1. Commissioning intentions for Pain Management Service Saqib Aslam Jackie Knott

2. New to review ratio Reduction from 1.5 to.62 –Change in clinic template –Increase in non face to face reviews –Nurses now only see reviews –Increase in consultant new patient capacity to offset reduction in nurse NP capacity

3. Referral Management Refusal of tertiary referrals –Substantial reduction in referrals received Reduction in overall clinic capacity Increase catchment area –Peterlee clinic fortnightly –Sedgefield Community Hospital

4. Achieving Targets Review clinics are now flexible to meet current demand –Reviews Medication Post treatment –Tens review –Telephone review Explore potential to reinstate internal telephone reminders to reduce DNA

5. Future Work in partnership with primary care to develop –Agreed Clinical pathways to provide seamless care –Pharmacological guidelines (recently developed) –One stop clinics –Explore Pain Management Program Opportunities