The study will be a non-inferiority, randomised, controlled trial. We will use two different consent forms to consent patients for their spinal injections. One form will be standard practice, based on the risks that are recommended to be discussed by the medical profession, in this instance the British Association of Spinal Surgeons based on the complications listed on the British Spinal Register. The intervention consent form will be based on the stance of the legal profession with an encyclopaedic level of risks on the consent form based on literature reports.
· Spinal injection (facet injection, nerve root and caudal injection)
· Day case, elective patient
· Able to consent independently
· 18 years or older
· Consent form containing all known risks and complications from spinal injections (legal stance)
· Standard consenting process as per current standard practice as guided by the British Association of Spinal surgeons (BASS) as stated on the British Spine Register (medical stance)
· Primary
o The number of patients declining treatment based on their assessment of the risks on their consent form.
· Secondary
o Patient reported outcome measures as recorded on British Spine Registry: VAS, EQ-5D, ODI
o STAI questionnaires before and immediately after consenting
o Physiological measures (HR, RR, BP) before and immediately after consenting