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Service Development Directive: Chronic Non-Malignant Pain




A focus on the implementation of the Service Development Directive for Chronic Non Malignant Pain was one of the requirements for the North Wales Demonstrator. Work in Gwynedd was led by Dr Rhian Lewis and the Pain Management Team based at Ysbyty Gwynedd. It linked closely with development of the draft pathway for pain being taken forward by pathways facilitators in North Wales. The movement of services into community locations is a key feature of the national and local approaches to chronic conditions management, as is the strengthening of knowledge and skills in community staff by training sessions delivered by specialist staff. The study in north Wales uses existing experience, informed by feedback from GPs, to provide a targeted pilotstudy approach that fits in well with the expectations of Designed for Pain. The work was  carefully monitored, so that the results were be disseminated more widely, thus meeting the requirements of a demonstrator site while providing an on-the-ground response to GP suggestions. The proposal could lead to a roll-out over the whole of North Wales, and results for the whole area could then be combined to provide a large data-pool for chronic pain that would be of great benefit in the future planning and assessment of services.

Evaluation Paper

An Evaluation Paper  that examines the above work has been written and can be found below. CCM Demonstrator Evaluation Papers describe current and planned evaluation activities being undertaken by CCM Demonstrator sites. They describe studies to obtain evidence of new ways of working and may include interim results where available.


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