Persistent Pain Management

Conditions

Out of scope services

Not all services are funded in the Queensland public health system. The following are not routinely provided in a public Persistent Pain Management service.

• Patients who can be well managed in primary care (using appropriate guidelines where necessary).
• Previous Queensland Health Persistent Pain Management Service (PPMS) patients who have not followed management recommendations unless there are extenuating circumstances or new issues.
• Previous Queensland Health PPMS patients who have completed the pain management pathway / programs and for whom no new management approaches are available (within previous 12 months).
• Patients undergoing treatment from other specialist services for the same pain problem without mutual awareness / agreement of cross referral by both teams.
• Patients with untreated and unstable mental health conditions.
• Patients with a cognitive impairment of sufficient severity that would affect the ability to self-manage their condition unless they have a carer that is willing and able to assist with pain management recommendations.
• Patients that have unstable, non-therapeutic drug dependence without concurrent treatment by a drug and alcohol specialist.
• Patients consuming >60mg oral Morphine Equivalent Daily Dose (oMEDD) for longer than 3 months that are not already engaged in an appropriate primary care directed opioid deprescribing program (Patients with long term psychological opioid dependence are less likely to engage with non-pharmacological interventions. Please consider phoning your local PPMS for advice regarding medication optimisation or opioid deprescribing).
• Indefinite referrals are not accepted

Specialists list