EMIS template for chronic pain detailing how chronic pain patients can be incorporated into a local
enhanced service – in discussion with LTC steering group.
Patient Information
 Standardised patient information leaflets have been developed for commonly used drugs. Self Management booklet “Persistent Pain” has been
developed and translated in to a number of non English languages. All patient information is available on the MCN website www.paindata.org
 Recording has started on a number of patient focused videos. Aimed at new patients and also as a reminder for those who have been through the
service. Quality Dept at GG&C have looked at the transcripts and are happy.
Research
 MCN developing a data log of ongoing chronic pain research and potential future projects. Research study day planned for Spring 2015
 Priority is to improve core data collection
Standards
 Chronic Pain Service standards have been developed and the service is planning a rolling monitoring programme against these
Impact Evaluation
 Baseline audit of chronic pain management in primary care - in development. Currently considering outcome measures and assessment tools
Pain and Dependency
 Ongoing work to submit a business plan to set up a specialised service to support patients with complex high dose analgesic problems or a history of
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addiction and chronic pain. Recent event held and ongoing involvement from stakeholders and Health Board. Work ongoing to analyse health care
utilisation of this population compared to general chronic pain clinic attenders and clarify potential economic impact/benefit of proposed service
model.
 Key risks to implementation
Fragmented chronic pain service in primary care currently- difficult to obtain an overview of what services currently provide. We aim to communicate
with all the relevant stakeholders and collaborate with service development.
 Lack of agreed outcome measures or assessment tools- Seeking national agreement on core measures that can be used universally across all
sectors involved in pain. Lack of IT development means that a number of work strands cannot be developed
Part two
- Progress against actions to implement the Scottish service model/ Board workplan
Action
Lead / contact
Primary care service
development
Heather Harrison
Progress
Assessment of current services
Stakeholder engagement
Process monitoring and gap analysis completed
Timescale /
Key milestone
March 2014
March 2014
Identification of referral criteria and pathway around MSK physio and link October 2014
with community pharmacists pilot LES ( new action 8/2014)
Develop a visualisation of the West Dun Chronic Pain Patient pathway
Identify outcome measures and tools to be used in CP/GP pain clinics
BPI, sLANSS,
September /October 2014( new action 8/2014)
EQ5D5L- national
group to negotiate
use
Design and implement
Service
Pharmacist led Pain clinics
specification in
development.
Clinics to start Aug
2014 in pilot areas
Design and pilot CP LES
To pilot October
2014.
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RAG Status
Started Sep 2014
Specification has been
produced. On target for
April 2015
Develop a training package to educate MSK physio’s/ pharmacist/
nurses/GPs in chronic pain
November 2014 for Training package
testing in pilot
complete Oct 2014
areas
Design and deliver a chronic pain service for MSK physio’s to deliver
Service
specification in
development
Service to start in
November 2014
On target for Feb 2015
Develop a short PMP/ education programme in collaboration with the
third sector for testing in pilot area
Update opioid guidelines
Update neuropathic pain
guidelines
Update Primary Care
Chronic Pain Guidelines
Primary Care education
Guideline development
group
Guideline development
group
Guideline Development
group
Education Subgroup
Patent Info Videos
Education Subgroup
February 2015 in
pilot area
Primary care classes
have started. Third sector
funding secured. On
target
Completed
Consultation [period has finished, due for publication December 2014
December 2014
Final approval from ADTC
expected April 15
Group has been established to take this forward.
March 2015
2014 programme drawing to a close. Education subgroup to set dates
and topics for 2015.
Ongoing
Published on staffnet August 2014
All evenings are videoed and added to the MCN YouTube channel
Recording has started on a number of patient focused videos explaining
different aspects of chronic pain management. Aimed at new patients
and also those who have been through the service.
Patient drug information leaflets currently being updated in light of
recently published GG&C guidelines.
March 2015
Patient info leaflets
Education Subgroup
Promote Chronic Pain
research
Research Subgroup
Study afternoon planned Spring 2015. Links being developed with
University department of Anaesthesia
March 2015
PFPI
Health Improvement
Systematic promotion of the Health Improvement Service Directory to
raise awareness of support services
Ongoing
PFPI
Health Improvement
Identify opportunities for discussion re peer support/social isolation to
support systematic referrals/signposting to peer support activity
Ongoing
Service redesign
Pathways Subgroup
Sub group focussing on redesign of service both in primary care and
March 2015
secondary care to improve patient journey and respond to large increase
in referral rate to secondary care service.
Pain and Dependency
Pain and Dependency
Subgroup
Set up new service for patients with complex analgesic management
and/or addiction issues
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December 2014
July 2015