The aim of the Community Pain Management Service (CPMS) will be to deliver high quality care to patients in a variety of appropriate community settings to improve the quality of life for patients experiencing chronic pain and chronic fatigue syndrome.
The aim of the Community Pain Management Service (CPMS) will be to deliver high quality care to patients in a variety of appropriate community settings to improve the quality of life for patients experiencing chronic pain and chronic fatigue syndrome.
The service will provide a multi-disciplinary interface service between primary care, other community services and secondary care.
Pain management services may be located in the community, specialist care hospitals or in specialised pain management units, and need to work seamlessly as if in a single unit in order to provide an integrated management plan with the patient. Referral into level 2 community based service will be from a range of health care organisations; though most commonly the GP, MSK Hub or hospital consultant.
The Community Pain Management service will:
— provide a bio-psychosocial approach to the management of pain or chronic fatigue syndrome, in line with national guidance, which utilises evidence based interventions including education, physical and psychological and pharmacological therapies through a single point of access,
— support other providers of pain management care including GPs, community pharmacists and providers of mental health and other equivalent support services through education and advice,
— deliver a service aligned to national guidelines for chronic fatigue symptom, including the delivery of Cognitive behavioural therapy (CBT) and/or graded exercise therapy (GET),
— act as a single point of access for patients with chronic pain or chronic fatigue symptom providing an integrated and coherent patient journey regardless of provider,
— provide a management approach for patients with chronic pain or chronic fatigue symptom to include psychological and physical interventions, using a pain management programme where appropriate,
— use primarily evidence based interventions for chronic pain management,
— support patients living with chronic pain or chronic fatigue syndrome and their nominated carers to manage their own condition and make decisions about self-care and treatment that allow them to live as independently as possible e.g. through Shared Decision Making, including managing patient expectations,
— engage with local patient groups to develop a mid Notts community group for patients with persistent, long standing chronic pain and provide a supported self-care strategy,
— educate carers to continue care and support (where appropriate) learnt through the service post discharge,
— educate and support other care professionals in the early intervention of pain management techniques.