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Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach
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Parallel Session 1.6.4 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach

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  • 1. Greater Glasgow and ClydeManaged Clinical Networkfor Chronic Pain Dr. C olin P Rae . C onsultant in Anaesthesia and Pain Management North Glasgow Pain Service Lead C linician GG&C MC N
  • 2. Chronic Pain• C ommon problem• Estimated prevalence 1 in 5 of general population• Pain part of many different chronic conditions/illnesses• C hronic pain often not recognised and difficult to manage• Increasing incidence• Big medical, social and political cost
  • 3. Chronic Pain Management Service in GG&C• Small secondary care based service based at 3 sites in GG&C• C onsultant Anaesthetist/Pain specialist led with Multidisciplinary team• Little awareness in primary and secondary care of service or principles of chronic pain management• Historically under resourced and very variable provision between sites
  • 4. GRIPs report July 2008
  • 5. GRIPs report Recommendations July 2008Priority Action 1Scottish Government to designate chronic pain asa condition in its own right, welcome the inclusionof chronic pain on the agenda of the Long TermConditions Alliance and support uptake ofManaged Clinical Networks (MCN) in ChronicPain
  • 6. GRIPs report Recommendation July 2008Priority Action 2NHS Boards to develop core secondary services, clearreferral pathways from primary care to secondary carechronic pain services, and for tertiary services such asSpinal Cord Stimulators (SCS), Intrathecal Drug Delivery(IDD) and Pain Management Programmes (PMP). Theseshould take into account the administrative reformsrecommended by the McEwen Report, Chronic PainServices in Scotland, 2004 and will support thedevelopment of chronic pain services at Managed ClinicalNetwork and Community Health Partnership (CHP) level
  • 7. What were the issues for the chronic pain service inGG&C?• How to reduce inequalities in service provision• How best to provide pain management services in secondary care?• How to improve management in primary care?• How to improve ‘patient journey’and improve patient information• How to improve communication and information? - primary and secondary care - patient and health care professionals• How to encourage and promote self management?• How best to link with other existing services
  • 8. Managed Clinical Networks• Streamlining patient journey and improving quality of service• Making most effective use of resources• Patient involvement / Multi-professional• Planning forum• Education and training• Quality assurance programme• Annual report and work plan
  • 9. C hronic Pain MC N Structure• Lead C linician(s)• Administrator• Executive group• Steering Group• Standards sub group• Pathways sub group• Education sub group• Audit and Research sub group• IT sub group
  • 10. Other functions of the MC N• Representation on GG&C Long Term C onditions Group• Learning from other MC Ns• Representation on C hronic Pain National Steering group• C ross Party Working Group• Involving clinicians, patients and third sector groups• Area Drugs and Therapeutics committee• Examining inequalities• IT developments
  • 11. Chronic Pain MCN Achievements• Primary C are guidelines developed and updated• Standardisation of patient information and drug information• Development of regional chronic pain website http://www.knowledge.scot.nhs.uk/pain.aspx• Development of referral criteria• Development of standards for chronic pain service
  • 12. Chronic Pain MCN Achievements• Training needs assessment undertaken of primary care professionals in GG&C and secondary care nurses and physiotherapists• Survey of needs of patients with chronic pain• Rolling education programme started• Increased access to pain clinics for advice• Pilot of Specialist Nurse led local access chronic pain clinic in Paisley and C lydebank• Improving data collection
  • 13. Work in progress• Improving chronic pain management pathways in primary care• Improving data collection• Development of chronic pain management ‘app’• Further development of chronic pain web site• Development of elearning modules• Improving prescribing and monitoring of analgesic medications (opioids)• Monitoring of quality of care• Examining health inequalities
  • 14. SummaryGG&C MC N for chronic pain- C heap!- Good planning vehicle for service- Provides continuing focus for improvement in service quality and efficiency- Patient and third sector key involvement- Tangible achievements

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