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Pain service

Current status as of 13 April 2021

The pain service in the health board operates two pathways – a medical pathway and biopsychosocial pathway.

Medical Pathway

We are not currently not offering any face to face appointments for our urgent/routine patients but we are arranging ad hoc appointments for patients –urgent suspected cancer. We continue with a CNS virtual service for any service users who require advice in the interim.

All our follow up patients are currently being reviewed virtually via telephone which is being supported by our CNS team and Associate Specialist.

We are currently scoping out a treatment pathway for patients requiring urgent intervention.

Validation continues on all waiting lists.

Future plans

Introduce a digital platform so our routine patients currently on our waiting list can be reviewed virtually. This will be via Attend Anywhere.

Continue with virtual follow ups via telephone but also via Attend Anywhere.


Biopsychosocial pathway

Since early April the biopsychosocial pathway have maintained telephone clinics with patients who had already been assessed by the team and were on the waiting list to receive support self-help intervention; psychology and physiotherapy intervention and medicine reviews.

No new outpatient biopsychosocial assessments are scheduled to restart.

The usual 10-week community based Pain Management Programme has not continued since the end of March, but the team have prepared and recorded the PMP to be delivered virtually as soon as the IT infrastructure allows. This will be available bilingually.

Future plans

All initial assessments will be offered on a digital platform and only those with a clear rationale for requiring physical face to face assessments will be eligible for such.

We plan to review our eligibility criteria for both pathways. The biopsychosocial pathway will continue to work collaboratively with GPs, Primary Care and third sector Organisations to enable more effective management of pain in community and social settings. It is hoped that with clear guidelines and robust criteria, a more consistent approach can be applied across the HB.

How to make contact:

Please refer to your patient letter for contact details or contact the PALS team on telephone number:  0300 0200159 or email: hdhb.patientsupportservices@wales.nhs.uk

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