Tears before bedtime under The National Strategic Action Plan for Pain Management?

Painaustralia says of itself that it is “Australia’s leading pain advocacy body working to improve the quality of life of people living with pain, their families and carers, and to minimise the social and economic burden of pain on individuals and the community”.

On 11 June 2019 it released a copy of The National Strategic Action Plan for Pain Management having convinced the Morrison Coalition Government that this plan is the bee knees when it comes to pain management.

If the following article is anything to go by it will be tears before bedtime for many chronic pain suffers as the plan does not contain any mention of actually increasing the number pain specialists practicing in Australia or of attempting to lower wait times to see such specialists.

Currently NSW Health only lists 35 pain management services in the state and most of these are attached to metropolitan public hospitals.

Instead people experiencing acute and chronic pain are to be offered 10 Medicare-funded group services and 10 individual services each calendar year, with access to telehealth pain management advice for regional areas where pain management services are not available.

As for pain management using prescribed medications – that is apparently going to be more difficult to access as Painaustralia and the Morrison Government are alarmed that opiate prescriptions in rural & regional Australia have risen in the last ten years. 

Seemingly conveniently blind to any relationship between increased prescribing and low GP numbers, smaller often poorly resourced public hospitals, a reliance on what might be termed 'flyin-flyout' medical specialists who prefer not to live in those rural or regional areas their patients inhabit and the economic tyranny of distance for the patient.

The Daily Examiner, 18 June 2019, p.8:

Doctors will be sent back to school to be re-educated about treating chronic pain and patients given a Medicare boost under a new national strategy.

The first national pain strategy launching today also calls for a national one-stop website to be set up to educate people about how to manage pain without drugs and where to find help.

“There is a screaming need here because pain is a significant burden on the economy, on society and the health system,” Pain Australia chief executive Carol Bennett said.

More than 3.24 million Australians are living with chronic pain and many are becoming addicted to opioid medications while they wait up to four years to see a pain specialist for help.

Last year Australians paid $2.7 billion in out-of-pocket expenses to manage their pain and missed 9.9 million days of work because of the condition.

The new strategy funded by the Federal Government and developed by Pain Australia wants pain to be treated in the same way as mental health, with Medicare funding up to 20 medical and group sessions to help people get it under control. It also calls for a new certificate in pain medicine for GPs and other health professionals that would require six months of study.

The consultation work that took place around the development of the new plan found doctors’ knowledge about the latest pain management techniques was out of date.

“For lower back pain people are popping pills and having surgery but for the last 15 years we’ve known you’ve got to get moving and rehabilitate yourself with physical management,” Ms Bennett said.

Anti-inflammatory medications should not be used for more than a few days and long-term strengthening of the muscles, good nutrition and sleep were the key to treating the problem rather than drugs, she said.

Instead of helping patients manage pain in this way, doctors were prescribing increasing amounts of dangerous and addictive opioid medicines.