Information and advice for people waiting for care

The information and advice here is aimed at helping you manage that wait so you arrive for your appointment in the best possible physical and mental health.

The NHS has limited resources which means that we are unable to treat you as quickly as we would like. Each healthcare provider has to consider the type of help you need, how quickly you need treatment, the best course of action to help you and when and where you can be seen.

The process of sorting patients based on their individual needs is called prioritisation. The system of prioritisation is applied consistently across the NHS to help us to decide the order in which patients receive their treatment. This is essential to ensure that we provide care based on need. The system means that care is delivered in the fairest way possible.

Once a referral has been made from primary care to secondary care, the specialist team conduct assessments and then agree with you on the right course of action. At this stage, the urgency will be assessed. If you have a long-term health condition, for example, you may need treatment faster than someone without.

LiveWell Dorset support

Funded by Public Health Dorset, the LiveWell Dorset service is free for all adults living in Dorset. LiveWell's advice and coaching service can help you get active, lose weight, stop smoking or drink less alcohol. It's a simple, no-sweat solution to introducing better health and wellbeing into your world.

Why is it free? Public Health Dorset is a partnership of Dorset Council and BCP Council. They partner with Dorset's local authorities, the NHS and others to provide this FREE healthy lifestyle advice and coaching.

Take your next step to LiveWell | An introduction to LiveWell Dorset

Better Health website

Healthy changes start with little changes. Whether you want to lose weight, get active or quit smoking, Better Health is here with lots of free tools and support. You can also find simple ways to lift your mood with Every Mind Matters.

Mental health support

It is estimated that one in four of us will experience mental health problems during our lives. Dorset HealthCare provides a range of services to help people through their illness and towards recovery. They aim to empower you, or your loved one, to achieve your goals and lead a fulfilling life.

They have specialist, experienced staff who provide care and treatment for conditions such as depression, schizophrenia and eating disorders; conditions such as autism and dementia; drug or alcohol dependency, and problems relating to pregnancy and childbirth. They offer specific help for children and young people, as well as people with learning disabilities.

You can also click here for a guide to mental health services in Dorset.

Many of these services require referral from a GP or another health/social care professional. If you do not meet the criteria for support, the professional should be able to signpost you elsewhere for help.

You can find a full list of local mental health services on Dorset HealthCare’s website here.

Waiting with pain

We know the longer we are in pain the more our bodies become used to generating pain. This is a difficult concept to understand for both patients and clinicians alike. We refer to this as chronic or persistent pain. Many of us suffer with this type of pain and frequently no medical underlying condition or cause can be found. In this circumstance our focus turns to understanding and managing the pain.

If you find yourself waiting for a medical assessment or procedure then hopefully there may be a more definitive outcome to look forward to, but inevitably, through no fault of your own, some of the chronic pain processes may be developing in the background. It may be helpful therefore to consider this whilst waiting and adopting some of the pain management strategies that is about reducing the sensitivity and turning down the pain 'volume'.

The Dorset Pain Management Service are our local experts in this field and describe a 4 pillar approach to this type of pain as follows:

• Learning about pain
• A healthy lifestyle
• Doing what matters
• Emotional wellbeing

Learning about pain

Learning about your pain can help to give you a better understanding about different self-management strategies you may be able to adopt whilst living with your pain. Everyone's pain experience is different and everyone has different goals they would like to work towards - therefore, having knowledge around your condition can help you increase your confidence when making decisions around what to change and how to take control back of your life.

Click here for more information and resources.

A healthy lifestyle

By looking at how we can build a healthy lifestyle we can increase our energy and function, to give us a better chance of managing chronic pain. For example, pain can often disrupt sleep patterns, leaving us feeling more fatigued and irritable than we already do. Lack of sleep impacts our emotional state, psychological wellbeing and physical performance, all of which contribute to an increase in pain. By learning about sleep and trying different tools to improve sleep, such as relaxation, activity, position and medications, we may be able to improve our sleep patterns and in turn give us a better chance of managing our pain.

Click here for more information and resources.

Doing what matters

As explained by the downward spiral of chronic pain, it’s only natural that people find it hard to continue to do the things that matter in life. It is often the pain that stops people doing things they value, not forgetting the added stressors that pain can cause such as fatigue, stress, anxiety, depression, fear and low self-confidence.

It is really important that we try to continue to do things we enjoy despite the pain, to help us improve our quality of life. This may seem impossible at first, which is where goal setting can be really useful. Small and achievable short term goals can allow us to work towards realistic long term goals. Achievable goals can also help to improve our confidence and sense of self-worth.

Click here for more information and resources.

Emotional wellbeing

As you may be aware, pain can affect the way we think, feel and behave, this can also have an impact on our pain - which is why we look at ways to manage our thoughts, feelings and behaviours. From the ‘learning about pain’ section you may be aware that our mind effects our body and our body effects our mind. An example of this can be, if we are stressed because our condition is making it harder to juggle family, work or home life this can often manifest into stress. The added stressors of life that pain can cause include fatigue, muscle tension, sleep problems, stress, anxiety, depression, fear, guilt, low mood, feeling unworthy and low self-confidence - all of which are not helpful to anyone as they can ‘wind up’ our pain system. If we can use resources to catch negative thoughts or learn how to communicate your needs, for example, you may be able to start to reserve energy to use in a positive way.

Click here for more information and resources.

Prepare yourself for surgery

'Prehabilitation' is all about good preparation for your body and mind prior to surgery. In the time before your surgery, you can take simple steps to improve your physical and mental health. This will reduce your risk of complications and improve your wellbeing now and in your recovery.

Research shows that people who keep mentally or physically active feel happier and so become healthier. Maintaining and improve your overall wellbeing will lead to a faster recovery if you require surgery.

Top of the list of things to work on are stopping smoking, maintaining a healthy weight, getting fitter and drinking less alcohol. LiveWell Dorset is a local service which can offer you support to tackle all or any of these, or have a look at the Better Health website.

Looking after your mental health is just as important as your physical health. Dorset HealthCare provide our local mental health services and can offer support for a wide range of mental health issues.

For more information and advice you can watch the helpful video below from the Royal College of Anaesthetists on Preparing for surgery: Fitter Better Sooner

Download the NHS App

Owned and run by the NHS, the NHS App is a simple and secure way to access a range of NHS services on your smartphone or tablet, including appointments and referral information.

You can also access NHS App services from the browser on your desktop or laptop computer. To find out more go to nhs.uk/app.