Team based at Royal Manchester Children's Hospital offers both
acute and chronic pain management services:
Service was established in 1994 to improve the management of pain
in children having major operations that required infusions of pain
relieving medications. Since then the service has expanded
and moved into all areas of acute pain
management including oncology and medicine. For short painful
procedures we can offer techniques such as Entonox therapy and
Education is paramount therefore we provide pain
management support and training to colleagues around the
Team sees approximately 1600 patients per year. This includes
children with pain related to injuries, operations, tests,
procedures and medical conditions.
Acute Pain -
all the children in RMCH who are on infusions or epidurals for pain
control due to a medical condition, operation or accident. These
include continuous IV Morphine Infusions and/or Ketamine Infusions.
We also review in patients who are in acute pain and offer advice
regarding simple analgesia and when to step-up to stronger pain
- Outpatient Clinic
Colovic runs a Chronic Pain Clinic in outpatients once a
week. This is a limited and
non-funded service therefore waiting times for appointments can be
up to 5 months.Patients are seen
on a referral basis only using the following
- The patient is under 16 years of
- The patient must have had complex/chronic pain that has
lasted longer than 12 weeks.
- All referrals must be made by the patient's Lead
- Referrals will not be accepted from any other
- Please send a referral letter marked "For the attention
of Dr Colovic, Consultant Paediatric Anaesthetist, Department of
Paediatric Anaesthesia, RMCH".
- A referral may be faxed to 14875 (Internal) or 0161 701
- The referral letter should include the patient's details,
current analgesia and a detailed history including investigations
- All referral letters will be reviewed by Dr Colovic and a
decision will then be made whether to follow the patient up in the
Chronic Pain Clinic.
information related to the Chronic Pain Service please refer to our
leaflets in the related media section.
Manchester Children's Hospital
members of the Pain Team work approximately from 07.30 to 17.00
Monday - Friday. After 17.00 and at weekends the on-call
anaesthetist deals with the pain management of patients.
Office 0161 701 5626
Chronic Pain enquiries including appointments please contact the
secretary Paula Gardner on 0161 701 1263 or email
assessment tools to determine your child's level of pain. For
children who can self-report their pain we have the Faces/Ladder
scale which allows the child to score their pain by pointing to one
of the faces or the number ladder scale. For those children who are
unable to self-report their pain the nursing staff use the FLACC
behavioural observational scale. Copies of our pain assessment
tools can be accessed via related media.
introduced the 'Paediatric Pain Profile' which is a 20
item behaviour rating scale designed to assess pain in children
with neurological impairment. This tool can be used for children
with autism and very complex health needs. If your child is coming
into hospital for an operation then please feel free to print off a
copy of the Paediatric Pain Profile and complete the baseline
assessments prior to coming into hospital.
Davandra Patel- Consultant
Anaesthesia & Lead for the Acute Pain Team
Vesna Colovic - Consultant Anaesthetist &
Lead for the Chronic Pain Team
Jan Owen - Consultant Anaesthetist
Tanya Howell - Consultant
Sister Dorothy Duckworth - Lead Practitioner
& Chronic Pain Nurse Specialist
Sister Claire O'Donnell - Clinical Nurse
Sister Frances Harrison - Clinical Nurse
Paula Gardner - Chronic Pain