Following Beacroft & Dodd's (2009) audit of pain recognition and management within learning disability services in Surrey, it was recommended that learning disability services should receive training in pain recognition and management. Two hundred and seventy-five services were invited to participate, of which 197 services in Surrey accepted and attended pain training. This is a 72% attendance rate. Training covered pain thresholds, pain recognition and management, health action plans and medicines policies. At the end of training and at follow-up (3-5 months later), attendees were asked about their service's management of pain. At the follow-up, it was found that significantly more services were using communication tools such as picture scales [Dodd & Brunker (1999) "Feeling Poorly". Brighton, Pavilion Publishing] and more pain recognition tools such as the Abbey pain scale [Abbey "et al." (2004) "Int J Palliat Nurs", 10, 6-13] and the Disability Distress Assessment Tool [Regnard "et al." (2007) "J Intellect Disabil Res", 51, 277-292]. Use of pain management strategies did not change significantly. There was a significant increase in the number of services including information on how a person displays pain, the possible causes of pain and how a person likes their pain managed in their health action plan. More services were now reviewing health action plans at least 6 monthly and sharing them with other services that the person with learning disabilities uses. Significantly more services' medicine policies now specifically mention pain.