Pain Advice & Guidance
From 20th April 2020 Royal Cornwall Hospitals NHS Trust will be offering an advice and guidance service on e-Referrals for Chronic Pain and Pain Management queries.
GPs are now able to request Consultant advice regarding:
- Medication advice
- Chronic pain conditions
- Opiate reduction: please read advice on link below before seeking specialist advice :https://www.eclipsesolutions.org/Cornwall/info.aspx?bnfotherid=7
The service aims to offer advice on the management and treatment options for GPs to consider prior to referral with the goal of reducing the number of patients who need to be seen face-to-face (as set out in the GP Forward view).
Exclusion Criteria
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Chronic widespread pain / Fibromyalgia
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Refer to the following guidelines:
https://rms.cornwall.nhs.uk/primary_care_clinical_referral_criteria/rheumatology/fibromyalgia_syndrome_fms
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Refer to the following guidelines:
- Complex psychological problems
- Patients who have not yet been managed using the guidelines above
- Recent discharge from the Pain Services where there is a clear statement on the clinic letter that all treatment options have been exhausted
- Patients who need to be assessed face-to-facein clinic
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Low back pain that has not been assessed previously by the Spinal MDT team
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Refer to the following guidelines:
https://rms.cornwall.nhs.uk/primary_care_clinical_referral_criteria/spinal_neurosurgery/adult_low_back_pain_guidelines
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Refer to the following guidelines:
Information required
If the patient is already under a Pain Consultant, please include the details in the request, in order that discussions can be had with the relevant Consultant as required.
Please note:
Clinical responsibility remains with the GP until the patient is seen within secondary care.