Opioid Stewardship in Perioperative Care: Practice, Education, and Patient Perspectives

Patrice Forget, MD PhD, is the clinical chair in anesthesia at the University of Aberdeen (UK), and an honorary consultant at the NHS Grampian. He was previously a clinical professor in Anesthesia and Pain Medicine in Belgium, and the president of the Belgian Pain Society. He is involved in clinical research, focused on mainly pain, perioperative epidemiology, and clinical pharmacology. Over the past few years, as a principal investigator and/or national coordinator, he has published more than 150 articles, letters, or editorials. He is also the chair of the PANDOS (Pain AND Opioids after Surgery) ESAIC Research Group (European Society of Anesthesiology and Intensive Care). 

Louise Trewern is a lived experience advocate who has contributed extensively to improving support for people living with persistent pain. She worked closely with Live Well With Pain, where she helped develop educational resources and shared insights from her own recovery after coming off high-dose prescription opioids. Her work supported others navigating opioid tapering, and she has been a strong advocate for better pain education for the public. Louise promotes self-management approaches that include healthy eating, gentle movement, and reconnecting with life beyond pain. She has served on a number of national committees, including the Physiotherapy Pain Association, and was Vice Chair of the British Pain Society’s Patient Voice Committee. She also contributed to the NICE Guideline Committee NG215 on Medicines Associated with Dependence or Withdrawal, and is a Fellow of the Wolfson Research Institute at Durham University.

Amy Donnelly, MD, a consultant anesthetist in St. Columcille’s Hospital and St. Vincent’s University Hospital in Dublin, Ireland. She obtained her CCST from the College of Anesthesiologists of Ireland in 2020, after which she completed a fellowship in anesthesia in Addenbrooke’s Hospital, Cambridge. She then undertook the first perioperative medicine fellowship in Ireland in St. Vincent’s. Amy is a board member of the Faculty of Pain medicine of Ireland for her work on opioid prescribing in acute pain. She was part of the HSE (Health Service Executive of Ireland) working group for prescribing opioids for acute non-cancer pain. She is currently the FPM board representative on the HSE working group for codeine. Amy was part of the multidisciplinary team involved in the BPS/IPS patient information leaflet on Managing Pain after Surgery.  

Felicia Cox, FRCN, is a nurse consultant in pain management. She is a past chair of the Royal College of Nursing (RCN) Pain and Palliative Care Forum and is a co-opted member of the Council of the British Pain Society. She is a committee member of the EFIC Covid Task Force and EFIC Research Strategy group, the IASP Acute Pain Special Interest Group, and a founding member of the Pain Nurse Network. She is the co-editor of the British Journal of Pain. The breadth of her pain-related publications spans the continuum from the Daily Telegraph to The Lancet with systematic reviews, chapters, and books in between. She has also co-authored e-learning modules on pain and medicine safety, and has contributed to several Family Practice Management publications. She is an honorary lecturer at King’s College London, UK, and has been awarded honorary membership of the British Pain Society and Fellowship of the RCN for her services to pain. Her clinical and research interests include chronic postsurgical pain and procedural pain, and enjoys supporting novice authors to publish and disseminate their work.