1. The definition of calculation used for new to follow up ratios for chronic pain referrals.

There is no clear national definition for new/follow up ratios for chronic pain referrals.  However, it is stated in the Core Standards for Pain Management Services (CSPMS) that secondary referrals will be complex and, by definition, patients must have access to dedicated pharmacy, physiotherapist, specialist nurse, occupational therapy and clinical psychology.  As a result the Pain Service referral new/follow up ratio may be slightly higher than the norm e.g. Trauma & Orthopaedics.


2. The data for new to follow up for chronic pain referrals for your trust for the years April 2010 to April 2015 See spreadsheet below.


 Pain Management


3. Is the calculation used for new and follow-up in chronic pain a local or national definition? This ratio is used in common practice. The calculation would be a local one which may be part of the contract agreement with the CCG or may be referenced from national guidance e.g. CSPMS.


4. Can you provide the wording of the definition used? See response to Q1 above.


5. Does the new to follow up ratio calculation that is used by your organisation for chronic pain also apply to other specialities. Yes


6. If no – please explain the differences in the calculations. N/A

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