Resources for Secure Environments

Public Health England. Managing persistent pain in secure settings. 2013

This resource aims to support healthcare professionals treating persistent pain in secure environments. It provides an overview of evidence based best practice and suggestions for context-specific implementation.

NHS England resources

• Pain Management Formulary for Prisons: The formulary for acute, persistent and neuropathic pain. Second Edition: October 2017 
• Implementation guide: December 2015

There are two parts to this resource. The formulary provides a list of recommended medicines along with advice and clinical guidance links and the implementation guide covers scope and use of the formulary, prescribing and reviewing pain medicines in prison, self-management and optimising patient safety.

Opioids Aware

This resource is for patients and healthcare professionals. It was produced by the Faculty of Pain Medicine of the Royal College of Anaesthetists in collaboration with PHE. It has five key messages which cover when opioids are useful (acute pain and end of life), when their benefit is limited (persistent pain), the increased risks of high dose opioids (equivalent to >120mg/d oral morphine), when to stop opioids and the importance of collaboration and planning when tapering and stopping.

Pain in Secure Environments Course

This is a one-day course run by the Faculty of Pain Medicine and endorsed by Public Health England. It has been developed to meet the workforce training requirements for healthcare professionals working within Secure Environments.

NICE guideline [NG193]

Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain (April 2021)

This guideline covers assessing all chronic pain (chronic primary pain, chronic secondary pain, or both) and managing chronic primary pain in people aged 16 years and over.

Chronic Pain in Children and Young People (RCGP) This course aims to equip the GP with knowledge about the causes and management of chronic pain in children. It will explore the impact and appropriate assessment of pain in children up to the age of 18 and the role the GP plays in the multi-disciplinary team.