RegistrationPlease note, all fields with an asterisk (*) are required to submit the form.Full name * Title Please select Mr Mrs Miss Ms Dr Professor First Name Surname Job description * Are you a healthcare professional? Please select Yes No Job title Place of work Level Please select Consultant Registrar Nurse Pharmacist Other Contact details * Address line 1 Address line 2 Town/City Post code Email Contact number Other requirements Do you have any dietary requirements? Do you require any special assistance? Pre-event surveyGrünenthal Ltd have prepared a short pre-event survey to further understand knowledge, attitudes and opinions of delegates regarding pain management prior to the CHANGE PAIN Conference 2021. We would be very grateful if you could take a few moments to complete this, so that we may ensure that the meeting content is tailored to be of high benefit to you. 1. How confident do you feel with assessing your patients' functionality? Very confident Confident Somewhat confident Not confident at all 2. To what extent do you agree with the following statement: 'the future of pain management in the UK will largely incorporate self-management and psychological approaches'? Agree Neither agree nor disagree Disagree Strongly disagree 3. Is it possible to have a treat-to-target approach in pain management based on mutually agreed goals with the patient by reviewing treatment outcomes based on: assessments of functionality (e.g. chronic musculoskeletal pain) or area of pain (e.g. peripheral neuropathic pain)? Yes No Not sure 4. How do you rate the current implementation and delivery of care models for pain management via secondary care pain clinics across the UK? Excellent Very good Average Poor Very poor 5. What do you believe are the key unmet needs and gaps in clinical knowledge in pain management in secondary care? I confirm that I would like to receive communications on general information including medical education or disease awareness, medical information and other materials related to the management of pain via virtual engagement channels. I would like to receive communications on promotional content about Grünenthal and its products via virtual engagement channels. Grünenthal UK would like to send you information and engage with you when appropriate via face to face or via virtual engagement channels which may contain information including medical education, disease awareness, medical information and other materials related to the management of Pain or promotional material on Grünenthal products, which we believe will be of interest to you. You are therefore confirming that Grunenthal UK (data controller) and our data process partner(s) will manage your personal data (especially your contact details, professional expertise, contact history) in our systems and contact you via face to face or digital channels (such as virtual meetings like Veeva Engage, MS Teams), e-mail, telephone, remote calls, web meetings, text message or similar means. All personal data will be protected and will never be sold to third parties. We will continue to send communications and engage with you via the above platforms until such time that you unsubscribe by replying directly with “Unsubscribe” in the Subject or clicking on an unsubscribe link. Separately, you may notify us that you wish Grünenthal UK would like to send you information and engage with you when appropriate via face to face or via virtual engagement channels which may contain information including medical education, disease awareness, medical information and other materials related to the management of Pain or promotional material on Grünenthal products, which we believe will be of interest to you. You are therefore confirming that Grunenthal UK (data controller) and our data process partner(s) will manage your personal data (especially your contact details, professional expertise, contact history) in our systems and contact you via face to face or digital channels (such as virtual meetings like Veeva Engage, MS Teams), e-mail, telephone, remote calls, web meetings, text message or similar means. All personal data will be protected and will never be sold to third parties. We will continue to send communications and engage with you via the above platforms until such time that you unsubscribe by replying directly with “Unsubscribe” in the Subject or clicking on an unsubscribe link. Separately, you may notify us that you wish to amend your subscription preference by writing to data controller: Email Opt Out, Grünenthal ltd, Unit 1 Stokenchurch Business Park, Ibstone Road, Stokenchurch, HP14 3FE. Additional information on Grünenthal’s privacy policy can be found on www.grunenthal.co.uk Tick if you are you Human? Submit Location: The King’s Fund, No. 11 Cavendish Square London W1G 0AN View location