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Chronic Pain in Cornwall


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Other - Cost: £607,793,543.25 Sitagliptin (Januvia) - Cost: £7,948,229.83 Influenza vaccine (Quadrivalent) - Cost: £8,712,568.00 Insulin Aspart (Novorapid) - Cost: £9,615,859.78 Beclometasone / Formoterol MDI (Fostair) - Cost: £13,021,795.61 Rivaroxaban (Xarelto) - Cost: £17,472,780.05 Influenza vaccine (Fluad) - Cost: £20,844,642.83 Apixaban (Eliquis) - Cost: £20,981,606.06
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Notes for: Chronic Pain in Cornwall
Last edited [09/03/2018 15:24:42]


INFORMATION FOR PATIENTS

GPs and specialists in Cornwall have teamed up to write this document to help explain the modern theories about chronic pain and give you advice on how to feel better living with your pain using self management. Please download and use it electronically to follow the links included.

Download it here

Does your life need improvement?  INCLUSION CORNWALL is an organisation which can help you find what you need local to you - everything from activities, work related support, financial assistance and finding new friends


Have a look at the flyer here


INFORMATION FOR CLINICIANS:

VIDEO PRESENTATIONS - This is an easy way for you to make sense of chronic pain, self management, less use of drugs and the contemporary style of management. PLEASE SHARE WITH YOUR COLLEAGUES!

March 2018:

Dr Keith Mitchell explains the progress we've made and introduces our must see "nuts and bolts" series. It's really good.

THE NUTS AND BOLTS OF OPIOID PRESCRIBING IN PRIMARY CARE

You can use these (approx. 30 min) videos at practice educational meetings to explain:

  1. When, why and how to deprescribe opioids - practice based and consultation strategies

  2. When, why and how to give a trial of opioids - safely!

July 2017:

This video powerpoint presentation gives an overview of the current opioid climate, our strategy in Cornwall and where you, the clinicians, fit into the program. It was shown at the GP locality meetings in July 2017. Duration 15 minutes.

https://youtu.be/7S_3Pw5V1rg

WRITTEN INFORMATION FOR CLINICIANS: We have written detailed information for clinicians which can be downloaded here though it is quite long. Just like the info for patients - use it electronically rather than printing it...

Download information for clinicians here


Bear in mind that perusing the above "information for patients" is good for clinicians too

PRINTABLE DOCUMENTS FOR PATIENTS

Here are some useful printable documents:

Want to give patients alternatives to drugs? This is a one page flyer that directs patients to the “information to patients” document above so they can read our work at their leisure

Thinking of trying opioids? Feeling like you might need to use an OPIOID CONTRACT? Here is written information to give patients in advance of an opioid trial with a treatment agreement and an opioid risk tool


Discussing tapering and/or stopping opioids? Here is written information to give to patients explaining the rationale of deprescribing opioids


Want to write to patients already on opioids? Here is a suggested letter to patients inviting them to make an appointment – it introduces and explains the concept of deprescribing and why it might be a good option


What information can I give to patients on weaker opioids? Here is a suggested flyer to attach to weak opioid scripts explaining how to try a “drug holiday” to see if they can come off their medications

PRINTABLE DOCUMENTS FOR CLINICIANS

Summary of NICE / SIGN indications for analgesics


AUTHORS:

Dr Jim Huddy GP and NHS Kernow clinical lead for chronic pain

Dr Keith Mitchell consultant in pain medicine

Dr Adrian Flynn consultant in liaison psychiatry

Dr Paul Fortun consultant gastroenterologist

Royal Cornwall Hospital

March 2018

With thanks to the Perranporth Surgery Patient Participation Group

 


 
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