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15 November 2023


The Royal College of Anaesthetists London & Online

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6 Points Accredited


Early Bird

Please join us for the 2nd Annual Prescribing in Pain Symposium

About Non-Medical Prescribing Updates for Pain in Advanced Practice


This event is the collaborative vision of several professional organisations  all committed to improving education for Pain Management. The aims are practical learning outcomes which can be used to enhance patient care and treatment.


This one-day specialist event is for any clinician that assesses and managed pain in the pre-hospital, hospital or primary care setting.


You don’t have to be a prescriber to learn more about holistic pain assessment,  managing pain across the age spectrum or at the end of life.

Attendance at this symposium cane be used for reflection for all clinicians to use for revalidation.  Non-Medical Prescribers can use this event to fulfil the requirement to demonstrate ongoing CPD by updating their qualification annually.


Who Should Attend?


​Any clinician who assesses and manages pain

This includes non-medical prescribers; nurses, midwives, pharmacists, paramedics, physiotherapists and other AHPs

Aspirant non-medical prescribers

PIPS is a not for profit event.

The Association for Prescribers provides solidarity, education and support for effective prescribing. Helping prescribers reach their full potential. Find out more online  Association For Prescriber – Supporting prescribers.


Prescribing in Pain Symposium 15 November 2023

The Programme

Please note the full programme will be published in due course, but we are pleased to share details to date.

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Prescribing in Pain Symposium

The Programme in Detail

Introduction and overview by Felicia Cox and David Rovardi  

On behalf of the British Pain Society and the Pain Nurse Network, I am delighted to be co-hosting this event with David Rovardi from the College of Paramedics. This is our first collaboration and I hope this will be a great starting point. We have worked together to provide an engaging programme for all disciplines. In addition to a general overview of pain assessment across the age spectrum we will cover some of the current prescribing and analgesia issues we see in practice.  The programme covers the evidence for various analgesic medicines (with a focus on opioid, ketamine and penthrox), and routes to prescribing & administration, plus managing pain in challenging circumstances including end of life, addiction, dependence and substance use disorder

Felicia Cox FRCN

Paediatrics - not just small adults

Pain can influence multiple aspects of the patient’s physical healthcare journey, including their adherence to the medical regimen, their experience of their illness journey and their psychological wellbeing. This session will explore the integration of the biopsychosocial model into pain management for acute pain, drawing on Cognitive Behaviour Therapy (CBT), Acceptance and Commitment Therapy (ACT) and Mindfulness models employed by psychologists to optimise the patient’s management of their pain.

Holistic Pain Assessment by Martin Galligan

The foundation of any good pain management plan starts with a strong assessment of the patient experience of pain. In this session we will be exploring the impact of pain on the individual and those around them and the steps involved in undertaking a holistic pain assessment. The holistic pain assessment will allow us to explore the total pain experience on the individual and help us identify an appropriate management plan that meets their individual needs.

Routes for prescribing & administration of analgesia medicines, David Rovardi

A brief overview of the legal mechanisms for the supply and administration of analgesics and their benefits and limitation (exemptions, patient specific directions and patient group directions). The benefits and drawbacks of different routes of analgesic administration. The ideal properties of an analgesic agent. 

Ketamine - mode of action with Dr Gillian Chumbley

This session will explain how ketamine works to prevent pain transmission by blocking the N-methyl-D-aspartate (NMDA) receptor.  This receptor is usually dormant, but can become active when pain is not controlled.  Activation of this receptor can lead to increased levels of pain and changes in the dorsal horn of the spinal cord.

Opioid Pharmacology with Dr Emma Davies

All opioids are the same’ - or are they? This session will look at the pharmacology of four opioids that are commonly used in acute and emergency care - morphine, oxycodone, fentanyl and alfentanil. What are the differences, what does that mean in practice and how do we know which one to use  and when

Penthrox with Owen Morgan & Karin Cannons

Methoxyflurane (Penthrox) is an inhalational analgesic for trauma pain. Many patients with traumatic injuries do not receive adequate analgesia or experience severe side effects from the quantity of opioids necessary to get them comfortable. Inhalational analgesics are a ‘low tech’ solution compared with parenteral opioids. The most familiar inhalational analgesic agent- nitrous oxide (Entonox) -can be problematic in the ED or trauma ward, in terms of environmental safety for bystanders, and is associated with recreational abuse.  Every acute pain practitioner will have an example of a patient who once they have the nitrous oxide in their hand will not give it up. Many of us will have seen discarded nitrous oxide cannisters in parks, night clubs, at festivals and carnivals. Nitrous oxide security, in terms of cylinders and equipment, can be a challenge in a busy clinical environment. Low-dose methoxyflurane is an inhalational analgesic that patients can administer themselves. It starts working quickly and, when used as per the manufacturer’s instructions, provides around 30 minutes of relief from severe pain with no effects on anyone other than the patient. It is compact to store securely. Karin will look at the use of methoxyflurane in the Emergency department at a district general hospital trust.  She will share her experience of getting the product available for use in the Trust; the where, when and when not to use it; how it is prescribed, how to coach the patient in effective use that protects bystanders from unwanted effects; and finally she will pose the question of use wider than the licenced indication.

Managing Pain in Challenging Situations with Dr Diane Laverty

This presentation will discuss the challenges of ambulance clinicians providing adequate and timely pain relief to palliative and end of life care patients. It will discuss the limitations they experience in the pre hospital setting, including knowledge, skills and confidence in this area of care and availability of medication, and the use of non-pharmacological interventions. 

The Provision of End of Life Pain Management

The session is joint with Dr Di Laverty from LAS  and in addition to what Di has said  we will describe the differences in approaches between the two countries with a real focus on the added value that the ambulance crews can bring to the patient/ carer experience by avoiding admissions at the very end of life. Supporting staff to be able to de escalate a crisis by teaching core symptom control and communication skills is pivotal to achieving the best outcomes for patients and those important to them.

Children in Acute Pain with Shrouk Messahe

The session will how to recognise pain in children, the difference between pain and distress, and the management of pain in children including non pharmacological methods.

Opioid Analgesics- A substance misuse perspective with by Dr Yasir Abbasi

This talk will look at an overview of opioid analgesic dependence (OAD) as a global issue, also looking in to the past history of marketing pharmaceutical products. It will identify those patient who are at risk of OAD and the pathway towards prescribed dependence. In the end it will summarise some key components of treatment options.

Battlefield and Emergency Department Analgesia with Dr Sophia De Maria

The aim of this session is to cover the past and present analgesic options used from the point of wounding on the battlefield and through into the deployed hospital.

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There are limited opportunities for Trade Exhibitors & Sponsors to be involved with this event.

Please download the Sponsorship Pack for full details or contact 



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