He also sees patients at BMI Hampshire Clinic, BMI Sarum Rd., and the Nuffield Wessex Hospital. He now works in Winchester where his is the current clinical lead for pain management in the Hampshire Hospitals NHS Trust. He has worked as a consultant in pain medicine in Oxford where he was the clinical lead for a period. He is currently the chairman of the Medical Advisory Committee for COBSEO and the Surgeon General’s Advisor of Veterans’ Health and is involved in the development of pain clinics for military veterans. This saw him working at the Defence Medical Rehabilitation Centre at Headley Court and the Royal Centre for Defence Medicine in Birmingham. Having served in the Royal Army Medical Corps for more than 2 decades he was the Subject Matter Expert in Pain to the Surgeon General and was responsible for organising pain relief from the point of injury until a the casualty left the service. He is the vice-chairman of the IASP Special Interest Group on the Pain of Torture, Organised Violence and War. He is a member of the British Pain Society and the International Association for the Study of Pain (IASP). He has presented at meetings throughout the world including Florida, Washington DC, Montreal, Las Vegas, Japan and throughout Europe. He has more than 75 publications to his name include in the New England Journal of Medicine, the American Journal of Public Health, the British Medical Journal, the Cochrane Database and the Philosophical Transactions of the Royal Society. He is an expert in the management of both acute and chronic pain including migraine. CMS has eliminated coverage for telephone only services (CPT 99441-99443), effective December 20, 2021.Although qualifying as a consultant anaesthetist, for the last decade Dr Dominic Aldington has decided to focus his time entirely on pain management.Under the present status, it appears that ambulatory surgery centers and other facilities will be suffering with 2% cut from sequester extension and a 4% reduction with imposition of a 4% statutory PAYGO sequester resulting from passage of the Budget Control Act of 2011.The Imposition of a 4% statutory PAYGO sequester resulting from passage of the American Rescue Plan Act, presumably extending for at least another 10 years.It appears that while Congress originally scheduled this policy to sunset in 2021, it will now continue into 2030. The expiration of the current reprieve from the repeatedly extended 2% sequester stemming from the Budget Control Act of 2011.The expiration of the congressionally enacted 3.75% temporary increase to the Medicare physician fee schedule conversion factor, which was set into place to avoid payment cuts associated with budget neutrality adjustment tied to PFS policy changes.In January 2022, physician practices face the following Medicare financial hits:
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