ESCAPE-Pain is a group-based, six week rehabilitation programme which combines exercise and education to help patients manage chronic joint pain using exercise and coping techniques. The programme is endorsed by the National Institute for Health and Care Excellence, and has received Best Practice Awards from the British Society of Rheumatology and Royal Society of Public Health.

The programme, which is running at over 30 sites across England, can be provided in physiotherapy departments, the community and places of work, and lessons can also be accessed via an app that is free to download. Commissioning of self-management and rehabilitation programmes, such as ESCAPE-Pain, is a local matter.

Health is a devolved matter, and decisions about use of the ESCAPE-Pain programme in Wales, Northern Ireland and Scotland would be a matter for the devolved administrations of those countries.

ESCAPE-Pain is a group-based, six week rehabilitation programme which combines exercise and education to help patients manage chronic joint pain using exercise and coping techniques. The programme is endorsed by the National Institute for Health and Care Excellence, and has received Best Practice Awards from the British Society of Rheumatology and Royal Society of Public Health.

The programme, which is running at over 30 sites across England, can be provided in physiotherapy departments, the community and places of work, and lessons can also be accessed via an app that is free to download. Commissioning of self-management and rehabilitation programmes, such as ESCAPE-Pain, is a local matter.

Health is a devolved matter, and decisions about use of the ESCAPE-Pain programme in Wales, Northern Ireland and Scotland would be a matter for the devolved administrations of those countries.

As with other matters of conscience, abortion is an issue on which the Government adopts a neutral stance. It is accepted Parliamentary practice that proposals for changes in the law on abortion come from back-bench members and that decisions are made on the basis of free votes.

The Department does not set clinical practice in abortion services. To support clinical practice, the Royal College of Obstetricians and Gynaecologists has published evidence based guidelines, ‘Fetal Awareness: Review of Research and Recommendations for Practice’, which can be viewed at:

https://www.rcog.org.uk/en/guidelines-research-services/guidelines/fetal-awareness---review-of-research-and-recommendations-for-practice/

Health is a devolved matter, and no discussions have taken place between ministers and the devolved administrations of Wales, Northern Ireland and Scotland about the Escape Pain programme.

Escape Pain is a group-based, six week rehabilitation programme which combines exercise and education to help patients manage chronic joint pain using exercise and coping techniques. The programme is endorsed by the National Institute for Health and Care Excellence, and has received Best Practice Awards from the British Society of Rheumatology and Royal Society of Public Health.

The programme, which is running at over 30 sites across England, can be provided in physiotherapy departments, the community and places of work, and lessons can also be accessed via an app that is free to download.

Health is a devolved matter, and no discussions have taken place between ministers and the devolved administrations of Wales, Northern Ireland and Scotland about the Escape Pain programme.

Escape Pain is a group-based, six week rehabilitation programme which combines exercise and education to help patients manage chronic joint pain using exercise and coping techniques. The programme is endorsed by the National Institute for Health and Care Excellence, and has received Best Practice Awards from the British Society of Rheumatology and Royal Society of Public Health.

The programme, which is running at over 30 sites across England, can be provided in physiotherapy departments, the community and places of work, and lessons can also be accessed via an app that is free to download.

The information requested is in the attached tables.

NHS England is committed to transforming cancer services across the country and ensuring every patient has access to the care and treatment they need. The management of pain through drugs such as fentanyl is a clinical decision and should be considered on an individual basis, in line with patients’ clinical needs and in line with guidance from the National Institute for Health and Care Excellence.

This information is not held centrally.

Data on the number of people diagnosed with chronic stomach pains is not collected.

The Department funds the National Institute for Health Research (NIHR) to improve the health and wealth of the nation. NIHR is a comprehensive health and social care research system which funds high quality early translational, clinical and applied research to improve health; trains and supports health researchers; provides world class research facilities; works with the life sciences industries and charities to benefit all; and involves patients and the public at every step. The Department has not commissioned research on foetal pain through the NIHR in the last three years.

The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.

It is important that patients with the most serious pain management issues are able to access specialist care. In such circumstances a patient may be referred to a specialised pain management service where they can be cared for by an expert multidisciplinary team, access specialised pain management programmes and receive more complex drug treatments. Such services are commissioned nationally by NHS England as part of its remit to deliver specialised services.

To support clinicians in the management of pain, the National Institute for Health and Care Excellence has published several clinical guidelines on the treatment and management of different types of pain, such as migraine, back pain and neuropathic pain, as well as technical guidance on specific treatments, such as the use of opiates in palliative care and deep brain stimulation for chronic pain.