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Your Pain Journey

We will develop a patient-centred pain management journey that spans community and secondary care. People with pain will choose and experience up-to-date, consistent and rapidly accessible support.

Read comments 5
  • Winning idea
  • 2023

Meet the team

Also:

  • Thomas Walton
  • Andrew Tunnicliffe
  • Caroline Hourigan
  • Howard Sunderland
  • Sofie Zemansky

What is the challenge your project is going to address and how does it connect to the theme of 'How can improvement be used to reduce delays accessing health and care services'?

After COVID people with longstanding pain in Stockport had to wait up to 36 weeks to access specialist support. Our patients report significant physical and psychological decline as a result of the delays and lack of support in the community.

Utilising Experience Based Co-Design (EBCD), which brings together patients, carers and stakeholders across Primary, Community, Voluntary & Secondary Care, we will transform the Stockport Pain Management Service into a system that is designed by and for the people that use it.

Focusing on ‘Your Patient Journey’ we are working together to improve communication across the system & co-produce a model that adopts the GIRFT ethos, informs and educates, promotes self-care and self-management and empowers people to make informed choices about management of their pain.

‘Your Pain Journey’ will improve patient and clinician access to up to date, effective pain management.  It will be consistent across the home, the community, primary and secondary care.

What does your project aim to achieve?

Our project utilises experience based co-design (EBCD) to transform Stockport’s Pain Management service into a system that is designed for & with the people that use it

This will ensure we:

  • Offer up to date, cost effective, patient centred care
  • Ensure patients are seen early to maximise knowledge, self-care & minimise health and social care costs
  • Embed consistent support across all patient contacts
  • Improve and maintain staff and patient satisfaction
  • Build continuous feedback into the model to create an agile system
  • Elective performance recovery and delivery against patient national access standards
  • The service is able to deliver against its operational activity and finance plans
  • Best and most effective use of team resources, and ensure patients are seen be the most appropriate health professional within a timely manner
  • A health passport can be easily translated into multiple languages and utilise accessibility resources such as VoiceOver or large text

How will the project be delivered?

The project has 2 phases

The aim of phase 1 (May 2022 – May 2023)

  • Stakeholder engagement (complete)
    • PCN
    • secondary care
    • finance
    • patient representation x2
    • secondary care
    • transformation team
    • healthwatch
    • wellbeing practitioners
  • Co-design new triage/POC model
  • Recruit patients with experience to co-produce the future model
  • Transform Stockport Pain Management triage & first point of contact, into a system that is designed for & with the people that use it.

Phase 2

The aim of phase 2 (Jun 23 – Jun 24) is to work with patients, carers and people who have experience of Pain Management Services to:

  • Redesign & transform the rest of the ‘Patient Journey’ that spans community & secondary care into a system that is designed for & with the people that use it
  • Utilise EBCD to design, test and develop a goal-based ‘passport’ that persists across primary and secondary care
  • Embed EBCD and Patient Experience into standards – the ambition is for patients & carers to lead and own this

How is your project going to share learning?

Applying robust Governance and utilising a QI approach, we are collating a suite of documents and tools.  This will form an off-the-shelf toolkit for other Trusts and organisations who wish to implement the same.

We are sharing our learning through Social Media and are hoping to set up dedicated Social Media accounts.  We are running an ECBD specific episode of the Trusts Transformation Talks Podcast which will be available on Spotify.

Internally

We share progress and learning through formal Governance channels and through seeking other opportunities

System Wide

Sharing reports and presentations with PCN Director who is a key stakeholder on our project and with VCS who are also represented
Collaborative opportunities

We are promoting our work through links and contacts in Greater Manchester
National opportunities

We are building networks through social media and the Q Community
We will:

  • post regular updates through the Q Community
  • submit abstracts where appropriate

How you can contribute

  • Advice regarding other projects sharing information and skills across healthcare domains.
  • EBCD support advice
  • Advice on smart outcome measures given we are a small team

Plan timeline

30 Apr 2023 engage any additional stakeholders required
31 May 2023 develop EBCD cohort
31 Aug 2023 co-design the patient journey passport
30 Nov 2023 PDSA cycles for test of change
31 Mar 2024 embed change within locality
20 Jun 2024 celebration event
30 Jun 2024 develop and spread recipe book for other regions

Comments

  1. Guest

    David Marsh 11 Aug 2023

    Great post! By systematically identifying areas for improvement, leveraging technology, and fostering a culture of innovation, healthcare organizations can significantly reduce delays in accessing health and care services, ultimately benefiting patients and improving overall healthcare delivery.

  2. Guest

    Tim Benson 23 May 2023

    Pain treatment and management are vital, but has to be seen as part of the patients' overall journey.  Alongside pain, you also need to measure health status, well-being, health confidence, social contact and social determinants of health. All of these should be patient-reported. Many are strongly correlated with pain, but it is always vital to understand that relationship.

    Tim

    1. Hi Tim,

      Thank you for taking time to comment. I wholly agree that pain outcomes in isolation are insufficient. Without the broader picture we can't create a personalised management/support plan.

      Our team is small and our trust BI support limited. How would you recommend these data sets be collated and analysed given these constraints?

      KR

      David

  3. Guest

    john mortimer 18 May 2023

    Hi David,I saw your note on co-design. and-design in this situation is certainly the way to go.
    How about a chat to talk further?
    John

    1. Hi John,

      Any and all support on the design process would be welcome.

      What is the best email to use for you?

      KR

      David

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