Scottish ME/CFS clinical service provision

No. Not yet. This is partly why I started this thread as there seems to be various initiatives that could coalesce , and it may not be positive , though folks don't seem to want to be aware of pitfalls. I'm probably one of those categorised as " overly negative" .

It's not really been announced as far as I'm aware . There was a funding application and it seems to have been successful . Perhaps Sonya can fill you in as AfME were supporting it. I raised issues and didn't hear any further when they were looking for PPI input, so was probably backfilled.

Janet Scott heads up the NHS Scotland Long COVID team , she was appointed / stepped in when it was a political disaster area . The remit now includes ME/ CFS .
She has an infectious disease background . Her training mentors are questionable . She may of course not be anything like them. ( Hopefully) .

Note from AfME - they did not support the grant application as they could not resource it.
 
Janet Scott heads up the NHS Scotland Long COVID team , she was appointed / stepped in when it was a political disaster area . The remit now includes ME/ CFS .
She has an infectious disease background . Her training mentors are questionable . She may of course not be anything like them. ( Hopefully) .

She posted that she'll be interviewed on BBC Radio Scotland today (?) so we may get a better sense. She may be OK but there is certainly cause for circumspection, given these posts four and three months ago —



Great to hear Prof Jon Stone, FND specialist from @EdinburghUni, speak today at NHS Highland FND Study Day.

Functional Neurological Disorder is a condition where the nervous system doesn’t function properly despite no structural damage. Key quotes: “Because there is no damage to the nervous system, you have the potential to get better.”

“It’s at a level of the brain you are not in control of” - understanding this is essential for recovery.

Prof Stone covered modern diagnosis using positive signs, the neuroscience of FND, and why multidisciplinary treatment is showing promise.

Learn more about FND: www. neurosymptoms.org
#Neurology #FND #MedicalEducation #NHSHighland
@NHSNSS @longCOVIDScot @NHSHighland



Daily stress and worry are additional triggers of symptom fluctuations in individuals living with Long COVID. Key Findings on Stress and Symptom Severity: The study highlights the relationship between daily stress, worry, and symptom severity in Long COVID patients.

• Stress and worry about illness are strong predictors of increased symptom severity on the same and following day.
• Symptoms affected include breathlessness, dizziness, depression, and cognitive dysfunction.

• Findings are consistent across gender and mental health history, suggesting the need for stress management in self-care programs.

Read the full paper here on Annals of Behavioral Medicine: eprints.whiterose.ac.uk/id/eprint/23...
 
Note from AfME - they did not support the grant application as they could not resource it.
And where has she suddenly come from and how has she suddenly landed in this spot where she will develop a service? I’m not following closely but it seems the announcement has come out of nowhere but, like when we had some of the app and other plans, that doesn’t mean it’s not because it hasn’t be being worked in and just being deliberately kept quite whilst that was happening
 
News story from today:

https://www.bbc.co.uk/news/articles/cp37g3xkwdgo
NHS Highland said it was expanding its long Covid service to offer online consultations to sufferers in the Highlands and Argyll and Bute.

From spring, patients referred by GPs will be offered personalised strategies aimed at alleviating their symptoms.
Dr Janet Scott, consultant physician on the health board's Covid recovery service, said a team of medical professionals would discuss a patient's individual needs and provide a treatment plan.
"ME/CFS can be a really severe problem," she said.

"Our role is to allow patients to enjoy life and remain part of society."

She added: "Everybody needs something a bit different."
What treatment?
 
Below is a a lost and found post (since my browser got seized up some days ago when 2 hours sleep was not enough here either). Meanwhile this discussion was continued on the new thread for:

Scottish ME/CFS clinical service provision where:

2 of Dr. Scott's recent research papers are linked - re the daily stress and worry which exacerbates illnesses, and her multicentre service evaluation

Was Dr Scott not part of a research team who published a paper recently.

National and international research programs bring many disparate applicants together. My picture of the post-pandemic research programs is extremely skimpy, not even patchy.

I could use a precise map of the lot of it. But apart from the shining examples, much of the English establishment still prefers not to distinctly map itself to its public.

So I remain provisionally loyal to Dr Scott - partly due to her 2023 mapping of this research infrastructure in the Scottish LC Inquiry.

I am looking for her recent affilations and recent research, its a lot to cover. Like others before her she has mingled with all sorts, including the Sivan and Greenwood pairing out of L... (possibly the same centre once notorious in the playing fields of MSBP - now FII)

She was already working with Pell and others on the Scottish research infrastructure, and before that on the concerted efforts to alleviate post-Ebola Syndrome which she loyally compared to Long Covid in her own terms eg:

- crippling, gaslighting, stigma, exclusion from health services for a variety of similar reasons and unless allowed self-referral (as in Wales)

- the tendency to withdraw of research funding mid-stream upon surges of other lingering contagion (as upon finding virus in post-Ebola).

In LC particulars she asserted the need for face-to-face clinics, integrated with research, and she I think she asserted that the rehab program was not suitable for all LC cases.

Reading this in 2025, I thought her quite wonderful to assert all that to her Parliament

I guess "LC" still included cases of organ damage without post-viral liability

I found that conflation dire and sneaky. But I admit I do perceive rehab programs for post-viral liablity as a rash. And as an endemic outbreak of rash fringe rehab still aspiring to become a pandemic outbreak
 
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And where has she suddenly come from and how has she suddenly landed in this spot where she will develop a service?

She presumably came with the wind that brought in 'Long Covid clinics'.
To me this illustrates how misguided it is to try and 'capitalise' on the interest in Long Covid and share resources for 'post-infective conditions' in terms of getting service provision. The Long Covid clinics have been taken up by doctors with no idea of what they are handling - mostly people who didn't have a focus on anything else much I suspect.
 
(Edit - the link to the Long Covid Inquiry report now works)

She came in with the Scottish Long Covid Inquiry in 2023, on the 9th of July being the day after she started as a consultant in infectious diseases and clinical pharmacology, at Raigmore Hospital, in Inverness.

She was also part of the LC team, and principal investigator of the LC multidisciplinary consortium, "optimising trewtments and services across the NHS - LOCOMOTION - study"

And she was an affilate senior clinical lecturer at the centre for virus research in Glasgow where she worked, and also she had studied post-viral conditions there for 8 years

She had already accumulated a lot to report from the evaluation of LC research programs and clinical services, in question

The link to this Inquiry is in this post on the Scottish ME/CFS clinical service provision thread

(edited this link so now it works)

I am not being funny, I just cannot copy and paste links until I have salvaged my clipboard with the Welsh Senned draft (else its all lost), so I must type everything in from scratch

The Inquiry report is worth reading. So I attached a small file below, with an extract of her report on the clincial research and service provision in question. She starts her evaluation on page 8 of the Inquiry .pdf.

She followed the Professors Duncan and Cooper (page 7) who want more research to confirm that few LC patients could use self-management, rather give them the other "therapies"

She took a dim vew of remote services - she wanted face-to-face, hands-on clinics to do research, otherwise Scotland might be excluded eg from the Imperial College platform for LC clinics doing drug trials, STIMULATE-IP

I am still trying to see if the researchers then informing Parliament meant more than they said.

Edit - so the link to the 2023 Long Covid Inquiry report now works
 

Attachments

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To me this illustrates how misguided it is to try and 'capitalise' on the interest in Long Covid and share resources for 'post-infective conditions' in terms of getting service provision. The Long Covid clinics have been taken up by doctors with no idea of what they are handling - mostly people who didn't have a focus on anything else much I suspect.
Agree. And it’s one of the things that those involved in the MEA’s health and social care team have tried to use to explain or justify their approach when questioned on it. Utterly misguided.
 
My understanding is that Janet Scott is trying to create a four nation clinical trial network. I don't know if this is for trials of antihistamines and other trendy stuff. There are clinicians in each country involved but I don't know who?

I think she already has funding for the platform
 
I think she already has funding for the platform

It is the sort of thing that gets funded without anyone having any real idea where it will go. We had a 'platform' set up at UCLH for trials that after a few years got mothballed.

My experience is that when you think of a trial really worth doing you just get on with it. The hard part is thinking of a trial worth doing.
 
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