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Pain


Our care pathways have changed, both to safeguard patients from exposure to Covid-19 and due to the demands placed on services in treating those affected by the disease. To view our current waiting times please click here (last updated 18 May 2021).

This webpage was last updated on: 02 Mar 2021 17:05:40.127

 


Clinical Pathway

Recommended Action

Anticipated Volume

New Outpatients

Most are cancelled to release anaesthetists

New temporary Referral criteria for pandemic to be released via GP fed Comms

GP advice line to be staffed 1-2 pm daily until impossible

BANs service suspended unless urgent (malignant cord compression, Suspected CES).

FU Outpatients

Telephone 

Currently at capacity, may need to reduce to SOS via answering machine if we lose staff

Psychology appts

Telephone 

Psychology service may be suspended to support Liaison Team/ Wellbeing for Staff- SOS only and signposting to other resources e.g. Samaritans. Pain Psych clinic with Paula Carnaby to continue as high risk of patients attending A+E due to high levels of distress; with extra support to inpatients

Acute pain patients

Seen by nurses as normal, Dr Schofield will support to release anaesthetists 

Dr Schofield/ Law/ Jeynes to support acute pain rounds (Dr Jeynes on phased return to work- probably not suitable for anaesthetic work at present) 

Elective treatments

To continue on case-by case basis unless impossible to staff- doctors to vet all patients and prioritise those that cannot wait (e.g. severe pain and disability, high dose opioids, pregnant, malignant disease)

Anticipate that low volume lists can continue – should put ambulatory pathway in place.

TENS clinics

Cancelled

 

First contact community Clinics

Telephone 

Current community-based staff to do, Trust nurses will support as available