The Pain Management Plan a cognitive behavioural approach supporting self-management of chronic pain



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The Pain Management Plan

A cognitive behavioural approach supporting self-management of chronic pain



SIGN Guideline 136 Management of Chronic Pain

Key Recommendation 2.2 Supported Self Management

Healthcare professionals should signpost patients to self help resources, identified and recommended by local pain services as a useful aide at any point throughout the patient journey. Self management may be used from an early stage of a pain condition through to use as part of a long term management strategy. http://www.sign.ac.uk/pdf/SIGN136.pdf

The Pain Management Plan is a cognitive behavioural workbook based programme that enables people with pain gain self management knowledge, skills and resources. The programme is used in face to face or telephone, e-mail resource or in self management groups. It evolved from evidence base of Professor Bob Lewin, while at the Health Sciences Rehabilitation Unit at York University. He developed effective cardiac rehabilitation programmes and a similar approach is used in this resource.


This Pain Management Plan programme was commissioned by Dr Frances Cole for NHS Bradford + Airedale in 2009 so more people with pain can access cognitive behavioural approaches to self management. It includes a CD based relaxation programme and both these resources are available from www.pain-management-plan.co.uk
Evidence from patient reported outcomes. Bradford Teaching Hospitals Pain Rehabilitation Service, Birmingham Community Healthcare Pain Service and Gloucester and Herefordshire Pain Management Programme Services, evaluated this workbook programme in 2010.

Evaluation has found that the Pain Plan workbook plus support in skills training is favourably received by 80% of patients. Four – six sessions seems sufficient for most patients to achieve significant increase in self efficacy and reduction in pain related disability. Dropout rate appears small and linked to life issue problems.

Trained practitioners enjoy using the Pain Management Plan and find it motivates patients to engage in self management. It improves their clinical contact time efficiently and effectively.
Where does it fit in a pathway? The Pain Management Plan is designed for Tier 2/3 patients in and can be delivered in both clinical and non-clinical settings including patients’ homes
One full day training courses are provided for a wide range of pain management clinicians working with patients with long term pain.

Two day training programme for Health Care Practitioners without skills in pain management.

Bespoke training programmes can be arranged for whole services or teams – please ask for further details
Training is lead by clinicians who have developed, used and evaluated the resource. This enables faster implementation, evaluation and effective delivery by clinicians in a multitude of settings.
Over four hundred practitioners have now been trained and The Pain Management Plan is being used in multitude of settings from IAPT services to community and specialist pain services.

A new and leading approach in treating chronic pain. The PMP book not only helps guide patients, but helps guide therapists with a thorough approach/plan to treating this client group” (participant June 2013)



Pain Plan Training Programme Dates

Wednesday 9th September 2015 – Fentham Meeting Room, Fentham Hall, Marsh Lane, Hampton-in-Arden, Solihull, B92 0AH

Aim of the workshop: to provide clinicians with the skills to facilitate and evaluate the use of the Pain Management Plan with individuals with long term pain.
The training objectives covered in the workshop are:

  • Theory and evidence for the use of the Pain Plan in everyday clinical practice

  • Role of this person centred resource in a care pathway to address pain related health needs using a health needs assessment tool.

  • Practical guidance on patients who benefit from the use in the Pain Plan

  • Delivery methods and settings where the resource can be used

  • Practice in “Hands on use” of workbook to ensure effective use of clinical time

  • Recording session contacts, sharing outcome progress with patients to enhance adherence

  • Pitfalls and managing difficulties promptly

  • Training package includes database /evaluation of Patient Reported Outcomes Measures

Training focuses on the practical application of the Pain Plan with key notes / handbook and guidance to enhance clinician’s confidence in its use with a range of patients. The workshop is designed for health and social care professionals (physio/nurse/OT/psychologist/IAPT/ medical staff) who already work with people with long term pain and have a good understanding of pain physiology, the nature of chronic pain, and CBT approaches. Less experienced HCP should attend the 2 day training programme –the next available programme is on Friday 2nd & Saturday 3rd October 2015 at the same venue


Workshop Leaders: Training is led by key clinicians who developed and evaluated the programme.

Training duration: 1 full day: 09.00 – 16.30. Lunch and refreshments provided

Costs: £165 (early bird until 1st August £145).

For further details please email: info@enablingselfcare.com

Host coordinators: Dr Frances Cole frcole60@gmail.com 07885 719007

Eve Jenner evejenner.painphysio@gmail.com 07450 32346
Very empathic to patient individuality - I was expecting a medical style but was pleasantly surprised”

(participant March 2015)

Excellent standard of teaching, very professional, knowledgeable and passionate



(participant March 2015)

Booking Form – 1 day training 09.00-16.30

Wednesday 9th September 2015 – Fentham Meeting Room, Fentham Hall, Marsh Lane, Hampton-in-Arden, Solihull, B92 0AH

Title and Name:

Work Address: (essential)

Position held at work: Professional Registration number:

Contact e-mail: (essential)

Contact day time phone numbers: (essential)

Dietary requirements: Vegetarian [ ] Other [ ] Details please

Price: £165.00 (£145 for applications before 1st August 2015)

Cost inclusive of all materials (including the Pain Management Plan Workbook) lunch and refreshments

PAYMENT DETAILS: Either: BACS payment as follows

Dr F Cole Account Number 08-91-04; Sort Code 02131168 Reference Pain Plan 2013

The Cooperative Bank, PO Box 1 Balloon Street, Manchester M60 1GP

Or: Cheques payable to: Dr F Cole

c/o Enabling Self Care, The Orchards, Walsal End Lane, Hampton-in-Arden, Solihull, B92 0HU



Cancellation guidance: if cancelled < 48 hours before training day, then NO refund. If cancelled prior to 48 hours then £80.00 will be charged to cover costs. NO attendance without full payment prior to workshop.

Please note: This workshop is for clinicians currently working in pain management services and /or have experience of working with regularly with people long term pain. Less experienced clinicians please consider attendance at 2 day workshop Friday 2nd & Saturday 3rd October same venue

To reserve your place please e-mail the booking form to: info@enablingselfcare.com



Pain Plan Workshops frcole60@gmail.com



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