Helping patients to help themselves:
Improving the management of persistent pain

Speakers’ slides and video

The following slides are available to download:

Please note that due to copyright issues Steven Vogel’s talk regarding NICE guidance for persistent low back pain cannot be made available as a video or slides for download.



You can download and print a PDF of the programme.

9am – 10am Registration
10am – midday Overview of the management of persistent pain
10am – 10:20am Chronic pain management overview: Introduction. What do we know about chronic pain, the burden, the presentation, the population. Dawn Carnes
10:20am – 10:50am Why doesn’t my pain go away? Paul Vaucher
10:50am – 11:20am What is the latest evidence informed advice? Current NICE guidance for persistent low back pain. Steven Vogel
11:20am – 11:50am Behaviour change: How do you motivate people to change behaviour, for example to do more exercise, or engage with cycles of avoidance and anxiety? Liz Steed
Midday – 1pm Lunch
1pm – 2:30pm How to help your patients without giving them advice
1pm – 2:30pm Integrating psychological approaches with manual therapy. Facilitators
(a) How not to give advice. Active listening and facilitation skills.
(b) The pain cycle and how to escape.
(c) Cognitive behavioural therapy. What is it, and how is it applied to pain management? Facilitating change, and the role of automatic thoughts and unhelpful thinking.
2:30pm – 2:45pm Refreshments
2:45pm – 4:15pm Workshops: cognitive behavioural approaches
(a) Exercise: acceptance scenario and discussion. Facilitators
(b) Exercise: Changing negatives to positives.
(c) Exercise: Patient and practitioner role-play.
Close Summary of the day and learning implications.


Speakers and facilitators

Professor Dawn Carnes
Director of NCOR, Dr Carnes has a background in osteopathy and psychology, and completed her PhD at Queen Mary University of London in 2006. Since 2015, Dawn has worked as “Professeure spécialisée” at the School of Health Sciences in the University of Applied Sciences and Arts in Fribourg, Switzerland. Her research currently focuses on the self-management of chronic musculoskeletal pain, and embedding research into the osteopathic education programme in Fribourg.

Steven Vogel
Steven Vogel is the Vice Prinicipal (Research) at the British School of Osteopathy and editor of the International Journal of Osteopathic Medicine. In addition to his academic and clinical work, Steven has twice been a member of the National Institute for Health and Clinical Excellence (NICE) Guideline Development Group which formulates guidelines on the treatment of back pain. He led the large Clinical Risk Osteopathy And Management (CrOAM) study which examined adverse events and outcomes related to osteopathic interventions.

Professor Paul Vaucher
Following his initial training as an osteopath, Paul has worked in research since 2001. In 2006, he obtained a postgraduate master degree in clinical trials and then in 2014 a PhD in Neuroscience. In 2015 he was appointed professor at the University of Applied Sciences Western Switzerland. His fields of interests are musculoskeletal care, complex interventions, behavioral changes, and aging.

Dr Elizabeth Steed
Dr Liz Steed is a health psychologist who completed her PhD at UCL in 2005. Her research interests lie in self-management in chronic illness, with development and evaluation of interventions in diabetes, smoking cessation, and lower urinary tract symptoms. She has a particular interest in the application of theory to such interventions and the mechanisms through which change occurs.

Dr Oliver Thomson

Dr Oliver Thomson is a practicing osteopath and Senior Lecturer at the British School of Osteopathy where he leads the research teaching for the undergraduate and postgraduate osteopathy programs. Oliver completed his PhD in osteopathy at the University of Brighton, Clinical Research Centre for Health Professions, where he explored clinical decision-making. His research interests include: clinical decision reasoning, professional identity and beliefs, and qualitative research. He is an Associate Editor for the International Journal of Osteopathic Medicine and is on the advisory board for Manual Therapy Journal.

Hilary Abbey
Hilary Abbey qualified as an osteopath in 1979 and currently works at the British School of Osteopathy where she is the Project Leader for “OsteoMAP” (the Osteopathy, Mindfulness and Acceptance-based Programme for patients with persistent pain). Hilary also works in the BSO clinic and research department and has a long-standing interest in the psychosocial aspects of healthcare, qualifying as a counsellor in 2005. She is in the process of completing a Professional Doctorate research study exploring how to integrate acceptance and mindfulness interventions into routine osteopathic assessment and treatment practices.

Carol Fawkes
Carol Fawkes graduated from the British School of Osteopathy in 1988 and has worked as NCOR’s Senior Research Officer since 2004. Carol completed an MSc in Health Care Research Methods in 2005 at Queen Mary University London, and was awarded a PGCert in Evidence Based Health Care in 2006 from the University of Oxford. Carol is currently completing her PhD, investigating patient reported outcomes measures. She also organises NCOR’s research hubs, and is on the advisory board for the International Journal of Osteopathic Medicine.

Austin Plunkett
Austin graduated with distinction from the British School of Osteopathy in 2011, gaining a masters degree. He joined NCOR in 2014 to work as a research assistant. His role involves developing awareness of NCOR’s work and investigating means of disseminating research to the osteopathic community. He analyses data from NCOR’s PREOS and PILARS tools, and is contributing to the ongoing systematic review of paediatric treatment. He is passionate about evidence-informed practice, and currently leads a team of vounteers in producing brief evidence summaries for manual therapists, as well as being research advisor for the editorial team of Osteopathy Today magazine.




For your records, the conference started at 10am and ran until 4:30pm with an hour’s break for lunch.

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