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Chamber

Meeting of the Parliament 16 November 2022

16 Nov 2022 · S6 · Meeting of the Parliament
Item of business
Chronic Pain Services
Todd, Maree SNP Caithness, Sutherland and Ross Watch on SPTV

I know that there is a challenge with identifying follow-up appointments in the data that is collected. One of the commitments in the framework is to improve the quality of the data that is collected so that it is robust and reliable and so that we can get a better picture of the issue that Pam Duncan-Glancy raised. We are aware of that gap, and we are absolutely determined to get the appropriate data so that we can tackle that problem.

We know that some people face long waits, and, through our framework, we are taking action to work with pain service managers to improve the pathways into specialist care. That includes improving referrals and access to the Scottish national residential pain management programme, which provides the highest level of care for people with chronic pain. That programme is funded by the Scottish Government to the value of approximately £500,000 each year. We are also testing new digital options to offer greater choice to people with chronic pain on how they engage with their care.

It is essential that safe and effective support is provided for people with chronic pain. Our framework aim on that will deliver improved outcomes from pain management services by promoting sustainable delivery of effective, evidence-based care.

Expert working groups are working towards that by reviewing national guidance and promoting safer, more appropriate use of medication as part of pain management strategies. They are also identifying opportunities to improve the consistency and delivery of specialist interventions for chronic pain.

The final aim in our framework focuses on improving services to deliver a better experience and better outcomes for people with chronic pain. The report by our lived experience pain management panel that we have published today and the responses to our public consultation on the draft framework have highlighted that improving professional knowledge of chronic pain is a key priority in improving the experience of people with chronic pain.

To do that, we have already established a new national multidisciplinary pain education group, which has developed a comprehensive knowledge and skills framework for healthcare professionals at all levels and in all settings. That, along with other training and improvement resources, will soon be available on a new pain management knowledge hub hosted by NHS Education for Scotland. That will provide a one-stop shop for our public and third sector workforce to drive improvement and consistency in pain management training across our services.

We also acknowledge the need to provide the staffing levels and the workforce that are required to deliver pain management support and services. Our framework has reiterated the commitment that is set out in our “National Workforce Strategy for Health and Social Care in Scotland”, and work is under way to progress future training programmes. Those will support the development of the pain management workforce at specialist and non-specialist levels.

Today, I have spoken about how the Scottish Government will begin to address the impact of chronic pain across Scotland through the clear and realistic actions that are outlined in our implementation plan. We are committed to rapidly improving care and services for people with chronic pain. To do that, we are establishing a dynamic approach, which includes a new governance structure and a shift of focus to building delivery capacity. New working groups are being created—some of those are already operational—to bring together policy, clinical and service expertise at the national level.

Fundamentally, the approach is informed by the diverse voices of lived experience, including those of members of our pain management panel and local views that have been gathered by Healthcare Improvement Scotland.

I reiterate my personal commitment, and that of the Scottish Government, to continue to listen, to learn and to act to make sure that every person with chronic pain is able to access safe, effective and person-centred support to help them to manage their condition and to live well with pain.

I move,

That the Parliament recognises the impact of chronic pain on people’s health and wellbeing in Scotland; welcomes the publication of the Framework for pain management service delivery - implementation plan; notes the actions to improve care and services being taken in partnership with people with chronic pain, NHS staff and services, the third sector and other key stakeholders; supports the focus on delivering person-centred care and improving access to local support for pain; recognises the efforts to increase NHS staff skills and knowledge of chronic pain and its impact, and agrees with the commitment to improve the consistency and quality of pain management services across Scotland.

In the same item of business

The Deputy Presiding Officer (Liam McArthur) LD
The next item of business is a debate on motion S6M-06779, in the name of Humza Yousaf, on improving care and services for people with chronic pain. I invite...
The Minister for Public Health, Women’s Health and Sport (Maree Todd) SNP
I welcome today’s opportunity to discuss our commitment to support the health and wellbeing of people in Scotland who live with chronic pain. We can all expe...
Jackie Baillie (Dumbarton) (Lab) Lab
I welcome the input of the voluntary sector, which is so important in relation to self-management. However, people are obviously keen to know what resources ...
Maree Todd SNP
This year, we have already invested more than £700,000 in direct support of pain management services and the improvements that we set out in the plan. That i...
Pam Duncan-Glancy (Glasgow) (Lab) Lab
How many follow-up appointments were provided within the target period? How long did people have to wait for follow-up appointments? The minister suggests th...
Maree Todd SNP
I know that there is a challenge with identifying follow-up appointments in the data that is collected. One of the commitments in the framework is to improve...
The Deputy Presiding Officer LD
I advise members that we have no time in hand, so I must ask all members to stick to their speaking allocations or even to undercut those allocations, if tha...
Sandesh Gulhane (Glasgow) (Con) Con
I want to describe a situation that many of us have experienced, and I would like members to imagine it—dental pain. The pain often comes on suddenly and is ...
Michelle Thomson (Falkirk East) (SNP) SNP
The member can speak for his area, but I have been following up on the issue with NHS Forth Valley, and I am pleased to report that I have seen evidence of s...
Sandesh Gulhane Con
I would be happy to, but what I am calling for is a network of long Covid clinics, because that is how we will get treatment and help to patients who suffer ...
Jackie Baillie (Dumbarton) (Lab) Lab
I welcome the opportunity to debate this issue. The cross-party group on chronic pain has been calling for the Scottish Government to hold a debate on chroni...
Maree Todd SNP
Just to be clear on waiting time numbers, the numbers of people who are waiting to be seen are actually lower than before the pandemic and there has been a 7...
Jackie Baillie Lab
I always welcome good news. However, I will share with the minister figures that I have that show that chronic pain waiting times were just as bad before Cov...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
I apologise for my brief absence from the chamber during the debate’s opening speeches. I had to attend to a call from my son’s school. I am pleased to spea...
The Deputy Presiding Officer (Annabelle Ewing) SNP
We move to the open debate. I remind members that there is no time in hand. Therefore, interventions must be absorbed within members’ speaking time. I call ...
Rona Mackay (Strathkelvin and Bearsden) (SNP) SNP
I am pleased to speak in this much-needed debate on chronic pain, and I hope that it will benefit patients who are dealing with that terrible life-diminishin...
Finlay Carson (Galloway and West Dumfries) (Con) Con
We have all experienced pain, suffering or discomfort at some point in our lives but, for most of us, it does not—thankfully—last long and, after taking a co...
Emma Harper (South Scotland) (SNP) SNP
Will the member take a wee quick intervention?
Finlay Carson Con
I am sorry; I do not have time. What is provided might include treatment from a specialist physiotherapist, a specialist pain consultant or a psychologist, ...
Bob Doris (Glasgow Maryhill and Springburn) (SNP) SNP
It is a pleasure to speak in the debate. I acknowledge the fundamental challenges in the provision of chronic pain services; there seems to be agreement acro...
Monica Lennon (Central Scotland) (Lab) Lab
I have the privilege of being a co-convener of the cross-party group on chronic pain, alongside Rona Mackay and Miles Briggs. Like them, I am grateful to our...
Maree Todd SNP
As members will understand, at this time the cabinet secretary is spending every waking moment trying to resolve the issues that our NHS is facing in terms o...
Monica Lennon Lab
I thank the minister. I think that we are all keen to make the most of the time in the chamber today. We know about the long delays and the postcode lotteri...
Christine Grahame (Midlothian South, Tweeddale and Lauderdale) (SNP) SNP
I send my regards and best wishes to my former colleague Dorothy-Grace Elder, who has campaigned without pause on the issue of chronic pain since at least 19...
Gillian Mackay (Central Scotland) (Green) Green
As many others have said today, chronic pain encompasses a wide range of conditions. For some, there are well-known progression and treatment options, but fo...
Kaukab Stewart (Glasgow Kelvin) (SNP) SNP
I welcome the debate, which marks another step forward in the delivery of health and care services that understand and support people with chronic pain. I ha...
Miles Briggs (Lothian) (Con) Con
I will also start by paying tribute to the work that members of the cross-party group on chronic pain have done over the past 23 years and, in particular, by...
Pam Duncan-Glancy (Glasgow) (Lab) Lab
Musculoskeletal conditions and chronic pain are among the most common long-standing illnesses in Scotland. More than 29 per cent of the population, or 1.5 mi...
The Deputy Presiding Officer SNP
I call Emma Roddick, who will be the final speaker in the open debate. 16:29
Emma Roddick (Highlands and Islands) (SNP) SNP
It can be very difficult to access services for chronic pain, and in my experience, women find it particularly hard to be taken seriously by some healthcare ...