Health services

Tender description

Lincolnshire CCGs are considering procuring a community based pain management service. The aim of the service is patients self-managing in primary care. A key objective will be to assess and treat patients within a multidisciplinary model; having access to a range of disciplines and high quality interventions that can deal with the physical, psychological, social and behavioural needs of patients with chronic pain. We expect development of a local network for managing patients with chronic pain. Initially the focus will be MSK conditions (including neurological) with a view to expanding the service beyond MSK Neurological conditions. In 15/16 the 4 CCGs coded the following Pain Management activity: — 3 355 admissions, — Delivered 15 047 outpatient appointments with 8 556 pain management procedures, — 3 127 inpatient appointments, — Prescribed 276 159 opioids, — Prescribed (excluding Opioid analgesics) 3.4m items. We are looking for ideas on what should / could be delivered in the community. Lincolnshire is a large, sparsely populated rural county with an estimated population of 731 500 in 2014. The county has a diverse geography with large rural and agricultural areas, few urban areas, poor traffic infrastructure, many market towns and villages, including a long eastern coastline. There is seasonal fluctuation in population and employment. 15.8 % of the Lincolnshire population are aged 0-14 years compared with 17.3 % in England overall, 9.9 % are aged 75 years or over, compared with 7.8 % in England overall. The population is estimated to increase by varying amounts in each CCG by 2034: — Lincolnshire East is expected to grow 12.67 %, — Lincolnshire West is expected to grow 10.65 %, — South Lincolnshire is expected to grow 16 %, — South West Lincolnshire is expected to grow by 13.71 %.