We are delighted to be joined by an expert panel (Pain Clinic Consultant Dr Jason Brooks, GPwSI Jim McMullan, SPPG, Federation and GP Pharmacist leads) to look at – Key evidence and Practical Tips in Managing Chronic Pain – Chronic Pain and Opioid reduction – Opioid reduction in GP Practice We hope to present some practical strategies, resources and approaches for supporting patients and practices in managing chronic pain and reviewing opioid use with chronic (non-malignant) pain. This will be suitable for the whole practice team and MDT with the opportunity to ask questions
|
Clinical Guidance/Resources for Prescribers and other Healthcare Professionals
|
|||
|
Name |
Organisation |
PDF version |
link |
|
Top Tips for Opioid Deprescribing (from GPP) and social media messages – Newsletter Article Oct 23
|
SPPG |
Attached Below |
|
|
Avoid Opioids for Chronic Non-Malignant Pain – Newsletter article Jan 23 |
SPPG |
Attached Below |
|
|
Chronic non-malignant pain – pharmacological options |
NI Formulary |
N/A |
|
|
Opioid Prescribing for Chronic Pain Resources |
SPPG |
N/A |
https://primarycare.hscni.net/pharmacy-and-medicines-management/resources/pain/ |
|
Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain (Guidance) |
NICE |
N/A |
|
|
Northern Ireland guidelines on converting doses of opioid analgesics for adults use 2023 |
NI Palliative Care Pharmacy Group |
Attached Below |
N/A |
|
Opioids Aware Checklist for Prescribers |
Faculty of Pain Medicines |
Attached Below |
https://beta.fpm.ac.uk/sites/fpm/files/documents/2019-08/OA%20checklist%20for%20prescribers.pdf |
|
PrescQIPP Pain Management Webkit Resources to support management of chronic pain and reduction of opioid prescribing |
Prescqipp |
Attached Below Summarised in pages 4-6 of this Tapentadol bulletin |
– Bulletins – Webinars – Audit Tools – Examples of Innovation and Good Practice – Elearning |
|
MHRA alerts: Opioids and Gabapentinoids – risk of respiratory depression |
|
|
https://www.gov.uk/drug-safety-update/gabapentin-neurontin-risk-of-severe-respiratory-depression Pregabalin (Lyrica): reports of severe respiratory depression – GOV.UK (www.gov.uk)
|
|
Deprescribing Resources
|
|||
|
Name |
Organisation |
PDF version |
link |
|
Clinical practice guideline for deprescribing opioid analgesics: summary of recommendations |
Medical Journal of Australia |
Attached Below |
|
|
How to reduce medications for people with multiple long-term conditions |
National Institute for Health and Care Research NIHR |
Attached Below |
|
|
Attached Below Patient Resources
|
|||
|
Name |
Organisation |
PDF version |
link |
|
Patient –specific Pain Resources |
NI Formulary |
|
|
|
Explain Persistent Pain |
NI Formulary |
Attached Below |
https://niformulary.hscni.net/patient-area/pain-topics/understanding-pain/ |
|
Faye’s story: good practice when prescribing opioids for chronic pain |
NHS England |
Attached Below |
|
|
Opioids Aware – wide range of resources aimed at patients and healthcare professionals |
Faculty of Pain Medicines |
N/A |
|
|
Wide range of resources for people living with chronic pain and HCPs |
N/A |
Attached Below |
https://livewellwithpain.co.uk www.flippinpain.co.uk |
|
Pain Support Programmes/Information Sessions |
N/A |
Attached Below |
http://www.hlcalliance.org/content/pain-support
www.versusarthritis.org |
|
OPIOID MEDICINES AND THE RISK OF ADDICTION |
MHRA |
Attached Below |
|
|
Learning from Other Areas
|
|||
|
Name |
Organisation |
PDF version |
link |
|
All Wales Analgesic Stewardship Guidance |
All Wales Medicines Strategy Group |
Attached Below |
https://awttc.nhs.wales/files/guidelines-and-pils/all-wales-analgesic-stewardship-guidancepdf/ |
|
Opioid Prescribing for Chronic Pain: A Quality Improvement Resource |
NHS Scotland |
Attached Below |
https://www.therapeutics.scot.nhs.uk/wp-content/uploads/2021/12/Draft-Opioid-Guide.pdf |
|
Pharmaceutical Journal Articles: ~ How I reduced opioid prescribing in my GP practice by more than 450,000mme in less than a year ~ ‘Painkillers don’t exist’: how our campaign helped to reduce opioid prescribing |
N/A |
Attached Below |
N/a |
|
Chronic pain management; time to think differently
|
N/A |
Attached Below |
N/a |
|
Ouch pain sparing discharge summaries |
N/A |
Attached Below |
N/A |
|
Training Resources for Healthcare Professionals
|
|||
|
Name |
Organisation |
PDF version |
link |
|
Chronic pain and dependence –forming medication Chronic pain – communication skills and self-management |
Red Whale |
Attached Below |
|
|
Medication safety across the system: opioid safety |
Specialist Pharmacy Service |
Attached Below |
http://www.sps.nhs.uk/articles/medication-safety-across-the-system-opioid-safety/ |
|
Clinical Masterclass – Chronic pain management (Dr Roger Knaggs) |
PrescQIPP |
|
https://www.prescqipp.info/our-resources/clinical-webinars/clinical-masterclass-oct-2021/ |
|
Slides from Opioid Improvement Collaborative Engagement Workshop (4th August 2023) |
|||
|
Slides from Opioid Improvement Collaborative Engagement Workshop (4th August 2023) |
HSCQI and Transforming Medication Safety in Northern Ireland (TMSNI) Programme Teams |
Attached Below |
Of particular note: – Slide 43 (summary of opioid place in therapy for chronic pain) – Slides 57-70 (Local Better days Pain Support Programmes ) – Slides 75-104 (how 2 local practices reduced their opioids and gabapentinoids – latter by QI method)
|
