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Pain Service

The Alder Hey Pain Service TeamThe chronic pain clinic is a specialist multidisciplinary team to help children and young people with recurrent, persistent or chronic pain. Referral to a specialist paediatric chronic pain service is indicated when specialist resources and advice are indicated, or where the patient has widespread chronic pain and significant disability.

The majority of chronic pain in children is managed effectively by primary, secondary and non-specialist tertiary care. We manage the small cohort of children who continue to have refractory and disabling pain despite this. These are children with pain that prevents them participating in developmentally appropriate activities, such as school, family life, social activities and physical activities.

This group of children need multidisciplinary support to manage their pain and provide rehabilitation to enable them to participate in daily life.

Referrals from within Alder Hey

  • Must be by letter from, or on the advice of, the child’s consultant.
  • Include information relating to the degree of impairment in developmentally appropriate activities – this will help us prioritise how urgent the referral is.

Referrals from secondary or tertiary care (outside of Alder Hey Hospital)

  • Must be by letter from, or on the advice of, the child’s consultant
  • Please include recent clinic letters relating to the pain for which he/she is being referred, including results of imaging or other investigations (if performed outside of Alder Hey)
  • Include information relating to the degree of impairment in developmentally appropriate activities – this will help us prioritise how urgent the referral is

Referrals from GPs

  • GP may refer directly, but it is expected that this occurs after a paediatric secondary or tertiary opinion has been sought and provided.
  • Please include any clinic letters from secondary/tertiary care specialists in relation to the pain indicating a diagnosis or that despite investigations a medical cause of pain cannot be found
  • Please results of imaging or other investigations
  • Include information relating to the degree of impairment in developmentally appropriate activities – this will help us prioritise how urgent the referral is.

Please avoid referring a patient whilst further diagnostic investigations or related surgery are awaited.

Our clinic appointments for new patients are long (1½ hours) compared to most other specialties therefore if a patient fails to attend we are unable to offer another appointment until new referral has been received.  This also means at present we are unable to offer Choose and Book.

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