No Pain Foundation recommendations

No Pain Foundation has been established to create an European non-profit organisation for the purpose of carrying out social, educational as well as research activities in the field of pain management and pain therapies. All their activities are aimed at improving quality of life of people suffering from chronic pain by raising doctors and citizens’ awareness on chronic pain issue, supporting patients and research. 

The No Pain Foundation recommendations read as follows:

A. Health promotion and disease prevention initiatives

Health promotion and disease prevention initiatives should include:

1. Benchmarkingsurveys;

2. Increasing awareness of citizens that chronic pain is a disease and can be managed to offer a better life to sufferers;

3. Education initiatives to discuss chronic pain conditions among health professionals.

B. How service delivery could better address the needs in our patient group

1. Team of patients and experts should indicate quality indicators on pain management to facilitate the sharing of best practice including establishing quality indicators to set criteria for granting access to cross-border healthcare.

2. Patient education programmes and information campaigns in order to create public awareness of the short- and long-term consequences of undertreated pain symptoms during hospital stay, reduce the stigma and increase self- management.

3. Strategies on the implementation of recording of pain assessment while; dedicating sufficient financing to the modalities required by hospitals and healthcare institutions for this purpose, and should ensure that health records, including electronic health records pay due regard to pain.

4. All those providing clinical services to patients recognize and support the important role of family and informal carers. Patients with chronic cancer or non cancer pain are empowered and supported to discuss all aspects of their pain, its assessment and management.

5. The voice of the patient, including through patient associations, is recognized as an important source of information in service policy development.

6. Awareness programmes are instigated for all school teachers to understand the impact on children of witnessing a loved one in pain and of being bereaved, and to support these children.

7. All research funding bodies have a duty to develop research into pain and other causes of distress, in cancer and palliative care patients.

8. Data on patients with chronic pain of any origin, should be routinely collected by all providers of care to inform future healthcare policies.

9. Chronic pain should be regarded as a national public health priority and thus there should be:

9.a. Development and implementation of national policies and plans for chronic pain to maximize opportunities for people of working age to stay in and/or return to work as soon as possible.

9.b. Making early intervention (prevention, diagnosis, treatment and care) and return to work a priority of chronic pain management.

9.c. Deliver novel, strategic and integrated approaches to health and work policy and practice, to include sustainable work participation as a clinical outcome.

9.d. Develop methodologies for chronic pain cost-of-illness studies and cost- effectiveness evaluations of interventions to support rational decision-making and cost-effective resource allocation in healthcare.

9.e. Develop a multidisciplinary approach in the total chain of care.

Read more about the No Pain Foundation at

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