NHS Fife Medication Review

NHS Fife Medication Review

The medication review commences April 2017 and some Fife Group Members may be invited to attend.  There is nothing to fear from attending, as the whole aim is to ensure the safe and effective use of medication and NHS Fife want to improve pain control and minimise side effects.  Some of the patient groups involved are patients on Nefopam/Lidocaine Plasters/Tramadol MR Nortriptyline/Dual Opioids and some anti-inflammatories.  Although anyone on pain medication could be invited.

See attached poster for information on self-management of chronic pain and also some useful useful website links.

Fife Poster

Chronic Pain Document

Read all about some Chronic Pain facts


Chronic Pain in Scotland Background Paper Version 1.3


New Service in NHS Wales

Wales – March 2017

We are delighted to be introducing intensive self-management courses and local monthly self-management groups in Prestatyn and Rhyl, commencing March 2017.  Teaching the Self-Management skills needed to manage long-term painful conditions.  The venues for these sessions will be at:-

  • Kings Hall, Kings Avenue, Prestatyn, LL19 9AA
  • Rhyl Golf Club, Rhyl Coast Road, Rhyl, LL18 3RE

 Why Self- Management

Self- Management is an important approach to health that explores the things that you can do to improve the quality of your life despite a painful condition.

It is not a replacement for medicine and does not necessarily provide direct pain relief, however it does help a lot of people to cope better with their difficult health situation.

The focus is on having a better understanding and finding positive ways to manage your health, so that you are in control rather than your pain being in control of you.

Intensive Self-Management Course

A course delivered over 1 or 2 days – learn about Chronic Pain and techniques to help with Stress, Sleep, Pacing, Dealing with Flare-ups and Relaxation.

Prestatyn                Monday 6th March 2017 – 10am-4pm

Rhyl                         Monday 7th and Tuesday 8th August 2017


Monthly Self-Management Groups

After the course there will be a group meeting every month. This programme follows more in-depth Self-Management topics throughout the year.  You are welcome to attend this group at any time regardless of whether or not you have attended the intensive course.  The groups commence in April 2017, see attached posters for details:

Prestatyn Programme 2017

Rhyl Programme 2017

What to do now: For a place on the intensive course or for a list of dates for the monthly group meetings, please contact Pain Association on our Freephone number:

0800 7836059 or email: info@painassociation.com



Charity Song Release

HOPE IS TRUE - Charity song released on 1st September 2016 by the International Pain Foundation and Music Moves Awareness campaign.

Hoping to raise public awareness and improve services for people living with chronic pain.

For more details see website below:


Looking for low back pain participants for exciting exercise study!

- Do you have low back pain?

- Would you like to be involved in a study investigating aquatic and land rehabilitation exercises?

- Then you may be eligible to take part in the exciting: ‘The WATER study: Which AquaTic ExeRcises work best?’


Recruitment has started for the WATER study, an externally funded research project investigating aquatic and land exercises used for rehabilitation and strengthening of people with low back pain as well as for healthy participants.


At this moment we are looking for participants with low back pain. So if you have low back pain and are interested in doing some exercise sessions through our study, please get in touch!


For more details and eligibility, see info below. I am also attaching a short flyer, so feel free to distribute to others and to student groups too if appropriate.


Many thanks in advance,






Dr Stelios Psycharakis

Lecturer in Biomechanics

Depute Director (PGR) of the Graduate School of Education


The University of Edinburgh

St Leonard’s Land

Holyrood Road

Edinburgh, EH8 8AQ


Tel:      +44 (0) 131 651 6587

E-mail: Stelios.Psycharakis@ed.ac.uk

Web:    www.ed.ac.uk/education/stelios-psycharakis

Annoucing the launch of helppain.org

The Chronic Pain Policy Coalition is delighted to announce the launch of its new public awareness website.  This webpage has been put together to help people with persistent (Chronic Pain) manage as well as providing information and links to resources.

The webpage also informs people living with pain of the range of treatment options available and how they can begin a campaign in their local area.

Visit helppain.org to find out more


New Chronic Pain Website

Healthcare Improvement Scotland have developed a new chronic pain website for use by patients and healthcare professionals which brings together a range of quality assured information and resources in one place:-



Financial Leadership Award


We are delighted to announce that our Deputy Director, Sonia Cottom won the Sayer Vincent Financial Leadership Award for “Improving the Way You Work” category.


Deputy Director – Sonia Cottom

This is an absolute honour for the Association to celebrate outstanding financial leadership and demonstrating the significant impact that has been made for the Association, its beneficiaries and those whom they work with, particularly within the NHS.

The unique referral, monitoring and reporting processes that have been established ensures that our service delivery meets the needs of the various Health Boards whom we work with. We look where we can provide added value to assist Boards achieve their waiting time initiatives as
well as looking for opportunities for service improvement. Not only do all these processes save the NHS money and create added value, they also save valuable staff administration resource which can be used in other areas.


BBC News reports Alex Neil promising Chronic Pain patients better care

Patients with chronic pain in Scotland will receive improved specialist care, Health Secretary Alex Neil has pledged.

Click the video below to view the BBC news video clip.


Self-Management check list

Self -Management check-list


Self Management is something that many people get confused about.

With this in mind, I have written a very simple checklist of the sorts of things that you need to understand and do.


Some things are practical like relaxation and pacing, but other things have a lot more to do with thoughts and feelings. In fact, thoughts and feelings have a lot of relevance to practical activities. This is because the way we think has a lot to do with the way we behave and what we allow ourselves top do or not do.


As an exercise it would be good to tick off the things that you already do and maybe circle a few new things that you would like to achieve.


You may also find that this list helps your family and friends to understand what it is that you’re actually doing and trying to do at Pain Association meetings. It might also help them to help you. You might also like to add to the list.


It’s also important to bear in mind that many of the things on this list are easy to say but difficult to do, but this doesn’t mean that you cant do them, its just that they take effort and might require a change of thinking. The key thing is to engage in the process and start doing something now.




  • The ability to pace your activities so that you stay within your capabilities and avoid cycling between boom-bust


  • An acknowledgement that things have changed and that you need to adapt


  • A relaxation technique that works and that you practise daily


  • A proper understanding of your condition


  • A way of explaining your condition simply


  • An understanding of what your pain means


  • Understanding of how stress impacts on your health


  • Understanding of how activities affect you so that you can plan


  • A way of spotting that you’re doing too much (a thought or a sensation)


  • The ability to stop if you know you need to


  • A flare up plan


  • Things that you know will help pain


  • A positive way of dealing with others


  • A ‘normal’ way of talking about your health without putting others off and upsetting you eg I’m ok thanks, but my back is giving me problems right now


  • The attitudes:
  • What choice do I have?
  • Does the cost justify the benefit?
  • What can I actually do now to improve things, even a little?


  • A focus on what you can do rather than what you can’t


  • A person to talk honestly to


  • A structure for days with work rest and play


  • Always something to look forward to


  • A sign of stress building up that you can spot (like getting claustrophobic or snappy)


  • Baselines (time/distance) for key activities like:
  • Walking
  • Housework
  • Sitting
  • Standing


  • Activity to fully engage thinking


  • Endorphin producing activities


  • Activities that you can lose yourself in


  • Music to change mood in the right direction


  • Protected time for switching off


  • Plan for when you don’t sleep


  • A way of keeping fit (safely)


  • Stretches and exercises based on professional advice


  • Write things down when you’re worried


  • Write things down when you go to the doctor


  • A way of gently improving fitness or mobility (see baselines)


  • A deal with yourself about your condition eg if I don’t pace I’ll get worse


  • Someone or some place where people will believe you


  • A way of saying no thanks


  • A way of saying yes please


  • The ability to prioritise


  • Awareness of negative thoughts that affect your mood or behaviour


  • A way of dealing with negative thinking so that it affects you less


  • Not putting your needs last


  • Being kind to yourself