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Integrated Pain and Spinal Service (IPASS)

If you’re living with persistent pain (chronic or long term) or a spinal problem, we can help diagnose your condition and provide support, advice and, in some cases, treatment.


We’re now offering virtual appointments through video calls.

If you have been referred to us or waiting on an appointment, we’ll be in touch shortly to arrange the details.

Urgent support

If you need urgent help or out of hours support, please contact your GP or NHS111 for advice.

You can find more advice on managing your back or neck pain from the Chartered Society of Physiotherapy (CSP):

Read CSP advice on back pain

Read CSP advice on neck pain

Visit the CSP website

All visitors

To protect our patients and our staff caring for them, we ask that all visitors wear a face covering, and follow the latest guidelines around social distancing.

Read our information for visitors

Our Integrated Pain and Spinal Service (IPASS) covers two specialist areas; community pain service, and spinal assessment service.

Following referral to IPASS by your GP, our specialist clinicians will review your situation and recommend the right appointment and support for you.

If you’re living with persistent pain, we can help you understand and overcome the effect it’s having on your mind, body, emotions, and support you in living a meaningful life. 

Your assessment

When your GP refers you to us we’ll invite you for an assessment which will last about 45 minutes.

When we’ve arranged your appointment with you, we’ll send you an information pack which contains a questionnaire. We ask that you complete this in the week before your appointment and bring it along with you when you meet us. It will ask you to write about how you feel, and how your pain is having an effect on your daily activities.

At your assessment, we’ll review your questionnaire answers and talk to you more about how your pain is affecting your mood, sleep and day to day life.

We do encourage you share what you’re aiming to achieve with your appointments, and we ask that you think about different goals you’d like to work towards.

Depending on your condition we may offer a physical examination or refer you to one of our other services, but we’ll talk to you about these options.


After your assessment, we’ll provide you and your GP with more information about your treatment plan

Depending on your needs, we may offer options such as:

  • A 3 hour Explain Pain Education session run jointly by Physiotherapists and Psychologists
  • A multi-disciplinary Pain Management Programme
  • An invitation to our specialist ‘Living Well with Fibromyalgia’ group
  • One to one Pain Psychology
  • One to one Pain Physiotherapy
  • Different types of medication

Understanding pain

Lorimer Moseley discusses the role of pain in helping our bodies interpret different feelings  

Watch Why Things Hurt TED video 

The Retrain Pain Foundation have produced guides about understanding persistent pain

Read guides from the Retrain Pain Foundation 

The ACI Pain Management Network website has resources to help patients and clinicians improve their understanding of why pain persists

Find more ACI information about pain  

The Pain Toolkit offers advice and support people to manage persistent pain. It is devised by Pete Moore who himself lives with persistent pain.

Read the Pain Toolkit 

DocMikeEvans video called 23 and 1/2 hours offers advice about making lifestyle changes to benefit your overall health

Watch the DocMikeEvans video called 23 and 1/2 hours 


Managing your stress

Psychologist Kelly McGonigal talks about the positive aspects of stress, and how to talk about your experiences.

Watch Kelly McGonigal’s video about how to manage stress

Our spinal assessment service focusses on conditions affecting your neck, and your upper (thoracic) and lower (lumbar) spine.

When you’re referred to us, we’ll arrange an appointment with you which will last about 30 minutes.

You’ll be seen by one of our Advanced Physiotherapy Practitioners in Spine (APP), who specialise in spinal injuries and rehabilitation.

We’ll ask you about your symptoms and carry out a physical examination. To help us, we suggest wearing loose, comfortable clothing as we may ask you to do certain movements. We may also ask you to remove some clothing as part of the examinations.

You’ll have the opportunity to discuss your condition and ask us any questions you have. We’ll also discuss your possible treatment options with you.

Further tests may be required, but we’ll talk to you about these and arrange them when they’re needed.

We appreciate that getting back to your normal activities is important, and there are some things to remember as part of your recovery.

  • Following the steps on your recovery plan can take time, but they can help you in the long run
  • Feeling some discomfort is common and doesn’t always mean something is troubling – but you can contact us if you have any questions
  • Remaining active can help your rehabilitation outcomes
  • Pain killers may help you to stay active – but remember to take them responsibly and ask your GP or pharmacist for advice

You can find more advice on managing your back or neck pain from the Chartered Society of Physiotherapy (CSP), and our patient information leaflet from our MSK Physiotherapy team.

Read CSP advice on back pain

Read CSP advice on neck pain