Pain Management Services
The Pain Management team helps people who have pain that doesn't go away; it may be called 'chronic' or 'persistent' pain and this usually means lasting 3 months or more.
About the Pain Management Service
If you have pain that persists despite medical treatment you might be referred to the chronic pain team. The chronic pain service includes doctors, nurses, psychologists, physiotherapists and occupational therapists all working together to help you manage your pain.
Things we do include helping people to:
- Find the best mix of medications or reduce your medications if they are not working well for you.
- Understand your long term pain.
- Support to get fitter and stronger so you can move more easily, despite pain.
- Help you work out the best ways to manage your life with long term pain.
- Using medical treatments such as injections for some people.
- Help with strategies to manage lots of problems that come with pain, eg sleeping badly, good days and bad days, exercise, low mood, communicating with people about pain.
Specialist Doctor clinics available at:
- Gloucestershire Royal Hospital
- Cheltenham General Hospital
- Tewkesbury Hospital
- Dilke Hospital
- Stroud Hospital
- Cirencester Hospital
Our Nurse, Physiotherapy, Psychology, and Occupational Therapy clinics are available at:
Pain Management Referral for Adults
I am a Patient: Please ask your GP to refer you. If you are seeing another Health Professional they might also be able to refer you.
I am a GP/Health Professional: You can refer via eRS to the Pain Doctors, or to the rest of the multi-disciplinary team (MDT) by letter addressed to Polly Ashworth, Chronic Pain Service, Beacon House, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN.
Please note that our Pain Doctors can accept referrals for children and adults, however the rest of the multidisciplinary team (MDT) will only see adults.
Advice for all GP's and Health Professionals about which team and how to refer to this service is available here. Please mention if the patient has been seen in pain clinic (locally or elsewhere) before.
Please refer to the Pain Management Service Referral Criteria below before proceeding.
Pain Management Referral for Children
Children needing help with pain self-management can be referred to the child and adolescent service at Bath, for more information please click here
Advice and guidance from the Pain Doctors is available through eRS.
Pain Management Service Referral Criteria
A patient must meet the Pain Management Service referral criteria:
- Person has persistent or complex pain (ie has lasted 3 months or more, and associated with significant distress and disability).
- Difficulties with pain medications which are ineffective, or escalating.
- Appropriate investigations and treatment for any possible causes of the pain have been completed.
- Patient needs help to manage the impact of their pain on their daily life.
NHS Pain Management Programme
This is a course for adults with long term pain. The course runs for up to 8 weeks and the weekly sessions are about two and a half hours each. The course is fun and informal and you can meet other people who know what it is like to live with long term pain. We cover the following topics:
- Understand the pain, what is wrong and why it becomes long-term
- Learn new ways of managing everyday activities without making the pain worse
- Improve balance, get fitter, stronger and more flexible
- Make better use of medication
- Communicate more clearly about pain
- Learn skills for coping with the sadness, worry or anger associated with persistent pain
- Prepare a plan for times when pain flares up
- Manage work issues associated with pain
- Reduce the effects of stress caused by pain
Click here for more information on Mindfulness and the Mindfulness group course that we offer
Acceptance and Commitment Therapy (ACT) for Pain
Acceptance and Commitment Therapy (ACT) for Pain aims to help us have the most fulfilling life we can, despite having difficulties along the way. For information on ACT please click here
Our physiotherapists and occupational therapists provide advice to help you with daily exercise and pacing in our programme and have summarised information which is available to view by clicking here
Managing good days and bad days
Our multidisciplinary team are here to help you with managing daily activities and pacing, for information from our team on managing good days and bad days click here
Our specialist pain nurses and doctors have provided helpful information on pain medication which you can view here
For information and guidance on relaxation techniques, which can help to reduce your pain click here
For information and resources to help you with the effects of persistent pain on your sex life click here
For help and advice on getting a good night's sleep please click here
These can be discussed at the pain clinic with a consultant. Read here for more information
What will happen at my clinic appointment?
This depends on which member of the pain team you are meeting. An important part of any clinic appointment is finding out about your pain and how it is affecting you. It really helps if you come with a list of things you want to discuss. We will explain any treatment approaches that might be suitable for you.
Long term pain is difficult to treat. We will do our best to understand and help you with your pain. It is rare that we can cure pain for people who have had it for a long time. However, a little pain relief, a better night’s sleep, or help to walk further can make a big difference even if the pain continues.
More information and local services for people with pain
Any reading materials featured in this section should be available from your local library services or to purchase online, other sources provided are available to view for free online.
- 'Understanding Persistant Pain' a helpful document written by the Tasmanian Department of Health & Human Services (2014)
- The British Pain Society offers a directory for organisations that offer information and support for particular conditions associated with persistent pain: BPS Useful Addresses
- Gloucestershire Resources- a resource sheet
- Hereford Pain Management Service
- Dr Nishi Patel and Dr Helen Makins:
Medical Secretary, Angela Boucher - 0300 422 2558
Medical Secretary, Carolyn Cole - 0300 422 3198
Medical Secretary, Jade Innes - 0300 422 3383
Medical Secretary, Sharon Green- 0300 422 2804
For all queries relating to Pain Consultant appointments please use the central booking office number - 0300 422 5327 or email: firstname.lastname@example.org
The Pain Self-Management Team is based at Beacon House, Gloucester Royal Hospital and conducts appointments here and at Cheltenham General Hopsital. For queries and appointments contact - 0300 422 8469 or email: ghn-tr.PainMgtAdmin@nhs.net
Our Pain Self-Management Nursing Team operate a voicemail only service that can help with any nurse related pain self-management queries - 0300 422 2976 Please note this line is not for emergency or appointment booking use and is only checked once daily between Monday and Friday, excluding bank holidays.
Please be aware that we cannot guarantee the security of any information sent via unencrypted email. If you are concerned about your personal details being visible to a third party, please do not use email.