Quality prescribing for chronic pain 2026-2029: consultation

Introduction

Chronic pain, defined as persistent pain lasting beyond three months, can significantly impact quality of life, affecting physical and mental wellbeing. In Scotland, the Scottish Health Survey 2022 indicates that approximately 38% of adults live with chronic pain. The prevalence of chronic pain is significantly higher in areas of socioeconomic deprivation.

There is a complex interplay between the social determinants of health and chronic pain, which require carefully considered management to achieve good outcomes. Medication reviews, focusing on what matters to the individual using a person centred 7-step approach, are key to supporting people manage chronic pain and address the factors that influence their health.

With this guidance, we aim to support healthcare professionals navigating the complexities of chronic pain management, particularly given the risks of adverse effects, dependency and the association with polypharmacy.

Although this guidance will be used by healthcare professionals, it contains a wealth of information that individuals, their family, friends and carers will find useful as they navigate the chronic pain journey.