1. 1 Gitte Handberg Consultant, leader of Multidisciplinary Pain Clinic Odense University Hospital Gitte.Handberg@ouh.regionsyddanmark.dk Telefon: +45 65413869 Representative of the Danish Pain Society - IASP-Charter Denmark

2. 2 Denmark

3. 3 Staff: Doctors Nurses Psychologists Social workers Physiotherapists Secretaries 2012: 700 new patients 6000 consultations 4000 telephone consultations 12 group treatment courses Waiting period of 9 months Multidisciplinary Pain Clinic Odense University Hospital

4. 4 Addressing the Societal Impact of Pain in Denmark Issues: 1) SIP- Denmark meeting yesterday 2) Visitation of patients referred to multidisciplinary pain treatment

5. 5 Issue 1 SIP- Denmark meeting: Hosted by the Chronic Pain Patient Organisation 80 audiences - politicians, officials, pain patients and professionels

6. 6 Program 29. of may 4 hours program – 1p.m till 5 p.m Issues from Road Map for Action: Burden for the patient and her family Pain that just goes on and on – what is it Burden for society Difficulties in social clarification of chronic pain patients Pointing out lack of knowledge in generel The general practitioners role in future setting The role of the nurse in primary care in future setting

7. 7 Panel discussion One member from the Danish Parliament A patient with chronic pain A GP A consultant from a multidisciplinary clinic (not me )

8. 8 Conclusions Decision to prepare for a political hearing Decision to establish a working group to prepare for a national action plan

9. 9 Visitation of patients referred to multidisciplinary pain treatment Experience from my everyday practices Issue 2

10. 10 Hand in hand More focus and more willingness: A larger capacity and A qualified visitation

11. 11 Larger capacity: 1 million Danes with chronic pain 80 % 10 % Standard distribution of patients in healthcare GP GP and pain specialists Pain specialists

12. 12 A qualified visitation: Visitation Monodisciplinary treatment Multidisciplinary treatment Partnership with GP

13. 13 The visitation Conducted by a pain specialist now nurses – autumn 2012 doctors 2 to 4 weeks after referral – 30 minutes 10 % do not turn up – one new chance 10 % gets a good advice for her GP – doctor to doctor contact/partnership

14. 14 Visitation Multidisciplinary treatment: Pain severe enough to disrupt daily life No more diagnostic evaluation and treatment Sleep disturbances Anxiety and depression Compromised labor market attachment Willingness to participate in bio-psykosocial treatment

15. 15 How to cut the cake Pain One problem – one toolno problem Many problems – many general toolsbig problem Sleep sleep disturbances, other Depression Existential problems Anxiety existential problems Family problems dysfunctional family

16. 16 In summary: Positive results – 80 % of treatment plans are implemented Well informed and motivated patients Less than 2 % absentees

17. 17 - together we are strong!

18. 18 Thank you