chronic pain service 2014
DESCRIPTION
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) - PowerPoint PPT PresentationTRANSCRIPT
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Chronic Pain Service 2014
Dr J M Davies
Consultant Anaesthetist
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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
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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 clinics2 Outpatient clinics per monthSome treatments now delivered in LGH and C’town. with nurse support.
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Service
2014
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Services provided
• 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
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Activity
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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
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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
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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!
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Referred out of area
• Complex interventions• Comprehensive psychology• Other specialties for intervention
– Neurosurgery– Rheumatology– Orthopaedics– others
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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
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Thank you.