This lecture was given by Dr Martin Johnson, a General Practitioner from Barnsley, Yorkshire, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. This lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care". www.wspg.org.uk

1. Current State of Pain Management Services in Primary Care in the UK NBPA: Edinburgh 18 th May 2007

5. Cost of problem in the UK £ 119 million days certified incapacity 119 million days certified incapacity 900,000 hospital bed days 12 million GP consultations Back pain £ 12 billion annually

7. NOP

12. The Golden 2.5 Minutes The New GP Contract is rewarding GP’s for Extending their Consultations from 7.5 to 10 minutes PRESS THE BUZZER & WE ARE OFF….. 0 100 200 300 400 500 600 700 Total Consultation Time Seconds Patient Leaves GMS Contract Bits Prescribe Explain Examine Discuss Tell Story Initial Chat Entry and Positioning Patient Walks To Doctors Room

14. What are the Developments?

16. They say the NHS is short of cash? Well, let’s see if we can save a bit.

17. Well, the ambulance service could save on petrol

18. And if paying petrol costs for the ambulance cars becomes too much …

19. The district nurses can still use their bikes in most weather As long as they take reasonable security precautions

20. Ensure vital equipment is safely secured

30. 5 th Vital Sign

33. RCGP Pain Management Committee

35. Neuropathic Pain Guidelines

40. WHO IS THIS???

47. Future Commissioning Model BARNSLEY PCT BOARD PEC PBC Steering Group PBC LIT Planning Procurement Performance Management Contract Compliance Practice Based COMMISSIONERS COMMISSIONING DIRECTORATE Provider e.g. Single GP Provider e.g. Independent Sector Provider e.g. Trust etc. Provider e.g. Group of GPs PROVIDERS

49. Patient’s Association

56. Have a good day!