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‘One stop shop’ physio-led pain service wins plaudits from MSP

13 June 2013 - 3:56pm

A pain service that makes use of physiotherapy prescribing rights was highly praised during a debate on chronic pain in the Scottish Parliament at the end of last month.

File 116067Jayne Baxter, Labour MSP for Mid Scotland and Fife, described NHS Fife’s Integrated Pain Management Service as a ‘positive example’ of how primary and secondary services could combine to provide effective community-based care.

Speaking to Parliament, Ms Baxter said: ‘I am grateful to the CSP for highlighting the service to me before the debate. I share its view that such community-based treatments are essential to providing pain care programmes that enable those who suffer chronic pain to gain greater control of their condition.’

Paul Cameron (pictured), a pain specialist physiotherapist who is a member of the Fife-based multidisciplinary team, is using prescribing rights to provide medication and physiotherapy to patients with chronic pain.

Mr Cameron, who chairs the NHS Fife Pain Research Network and is undertaking a PhD at the University of Dundee, took on prescribing duties after one of the service’s pharmacists went on maternity leave.

‘We saw it as an opportunity to meet service demand during the maternity leave period, while also piloting a physiotherapy prescribing role,’ Mr Cameron told Frontline.

‘Many of our patients have complex co-morbidities and require medication reviews with a pharmacist, as well as physiotherapy assessment. The niche that we are piloting is providing both together for selected patients.  So I’m able to provide these patients with a “one stop shop”’ of sorts. This model is also supported by an expert team of pharmacists.’

Mr Cameron works as part of the service’s multidisciplinary team, delivering the RIVERS [Relieving pain as we Inspire change, impart new Vision with Exercise, Relaxation and Self-management] pain management programme and one-to-one clinics in the community.

Kenryck Lloyd-Jones, CSP policy officer for Scotland, says the pioneering use of prescribing rights has the potential to launch the physiotherapy profession in a new direction.

‘Physiotherapists will be unique professionals in the field and the only ones capable of offering a one stop shop, where they can  offer prescription medication and physiotherapy to manage pain – which is the most common long-term condition in the UK,’ says Mr Lloyd-Jones.

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