I wrote to Nick Clegg, Deputy Prime Minister , yesterday. Here is an extract :
"Before the Election you set out the excellent Liberal Democrat position on
"The Liberal Democrats have long argued that
funding and research must be focused on the `bio-medical' factors
involved and not just simply managing the `psychological' issues.
Whilst I welcome the fact that NICE conducted an investigation into
ME/CFS, I do understand and empathise with the concerns raised about the
findings. The recommendation that patients with ME/CFS be treated using
an `Activity Management Programme' made up of Cognitive Behavioural
Therapy and Graded Exercise Therapy does not follow the World Health
Organisation guidelines which categorise ME as a neurological condition.
In failing to recognise the bio-medical problems of ME sufferers, the
NICE guidelines also fail to recognise the needs of ME sufferers.
To help address the unique challenges posed by a complex and poorly
defined condition like ME, the Liberal Democrats believe in the
establishment of an independent scientific committee to oversee all
aspects of ME research. We would also like to see the government and the
Medical Research Council work with ME sufferers and biomedical
researchers in order to achieve a proper understanding of the condition,
challenge unjust perceptions and consider the issue of research funding.
Whilst we welcome the establishing of local centres to focus on ME, we
feel the NHS is still too centralised and too unresponsive to the needs
of patients and families. We believe the special needs of those
suffering conditions like ME can be better addressed by empowering
patients and making the NHS more accountable at local level."
For the first time in many years I have a sense of hope. I am writing
to urge you to use your position in Government to help bring about
the biomedical investigations , tests, treatments , consultants and
respect for this disease, that are so desperately needed for ME
As long as ME is shackled to "fatigue" and a mental health
interpretation , without proper or adequate diagnostic criteria and
as long as psychiatrists who view ME as either non-existent or a
mental-health condition continue to advise key Government groups, ME
research and provision will be seriously undermined by this as well
as by the vested interests raised by the Gibson Parliamentary
Inquiry, but never addressed.
Please help us and all ME sufferers. Please promote the much needed
changes in attitude and practice required. My wife does not want to
die, as so many have done already, from ME.
This Election has been all about change. Change cannot come soon
enough for ME sufferers and carers like myself."
Stonebird 27th July 2017 Sir Andrew Dillon, Chief Executive, NICE Dear Andrew Dillon, Re : Myalgic Encephalomyelitis I have cared full time, for 25 years, for my wife who has a diagnosis of Very Severe ME, my Nursing Standard article "Supporting people with severe myalgic encephalomyelitis" is referenced by NICE in the original 2007 guidelines. In 2015 I was third place finalist, BJN, Nurse of the Year, for which I received an award specifically for my work in raising awareness of and advocating
for people with Severe ME. I was Secretary of the 25% Severe ME Group charity for many years and represented the Group at the Gibson Parliamentary Inquiry. In February the Joint Commissioning Panel for Mental Health document published Guidance for Commissioners of services for people with medically unexplained symptoms – practical mental health commissioning, which misinformed Commissioners that Myalgic Encephalomyelitis is a Somatoform, mental health disorder. The response, in a letter to me…
Joint Commisioning Panel for Mental Health has recently published
for commissioners of services for people with medically unexplained
symptoms, specifically listing Myalgic Encephalomyelitis as a "Functional Somatic Disorder". This
is not the first time that an incorrect reclassification has been
attempted. In October
attempt was made to have ME ‘unofficially’
reclassified, as a mental disorder in a U.K adaptation of a WHO
publication, the ‘WHO Guide to Mental Health in Primary Care’, developed by the Collaborating Centre of the Institute of
Psychiatry, London and included under the classification F48.0
After a reprimand from the WHO, an erratum was eventually issued,
acknowledging that the
anyone wishing to challenge this report, the following may be of
Encephalomyelitis (ME) has
by the World Health Organisation since
as an organic neuro…
There is an urgent need to develop an appropriate model of practice for patients with Myalgic Encephalomyelitis (ME). Crawford, Aitken and McCagh (2008) found that nurses still respond more positively to patients with Multiple Sclerosis and Rheumatoid
Arthritis than patients with ME, which they are more likely to wrongly view as a psychological disorder. Nurses are not being educated in Myalgic Encephalomyelitis, making it difficult for them to recognise the mistreatment of ME and also making it unsafe for patients with ME to be exposed to a hospital/ medical environment. A 2009 study (Chew-Graham et al ), for example, found little evidence that Nurses are being taught about ME. One person stated that: “ people probably just look at them and think, oh you know he's just tired all the time: lazy...lazy bastards and wasting doctor's time.'” A study of the literature reveals an alarming lack of awareness of the seriousness of the disease. Without the appropriate understand…