It Hurts!

Understanding and managing persistent pain – Non-Medical Prescribing Update Training

Up to 35 delegates


The Course Aim

To increase the participants understanding of the complex and multi-faceted nature of persistent pain and how to manage it.


Learning outcomes

 By the end of the session participants will have an increased understanding of:

  • The basic neurophysiology of pain pathways and how this knowledge can improve prescribing decisions
  • Factors that influence pain
  • Non-pharmacological options for manging and supporting patients in pain
  • The role of analgesia in managing persistent pain
  • The evidence base that supports safe pain prescribing
  • The complexity of managing patients with co-morbidities


By the end of the session participants should be able to:

  • Understand the principles of pain management
  • Be able to clinically reason their prescribing decisions based on their knowledge of the physiology of pain.
  • Challenge the notion of ‘complex’ when dealing with patients with persistent pain
  • Recognise the role pharmacology has to play in the management of pain but also acknowledge the limitations and dangers inherent in prescribing for pain relief.
  • Understand the evidence base and current guidelines


Course content

  • Introduction to pain pathways and mechanisms
  • A look at factors that influence the perception of pain and the impact it has on people’s lives.
  • A review of current pain medication and what part of the pain pathway it targets.
  • Exploring the evidence base for the pharmacological management of pain.
  • Non-pharmacological management options
  • Putting it all together: clinical reasoning in pain prescribing.



Our trainer Jonathan Kenyon, is the Pain Pathway Lead for Sussex MSK Partnership (Central) and works as an advanced practitioner in Pain Medicine.  He is also a Physiotherapy Clinical Team Lead in Brighton and Hove and has been instrumental in developing chronic pain and spinal pathways within the service.  He studied for his MSc at University College London and Kings College and his dissertation on Neuropathic Pain was published in Pain.  He qualified as a Non-Medical Prescriber in 2015.  He is a Visiting Lecturer on the MSc Pain Module at the University of Brighton and presents extensively on chronic pain to GPs, nurses, physiotherapists and other health professionals.  In addition to his clinical work, Jonathan is an author and consultant editor for Elsevier Publishing.