Chronic pain

Useful Links

Chronic pain community website image

Chronic Pain Community Site

Access the central portal for national and local information about Pain Services

Contact members of the Chronic Pain team:

Chronic Pain Steering Group

In December 2007 we published the Getting to GRIPS report (Getting Relevant Information on Pain Services). This report was the result of benchmarking chronic pain services in partnership with NHS boards, patients and service providers.

As a result of the GRIPS Report, the Scottish Government accepted the recommendation that chronic pain should be recognised as a long term condition in its own right. This recommendation aligned ongoing work on chronic pain with the long term conditions work programme.

In April 2009 the Scottish Government announced a decision to appoint Dr Pete Mackenzie as the lead clinician for chronic pain in Scotland to provide professional leadership, and take responsibility for driving forward the GRIPS work.

On 12 May 2009 the inaugural meeting of the newly constituted Scottish Chronic Pain Steering Group was held.

In May 2011 Dr Steve Gilbert was appointed as the new national lead clinician for chronic pain for a period of two years.

SIGN Guideline

The Scottish Intercollegiate Guidelines Network (SIGN) is developing a guideline on the Management of Chronic Pain.

SIGN guidelines are evidence-based and seek to make recommendations on interventions where there is currently doubt over use or variation in practice throughout Scotland. The guideline development group will develop a set of key questions which follow the patient’s journey within this remit. These questions will then be used to form the basis of a systematic literature review on which the guideline will be based.

The guideline development group commenced work in August 2011 and presented its initial findings in an open consultation meeting on 12th December 2012.

The purpose of the guideline is to provide recommendations based on current evidence for best practice in the assessment and management of adults with chronic non-malignant pain in nonspecialist settings. The remit excludes treatments delivered in secondary care. A wide range of both pharmacological and non-pharmacological management strategies are available for chronic pain.

The challenge is to understand the extensive published evidence for different treatments and when and where to use them for the best long term outcomes for the patient.

Further information is available from the SIGN website,

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