Primary Care Pain Service

Our Pain Service

Chronic pain affects up to 50% of the UK (BMJ, 2019) and persistent musculoskeletal pain takes up to 30% of a GP’s caseload (HEE, 2020).

Our primary care pain service supports patients to be confident in their self-management, reduce their dependency on medication and health services and enhance their quality of life. Each whole time equivalent role in our service could save up to 1,900 GP consultations per year.

Additional Roles Reimbursement Scheme (ARRS) funding can be ultilised to fully fund this programme.

Our Focus

  • Reduce the burden on GPs and primary care.
  • Reduce dependency on opioids and high-dose analgesia.
  • Linked to local services and resources integrating and utilising ARRS in an MDT approach.​
  • De-medicalise and improve quality of life with supported self-management strategies.
  • Providing an easily accessible service for all patients.
  • Delivering a bespoke service consistent with 2021 NICE guidelines.
  • Direct access to experienced healthcare professionals specifically trained in pain management.
  • Person-centred approach by building a social and psychological background, utilising relevant outcome measures.

Patient Specific Modules

Patients work on key areas identified in their initial assessment as well as gaining knowledge on effective pain management.

These modules include:

  • Pain education and explanation
  • Emotional wellbeing
  • Lifestyle advice
  • Fatigue advice
  • Social wellbeing
  • Employment rehab
  • Physical activity
  • Behaviour change
  • Long Covid recovery

Why Rehab Direct?


Specialist pain management practitioners.


30+ years in primary care pain management.


Integrated digital platforms and innovative delivery.


Working with PCNs and universities to optimise patient support.

Weekly Breakdown

Understand more about each step of the digital primary care pain service programme.

Patient Needs Assessment (week 1)

A pain management physiotherapist and patient will complete the initial assessment. Through shared decision making, they agree individual goals and set the specific content of the programme.

Pain Education Module (week 2)

All patients will complete this module. It is designed to encourage patients to view their pain differently and develop the best approach to manage their pain.

Modules & Follow up Calls (week 3-8)

The patient and health and wellbeing coach (HWC) will work on the selected modules together using coaching principles in line with Health Education England and the Institute of Personalised Care.

Re-assessment (Week 10)

On completion of the modules, the patient and physiotherapist will organise a meeting to discuss their progress and long term goals. The patient will then be given time to self-manage.

Check in call (Week 12)

This will be conducted by the HWC to check in and discuss how the patient has been managing, with a view to leave the patient for a further 4 weeks self-managing​.

Discharge call (Week 16)

The patient will have one last check in with the HWC before they are formally discharged from the programme. ​The patient will have ongoing access to the digital resources.

Working in Partnership

Pain Physiotherapist

Specialist pain management physios to explain pain, restore function and reduce disability.

Health & Wellbeing Coach (HWC)

Promoting independence and positivity.

Social Prescriber

Providing signposting to a range of local services and facilities.


Our service can manage the psychological aspects of persistent pain. Entrenched mental health needs may require additional support.


To review medication reviews and plans.

Pain Booklets

Pain Specification Booklet

More in-depth understanding of the pain service.

Pain Introduction Booklet

View our online booklet to learn more about our pain service.

Rehab Direct Brochure

An overview of Rehab Direct and the services we offer.

Patient Feedback

I feel much more confident to better manage my flare-ups thanks to all of the useful tools I was given in the pain service.

-April 2021

I am more in control and can really live life now as opposed to being in constant pain and worrying about what the future holds.

-May 2021

The programme has allowed me to pursue my hobbies again without the fear of lasting pain. Thank you for your help Rehab Direct.

-Dec 2020

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