The focus of the HIT was on promoting a fully integrated, multidisciplinary, life span clinical service for people with CP. It brought together senior clinicians, researchers, local and national health commissioners, and service users across Bristol and Bath. This HIT has always greatly benefited from the multidisciplinary research programmes and international expertise in the management of CP that our members provide.
The first five years of the HIT were focused on ensuring these resources were directly integrated into our clinical services to support improvements in performance, productivity and efficiency in the management of CP. An interdisciplinary training programme, delivered via face to face events, shared best practice to improve the uniformity of clinical services and to train the next generation of outstanding clinicians who deliver our pain services. Included within this programme of work was a specific 18-month project to improve the delivery model of the pain pathway by improving the integration between primary and secondary care providers across the Bristol Health Partners’ region. This work was part of the wider redesign of musculoskeletal services by Healthier Together - the Bristol, North Somerset and South Gloucestershire Sustainability and Transformation Partnership (BNSSG STP). This latter piece of work is still ongoing.
In 2019 there was a brief suspension of HIT activities due to changes in the leadership, and in October 2019 Prof Candy McCabe took over as the new Director. This change in leadership provided a timely opportunity to review and ‘refresh’ the work of the HIT and develop a new three-year strategy that builds upon the HIT’s achievements to date.
Consistent with these changes the name of the HIT has been modified and simplified to Chronic Pain Health Integration Team. Other personnel changes included the appointment of a new HIT Project Manager and HIT Administrator. These personnel have been key in the drafting and finalisation of the new strategy and will support its delivery over the next three years.