Making a referral to chronic pain clinics for general practitioners
Listed below are some guiding principles when selecting an appropriate specialist chronic pain service.
Metropolitan Sydney
- For continuity of care, patients and GPs are advised to select the nearest pain clinic to their residential address.
Patients may choose alternate clinics. GPs may recommend a specific clinic based on the type of service required or the specialty provided by the clinic eg, burns, HIV, Spinal Cord Injury, pain management implantable devices or interventions, high intensity pain management programmes, paediatric services. See Service Directory for more information.
Rural NSW
- For continuity of care, patients are advised to select the nearest pain clinic to their residential address
- Access to specialty supporting clinics in metropolitan Sydney/Newcastle may be required
- Patients may choose alternate clinics. GPs may recommend a specific clinic based on the type of service required or the specialty provided by the clinic as per examples above. See Service Directory for more information.
Children wishing to access chronic pain services
- For continuity of care, patients are advised to select the nearest pain clinic to their residential address.
- Access to specialty supporting clinics in metropolitan Sydney may be required.
- New referrals are accepted to these centres up until the 16th birthday. Once accepted, the young person will be managed by the children's service and transitioned over at an appropriate time (if still needed) to adult services by their 19th birthday.
- A small minority of children who have not yet turned 16, but are living out of home and independent may also be considered suitable for referral to an adult service.
- Some children for whom travel to a specialised children's pain service would be onerous, will be referred to their local pain service in the first instance for assessment.
Service flows
NSW Pain Services: Locations (PDF)
Children's services
Local Health District | Tier 21 Service | Tier 32 Service |
---|---|---|
Central Coast Far West (north) Mid North Coast Nepean Blue Mountains Northern NSW Northern Sydney South Eastern Sydney South Western Sydney Sydney Western NSW Western Sydney | Gosford* Lismore* Coffs Harbour* | The Children’s Hospital Westmead |
Far West (south) Illawarra Shoalhaven Murrumbidgee Southern NSW | Orange* Port Kembla* | Sydney Children’s Hospital |
Hunter New England | John Hunter Children's Services Tamworth* | The Children’s Hospital Westmead |
Notes
1. Multidisciplinary pain clinic
2. Multidisciplinary pain clinic accredited with the Faculty of Pain Medicine
* Adult regional pain clinics
Adult Service Flows
Local Health District | Tier 2 Service | Tier 3 Service |
---|---|---|
Metropolitan Service Flows | ||
Central Coast | Gosford | Royal North Shore John Hunter Hosptial |
Illawarra Shoalhaven | Port Kembla St George | Prince of Wales St Vincent’s |
Nepean Blue Mountains | Nepean | |
Northern Sydney | Greenwich | Royal North Shore |
South Eastern Sydney | Port Kembla St George | Prince of Wales St Vincent’s |
South Western Sydney | Liverpool | |
Sydney | Concord Royal Prince Alfred | |
Western Sydney | Westmead | |
Rural Service Flows | ||
Far West | Orange | Nepean Royal Prince Alfred Westmead |
Hunter New England | Tamworth | John Hunter Hospital |
Mid North Coast | Coffs Harbour | Royal North Shore |
Murrumbidgee | Concord Liverpool St Vincent’s | |
Northern NSW | Lismore | Royal North Shore |
Southern NSW | Port Kembla St George | Prince of Wales |
Western NSW | Orange | Nepean Royal Prince Alfred Westmead |