Tues 20 Feb | UK parliamentary debate: PACE trial and its effect on people with ME - Carol Monaghan, MP

Discussion in 'General ME/CFS news' started by Sasha, Feb 17, 2018.

  1. Barry

    Barry Senior Member (Voting Rights)

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    [My bold]

    :thumbup::thumbup::thumbup:
     
  2. Sean

    Sean Moderator Staff Member

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    Thanks to everybody who helped make this happen.

    Special thanks to Monaghan et al for taking on this difficult task.

    :hug:
     
  3. Russell Fleming

    Russell Fleming Senior Member (Voting Rights)

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  4. Sasha

    Sasha Senior Member (Voting Rights)

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    Hi, @Russell Fleming! :)

    On this thread, we're wondering what we should do to follow up on the debate. Has the MEA any plans for what patients might do now? If so, is there anything you can say about them (on that thread)?
     
  5. Esther12

    Esther12 Senior Member (Voting Rights)

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    I've only just read through the transcript, and thought that there were a few slips and errors from Carol. Hard to avoid that, especially when so many people are interrupting with their own comments, but I thought it would be useful if she'd had someone who was really on top of all the details of PACE read through a draft of her speech. It would be great if we could make the most of having her as an ally, rather than risk her getting push-back for needless mistakes.
     
  6. Esther12

    Esther12 Senior Member (Voting Rights)

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    From the Minister's response:

    In what way did Cochrane 'validate' the claimed results from PACE? Shows what a problem those poor Cochrane reviews are though.

    Also the Minister's statement shows how Matthee's victory turned things around.

    Good catch by Monaghan there.
     
  7. chrisb

    chrisb Senior Member (Voting Rights)

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    I think the Minister was wrong to suggest that the use of CBT and GET in the treatment of ME has been a controversial issue for 10 years.

    I would put it a 28.
     
  8. seanpaul

    seanpaul Established Member

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    getting any minister to admit the problems, answer questions and have to look at this is the real victory

    recall White and Wessely and Co lobbied for Gov to exempt them from Freedom of Information - meaning the reanalysis would have never happened

    people might also forget that PACE dislocsed data to Alex Mitchell at Leicester and he did some reanalysis and he put recovery circa 10% (half of the 22%) reported by PACE - so when people mention them sharing data - yes they did and other experts in psychiatry called them out on rates too
     
    Last edited: Feb 24, 2018
  9. Adrian

    Adrian Administrator Staff Member

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    I'm not aware of that one. Do you have any pointers to information about it?
     
  10. Adrian

    Adrian Administrator Staff Member

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    This is a claim that the PACE team made at the time of the information tribunal as well. I think the only thing they have published is their very poor review of GET which includes PACE figures but they gave it a high rating (as a quality trial) but then they also switched their review outcomes.

    Of course a meta analysis which combines results of trials using bad methodology will not give any more solid results than the original trials. PACE was good compared to the other trials they use.

    There is the individual patient data review that they wrote a protocol for (with the PACE team) many years ago but we are still waiting for it to be published. But again if they don't understand the methodological issues and the other issues with PACE it will not be a reliable review.

    I think this will end up being really damaging for Cochrane's brand.
     
  11. Jenny TipsforME

    Jenny TipsforME Senior Member (Voting Rights)

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    I’m not clear what it is ok to say about this, but UK ME charities were already having these discussions before yesterday. There should be another debate but sometimes there is a short window (eg a week) between hearing a debate is going to happen and it happening.

    This obviously isn’t great for brainfog so what people can do ahead of time is to prepare your personal story as an email for your MP. BUT DON’T SEND IT YET. Wait to hear when the right time to email is.

    Depending on what has happened to you personally you might want to emphasise a narrative of
    1 harm from GET
    2 ineffectual CBT
    3 lack of treatment
    4 social care neglect
    5 stigma and prejudice
    6 consequences eg benefits, child protection, employment

    Something that could be read out like the examples in yesterday’s debate.
     
  12. Jenny TipsforME

    Jenny TipsforME Senior Member (Voting Rights)

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  13. Kalliope

    Kalliope Senior Member (Voting Rights)

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    Carol Monaghan on FB:

    [​IMG] WATCH: My debate on the PACE trial and its impact on people living with ME

    As I have said, I hope this debate is only the starting point and that the PACE trial will be subject to wider debate in the House of Commons.

    I thank the hundreds of people living with ME who have been in touch with me to offer their support and share their experiences, and I will continue to do all I can to ensure that their voices are now heard.

     
  14. Andy

    Andy Committee Member

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    Just a thought I had but is there something that, as clearly and succinctly as possible, lists all the issues with PACE and why they are issues, all in one document? That is more meant as a question to all rather than being aimed solely at Esther12.
     
  15. Skycloud

    Skycloud Senior Member (Voting Rights)

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    I really could have done with something like this myself this morning. A referenced briefing document ?
    (was trying to write an email)

    edit to delete TMI
     
    Last edited: Feb 21, 2018
  16. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    http://www.drmyhill.co.uk/drmyhill/images/a/a8/GMC_complaint_letter_DOC.doc

    eta: I was actually impressed with the amount of detail in this letter but have not scrutinised it with regards to accuracy.
     
    Last edited: Feb 22, 2018
    MEMarge and NelliePledge like this.
  17. Esther12

    Esther12 Senior Member (Voting Rights)

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    I don't think it's possible to make something like that. PACE is too complicated, and with too many problems. There are good summaries of problems (like the new paper from Wilshire and colleagues) but they inevitably leave a lot out.

    I don't think I ever knew that to forget. I couldn't see anything via google either. Where's that info from?

    PS: and welcome to the forum @seanpaul - especially if you come bearing new PACE info.

    edit: Hold on - you must mean this, that I had forgotten about. I'd assumed that Mitchell was using the data secured by Matthees for that analysis, rather than that he was granted access to new data himself. (I thought Mitchell's analysis was a bit odd and pointless tbh). http://apt.rcpsych.org/content/23/5/288
     
    Last edited: Feb 21, 2018
  18. Skycloud

    Skycloud Senior Member (Voting Rights)

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    @Sasha re: the title of this thread - should be Carol Monaghan MP (not MSP) :)
     
  19. Sasha

    Sasha Senior Member (Voting Rights)

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    That's weird - I'd assumed all Scottish MPs would be MSPs, but you're right, she's not listed as one.
     
  20. Daisymay

    Daisymay Senior Member (Voting Rights)

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    An MSP is someone voted to stand as a member of the Scottish parliament in Edinburgh. Scottish MP's who serve at Westminster as part of the UK government are MPs, so Carol Monaghan is an SNP MP.
     

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