The Enfield Pain Service is an extension of the existing Enfield Community MSK Physiotherapy service led by North Middlesex University Hospital Trust.

It is comprised of experienced specialist pain management consultants from Royal Free London Hospital and North Middlesex University Hospital, physiotherapists, psychologists and specialist nurses.

Eligibility Criteria

Inclusions

The service is available to patients registered with an Enfield GP with the following conditions:

• all arthralgia, myalgia (small and large joint, soft tissue, muscular pain) 
• spinal / back pain
• mechanical arthritis (e.g. Osteoarthritis) 
• chronic regional or widespread MSK pain (e.g. Fibromyalgia, hypermobility)
• patients to have undergone standard physiotherapy programmes, where appropriate.

Please refer patients who:

• are needing support to manage a long-term pain condition.
• are open to developing skills to manage pain.
• appear suitable for injection therapy alongside holistic approaches
• are over 18 years old, unless 17 years old and has not been treated in the paediatric service for the same condition. 

Exclusions

Patients meeting any of the below criteria are excluded from the scope of this service;

• red Flags/2WW
• discharged from the pain service in the last 6 months, for the same problem unless they are now willing to engage.
• patients who do not have a suspected musculoskeletal condition [ie not pelvic/vulval, abdo pain, diabetic or other neuropathy, lymphoedema.
• sever and/or unmanaged mental illness, PTSD, anxiety and depression that is not pain or health related, active suicide risk, or unmanaged complex psychological problems not related to pain
• under the age of 18  
• patients not registered with a GP in Enfield (unless an NCA (non-contractual agreement) is in place) NHS England Prescribed Specialist Commissioning Services.
• patients requiring home visits.

How to Refer

Once referral has been received, it will be triaged and directed to the most appropriate service in Enfield MSK (see Downloads for a guide).

Locations

Chase Farm hospital