1. Deirdre OGara CNS Pain Control Sligo General Hospital (SGH)

2. Referred from Fibromyalgia Clinic Back Pain Triage Meetings Palliative Care Referrals from Physiotherapy Department Out-pt referrals from Consultants Outside SGH In-patient referrals from Consultants from Sligo General Out-patient referrals from Consultants from SGH GP referrals Pain Clinic Referrals

3. Waiting times 1 st appointment Pain Consultants increased & review appointments The Nurses and Midwives Bill (2010) encompasses delivery Nurse Led Clinics. International research by the OECD- Advanced practice nurses can improve access to services and decrease waiting times The Irish Pain Proposal Executive Committee

4. Several Meetings with Key Stakeholders determine caseload, referral source and resources required. Biopsychosocial assessment, physical exam, chart review, previous investigations. Analysis of the history presented & findings – arrive at a provisional diagnosis. Patient presented to the Anaesthetist – plan of care finalised.

5. 20 Patients Since January 2012 seeing 3 patients per clinic 1 routine and 2 urgent patients 7 DNAs 9 Patients had a procedure or series of procedures 3 Patients MRIs ordered 1 Patient discharged 3 Patients referred to Physiotherapy

6. Deirdre OGara CNS Pain Control Sligo General Hospital (SGH)

7. Referred from Fibromyalgia Clinic Back Pain Triage Meetings Palliative Care Referrals from Physiotherapy Department Out-pt referrals from Consultants Outside SGH In-patient referrals from Consultants from Sligo General Out-patient referrals from Consultants from SGH GP referrals Pain Clinic Referrals

8. Waiting times 1 st appointment Pain Consultants increased & review appointments The Nurses and Midwives Bill (2010) encompasses delivery Nurse Led Clinics. International research by the OECD- Advanced practice nurses can improve access to services and decrease waiting times The Irish Pain Proposal Executive Committee

9. Several Meetings with Key Stakeholders determine caseload, referral source and resources required. Biopsychosocial assessment, physical exam, chart review, previous investigations. Analysis of the history presented & findings – arrive at a provisional diagnosis. Patient presented to the Anaesthetist – plan of care finalised.

10. 20 Patients Since January 2012 seeing 3 patients per clinic 1 routine and 2 urgent patients 7 DNAs 9 Patients had a procedure or series of procedures 3 Patients MRIs ordered 1 Patient discharged 3 Patients referred to Physiotherapy

12. Deirdre OGara CNS Pain Control Sligo General Hospital (SGH) Thank you for listening Deirdre O Gara CNS Pain Management Sligo General Hospital