01What we measure
Five instruments, used the same way every time
Each one answers a different question. Together they stop a treatment being called a success because the appointment felt reassuring.
Brief Pain Inventory
Pain at its worst, least and average over the last week, plus the seven areas of life it interferes with.
When
At the first consultation, then at six weeks and six months.
Why it earns its place
Separates pain intensity from pain interference. A treatment that leaves the number unchanged but returns your sleep is still a success, and this is how we see that.
Pain Self-Efficacy Questionnaire
Ten statements about what you believe you can still do while the pain is present.
When
First consultation and at each review.
Why it earns its place
Confidence predicts function better than pain scores do. A falling score tells us to weight rehabilitation and psychology over another injection.
Procedure response diary
Hourly pain scores for the first eight hours after a diagnostic block, then daily for two weeks.
When
Handed out at every diagnostic or therapeutic injection.
Why it earns its place
A block is a question. The diary is the answer, and it decides whether the next step is radiofrequency, a different target, or stopping.
Medication ledger
Total daily dose of each analgesic, converted to oral morphine equivalent where relevant.
When
Reviewed at every appointment and written into the GP letter.
Why it earns its place
Reducing the dose while holding function is an outcome in its own right — and the one most likely to be missed if nobody writes it down.
Return-to-what-matters note
One sentence you write yourself at the first visit: the thing you want back.
When
Read back at every review until it is answered.
Why it earns its place
Questionnaires drift towards what is easy to score. This keeps the plan pointed at the reason you came.
02Safety
Six rules that do not bend
These apply to every patient and every list, and they are the things to ask any pain clinic about — not only this one.
01
Image guidance for every injection
No spinal or joint injection is performed without fluoroscopic or ultrasound guidance and a documented image in your record.
02
Consent taken before the day, not on the trolley
Risks, alternatives and the option of doing nothing are discussed at the consultation, in writing, with time to change your mind.
03
Every procedure logged and reviewed
Indication, target, drug, dose, guidance method and complications are recorded for every case, and the log is reviewed as a set, not case by case.
04
Stopping rules stated in advance
Each treatment has an agreed point at which we call it unhelpful and change course. Repeating a procedure that did not work is not a plan.
05
Correspondence within one week
Your GP and referrer receive a letter with the assessment, the plan and the medication changes — and you receive a copy of the same letter.
06
Complaints answered by a clinician
Concerns are acknowledged within two working days and answered by the treating clinician, not by a template.
03Standards
The frameworks this clinic is held to
GMC
General Medical Council
Specialist registration and revalidation. Registration numbers are published on the About page.
FPM
Faculty of Pain Medicine
Core Standards for Pain Management Services in the UK inform how this clinic assesses, consents and reviews.
NICE
NG193 chronic pain
Guidance on chronic primary pain shapes what we offer, and what we decline to offer.
CQC
Care Quality Commission
Registration details for the treating site.
To confirm
BPS
British Pain Society
Society membership.
To confirm
Marks are set in type rather than reproduced as logos. Nothing here is a claim of endorsement: where a registration or membership is still to be evidenced by the practice, it says so.
04Not yet published
What is missing from this page, and why
Most clinics quote a success rate with no denominator. We would rather leave the space empty until the audit exists — and tell you exactly what will fill it.
Response rates by procedure
Awaiting auditProportion of patients reporting a meaningful reduction at six weeks, per procedure, with the denominator shown.
Complication rate
Awaiting auditAll recorded complications over a rolling twelve months, including the minor ones.
Median wait to first appointment
Awaiting auditRoutine and expedited, refreshed monthly rather than quoted once.
Patient stories
Awaiting auditPublished only with written consent, in the patient's own words, and never edited into an advertisement.
Our rule on patient stories
No story appears here without written consent, and no story is trimmed until it sounds like an advertisement. Where a person agrees to be quoted, their words stand as written, including the parts where treatment only partly helped.
Read what treatment actually involves on the procedures pages.
What we charge, and what cover usually applies, is on fees & cover.
05Begin
Ask us the awkward question
How many of these have you done, what happens if it does not work, and when would you tell me to stop? Bring them to the first appointment.
Visit
Level 2, 48 Macquarie StreetSydney, NSW 2000Response
Enquiries are answered within one to two business days. Urgent clinical matters are triaged the same day by the practice team.