Pain Service  |  Elective Services




Pain Service

Elective Services

Pain referrals are prioritised by Senior Medical Officers based on the information contained within. Additional information should be attached where available. The priorisation tool used to triage referrals can be found below under Access Criteria.

All accepted referrals will be seen within a maximum waiting time of 4 months, unless there is a clinical reason for delay.

Referral acceptance is a follows:

First Specialist Assessments:

High Priority 1

Accepted 

Low Priority 2

Declined 

 

Access Criteria:

  • For the referral to be graded appropriately please include details of pain presentation, past medical/social/psychological history, medications current and previously tried, psychological presentation, level of function in the home and employment status.
  • Drug and alcohol addiction and significant unresolved mental health issues need to be addressed prior to pain referral.
  • The Chronic pain service does not provide a paediatric service.  Biomedical referrals will usually only be considered for those 16 years and over.  Inclusion in the Pain Management Programme (PMP) is limited to over 21 years.
  • Patient with significant cognitive impairment or decline will not be accepted.
  • Our guidelines/policy for acceptance is that the patient is no longer actively seeking treatments or investigations, therefore we do not see people while they are undergoing other treatments so at this stage we will have to decline this referral. 
  • Palliative care patients should be referred to more appropriate specialised services.


Local Bay of Plenty Access Criteria for First Assessment (ACA):

Pain referrals are prioritised by Senior Medical Officers based on the information contained within. Additional information should be attached where available. The priorisation tool used to triage referrals can be found below under Access Criteria.

All accepted referrals will be seen within a maximum waiting time of 4 months, unless there is a clinical reason for delay.

Category

Criteria

Examples

(Not an exhaustive List)

1. High Priority

  • The patient reports persistent pain for > 3 months minimum, and still has reasonable function
  • Preference will be given to those working or attempting to return to work
  • Patient must be self-motivated to engage in self- management of pain
  • Chronic neuropathic pain in those who are struggling with control, and haven’t been seen in a pain clinic before
  • Suspected Complex Regional Pain Syndrome
  • Cancer - pain input that has been requested by palliative team or oncology team

 

  • Those who still have uncontrolled pain beyond 2-3 months of recent surgery, and have risk factors for becoming chronic eg pain following mastectomy
  • Post herpetic neuralgia of recent origin
  • Phantom limb pain
  • Back pain in someone still working and no major psychological elements

2. Low Priority

  • Pain less than < 3 months
  • Complex long term pain, in those requiring multidisciplinary assessment
  • Patients seen in pain clinic previously with treatment resistant pain
 
  • Multiple engagements with chronic pain services previously
  • Recent history of untreated drug, alcohol or mental health issues
  • Not self-motivated to bio psych/social approach to pain management

 



Last updated : Friday, May 19, 2017
Next review date : Saturday, May 19,2018


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.