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Pathways to Pain Management – Clinician & Practice FAQ
Frequently asked questions
- 01Pathways to Pain Management is a structured, community-based chronic pain self-management and education program delivered by Pain Education and Management. The program supports patients to better understand their pain, develop practical self-management skills, and, where required, access coordinated multidisciplinary support. The program is underpinned by a biopsychosocial model of care and is designed to complement general practice and existing GP Chronic Condition Management Plans (GPCCMPs). For more information, download the brochure
- 02WorkCover patients are fully funded, with no out-of-pocket costs, for Steps 1, 2 and 3 once approval is granted. Funding for Step 4 support (including allied health services and coaching) is allocated based on the treatment proposal developed in Step 3 and subject to subsequent approval. For self funded patcients • Step 1: Free for all referred patients with no out-of-pocket costs • Step 2: Each consultation is normally priced at $108.75. GPCCMP referral, NDIS or private health rebates may apply • Steps 3 & 4: Standard pricing applies, as published on our website (see services tab). Costs may vary depending on funding eligibility and individual circumstances.
- 03Delivery is matched to each step of the program to maximise access, flexibility, and clinical appropriateness: • Step 1 – Online Education Delivered entirely online, allowing patients to commence immediately after referral and complete the education modules at their own pace. • Step 2 – Telehealth Delivered via telehealth, enabling access to multidisciplinary support regardless of location and reducing the need for travel. • Steps 3 & 4 – Telehealth and Face-to-Face (as Clinically Appropriate) Delivered using a combination of telehealth and face-to-face services, depending on: • Clinical need • Discipline involved • Patient location and access • Individual circumstances This hybrid model ensures flexibility while maintaining high clinical standards and accessibility for rural and regional patients.
- 04We recommend involving a family member or support person where possible. Evidence shows that completing the program with a support person can improve engagement and outcomes.
- 05No. There is no cost to the practice to refer patients into the program.
- 06Currently, there are two primary funding streams 1. WorkCover QLD 2. Private funding - Rebates from MBS, NDIS or Private Health extras may apply Future funding streams currently under review are 1. DVA 2. NDIS 3. Private Health
- 07Generally, practices are not required to manage billing or claiming for program components. The exceptions are 1. Case conferences, which are claimed directly to Medicare (MBS) or Workcover QLD by each participating clinician in line with standard requirements. 2. Allied Health providers offering Step 4 services in the Workcover Pathway will bill Workcover QLD directly at the published WCQ Tables of Costs rates. 3. Privately funded consultations outside the scope of the program
- 08Patients must: • Have persistent or chronic pain • Be referred by a GP or Partnering Allied Health Provider • Be suitable for a structured education and self-management program • Provide informed consent to participate
- 09There are three referral pathways available to support different practice workflows: 1. Best Practice Template Practices can refer using the Pathways to Pain Management referral template within Best Practice. 2. PDF Referral Form Practices may complete the standard PDF referral form and hand it to the patient for upload after signing. 3. Online Referral Form Practices can submit referrals directly using the secure online referral form.
- 10Yes. Patients may self-initiate the referral process by: • Downloading the referral form • Taking it to their GP for completion and signature • Self-registering online and uploading the signed referral form All referrals must be signed by a GP prior to program entry.
- 11No - The referral form allows the GP to indicate whether the referral: • Is part of a GPCCMP, or • Is not linked to a GPCCMP Both options are accepted for program entry.
- 12Once the referral form is completed and signed, it is handed back to the patient. The patient then: 1. Self-registers online using the secure registration link (provided on the referral form) 2. Uploads the signed referral form as part of registration 3. Is automatically granted direct access to the Pathways to Pain Management online learning program This enables immediate program entry with no administrative delay once the GP or Clinician has signed the referral.
- 13All referrals are submitted by the patient after it is signed via the secure online registration portal. The referring practice is only required to complete and sign the referral form.
- 14If the required information is missing: • The patient is contacted to obtain the missing details • If GP clarification is required, the practice is contacted directly • Program access may be paused until mandatory fields are complete
- 15Yes. A Program Information sheet is available for use in waiting rooms, consultation rooms, and during GP, Allied Health or nurse consultations. This flyer explains the program in plain language and includes referral and self-registration instructions for patients. A Patient DL Brochure and Workcover Flyer are also available for patients earlier in the decision process
- 16The referring GP remains the primary treating practitioner at all times. Pain Education and Management provides multidisciplinary input and recommendations under formal clinical governance.
- 17Yes Steps 1 & 2 Progression reports are provided where the referral is part of a GP Chronic Condition Management Plan (GPCCMP). These reports outline: · Patient engagement · Module progression Step 3 Full multidisciplinary clinical reports are provided, including: · Comprehensive assessment findings · MDT recommendations · Agreed pain management plan · Case conference outcomes (where held) Step 4 Standard allied health reports are completed and returned to the referring GP in line with normal professional and Medicare reporting requirements for each discipline involved.
- 18Reports are delivered via secure email or Medical Objects, based on the practice’s preference.
- 19No. This is not an acute, flare-up or emergency service. Patients are directed to continue engaging with their GP or local emergency services for urgent medical needs.
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