We performed a prospective study of 100 consecutive patients admitted to th
e Orthopaedic and Trauma Unit at the North Staffordshire Royal Infirmary fo
llowing acute injury. We assessed the patient's level of pain and perceptio
n of pain relief in the period from their admission to hospital and surgery
, or the first 24 hours as an inpatient using a questionnaire. We found tha
t 54% of patients described their pain as 'severe' or 'the worst possible p
ain'. Significantly, 36% of patients mould have liked more analgesia. We co
nclude that patients are not receiving the analgesia they require following
acute injury.