ME/CFS services in the United Kingdom

Thread on IAPT here:
https://www.s4me.info/threads/the-i...ns-and-mus-full-implementation-guidance.6948/

 

If a provider can't even cope with it's true "mental health and well being" how the hell will it cope with those with LTC like ME?

"November 28 2018
The Care Quality Commission has published its inspection report on the Norfolk and Suffolk NHS Foundation Trust (NSFT).
It has given the organisation an overall rating of 'inadequate'.

As one of the commissioners of the mental health trust, NHS West Suffolk CCG, along with other commissioners in Suffolk and Norfolk, has issued the following statement, in response to this "inadequate" rating for the trust.
“Members of the public, service users, carers and staff have all been involved in wide-ranging conversations about how to make services fit for the future and we are determined that out of these, long term improvements are put in place.

“In Suffolk, partners from a range of organisations including NSFT, Suffolk User Forum, Suffolk Parent Carer Network, Suffolk Family Carers and Healthwatch Suffolk have been working to identify what the county’s mental health strategy and model should look like in the future. Together with a wide-ranging survey #averydifferentconversation there has been excellent feedback to inform a developing Mental Health and Emotional Wellbeing Strategy. This strategy, along with an accompanying delivery plan, will go before the Suffolk CCGs’ governing bodies for approval in January...."

 

CAMHS replied to my email (though they didn’t actually fully address much of what I said so I have the feeling they received numerous emails and sent out a generic reply) and this is their reply:

Good Morning,

Thank you for your feedback and for raising your concerns. We can confirm that the webpage and reference we believe you are referring to is not one that is hosted by our organisation. It is managed and uploaded by Northamptonshire County Council Local offer team. We have asked that they remove this reference and they have done so today.

We have liaised with our colleagues in CAMHS and they have confirmed that as Trust we recognise Myalgic encephalomyelitis (ME) / chronic fatigue syndrome (CFS) as physical health conditions and are aware of the latest NICE guidance. If a young person with ME/CFS required psychological input at the current time they would receive this from our Paediatric Psychology department and not CAMHS.

We fully appreciate the distress this may have caused and as above have liaised with the owners of this site to action the removal of this listing. We hope this clears up any confusion regarding our position on this matter.

 

Probably a non selected Google......

 

Mental Health Service Directory 2017
City and Hackney CCG:





Books on prescription:



https://search3.openobjects.com/med..._and_h_mh_service_directory_2017_002_002_.pdf

 

Child and Adolescent Mental Health Service

(CAMHS) Access Policy
Barnet Enfield and Haringey Mental Health trust

1. Somatisation Disorders, Hypochondriasis, Dissociative Disorders, Pain Syndromes & Chronic Fatigue Syndromes: CAMHS will work in close liaison with Paediatric services. Refer to Paediatrics in the first instance to rule out organic causes.

1. Anxiety: Significant anxiety which is persistent and affects day to day functioning. Examples might include: somatic symptoms, phobias, school refusal, and frequent ruminations.

1. School Refusal: Refer to education welfare services in the first instance.. Refer to CAMHS if there is evidence of mental health concerns, e.g. where the child has severe emotional distress linked to attending school.

​

https://www.google.com/url?sa=t&rct...20draft.docx&usg=AOvVaw3vDtEBzdX4A_CrY5FcFwv4


Essex CAMHS:

Somatisation disorders, Hypochondriacal/ Dissociative/ Conversion Disorders, PainSyndromes & Chronic Fatigue Syndromes, Medical Conditions and Physical Disabilities
with mental health complications

Refer to Paediatrics first and then to CAMHS if necessary

Paediatricians have access to some hospital based CAMH services in each locality for in patients and some paediatric clinics.

haven't checked out all the other CAHMS but imagine they are much the same.

 

04/03/2018

East London Foundation Trust (ELFT) has stopped taking referrals for patients with chronic fatigue syndrome in City and Hackney and will cease running the service from April this year.

City and Hackney clinical commissioning group (CCG) said the mental health trust had decided to end the service because it considered the provision ‘not part of their core business.’

The CCG is planning to commission a new Complex Chronic Conditions service locally that would include the existing pain clinic service at St Leonards Hospital.

In the meantime GPs have been told to refer new patients to the Royal Free Hospital.

Chronic Fatigue syndrome, also known as ME or myalgic encephalomyelitis, is a debilitating long-term illness with a wide range of symptoms including extreme tiredness.

Around 70 patients a year in City and Hackney are referred to the chronic fatigue service. Around 50 of these patients go on to receive treatment for Chronic Fatigue.

Under-18s who show symptoms of chronic fatigue will continue to have an initial assessment with the child and adolescent mental health services (CAMHS).

Children who require treatment will be referred to the Royal Free Hospital's all-age service.

A CCG spokesman said: ‘It is planned that a City and Hackney-only service will be provided locally as part of the Homerton pain clinic.

‘Joining pain and chronic fatigue together makes clinical sense as the two share some similarities in terms of treatments. It also means that we will be able to retain local provision.’

He said the new service was expected to be operational ‘later this year’ but in the meantime local GPs had been asked to refer patients with Chronic Fatigue to the Royal Free Hospital.

Read about treatments available for Chronic Fatigue Syndrome on the NHS Choices and ME Association websites.
Click to expand...
http://www.healthwatchhackney.co.uk...-out-city-and-hackney-chronic-fatigue-service

 

Oh how the mighty are fallen.......?
"East London Foundation Trust (ELFT) has stopped taking referrals for patients with chronic fatigue syndrome in City and Hackney and will cease running the service from April (2018) this year."

"Chronic Fatigue
Chronic Fatigue Service

The Chronic Fatigue Service based at St. Leonards Hospital is one of the largest in the UK ( really???) (The ONS mid-year population estimate for 2016 put Hackney's population at 273,526.)

and provides a comprehensive, multidisciplinary out-patient service for people with CFS/ME.

Over 10 professional staff, including physicians, liaison psychiatrists, physiotherapists, clinical psychologists and occupational therapists provide a consistent and excellent standard of care for
patients, families and carers affected by Chronic Fatigue, using models of best practice and a range of evidence based treatments."

Around 70 patients a year in City and Hackney are referred to the chronic fatigue service......

Norfolk and Suffolk ME and CFS Service have 1600 referrals a year, they say. (Population Norfolk 859,400 plus Suffolk 730,000 lived in the county with 133,384 living in Ipswich = 1,589,400)

which means Suffolk are running at over 4 X as many referrals per head of population at Hackney.
Plus Suffolk is an ME and CFS NOT a Chronic Fatigue Service ...(allegedly).

 

This looks to be interesting.......

http://www.cbtwatch.com/complex-iapt-dumping-secondary-care/
‘Too Complex for IAPT’ – Dumping on Secondary Care?
12th August 2017 admin IAPT, Resources

admin
12th August 2017 at 1:50 pm


IAPT don’t have a clue what they are assessing, so how can they measure outcome, other agencies and private practitioners are left to pick up the pieces

Dr Mike Scott

Also,

http://www.cbtwatch.com/wasting-taxpayers-money-fire-fury-cbt/
‘The results are, at best, unreliable, and at worst manipulated to produce a positive-looking outcome’ so write the editors of the current issue of the Journal of Health Psychology, (http://journals.sagepub.com/toc/hpqa/current). They are writing in relation to a study of the efficacy of CBT for chronic fatigue syndrome ( CFS – the PACE trial).

 

This chap looks like he might be worth cultivating....! http://www.michaeljscottptsd.com/
"
A Failed Mental Health System

Mental Health undoubtedly needs to be better resourced but the clamour for equity with physical services masks that ‘the current mental health system is not fit for purpose’, see my just published book ‘Towards a Mental Health System that Works’ by Routledge. Further the UK Governments flagship Service, Improving Access to Psychological Therapies (IAPT) has not been independently evaluated using a ‘gold standard’ diagnostic interview. I argue that the best available data actually suggest a 15% recovery rate, no better than placebo. Case examples of the failings of current services are detailed together with ways forward. This week (mid July 2017) the National Audit Office announced an IAPT Performance Investigation and invited submissions re: IAPT to David.Raraty@nao.gsi.gov.uk or Jenny.George@nao.gsi.gov.ik

Dr Michael J Scott is a Consultant Psychologist, currently working in private practice in Liverpool. He has a particular interest in Post-traumatic Stress Disorder and Cognitive-Behavioural Therapy, he has been an Expert Witness for 20 years, and alongside providing individual treatment and workshops is the author of twelve books."

 

see also:
https://www.s4me.info/threads/trial...e-iapt-program-david-tuller.6123/#post-111761
https://www.s4me.info/threads/iapt-under-the-microscope-2018-marks.5028/#post-102452

 

BACME have a new "Find a specialist CFS/ME service" on their website

https://www.bacme.info/#help

(does anyone know how to find out about the current Governance of BACME; Gabrielle Murphy is apparently no longer Chair, so who is?)

 

Does that map work? I tried it out to see what it listed locally and nothing shows up, no matter how many hundreds of miles I extend the range.

 

Same here. I don't think it does.

 

says it all really!

 

Just seen this leaflet. What a fucking mess, regardless of the truly shocking 'there is no disease' statement. Leaflet somehow acknowledges PEM and advocates for pacing, yet the Liverpool CFS service claims to follow NICE guidelines. Absolute shit show. An incoherent mess, all washed down with that horriblly cheap 'YOU ARE POWERFUL / IN CONTROL' false support.

 

And then the final page: https://twitter.com/user/status/1070259015769317376


"You determine what happens this Christmas.

There is personal choice in deciding how you will manage Christmas."

Okay - I'll recover then. Awesome.