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Our servicesChronic pain

Referring to us

There are separate referral processes for our two pain services.

Pain Clinic for adults

The Pain Clinic has recently undergone a major reconfiguration of services in line with the latest evidence from NICE on the management of chronic and persistent pain problems and the commissioning requirements of local Clinical Commissioning Groups (CCGs).

The service is provided by a team of Nurses, Consultant Anaesthetists, Clinical Psychologists and Physiotherapists. There are different evidence based intervention including physiotherapy, medication optimisation, medical interventions, psychological support and a pain management programme.  All new referrals are assessed initially by a Consultant Anaesthetist and an appropriate intervention is then agreed. The Pain Clinic is run from the Royal United Hospital. 

Making a Referral

There is a clear referral pathway agreed with our stakeholder CCG’s. Inclusion criteria and the referral forms for each CCG can be found by following the links below.

Referrals must be made on the referral form and via eRS.

BaNES CCG:
BaNES Pain Referral Form

All other CCGs:
Pain Clinic Referral Form

Lead Clinicians:

Dr Andrew Souter – Consultant Anaesthetist  & Medical Lead
Dr Louise Tarrant – Principal Clinical Psychologist

For further information contact the Pain Clinic Team:
(01225) 824978 or 824331


Bath Centre for Pain Services

The Bath Centre for Pain Services runs a number of national and regional specialist services commissioned by NHS England.

All referrals are triaged according to the criteria for the service they are referred to. There then follows a details medical and psychosocial assessment. The outcome of which maybe assessment and recommendations or going forward to an intensive intervention.

Making a Referral

Referral to all the Bath Centre for Pain Services can be made as follows:

Consultant referrals may be made in writing and addressed to:

Bath Centre for Pain Services
Royal National Hospital for Rheumatic Diseases
Upper Borough Walls
Bath
BA1 1RL

GP referrals need to be made via Electronic Referral System

Directory of service
Pain Management
Royal National Hospital for Rheumatic Diseases Bath

Lead Clinicians for Adult Services
Dr Peter Brook – Consultant in Pain Medicine
Dr Hannah Connell – Consultant Clinical Psychologist & Clinical Lead

Adult Pain Rehabilitation Interventions:
Four week group residential pain rehabilitation programme
Four week supported accommodation group pain rehabilitation programme
Three week young adults residential group rehabilitation programme
Individual admission

Lead Clinicians for Children and Adolescent Services
All referrals of under 18’s are triaged by the Consultant Paediatricians.
Dr Jacqui Clinch & Dr Valerie Rogers – Consultants in Paediatric Rheumatology and Chronic Pain
Dr Hannah Connell – Consultant Clinical Psychologist & Clinical Lead

Children and Adolescent Pain Rehabilitation Interventions
Three week residential pain rehabilitation programme (11-18 years)
Individual interventions (all ages)
CRPS - intensive intervention for children with complex regional pain syndrome

Outpatient Pain Clinic

This service is provided for children under the care of a Consultant and the Bristol Royal Hospital for Children.  Consultants and GP’s can refer.  A monthly assessment clinic is held at Bristol Royal Hospital for Children. Outpatient pain interventions are provided by Specialist Clinical Psychologists and Physiotherapists is provided from the Bath Centre for Pain Services at the Royal National Hospital for Rheumatic Diseases.

Private Referrals

The Bath Centre for Pain Services accepts private referrals in writing.

For further information regarding referral please contact the team on:
(01225) 473427 or via email ruh-tr.RNHRDPMUenquiries@nhs.net


Complex Regional Pain Syndrome Service (Adults)

This is a national Service accepting referrals from across the UK. GP referrals can be made by Electronic Referral System (eRS). Consultant referrals can be made directly in writing to Professor McCabe, Consultant Nurse.  

Service criteria

Patients aged 18 years or over with a possible diagnosis of CRPS will be considered via referral from Consultant Specialists or  by the patients GP.

We also accept private patient referrals.  This will enable the purchaser to access the normal NHS service and will not expedite referrals, guarantee a single room or any other additional services outside of normal routine care.  For further information please contact the team 01225 473 462 or email: ruh-tr.RNHRDCRPSteam@nhs.net

Telephone advice is available for further information when considering a referral, ongoing advice for a patient already under our care or if another member of the primary care team (e.g. therapists) wishes to consult with the consultant nurse and CRPS service lead.

Email:  ruh-tr.RNHRDCRPSteam@nhs.net

Making a Referral
GP referrals need to be made via Electronic Referral System ( eRS)
Directory of service
Pain Management
Royal National Hospital for Rheumatic Diseases Bath

Consultant referrals may be made in writing and addressed to:

Professor McCabe
Complex Regional Pain Syndrome Service
Royal National Hospital for Rheumatic Diseases
Upper Borough Walls
Bath
BA1 1RL

Private Referrals
Complex Regional Pain Syndrome Service accepts private referrals in writing.
For further information please contact 01225 473 462

Referrals from Scotland, Wales and Northern Ireland
Complex Regional Pain Syndrome Service accepts referrals from the Devolved Nations. These are made in writing to Professor McCabe accompanied by confirmation of funding for the service.

Lead Clinicians for Adult Services
Professor McCabe - Florence Nightingale Foundation Chair in Clinical Nursing Practice Research
Dr Peter Brook – Consultant in Pain Medicine


Complex Cancer Late Effect Rehabilitation Service (CCLERS)

The CCLERS takes a holistic approach offering specialist multidisciplinary rehabilitation to people dealing with late-effects following treatment for cancer.  The service is provided by the Royal United Hospitals Bath NHS Foundation Trust at the Royal National Hospital for Rheumatic Diseases (RNHRD). The service is designed to manage both physical and psychological concerns, with the aim of improving daily function, quality of life and pain management. To deliver these aims our multidisciplinary team is made up of specialist clinicians from areas in pain management, rheumatology, lung/respiratory care, psychology, physiotherapy and occupational therapy.

Making a Referral
GP referrals need to be made via Electronic Referral System (eRS)
Directory of service
Pain Management
Royal National Hospital for Rheumatic Diseases Bath

Consultant referrals can be made in writing and addressed to:

Professor Candy McCabe
Complex Cancer Late Effects Rehabilitation Service
Royal National Hospital for Rheumatic Diseases
Upper Borough Walls
Bath
BA1 1RL

Lead Clinicians for Adult Services
Professor McCabe - Florence Nightingale Foundation Chair in Clinical Nursing Practice Research
Dr Peter Brook – Consultant in Pain Medicine