I thought this paragraph from a BACME document was informative:
A Brief History of CFS/ME services within NHS
In May 2003, it was announced that a central budget of £8.5 million would be released to
the NHS in two phases to allow stepped development of CFS/ ME services in England. As
part of this initiative 13 centers and 36 local teams for adult services and 11 specialist teams
for children and young people were set up between 2004 and 2006
(
http://www.bacme.info/document_uploads/POD_Docs/CFSMEServInvestProg0406.pdf). These services now form part of the British Association for Chronic Fatigue Syndrome/ ME,
in partnership with patient charities and services that were already established prior to 2004.
We are now left with a structure set up 20 years ago in the middle of the PACE age. This proved to be the wrong model. People with ME/CFS should have continued under physicians as they had before. I think this underlines the error of thinking that 'special', separate 'ME/CFS services' are a good thing. ME/CFS should be treated as an ordinary illness like any other, under physician-run clinics with domiciliary outreach.