Chronic Pain Service (CMS)
A joined-up approach to managing long-term pain through assessment, medication review and personalised self-management plans.
T & K Brown Pharmacy - Helping the local community in Anstruther, Cellardyke, Kilrenny, Pittenweem, St Monans and beyond.
Focused on daily function and wellbeing
Holistic care and practical support
Our service combines clinical review, medication optimisation and non-drug strategies to reduce pain impact. We offer brief interventions, goal setting, exercise advice and onward referral to physiotherapy, mental health or specialist pain clinics when needed. Care is tailored to your needs and aims to improve quality of life and activity levels.
Personalised care plans
Medication review and advice
Pain self-management strategies
Referral to specialist services
Assessment, advice and onward care
What we do
The service begins with a structured assessment to understand your pain history, current treatments and how pain affects daily life. We check medications for effectiveness and interactions, provide practical self-management advice, and set achievable activity and pain goals. Where appropriate we arrange referrals to physiotherapy, counselling or specialist pain services to ensure coordinated multidisciplinary care.
Key benefits at a glance
Joining the Chronic Pain Service can help you better understand your pain, reduce medication-related risks and adopt strategies to manage symptoms day-to-day. Our team focuses on practical steps to enhance mobility, sleep and mood while coordinating with local therapists and specialists for comprehensive support tailored to your goals.
Personalised treatment plans
Medication optimisation
Self-management education
Clear referral routes
Simple referral and follow-up
How to access the service
You can be referred by your GP, practice nurse or consult directly at the pharmacy for an initial screening. After assessment we may offer a one-to-one consultation, prepare a medication plan and schedule follow-ups. If specialist input is needed we will guide and support referral to appropriate secondary services, ensuring continuity of care.
Appointments
Flexible bookings and walk-in screening available
Medication review
Check for interactions and optimise treatments
Support links
Referrals to physiotherapy and mental health
Respectful, practical and evidence-based
Patient-centred approach
We place your priorities at the centre of care. By combining clinical review with education and practical tools, we aim to support you in regaining control over daily activities, improving sleep, and reducing the burden of pain through achievable steps and ongoing support.
Frequently asked questions
Common queries about the Chronic Pain Service and what to expect.
Who can use the service?
Adults with persistent pain affecting daily life; referrals accepted from primary care or self-screen at the pharmacy.
Do you change my medications?
We review medications and advise changes when appropriate, always coordinating with your GP.
Will I see a specialist?
Most people receive care here; some will be referred to physiotherapy or specialist pain clinics as needed.
How long are appointments?
Initial assessments are typically 20–30 minutes; follow-ups vary based on needs.
Is the service free?
Services delivered through the pharmacy and NHS pathways follow local funding rules; ask staff for details.
Assessment, goal setting, and next steps
What to expect at your appointment
Appointments include a detailed discussion about symptoms, a medication and medical history review, and setting realistic goals for improvement. We provide practical advice on activity, sleep and coping techniques, supply written self-management resources, and agree a follow-up plan or onward referral if further specialist care is indicated.
