About this release

This release by Public Health Scotland (PHS) reports on the length of time patients waited for a first appointment with a pain management service. These services provide chronic pain assessment and management and are delivered by multi-disciplinary teams.

This publication includes a revision of statistics to correct small inaccuracies. A revision statement is available.

Main points

• During the quarter ending 30 September 2022, 5,028 patients were referred to a chronic pain clinic. This is a decrease of 2.8% compared to the previous quarter, when 5,172 patients were referred. Referrals have remained stable compared to a year earlier, when 5,002 patients were referred during the quarter ending 30 September 2021.
• There were 1,985 patients seen at a consultant-led chronic pain clinic during the quarter ending 30 September 2022, compared to 1,836 in the previous quarter, an increase of 8.1%. Of these patients, 1,284 (64.7%) waited 12 weeks or less, 396 (19.9%) waited between 13 and 24 weeks, 301 (15.2%) waited between 25 and 51 weeks and 4 (0.2%) waited 52 weeks or more.

Distribution of wait for patients seen at a Chronic Pain clinic during the quarters ending 30 June 2022 and 30 September 2022

A bar chart showing the distribution of wait for patients seen at a Chronic Pain clinic during the quarters ending 30 June 2022 and 30 September 2022. Bars for the quarter ending 30 June 2022 are pale blue and bars for the quarter ending 30 September 2022 are darker blue.

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• The number of patients seen initially at a consultant-led clinic is now lower than prior to the COVID-19 pandemic, when an average of just under 3,000 patients were seen per quarter during 2019. This is largely due to some NHS Boards introducing new pathways that offer patients alternatives to being seen at a consultant-led outpatient clinic. Patients are removed from waiting lists if they take up this offer.
• At 30 September 2022, 4,208 patients were waiting for their first appointment at a chronic pain clinic. This compares to 3,854 patients at 30 June 2022, an increase of 9.2% and to 2,909 patients a year ago, an increase of 44.7%. The waiting list reduced significantly between October 2020 and March 2021 due to the COVID-19 pandemic, when the number of patients completing their waits exceeded the number of referrals. Since March 2021, the number of patients waiting has increased each quarter, although it remains lower than prior to the pandemic, when on average just under 5,000 patients were waiting at the end of each quarter in 2019.

Background

Chronic pain is pain that carries on for longer than 12 weeks despite medication or treatment. Further information can be found on the NHS Inform website.

The data presented here have been adjusted for periods of patient unavailability. Any adjustments are based on the NHSScotland Waiting Times Guidance.

The data presented in this release continue to be impacted by measures put in place to respond to the COVID-19 pandemic. After being temporarily paused in March 2020, chronic pain services started to resume in June as part of the planned remobilisation of services. In September, a Framework for Recovery of NHS Pain Management Services was published with further guidance on the resumption and continuation of services.

For the NHS Boards who submit data on pain psychology clinics, further detail is available in the data tables and the publication report.

Further information

The next release of this publication will be 14 March 2023.