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Chronic Pain Service 2014

Chronic Pain Service 2014. Dr J M Davies Consultant Anaesthetist. Development timeline. Appointed 2002, 2 clinics per month, Oban 2004, Monthly clinics, Oban 3. Peripheral clinics delivered in primary care (Lorn, C’town.,Tarbert, Connel and LGH medical centres)

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Chronic Pain Service 2014

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  1. Chronic Pain Service 2014 Dr J M Davies Consultant Anaesthetist

  2. Development timeline • Appointed 2002, 2 clinics per month, Oban • 2004, Monthly clinics, Oban 3. Peripheral clinics delivered in primary care (Lorn, C’town.,Tarbert, Connel and LGH medical centres) • 2007, 3 Oban monthly, C’town. and Lochgilphead 0.5

  3. Time line • 2011 0.5 wte Pain Nurse appointed, provision increased, 5 Oban, 0.5 C’town. +LGH monthly. • 2014 Oban sessions increased for treatments. 3 Block sessions, 2Nurse treatment clinics 2 Outpatient clinics per month Some treatments now delivered in LGH and C’town. with nurse support.

  4. Service 2014

  5. Outpatient clinics Assessment Advice Investigation Minor procedures Treatment OP Interventions (Blocks) Acupuncture Qutenza Day case procedures x-ray guided blocks complex needs patients Higher risk interventions Services provided

  6. Activity

  7. Outpatients(Aug12-July13) • Oban, 24 clinics per year • 59 New, 155 reviews • Lochgilphead 6 clinics per year • 11 New, 48 reviews • C’town., 6 clinics per year • 15 New, 41 reviews

  8. Interventions(2013) • Consultant blocks, 25 clinics • X-ray 81treatments • Non-x-ray 89 treatments • Nurse led sessions • Acupuncture,49 sessions, 141 treatments • Quatenza,11 sessions (shared Aug. 2013) 15 treatments

  9. List of consultant procedures • Facet nerve blocks • Epidural injections • Nerve root injections • Lidocaine infusions • Botox injections • Specific nerve blocks • Joint injections To name a few!

  10. Referred out of area • Complex interventions • Comprehensive psychology • Other specialties for intervention • Neurosurgery • Rheumatology • Orthopaedics • others

  11. The way ahead • Currently a Highland wide review underway as part of a National process. • Movement towards a more telephone based triage system. • Improve psychology input locally, PMP • Expand the team including other disciplines

  12. Thank you.

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