The Pain Service includes Acute and Chronic Pain subdivisions with administrative and clinical overlaps.
‘Acute Pain’ is pain of recent onset and generally of limited duration. Commonly caused by surgery / trauma etc. All the wards and medical personnel should be well equipped to manage acute pain in their patients. Acute pain nurses are accessible along with consultant support for advice and help in special cases.
‘Chronic Pain’ is long term in nature and can have a debilitating effect on all aspects of the patient’s lifestyle. There may be significant influence of bio-psycho-social factors contributing to the perception of chronic pain. Hence, management is mostly outpatient based and may involve a multidisciplinary approach.
Acute Pain Service (Bleep – 51148)
The Acute Pain Service covers patients with:
When patients are referred, certain information should be available:
The chronic pain service is primarily outpatient based, accepting direct referrals from other specialties and from GP’s through Choose and Book referrals. Current figures indicate about 1300 new patients being seen in a year. The Outpatient Pain Clinics are located across the region to cover a large catchment area stretching from Peterlee to South Shields and Roker to Washington.
Psychology and Physiotherapy provide a multidisciplinary support. Suitable patients are preassessed to undergo either an individualised cognitive behavioural therapy (CBT) or a group based pain management programme (PMP).
The Pain Service is based at Sunderland Royal Hospital and there are ample training opportunities for junior doctors of all grades. Theatre interventions are generally planned well ahead and Radiology Department provides support for a variety of procedures to be carried out in the Day Case Unit.
Clinics are based at:
To reach a clinic using satellite navigation, use the following:
The Acute Pain Service is covered during normal working hours, Monday to Friday by the Acute Pain Nurses (Bleep – 51148), and at all other times by First On Call Emergency Anaesthetist (Bleep – 51351)
Secretaries:
Patients can be referred into the chronic pain service through Choose and Book referrals from general practitioners, MSK service and direct referrals from specialists.