{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T18:47:33Z","timestamp":1776624453448,"version":"3.51.2"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,9,11]],"date-time":"2017-09-11T00:00:00Z","timestamp":1505088000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    The organisational state of inpatient pain management in\n                    <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\n                    hospitals is difficult to determine. We sent an electronic questionnaire to 209 acute pain service leads throughout the\n                    <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\n                    . Questions were about staffing and service provision. We received 141 responses (67%); 47% of all\n                    <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\n                    hospitals. Each service was responsible for a median (\n                    <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>\n                    [range]) of 566 (400\u2013839 [120\u20132800]) beds. Each acute pain specialist nurse was responsible for 299 (238\u2013534 [70\u20131923]) beds. The mean (\n                    <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                    ) number of consultant hours per week was 5.54 (4.62), delivered by a median of 1.0 (1.0\u20132.5 [0.2\u20137.0]) consultant. Overnight cover was provided by 20 (15%) acute pain services, and weekend cover by 39 (29%). Acute pain services commonly (in 50 (35%) hospitals) had roles in addition to acute pain management. Most teams (105, (77%)) reviewed medical patients and patients with chronic pain (in 131, (96%) teams). Half of the services (56, (49%)), reported that they were part of an integrated acute and chronic pain service, however, 83 (59%) did not have any members who work in chronic pain clinics. The majority (79, (70%)) were able to access a nominated chronic pain consultant for advice. Provision of acute pain services throughout the\n                    <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\n                    is highly variable. The majority do not meet core\n                    <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\n                    standards.\n                  <\/jats:p>","DOI":"10.1111\/anae.14007","type":"journal-article","created":{"date-parts":[[2017,9,11]],"date-time":"2017-09-11T01:45:15Z","timestamp":1505094315000},"page":"1237-1242","source":"Crossref","is-referenced-by-count":32,"title":["A survey of acute pain services in the UK"],"prefix":"10.1111","volume":"72","author":[{"given":"M.","family":"Rockett","sequence":"first","affiliation":[{"name":"Department of Anaesthesia Critical Care and Pain Medicine Derriford Hospital Plymouth UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Vanstone","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Critical Care and Pain Medicine Derriford Hospital Plymouth UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Chand","sequence":"additional","affiliation":[{"name":"Faculty of Pain Medicine Royal College of Anaesthetists London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Waeland","sequence":"additional","affiliation":[{"name":"Faculty of Pain Medicine Royal College of Anaesthetists London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,11]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Report of the working party on pain after surgery","author":"Royal College of Surgeons of England, College of Anaesthetists"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1996.tb13638.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeh130"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/pme.12284"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1213\/ANE.0b013e3181ed1317","article-title":"The costs and benefits of extending the role of the acute pain service on clinical outcomes after major elective surgery","volume":"111","author":"Lee A","year":"2010","journal-title":"Anesthesia and Analgesia"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2003.06.002"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200211000-00049"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.1998.00343.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aen300"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1185\/03007995.2013.860019"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew381"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(80)90013-5"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aep066"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S026502150500205X"},{"key":"e_1_2_6_16_1","first-page":"865","article-title":"Quality improvement in postoperative pain management: results from the QUIPS project","volume":"105","author":"Meissner W","year":"2008","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1366-0071(00)80002-9"},{"key":"e_1_2_6_18_1","unstructured":"Faculty of Pain Medicine.Core Standards for Pain Management Services in the UK.2015.www.rcoa.ac.uk\/document-store\/core-standards-pain-management-services-the-uk(accessed 27\/04\/2017)."},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.311.7001.360"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.2008.080194"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.812"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2012.02662.x"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.305.6863.1187"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/934932"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0952-8180(01)00268-9"},{"key":"e_1_2_6_26_1","unstructured":"Guidance document published collaboratively with the Association for Palliative Medicine of Great Britain and Ireland Consultant Nurse in Palliative Care Reference Group Marie Curie Cancer Care National Council for Palliative Care and Palliative Care Section\u00a0of the Royal Society of Medicine London UK. 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