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Chronic Pain

Chronic pain is defined by Healthcare Improvement Scotland (HIS) as ‘continuous, long-term pain lasting more than 12 weeks or pain persisting after the time that healing would have been expected to occur after trauma or injury’.  It can be associated with other diseases, but can also occur as a condition by itself.

The clinical care of those with chronic pain is the responsibility of NHS Boards across Scotland, working within Scottish Government and/or NHSScotland national policies and frameworks.  In 2009, work was carried out to develop the Scottish Service Model for Chronic Pain

This is a four-Level model encompassing Community Care, Primary Care, Specialist Care, and Tertiary Care.  The model seeks to drive service improvement work, aiming to allow Scottish service users access to appropriate pain management services as clinically assessed.

Scottish Intercollegiate Guidelines Network (SIGN) Guideline 136 (Management of Chronic Pain) is a comprehensive evidence-based guideline for managing chronic pain and can be found using the link below.