Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what steps are being taken to investigate cases of orthostatic intolerance and Chronic Regional Pain Syndrome.

In 2010, the National Institute for Health and Care Excellence (NICE) published the guidance Transient loss of consciousness ('blackouts') management in adults. Orthostatic intolerance is characterised by the development of symptoms of dizziness, nausea and fainting when standing up, which are only resolved by lying down. The investigation of such symptoms is included in the NICE guidance, which can be found at the following link:

www.nice.org.uk/guidance/cg109/resources/guidance-transient-loss-of-consciousness-blackouts-management-in-adults-and-young-people-pdf

To support clinicians in the diagnosis, treatment, care and support of patients with chronic/complex regional pain syndrome (CRPS) the Royal College of Physicians (RCP) has produced a best practice guideline on the condition, which was produced with a range of collaborators, including the British Pain Society. In addition, in 2013 NICE produced a guideline on the pharmacological management of neuropathic pain, including for CRPS. Both the RCP and the NICE guidance can be found at the following links:

www.rcplondon.ac.uk/sites/default/files/documents/complex-regional-pain-full-guideline.pdf

www.nice.org.uk/guidance/cg173/resources/guidance-neuropathic-pain-pharmacological-management-pdf