RSM “Medicine and Me” event: ME and CFS

Posted in 25% ME Group, AfME/Action for ME, AYME, CBT/GET, ME Association, Royal Society of Medicine, Sir Peter Spencer, The Young ME Sufferers Trust on May 6, 2009 by meagenda

Royal Society of Medicine event in the “Medicine and Me” series

http://www.roysocmed.ac.uk/academ/x2g106.php

Medicine and Me: ME and CFS – Hearing the patient’s voice

Saturday 11 July 2009

Venue: The Royal Society of Medicine, 1 Wimpole Street, London, W1G 0AE

organised by the Royal Society of Medicine and The ME Association, Action for ME, AYME, The 25% ME Group and The Tymes Trust

‘Medicine and Me’ conferences, initiated and developed by the Royal Society of Medicine, are specifically designed for patients. These meetings bring together patients, their families, carers, advocates, patient support groups, clinicians and researchers to discuss care and research issues in a particular condition.

This ‘Medicine and Me: ME and CFS’ conference is organised jointly by the Royal Society of Medicine, The ME Association, Action for ME, AYME, The 25% ME Group and The Tymes Trust.

‘Medicine and Me’ meetings aim to provide a forum in which patients’ concerns about their illness are given top priority. The meetings provide an opportunity for patients and their families to share experiences, to hear about the latest research and treatment, to discuss treatment choices and access to treatment, and to question the experts on a wide range of issues.

This meeting will focus on the difficulties and delays in diagnosis, ME and CFS in children and adolescents, the existing range of treatments, and the latest research and its impact on the development of new, disease-modifying treatments.

The audience at ‘Medicine and Me’ meetings typically comprises patients, their families, carers and advocates, representing at least 70% of those present; and clinicians and researchers, representing not more than 30%. Clinicians will include doctors, specialist nurses and all other health professionals involved in the treatment and care of patients with ME and CFS.

This meeting will be suitable for all those affected by ME and CFS

Registration Details:
Fellow: £50
Associate: £30
Trainee – Fellow: £30
Retired Fellow: £30
Student Members: £20
Non-Fellow: £70
Allied Health Professional: £35
Nurse: £35
Trainee – Non-Fellow: £35
Student: £25
Patient: £10
Carer: £10
CPD: 3 credits

[Registration button]

Agenda:

12.15 pm

Registration and coffee

1.00 pm

Welcome address
Dr David Misselbrook, Dean, RSM & Ms Jane Colby, Executive Director, The Young ME Sufferers Trust

Session One
Chair: Dr Charles Shepherd, ME Association

1.10 pm
Diagnosis: the patient’s perspective
Mr Jez Harding, Jez Harding Consulting Ltd, London

1.25 pm
Patient videos

1.35 pm
A rational, efficient and practical approach to diagnosis

Dr Abhijit Chaudhuri, Essex Centre for Neurosciences

1.50 pm
Questions

1.55 pm
ME in children and adolescents: the patient’s perspective
Miss Shannen Dabson

2.10 pm
Addressing the educational impact of ME

Mr Hardip Begol, Department for Children, Schools and Families, London

2.25 pm
Questions

2.30 pm
Treatment: the patient’s perspective

Ms Annette Barclay

2.50 pm
Treatment- evidence based and pragmatic approaches
Professor Anthony Pinching, Peninsula Medical School

3.05 pm
Questions

3.10 pm
Tea break

Session Two
Chair: Sir Peter Spencer, Action for ME

3.35 pm
Research: what do patients want and why isn’t it happening?

Dr Neil Abbot, ME Research UK and University of Dundee

3.50 pm
ME: a research orphan for too long
Professor Stephen Holgate, University of Southampton

Session Three
Chair: David Misselbrook, Dean, RSM

4.05 pm
Panel discussion
All speakers and Dr Nigel Speight, adviser to ME Association and Professionals Referral Panel, The Young ME Sufferers Trust

4.55 pm
Closing remarks
Mrs Mary-Jane Willows, Association for Young People with ME

Mr Simon Lawrence, The 25% ME Group

Dr David Misselbrook, Dean RSM

5.00 pm
Close of meeting

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Advertisement

Countdown: Judicial Review NICE CFS/ME Guideline

Posted in CBT/GET, Judicial Review, ME in the media, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely on January 23, 2009 by meagenda

Royal Courts of Justice

Image | bortescristian Creative Commons

High Court Hearing Countdown

Judicial Review of NICE Guideline for CFS/ME

East Block location maps | http://www.nicemecourt.co.uk

When? | 11th and 12th February 2009

Why? | http://www.meactionuk.org.uk/nicejr.htm

What else do I need to know? | http://www.nicemecourt.co.uk  

Whom do I contact? | contact@nicemecourt.co.uk

 

Image FreeFoto.com

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NICE CFS/ME Judicial Review: new YouTube

Posted in CBT/GET, Judicial Review, ME in the media, ME videos, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely on January 6, 2009 by meagenda

The NICE M.E. Guidelines Judicial Review new YouTube video

http://www.youtube.com/watch?v=uojoJ07OktE

“Annette Barclay talks about the impending legal challenge to the NICE guidelines on M.E.”

8.17 mins

by GBCOne

Added 4 January 2008

****************************************************

For information about the Judicial Review and copies of NICE JR related documents by Margaret Williams go to:

http://www.meactionuk.org.uk/nicejr.htm

For a document setting out what a Judicial Review is, what it is not, and how it works see:

http://meagenda.wordpress.com/2008/06/18/judicial-review-judgement-guidance

Supporters’ website:

An unoffical site has been set up for supporters of the NICE CFS/ME Judicial Review, for information and updates for those planning to attend the hearing and for those able to offer assistance with arrangements and publicity. The site can be found at:

http://www.nicemecourt.co.uk/

Please note that ME agenda site and Suzy Chapman have no connection with either of the two legal cases involved in the Judicial Review or with the supporters’ website.  All enquiries about this Judicial Review, including media enquiries, should be directed to the legal firms concerned or to the High Court, as appropriate.  Members of the ME community and their advocates planning to attend the Court hearing or who are able to offer assistance should direct enquiries about arrangements for what is currently scheduled for at least a two day hearing, to the web master of the NICE CFS/ME Judicial Review Supporters’ website.

Previous postings around the NICE Judicial Review are archived under Judicial Review in the Categories list in the left hand sidebar of ME agenda site.

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Admin: Christmas on Read ME UK Events

Posted in Admin, Gilderdale case on December 22, 2008 by meagenda

A peaceful Christmas and better health in the coming year

Let’s hope that 2009 will be the year that sees proper recognition of this illness and of the desperate need for funding biomedical research.

Read ME UK Events and ME agenda sites will remain active over the Christmas and New Year period.  I’d like to thank readers for their support and encouragement over the past twelve months.

Our thoughts are with the Gilderdale Family.

candle

 

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Royal Society of Medicine: date for ‘Medicine and me’ meeting

Posted in AfME/Action for ME, Royal Society of Medicine on December 13, 2008 by meagenda

The Royal Society of Medicine plans to hold the proposed ‘Medicine and me’ conference on

Saturday 11 July 2009

In AfME’s InterAction magazine, Page 3, CEO’s report, Sir Peter Spencer writes:

“Next year also, patients and carers will be invited to attend the Royal Society of Medicine’s (RSM’s) ‘Medicine and me’ conference on M.E. on Saturday 11 July in London. ‘Medicine and me’ meetings bring together patients, carers, advocates, patient support groups, clinicians and researchers to discuss care and research matters of interest to patients with a specific condition. It will be a great opportunity for face-to-face contact with some of the leading M.E. clinicians and researchers in the land, so I hope those who are well enough will be there. Booking will be essential. Further details will be posted in InterAction, on our website and on the RSM website at www.rsm.ac.uk  

http://www.afme.org.uk

Please note that ‘Medicine and me’ meetings are held for various conditions.

For the format of these meetings see:

http://meagenda.wordpress.com/2008/09/09/update-on-planning-of-rsm-medicine-and-me-conference/

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Documents, NICE CFS/ME Judicial Review: M Williams

Posted in 25% ME Group, CBT/GET, Judicial Review, ME Association, ME in the media, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, UNUM on October 31, 2008 by meagenda

Margaret Williams has issued a series of documents created specifically for the NICE Judicial Review. These are being circulated by Stephen Ralph and are also available from the MEActionUK website.

Stephen Ralph has created a page for all Judicial Review documents and this can be found on a button at the top of the main page of www.meactionuk.org.uk

Alternatively you can find the page directly by clicking on this link:

http://www.meactionuk.org.uk/nicejr.htm

Please note that there is some duplication of documents already published.

Document 1: http://www.meactionuk.org.uk/Background_Information_re_CBT.htm  

Background information and illustrations of evidence that CBT cannot improve ME/CFS which NICE disregarded

Margaret Williams 25 July 2008

Document 2: http://www.meactionuk.org.uk/Facts_re_GET.htm

Evidence that the Guideline Development Group that produced the NICE Guideline on CFS/ME (C53) failed to fulfil its remit

(particularly in relation to the potential dangers of graded exercise therapy)

Margaret Williams 7 July 2008

Document 3: http://www.meactionuk.org.uk/Cardiovascular.htm  

Evidence of cardiovascular problems in ME/CFS that NICE disregarded

Margaret Williams 4 August 2008

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NICE Guideline on “CFS/ME”: Date for Hearing of Judicial Review

Posted in CBT/GET, Judicial Review, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely on October 30, 2008 by meagenda

Margaret Williams has announced a Hearing listing for the Judicial Review of the NICE Guideline on “CFS/ME”.

Read ME UK Events and ME agenda has no connection with the legal cases – please address all enquiries concerning the Judicial Review to the legal team representing the Fraser/Short case and the legal representives for the ONE CLICK case or to the High Court, where appropriate. Enquiries relating to the content of this article by Margaret Williams should be directed to Stephen Ralph of MEactionUK

For a document setting out what a Judicial Review is, what it is not and how it works see:

http://meagenda.wordpress.com/2008/06/18/judicial-review-judgement-guidance/

An unoffical site has been set up for supporters of the NICE CFS/ME Judicial Review, for information and updates for those planning to attend the hearing and for those able to offer assistance with arrangements and publicity. The site can be found here:

http://www.nicemecourt.co.uk/

“This [NICE Judicial Review] is undoubtedly a high profile case. At the preliminary Hearing in June, there was standing room only. The Hearing is listed for 11th-12th February 2009. High Court officials are now busy rearranging the Court venue in order to ensure not only disabled access and facilities, but also to accommodate the coach-loads of people from the UK ME/CFS community who are expected to turn up to witness what will undoubtedly be a landmark legal action that will have global ramifications.” M Williams

Prejudice-based Medicine?

Reasons for Judicial Review of the NICE Guideline on “CFS/ME”

by Margaret Williams

27th October 2008

The full article by Margaret Williams can be read on MEActionUK

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NICE CFS/ME Judicial Review: Launch of supporters’ website

Posted in AfME/Action for ME, CBT/GET, Judicial Review, ME Association, ME in the media, NICE CFS/ME guideline on September 23, 2008 by meagenda

NICE CFS/ME Guideline legal challenge supporters’ website for information, updates and appeals for assistance with Judicial Review

A member of the ME internet community has created a website to support the NICE Guidelines court case(s). This is an unofficial site and not connected to the organisers but for supporters who want to make the hearing a success.

The site can be found at:

http://www.nicemecourt.co.uk/  

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For guidance on what a Judicial Review is, what it isn’t, and how it works see:

http://meagenda.wordpress.com/2008/06/18/judicial-review-judgement-guidance/

Judicial Review: Judgement Guidance

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For a summary of the application hearing which took place in June and a copy of the ME Association’s position regarding the NICE legal challenge see:

http://meagenda.wordpress.com/2008/06/18/summary-of-application-hearing-nice-cfsme-judicial-review/

Financing a judicial review of the NICE guideline on ME/CFS

Published by the MEA in November 2007

Summary of application hearing, NICE CFS/ME judicial review

The case against the NICE guideline on ME/CFS moved to Court 7 in the Royal Courts of Justice on Tuesday 17 June. Summary of key points made during the proceedings.

Produced by the ME Association

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

In November AfME (Action for ME) issued a statement on their position regarding the NICE legal challenge see:

http://www.afme.org.uk/news.asp?newsid=343

Legal action against NICE

21 November 2007

There have been stories in the media about a possible legal challenge to the NICE guidelines. Action for M.E believes this challenge is misguided and will not be supporting it…

Read full statement from AfME here

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Position on RSM Bristol conference: TYMES Trust, 25% M.E. Group

Posted in 25% ME Group, AfME/Action for ME, AYME, CBT/GET, ME Association, NICE CFS/ME guideline, Prof Peter White, Royal Society of Medicine, Sir Peter Spencer, The Young ME Sufferers Trust on September 18, 2008 by meagenda

ME patient organisations’ positions on the RSM’s regional conference on “CFS”

In the weeks before the RSM’s controversial London “CFS” conference, four of our leading ME patient organisations had issued position statements in response to a statement published by Action for ME (AfME) in defence of Sir Peter Spencer’s participation in this event.

Yesterday, I approached The ME Association, The Young ME Sufferers Trust, The 25% M.E. Group and Invest in ME to enquire whether these organisations have issued or intend to issue position statements on the RSM’s CFS regional conference taking place in Bristol today or have made any arrangements for literature to be handed out to conference attendees. A week ago, I also contacted the Bristol ME Support Group for their position on this conference and to enquire what action they might be taking.

Simon Lawrence, Chair The 25% M.E. Group

Simon Lawrence says that unfortunately he only recently became aware of this conference through the grapevine and that this was probably mainly due to his own ill-health. The 25% Group have therefore no arrangements in place to make a statement concerning this and have been unable to campaign because of the lateness.

 

Jane Colby, Executive Director The Young ME Sufferers Trust

Jane Colby says that The Young ME Sufferers Trust has been liaising with the RSM about redressing the problem of these conferences in the future; that the Trust has made its position clear that the speakers who are taking part will need to be balanced by different speakers in another medical conference. With regard to the Bristol Conference, Ms Colby says that she had got the impression that another demo* was being organised but that it now seems that this may not be the case after all. However, the Trust’s position is the same as it was for the London conference, because the Trust expects the same messages to be expressed by these speakers.

*Ed No announcement had been made that a demonstration of any kind had been organised for Bristol. A notice had been circulated by Gus Ryan on some internet forums and e-lists asking for anyone interested or who knew of anyone who would be interested in organising/attending a gathering outside the conference to contact him.

I will be commenting on these responses after I have heard back from The ME Association and Invest in ME.

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Bristol RSM Conference: Where’s the action?

Posted in 25% ME Group, AfME/Action for ME, AYME, CBT/GET, Invest in ME, ME Association, NICE CFS/ME guideline, Prof Peter White, Royal College of Psychiatrists, Royal Society of Medicine, The Young ME Sufferers Trust on September 18, 2008 by meagenda

Bristol RSM Conference: Where’s the action?

Before the controversial RSM’s London CFS Conference had taken place in April, it was already known that a regional one day conference on CFS had been scheduled by the Royal Society of Medicine Wessex Region for Bristol, for 18 September.

This conference takes place today and once again is intended for medical and allied health professionals, only.

I had been alerted to this event by Neil Riley, Chair of the ME Association Board of Trustees, on 13 April.

I flagged up this regional conference in a posting on Read ME UK Events site on the same day; the site received just under 3000 hits during the month of April, alone.

Since then, I have flagged up this Bristol conference several times on both Read ME UK Events and ME agenda site.

I have also put out a copy of the Agenda for tomorrow’s conference on the Co-Cure mailing list together with the Agenda for a conference on Chronic Fatigue Syndrome in Children and Young People by the Royal College of Psychiatrists South West Division Training being held in Devon, on 24 October.

Dr Esther Crawley, who was a member of the NICE Guideline Development Group, will be presenting at both the RSM’s Bristol conference and the Royal College of Psychiatrists conference. 
Click here for Agendas for these meetings.

In the run up to the RSM’s London CFS Conference, I had launched a Postcard Campaign to help raise awareness of the conference itself and to encourage the ME community to write in to the RSM and express their concerns. This was just one of a number of initiatives around this conference.

I’ve already mentioned, here, that unfortunately due to personal circumstances I have not been in a position to undertake a Postcard Campaign for the Bristol CFS Conference.

Given the interest in the RSM’s London conference in April, the ME community and the organisations which represent our interests have been notably subdued about the conference taking place tomorrow.

Although this is a regional conference it has implications for all of us in the UK, and internationally. There are many of us who consider that the influence of Professor Peter Denton White is equal to that of Professor Simon Wessely, and Professor White is giving the same presentation in Bristol that he gave in London, in April. There is also a presentation on behalf of NICE.

But as a regional conference, it has particular relevance to residents of the Bristol area for it is their medical professionals – their local GPs, medical trainees and allied health professionals – whose bums will be on the seats at UBHT Education Centre, tomorrow.

To the best of my knowledge no position statement has been issued by the Bristol ME Support Group whose members are amongst those for whom this conference has most relevance. On Saturday, I contacted the Bristol ME Support Group to ask what the Group’s position on this conference is, whether they had issued a position statement and whether the group were taking any action or had written to the media or to the RSM?

I’ve received no response so far on behalf of the group.

In March/April, AfME had issued a statement about Sir Peter Spencer’s participation in the London RSM Conference and this was followed by responses in the form of position statements from the ME Association, The 25% ME Group, The Young ME Sufferers Trust and Invest in ME. Full copies of all these positions statements were posted on both blogs and extracts were included in the “On a Postcard, please” Campaign Flyer. Paul Davis of RiME also provided a brief position statement specifically for inclusion in the Flyer.

Our patient organisations have also been notably muted on the issue of this Bristol conference.

Yesterday I contacted the ME Association, The Young ME Sufferers Trust, The 25% ME Group and Invest in ME to enquire whether any of these organisations have issued or intend to issue position statements on the Bristol conference or have made any arrangements for material to be handed out to conference attendees.

I will post any responses I receive as they come in.

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Eve of RSM Conference open letter: ME Free For All.org

Posted in AYME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Royal Society of Medicine on September 18, 2008 by meagenda

Ed: The opinions expressed in the commentary below are those of Dr John Greensmith on behalf of ME Free For All.

 
From ME Free For All.org

17/09 2008

Royal Society of Medicine (RSM) Conference, ‘Chronic fatigue Syndrome’, Bristol, 18 September 2008 – Eve of Conference Open Letter, ME Free For All. org

The Royal Society of Medicine (RSM) Conference, ‘Chronic Fatigue Syndrome’, held in London on 28 April 2008, drew an unprecedented amount of correspondence expressing serious concerns – principally: an overwhelming bias towards speakers, who are psychiatrists, or who favour the psychosocial model of M.E. (Myalgic Encephalomyelitis); patients or their representatives not being allowed to attend; a dominant preference for the term Chronic Fatigue Syndrome for M.E., when they are not the same illnesses, nor should be treated in the same way; and recommendation of the treatments Cognitive Behaviour Therapy (CBT) and Graded Exercise Treatment (GET), which are ineffective or sometimes irrecoverably harmful, to which all funding goes, leaving promising biomedical research starved of money and dependent on charity, thus delaying an effective treatment or cure – and there was a peaceful protest of about 16, some in wheelchairs, outside its entrance, on the day.

That there has been nothing like the volume of letters about an identically titled Conference in Bristol on 18 September 2008 and that there will not be any M.E. sufferers at the door, should not be interpreted by the RSM, the M.E. Community of sufferers, their carers, doctors and researchers, the Media or the wider general public as apathy and certainly not as a change of opinion to coincide with the organisers of, or the speakers at, these conferences.

The more likely and quite understandable, reason for there being not only at least the same number of organisations and individuals writing again but new people adding to the postbag is that they have nothing different or new to add and repetition would fall on the same deaf ears as last time. There have been strenuous efforts to organise a similar demonstration of disapproval on the day but it is not difficult to see that, if the vast majority of M.E. sufferers are unable to travel to work or school and a significant proportion cannot get out of their beds or their houses on any day of the year, they won’t be able to travel to this venue for the same reason. It is a matter of inability, not unwillingness.

ME Free For All. org is not able to stand outside the Conference and is not invited in. Nor do we have anything new to add, since the last Conference but we do wish to express our disapproval of this Conference, with equal vehemence, in perhaps the most economical way: ‘For “London” read “Bristol”.’

Yours sincerely

Dr John H Greensmith

ME Free For All. org   drjohngreensmith@mefreeforall.org

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

See also entries at:

http://meagenda.wordpress.com/2008/09/15/two-uk-regional-cfs-conferences-in-september-and-october/

http://meagenda.wordpress.com/2008/09/11/bristol-evening-post-9-september-2008-dr-john-greensmith/

http://meagenda.wordpress.com/2008/09/09/rsm-cfs-conference-bristol-18-september

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Two UK regional CFS conferences in September and October

Posted in AfME/Action for ME, AYME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal College of Psychiatrists, Royal Society of Medicine on September 15, 2008 by meagenda

Two UK regional “Chronic Fatigue Syndrome” conferences in September and October

There are two UK regional conferences on “Chronic Fatigue Syndrome” for medical professionals, students and allied health professionals only, being held by The Royal Society of Medicine (RSM), Wessex Region and The Royal College of Psychiatrists, South West Division Training (RCPsych SWDT) in September and October.  Continue reading

Bristol Evening Post, 9 September 2008, Dr John Greensmith

Posted in AfME/Action for ME, AYME, CBT/GET, ME in the media, NICE CFS/ME guideline, Prof Peter White, Royal Society of Medicine on September 11, 2008 by meagenda

ME Free For All. org

Bristol Evening Post, 9 September 2008, Dr John Greensmith

The forthcoming Royal Society of Medicine (RSM) Conference, “Chronic Fatigue Syndrome” in Bristol on 18 September 2008, is an unwelcome example of how a small but very influential minority of the medical profession is stubbornly refusing to listen to the very group of patients it claims to serve.

Even before an identically named conference was staged in London on 28 April 2008, this one had already been timetabled with the same leanings, some of the same participants and lectures. Both would always go ahead despite an unprecedented amount of communication – perhaps five or six times the usual for other M.E. issues, with some very ill people moved to write for the very first time – to the RSM, the press and one eminent M.E. specialist even wrote to The Queen.

The serious concerns now, as they were in April and as they will be in the future, if the RSM persist in ignoring M.E. sufferers, are that there is a bias towards a psychiatric view of the illness, promotion of treatments intended for illnesses of a psychiatric origin, in line with the NICE guidelines, a preference for the name Chronic Fatigue Syndrome and a lack of consideration and funding for more promising biomedical research.

The majority received no reply at all. Those who did will have been frustrated or angered, rather than comforted or appeased at the abrupt, defensive, arrogant tone delivering, sometimes, factually incorrect content about the conference’s organisation and content. Those who were told that there are some events to which M.E. patients are invited will wonder why they are excluded from any.

It did go ahead, the effect of a small peaceful protest of a dozen or so quite severely affected people, some in wheelchairs, thwarted by the simple device of closing the gates at one entrance to the building.

M.E. sufferers will wonder why one of the speakers, this time, is billed as “Person with CFS/ME”, when her principal role is as Chief Executive of the sister group of the only other M.E. organisation to have been invited to speak because they are more sympathetic to the NICE proposals than every other M.E. group which, without exception, have published responses of varying degrees of opposition.

They will also hope that there is not a repeat performance of the difficulty of and delay in, transcripts and videos of the proceedings becoming available.

I anticipate an even greater clamour of protest, this time than last, perhaps with new voices raised but, I predict, that these few will still decide the fate of M.E. sufferers without the proper scientific mandate for doing so.

Yours sincerely

Dr John H Greensmith
ME Free For All. org

drjohngreensmith@mefreeforall.org  
http://www.mefreeforall.org/

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RSM Chronic Fatigue Syndrome Conference, Bristol 18 September

Posted in AYME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Royal Society of Medicine on September 9, 2008 by meagenda

RSM Chronic Fatigue Syndrome Conference, Bristol, Thursday, 18 September

The Royal Society of Medicine is holding a regional “CFS” conference, in Bristol, on 18 September.

The line-up of presenters includes Professor Peter Denton White, Mary-Jane Willows (CEO of AYME), Dr Esther Crawley (NICE GDG member and a medical adviser to AYME), Dr Hazel O’Dowd and Prof Tony Pinching (a medical adviser to AfME).

Professor Peter White was one of the speakers at the controversial RSM “CFS” conference which took place in London, in April, and his presentation in Bristol will also be titled “What is Chronic Fatigue Syndrome and what is ME?”

The ME Association published a summary of Professor White’s April presentation for the RSM which you can read here:

http://meagenda.wordpress.com/2008/05/15/mea-summary-of-prof-peter-d-whites-rsm-presentation/

View the webcast of Professor White’s RSM Conference presentation here:

http://rsm.mediaondemand.net/events.aspx

http://rsm.mediaondemand.net/player.aspx?EventID=1291

In March and April, this year, there were a number of initiatives around the RSM’s London “CFS” Conference.  Joanie Crawford and her husband handed out leaflets to conference attendees in the morning and Gus Ryan organised a demonstration outside the building in the afternoon during which specially prepared letters were presented. Gus Ryan also produced a YouTube video of the event which can be viewed here

RSM Protest video http://www.youtube.com/watch?v=OLFGPc_fZ7A

I co-ordinated a postcard campaign – information here on Read ME UK Events

John Greensmith, ME Free For All, also encouraged letters and emails to the RSM. The RSM were inundated with communications expressing concern about the psychiatric/psychological bias of the line-up of speakers.

It’s only nine days until this conference takes place, on Thursday, 18 September.

Due to personal circumstances, I am not able to undertake the co-ordination of a postcard campaign for this forthcoming Bristol conference, or circulate flyers or flag up protests against this conference on forums and mailing lists, but John Greensmith has put out some information today. So if you want to write or email your concerns, here is John’s notice.  Address for the RSM: Royal Society of Medicine, 1 Wimpole Street, London W1G 0AE  Email Dr John Scadding

From Dr John Greensmith, ME Free For All

PERMISSION TO FORWARD, REPOST & USE IN NEWSLETTERS

You may remember that the Royal Society of Medicine (RSM) Conference, “Chronic Fatigue Syndrome”, in London, on 28 April 2008 caused something of a furore (see

http://www.mefreeforall.org/2008-Apr-Jun.448.0.html#c2203 and following letters, when logged in)

and I expect a similar response this time since it is essentially a repeat performance.

This is my letter about the conference with the same name to be held in Bristol on 18 September 2008 here

http://www.mefreeforall.org/2008-Jul-Sep.1017.0.html#c3976

which you may read when logged in and also click to the agenda for the conference and any other correspondence, as it comes in.

May I suggest that as many as can manage send a letter to the Bristol Evening Post, epletters@bepp.co.uk, Western Daily Press, wdletters@bepp.co.uk and Bath Chronicle papers, near to where the conference is being held, as well as the North Devon Journal, letters@northdevonjournal.co.uk and the Western Morning News, wmnletters@westernmorningnews.co.uk, in which it got good coverage last time. You may also want to send it to your own local paper and the national daily, or Sunday, that you take for a more universal coverage.

Talking of universal, although this is a medical institution in the UK, may I urge M.E. sufferers from abroad to write as well, since this is a foreign import you could well do without.

~~~~~~~~~~~~~~~~~~~~~

Is there anyone in the North-East of England/North Yorkshire who would be prepared to talk to The Northern Echo about the forthcoming RSM conference in Bristol on 18 September 2008.

Please get back to me and I’ll put you together.

(There is much more interest in this than I had even hoped – please write to the Bristol & Bath Papers, the North Devon Journal, The Westen Morning News and your own local, national daily and sunday papers – e-mail addresses in my previous e-mail or from me)

Dr John H Greensmith
drjohngreensmith@mefreeforall.org

ME Free For All. org
http://www.mefreeforall.org

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

RSM Bristol Conference Agenda and booking information

18 September 2008

Wessex Region Chronic Fatigue Syndrome Bristol

Venue: UBHT Education Centre, Upper Mauldin Street Bristol BS2 8AE

Thursday 18 September 2008

Click here for Conference Agenda

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Update on the RSM’s “Medicine and Me” conference

Posted in AfME/Action for ME, AYME, Invest in ME, ME Association, Royal Society of Medicine, The Young ME Sufferers Trust, Uncategorized on September 9, 2008 by meagenda

Update on the planning of the Royal Society of Medicine’s “Medicine and Me” conference

Note that this proposed event at the RSM’s London conference venue would be one in a series of “Medicine and Me” events for topics around various medical conditions aimed at patient group participation held by the RSM, over the past few years. The title does not refer to “Medicine and M.E.” so this meeting would, ironically, be a “Medicine and Me” event on “CFS” or possibly “CFS/ME”, though the RSM did not use the terms “CFS/ME”, “ME/CFS” or “ME” in its April “CFS” Conference.

Further information about the format of these patient events, which in the past, have been held in association with just one patient organisation, not several, can be found here

Some information about this event is beginning to trickle out. In the summary of its September Board meeting, the ME Association reports:

ROYAL SOCIETY OF MEDICINE (RSM) – 2009 MEDICAL MEETING FOR PEOPLE WITH ME: Charles Shepherd, along with representatives from four other national support charities (AfME, AYME, Tymes Trust, 25% Group), will be attending a further planning meeting at the RSM on Thursday September 4th. At present, it looks as though this half day meeting aimed at people with ME, and planned by people with ME and charity representatives, will be taking place in Spring or early Summer 2009. The planning meeting will be deciding on the content of the paired presentations part of the programme and the choice of medical speakers who will be invited to participate.”

Meanwhile, Invest in ME has concerns about the selection process through which organisations were invited to participate in the planning of this event and the rejection of its offer to participate in the planning stages of this event.  In its September newsletter, Invest in ME reports:

RSM – Medicine and ME

“After the Royal Society of Medicine announced their intention to hold a conference on CFS in April Invest in ME contacted the then President of the RSM, Baroness Finlay, and passed to her factual information regarding ME/CFS. We also invited her to our London conference and offered help in planning a Medicine and ME conference which we were told the RSM was considering.

“We contacted the Baroness again in July and our letter was passed to Dr John Scadding.

“Dr Scadding replied to our offer to help by stating that only the following organisations were to be invited to be in the planning of this event – the 25% Group, AfME, AYME, MEA and Tymes Trust.

“We replied to Dr Scadding that we thought we could offer valuable experience in planning such an event and have been working on behalf of patients contacting us for help. We weren’t sure why those organisations alone were chosen or why an arbitrary number of organisations seems to have been invited.

“Dr Scadding rejected our offer, having “sought the advice of a number of others”. We can only guess who these “others” are who are advising him.

“Dr Scadding went on to describe the reasons for IiME’s exclusion as –

“… 1. The group is already very large, with the 5 patient charities, patients with CFS / ME and the necessary RSM staff. Very large groups often have difficulty in reaching a consensus in a committee situation. I have planned many Medicine and Me meetings, usually in partnership with just one patient charity / support group. Patients attending the subsequent Medicine and Me meetings have not complained of bias or exclusion of their interests.

2. I am reasonably confident that the group is representative of CFS / ME sufferers overall, and that no interests will be forgotten, excluded or ignored.

3. The programme for the Medicine and Me conference must be driven by the patients on the planning group.

I think we need to be realistic about what can be achieved in a Medicine and Me meeting. It lasts only about three and a half to four hours. Three or four key areas of interest are nominated by the patients on the planning group; patients speak first on these and each is followed by an expert response. The topics may be about diagnosis, research, treatments, access to treatment, stigma, prognosis, etc etc. During the concluding lengthy panel discussion, any matter of concern about the condition to those in the audience can be raised, not just those forming the focus of the patient presentations.

It is clearly impossible in the time available during the meeting to cover every aspect of any disease, and patients have often requested further meetings (which we are happy to consider, but we need to be mindful of the multitude of chronic diseases that exist, each deserving of a Medicine and Me meeting).

I cannot predict at this stage the topics that will be chosen within CFS / ME to form the focus of the Medicine and Me meeting, but if you would like to make some suggestions now, I would be very pleased to float these at the planning group meeting.

I am aware of the interest of Invest in ME in promoting biomedical research, and I am sure this will be discussed. Indeed, it may well be that this is one of the topics chosen, but that is for patients to decide…”

As far as I can tell, the RSM has not made webcasts and PowerPoint presentations of previous “Medicine and ME” events available on its website, as it did following its “CFS” Conference, in response to pressure from the ME community.

Many of those who would have liked to have attended this “Medicine and ME” event will be disenfranchised because they are too unwell to travel, because of the cost of travel and conference tickets or because like me, they have committments as carers.

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12th May ME “Peoples Day” events: Patron resigns

Posted in 12 May ME events on August 22, 2008 by meagenda

12th May ME “Peoples Day” events: Patron resigns

Trevor Wainwright announced in July that he has resigned as Event Patron to the 12th May “Peoples Day” events held in London and organised by Diane Newman. No announcement has been issued by Ms Newman following Mr Wainwright’s resignation.

For this year’s events, letters and other material were handed in to Downing Street by Ms Newman on 12 May. On 15th May, an “M.E./CFS Open Forum” meeting was held in a House of Commons committee room, chaired by Ms Newman.

The minutes for this public meeting have yet to be published.

Please direct all enquiries to Diane Newman 12MayM.E.PeoplesDay_Events@live.co.uk

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Update on proposed RSM “Medicine and Me” event

Posted in AfME/Action for ME, ME Association, Prof Peter White, Royal Society of Medicine, The Young ME Sufferers Trust on August 12, 2008 by meagenda

Update on proposed RSM “Medicine and Me” event

I was told by Royal Society of Medicine Event Co-ordinator, Nicole Leida, on 14 March, prior to the RSM’s “CFS” Conference, that the RSM were considering holding a “Medicine and Me” event on Chronic Fatigue Syndrome.

This proposed event would be one in a series of “Medicine and Me” conferences for topics around various medical conditions involving patient group participation which have been held by the RSM over the past few years.

The event title does not refer to “Medicine and M.E.” so this meeting would, ironically, be a “Medicine and Me” event on “CFS” or possibly “CFS/ME”, though the RSM used only the term “CFS” for its April ’08 Conference.

In the standard letter sent out by Mr Ian Balmer, CE of the Royal Society of Medicine, following the RSM’s Conference, Mr Balmer wrote:

“In order to redress the issue of patient involvement, the RSM has decided [to] introduce a ‘Medicine and Me’ conference on the subject of CFS/ME.

“This will be part of a series of conferences aimed at a wider audience, the planning of which will include patients and the format of which allows patients to speak first, and experts to respond to the issues raised. Typically the audiences for these conferences will be comprised of 70% patients and families. This particular series has proved extremely successful in allowing patients to share their experiences, focus on issues of greatest important to them and allow true dialogue between patients and acknowledged experts. This conference will be held in the early part of the 2008/09 academic year.”

Past and scheduled RSM “Medicine and Me” meetings appear to be arranged in association with a single patient charity or organisation. The charge to patients and carers for seats at these events is currently between £20 and £25.00.

More information about the format of these events can be found on Read ME UK Events site at:

https://readmeukevents.wordpress.com/2008/05/14/rsm-medicine-and-me-events/

From the Medicine and Me: Eczema event which took place in September, 2007:

Educational aims & objectives:

‘Medicine and Me’ conferences, initiated and developed by the Royal Society of Medicine, are specifically designed for patients. These meetings bring together patients, their families, carers, advocates, patient support groups, clinicians and researchers to discuss care and research issues in a particular condition.

‘Medicine and Me: Eczema’ is jointly organised by the Royal Society of Medicine and the National Eczema Society.

‘Medicine and Me’ meetings aim to provide a forum in which patients’ concerns about their illness are given top priority. The meetings provide an opportunity for patients and their families to share their experiences, to hear about the latest research and to question the experts. Eight Medicine and Me meetings have been held to date, on a wide range of diseases; these have all proved to be popular with patients.

The programme for this meeting includes an initial review of recent research, then presentations from three patients, each followed by a response from an expert on eczema, who will discuss the issues raised by the patients, concerning treatment and research. The meeting will finish with an extended interactive discussion involving all the speakers and the audience.”

~~~~~~~~~~~~~~~~~~~~~~~~~~

For examples of the type of speakers, agenda and formats of previous events see:

http://www.rsm.ac.uk/academ/c10-z.php

Medicine and Me: Eczema, Tuesday 11 September 2007

http://www.rsm.ac.uk/academ/apnoea.php

Medicine and Me: Sleep Apnoea, Saturday 10 May 2008

http://www.rsm.ac.uk/academ/hepc.php

Medicine and Me: Hepatitis C, Thursday 22 May 2008

http://www.rsm.ac.uk/academ/e10-lupus.php

Medicine and Me: Lupus, Tuesday 24 June 2008

~~~~~~~~~~~~~~~~~~~~~~~~~~

On page 31 of the July 2008 edition of ME Essential (Issue 107) there is an update on the proposed “Medicine and Me” event.

The ME Association reports that arrangements are being made for the Royal Society of Medicine to run another ME/CFS conference, with the major ME charities and patients involved in its planning that will be presented to an audience of predominately people with ME/CFS.

The MEA says that conference is expected to be held next year; that the Dean of the RSM, Dr John Scadding, has already held preliminary talks with the MEA, with Action for ME and with the Association of Young People with ME and that a further meeting will be held, probably in September, when the scope of the planning exercise will be widened to include the Young ME Sufferers Trust, The 25% M.E. Group for severe sufferers and individuals with ME.

The MEA says that Dr Scadding “is keen to make the event as attractive as possible to patients and avoid the criticisms levelled at this year’s event – when people with ME demonstrated against its psychiatric bias and the failure to include them in its programme.”

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

What the ME Association does give is any details about how individuals with ME or carers of people with ME or other patient organisations other than those mentioned above should set about expressing an interest in becoming involved with the planning of this event at any future planning meeting which follows out of these “preliminary talks” with the MEA, AfME and AYME. I suggest that those interested in pursuing participation in the planning stages for this event should contact the RSM directly.

I have no information about which “experts”, researchers, clinicians, practitioners, patient organisation reps or individuals might be anticipated to be invited to make presentations but if you study the agendas of the four examples of previous events it is evident that there are around seven or eight individual presentations which are scheduled for around 15 minutes duration or less. These events are afternoon events and therefore less time is available for each presentation than was allocated for the RSM’s “CFS” Conference presentations.

Tickets for these “Medicine and Me” events are in the region of £20 to £25 per seat.

To the best of my knowledge, the RSM has not made webcasts of these patient orientated events available to the public in the past – so it’s not clear whether the RSM intends to record this proposed event. Since this is a patient group with particular mobility issues perhaps the RSM can be persuaded to record the presentations, although if these events are more informal gatherings and if the presentations are interwoven with patient contribution and discussion there may be difficulties obtaining permission to make recordings, in the first place, and to make them public, from all those who participated in discussion or question sessions. Note the RSM did not record the question and answer sessions at the end of the individual presentations at the April conference.

In this magazine item, the MEA does not mention the forthcoming regional RSM Conference on “CFS” scheduled for Bristol on 18 September, this year – see conference agenda here

so it’s not known whether the MEA, AfME or AYME are intending to take stands at this regional conference as they did for the April Conference in London.

Professor Peter Denton White will also be presenting at this Bristol conference as is AfME medical adviser, Prof Tony Pinching.

Mary Jane Willows (CEO AYME) is also one of the presenters at this event. Ms Willow’s presentation is listed on the Bristol conference agenda as “What it feels like to have CFS/ME, Mary-Jane Willows, Person with CFS/ME”; her interest as CEO of AYME has not been given on the Agenda.

Another presenter at this Bristol conference is Dr Esther Crawley, Royal National Hospital for Rheumatic Diseases, Bath speaking on “The practical management of CFS/ME”. Dr Crawley is a medical adviser to AYME.

Also on page 31 of ME Essential magazine is some information on the availability of webcasts of the RSM’s April Conference which was nearly a month out of date at the time of publication. All ten webcasts have been available from the RSM’s site since 2 July.

Links for the webcasts and PDFs of PowerPoint presentations can be read on Read ME UK Events here

Compiled by Suzy Chapman
12 August 2008

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Squeeze the psychs out of M.E.: Prof Wessely RSM presentation

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer, UNUM on July 9, 2008 by meagenda

During his presentation at the Royal Society of Medicine’s “CFS” Conference on 28 April 2008, Professor Simon Wessely referred to “the demonstration Squeeze the psychs out of M.E.” using a PowerPoint slide of the “Squeeze the psychs out of M.E.” graphic to illustrate this section of his talk. I would like to point out that whilst I am happy for Professor Wessely to have included my graphic in his presentation, that the “Squeeze the psychs out of M.E.” graphic and slogan were prepared exclusively for use with the RSM “On a Postcard, please” campaign and that both were initiatives independent of the RSM Protest organised by Gus Ryan outside the RSM building on the afternoon of the conference.

This extract from the closing minutes of Professor Simon Wessley’s presentation to the Royal Society of Medicine “CFS” Conference is not an official transcript. Whilst considerable care has been taken to prepare a fair and verbatim transcript, some errors and omissions may remain.

 

Prof Simon Wessely’s RSM CFS Conference presentation (and PDF of PowerPoint slides)

Epidemiology: Professor Simon Wessely, King’s College London

Webcast available from RSM website (registration required) at: http://rsm.mediaondemand.net/events.aspx  

PowerPoint slides only available to download at:

Epidemiology [PDF 544k]
Professor Simon Wessely, King’s College London
http://www.rsm.ac.uk/chronicfatigue08/wessely.pdf  

Title: Epidemiology counts… [illustrated with 54 PowerPoint slides]

http://rsm.mediaondemand.net/player.aspx?EventID=1293

32.00 mins into Prof Wessely’s presentation [34.38 mins]

These are important, then, because what we’re saying is that any proposed model for CFS, if it’s going to reflect the world as it is, must explain these epidemiological findings, it must explain the genetics finding, it must explain the gender bias, it must explain these links with previous psychological disorders, it must explain why some, but not all agents can initiate CFS and it must explain these complicated links with activity.

Copyright Suzy Chapman

Copyright Suzy Chapman

PowerPoint slide 53: Image: “Squeeze the psychs out of M.E.” graphic from “On a Postcard, please” campaign

It’s not possible, really though, to completely avoid the outside world much as though we would like, and this kind of erm, demonstration “Squeeze the psychs out of M.E.” – and one can understand the emotions behind this – but I do find it hard to sympathise and I also think it’s a great mistake because if you really actually want to understand chronic fatigue syndrome, M.E. whatever we’re going to call it, you have to do so in possession of all the facts – not just those facts that you like, but all of them; you can’t pick and choose and the history of science tells us very clearly that turning your back on erm, things that you don’t like, things that aren’t going the way you want them to, and there are many, many examples of this, at best leads to false conclusions and bad decisions, and at worst leads to bigotry and intolerance.

It is not good enough to dismiss the research that we have described as “nonsense” or those who followed it as “knaves”, “charlatans” or “varlets” because they’re none of those things – if you want to help sufferers you have to see the world as it is, in all its complexity and not just parts of it.

[Image]

PowerPoint slide 54: Image: Front cover: Kings Centre for Military Health Research Ten Year Report
http://www.kcl.ac.uk/content/1/c4/79/73/SW%20Publications.doc

That’s ought to be my last slide but I don’t want to leave it like that as I don’t like it, so this actually is my last slide and this is just finally a kind of personal note – a strange thing has happened, I still see patients every week but I’ve really pulled out of research in this area and I have very little involvement, now, and I’ve done the exact opposite of Sir Peter Spence [sic] there at the back. He’s moved from the armed forces into the world of chronic fatigue syndrome at about the same time as I’ve done exactly the opposite – I haven’t joined the armed forces, by the way, so those interested in the security of the country can be, can be relaxed on that one [laughter] but I have now devote nearly all of my time towards research into this area and erm, if Sir Peter, if things are going as well for you as they are for me in this area then you’re a very happy man because I certainly am, as well. At that point, thank you very much.

[No question sesssion included in webcast]

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RSM CFS Conference Webcasts and Presentation PDFs

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer, UNUM on July 3, 2008 by meagenda

Royal Society of Medicine “Chronic Fatigue Syndrome” Conference 28 April 2008

Webcasts and PDFs of Presentation documents

Webcasts of all ten presentations have now been added to the RSM’s website. These also include PowerPoint slides which accompanied the presentations.

For ease of reference, all links to webcasts are collated in this one posting, together with links for the ten presentation document PDFs. Those on dial-up internet access please note that the PDF for Sir Peter Spencer’s presentation is around 6.0MB file size.

The webcasts are available in four session sections. Registration is required to view these webcasts but this does not take long to fill in and is processed immediately – you may need to log in each time you return to the site.

http://rsm.mediaondemand.net/events.aspx

Introduction by RSM Dean Dr Scadding
http://rsm.mediaondemand.net/player.aspx?EventID=1294

What is Chronic Fatigue Syndrome & what is ME?: Professor Peter White, Barts & the London School of Medicine
http://rsm.mediaondemand.net/player.aspx?EventID=1291

Epidemiology: Professor Simon Wessely, King’s College London
http://rsm.mediaondemand.net/player.aspx?EventID=1293

Pathophysiology: Dr Anthony Cleare, Institue of Psychiatry, London
http://rsm.mediaondemand.net/player.aspx?EventID=1292

Assessment: general practitioners’ approach: Professor Chris Dowrick, University of Liverpool
http://rsm.mediaondemand.net/player.aspx?EventID=1334

Assessment: psychiatrist’s approach: Professor Matthew Hotopf, Institute of Psychiatry, London
http://rsm.mediaondemand.net/player.aspx?EventID=1333

M.E.- The Patient Perspective, Sir Peter Spencer
http://rsm.mediaondemand.net/player.aspx?EventID=1336

Management: NICE Guidelines, Professor Richard Baker
http://rsm.mediaondemand.net/player.aspx?EventID=1335

CBT and GET, Professor Rona Moss-Morris
http://rsm.mediaondemand.net/player.aspx?EventID=1338

What drugs can I use? Dr Alastair Miller
http://rsm.mediaondemand.net/player.aspx?EventID=1337

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

At the link below on the RSM site are links to extra online resources to accompany the conference: These are a single PDF of Speaker Abstracts and Biographies and ten PDFs of Presentation documents. No site registration is required in order to view or download the PDFs.

http://www.rsm.ac.uk/chronicfatigue08/index.php  

Chronic Fatigue Syndrome

Further resources to accompany the conference

Please note all presentations open in a new browser window

Speaker Abstracts and Biographies

Download Abstracts and Biographies [PDF 86k]
http://www.rsm.ac.uk/chronicfatigue08/abs.pdf

Speaker Presentation documents

Introduction, Dr. John Scadding. Dean of the RSM
Only Webcast available (Registation required)
http://rsm.mediaondemand.net/player.aspx?EventID=1294

What is Chronic Fatigue Syndrome & what is ME? [PDF 278k]
Professor Peter White, Barts & the London School ofMedicine
http://www.rsm.ac.uk/chronicfatigue08/white.pdf

Pathophysiology [PDF 311k]
Dr Anthony Cleare, Institue of Psychiatry, London
http://www.rsm.ac.uk/chronicfatigue08/cleare.pdf

Epidemiology [PDF 544k]
Professor Simon Wessely, King’s College London
http://www.rsm.ac.uk/chronicfatigue08/wessely.pdf

Assessment: general practitioners’ approach [PDF 576k]
Professor Chris Dowrick, University of Liverpool
http://www.rsm.ac.uk/chronicfatigue08/dowrick.pdf  

Assessment: psychiatrist’s approach [PDF 225k]
Professor Matthew Hotopf, Institute of Psychiatry, London
http://www.rsm.ac.uk/chronicfatigue08/hotopf.pdf

M.E. – The patient perspective [PDF 6.1mb]
Sir Peter Spencer, Action for M.E.
http://www.rsm.ac.uk/chronicfatigue08/spencer.pdf

Management: NICE Guidelines [PDF 301k]
Professor Richard Baker, Leicester University
http://www.rsm.ac.uk/chronicfatigue08/baker.pdf

CBT and GET [PDF 269k]
Professor Rona Moss-Morris, University of Southampton
http://www.rsm.ac.uk/chronicfatigue08/moss_morris.pdf

What drugs can I use? [PDF 243k]
Dr Alastair Miller, Royal Liverpool University Hospital
http://www.rsm.ac.uk/chronicfatigue08/moss_miller.pdf

“Please note that copyright in the presentations on the RSM’s site belong to the authors listed. Permission must be sought for any copying or other re-use of their material.”

“The Royal Society of Medicine is not responsible for the content of the presentations of the listed authors.”

Apologies for the error in one of the links that were mailed out via Co-Cure e-list, yesterday, this has now been corrected in a follow up posting.

I’d like to take this opportunity of thanking the following: Gus Ryan for organising the RSM Protest on the afternoon of the conference, his two stewards, Annette Barclay and Ciaran Farrell, all those who attended the protest and prepared presentation letters; Joan and Dewi Crawford for attending in the morning and handing out several hundred information leaflets to conference attendees; everyone both here in the UK and internationally, who sent postcards, letters and emails to the RSM in protest against the make-up of the planning committee, the line-up of presenters and the conference agenda – according to the RSM’s Mrs Jo Parkinson, they were “inundated”; all those who raised awareness of the various protests on websites, forums, e-lists and social networking sites and all those who agitated before and following the conference for transcripts and videos of the presentations to be made available on the RSM’s website.

Suzy Chapman,
“On a Postcard, please” Campaign Co-ordinator

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RSM Conference webcast: Prof M Hotopf

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on June 30, 2008 by meagenda

The fourth and fifth RSM Conference webcast

 

Pathophysiology: Dr Anthony Cleare, Institue of Psychiatry, London

http://rsm.mediaondemand.net/player.aspx?EventID=1292  

Assessment: psychiatrist’s approach: Professor Matthew Hotopf, Institute of Psychiatry, London

http://rsm.mediaondemand.net/player.aspx?EventID=1333

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RSM webcast: Dr Anthony Cleare

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on June 30, 2008 by meagenda

Webcast of presentation by Dr Anthony Cleare has now been added to the RSM website.

Registration is required to view RSM webcasts

Presentation by Dr Anthony Cleare at:

http://rsm.mediaondemand.net/player.aspx?EventID=1292

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RSM “CFS” Conference webcasts and abstracts

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on June 30, 2008 by meagenda

RSM “CFS” Conference webcasts are now available on the RSM website

http://rsm.mediaondemand.net/events.aspx  

Three webcasts are currently available to view at the link above. These are:

Introduction by RSM Dean Dr Scadding
http://rsm.mediaondemand.net/player.aspx?EventID=1294

Presentation by Professor Peter Denton White
http://rsm.mediaondemand.net/player.aspx?EventID=1291

Presentation by Professor Simon Wessely
http://rsm.mediaondemand.net/player.aspx?EventID=1293

Registration is required to view these webcasts but this does not take long to fill in and is processed immediately.

I will post the links for further webcasts as these become available on the RSM’s site. I was told on Friday, by the RSM that it was anticipated that webcasts of all presentations would be available by the end of this week.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

At the link below on the RSM site are links to extra online resources to accompany the conference: Chronic Fatigue Syndrome which took place on Monday 28 April 2008. These are PDFs of Speaker Abstracts and Biographies:

http://www.rsm.ac.uk/chronicfatigue08/index.php

Chronic Fatigue Syndrome
Further resources to accompany the conference

Please note all presentations open in a new browser window

Speaker Abstracts and Biographies

Download Abstracts and Biographies [PDF 86k]
http://www.rsm.ac.uk/chronicfatigue08/abs.pdf

Speaker Presentations

Introduction, Dr. John Scadding. Dean of the RSM
View Webcast (Registation required)
http://rsm.mediaondemand.net/player.aspx?EventID=1294

What is Chronic Fatigue Syndrome & what is ME? [PDF 278k]
Professor Peter White, Barts & the London School ofMedicine
http://www.rsm.ac.uk/chronicfatigue08/white.pdf
View Webcast http://rsm.mediaondemand.net/player.aspx?EventID=1291

Pathophysiology [PDF 311k]
Dr Anthony Cleare, Institue of Psychiatry, London

http://www.rsm.ac.uk/chronicfatigue08/cleare.pdf

Epidemiology [PDF 544k]
Professor Simon Wessely, King’s College London

http://www.rsm.ac.uk/chronicfatigue08/wessely.pdf
View Webcast http://rsm.mediaondemand.net/player.aspx?EventID=1293

Assessment: general practitioners’ approach [PDF 576k]
Professor Chris Dowrick, University of Liverpool

http://www.rsm.ac.uk/chronicfatigue08/dowrick.pdf

Assessment: psychiatrist’s approach [PDF 225k]
Professor Matthew Hotopf, Institute of Psychiatry, London
http://www.rsm.ac.uk/chronicfatigue08/hotopf.pdf

M.E. – The patient perspective [PDF 6.1mb]
Sir Peter Spencer, Action for M.E.

http://www.rsm.ac.uk/chronicfatigue08/spencer.pdf

Management: NICE Guidelines [PDF 301k]
Professor Richard Baker, Leicester University

http://www.rsm.ac.uk/chronicfatigue08/baker.pdf

CBT and GET [PDF 269k]
Professor Rona Moss-Morris, University of Southampton
http://www.rsm.ac.uk/chronicfatigue08/moss_morris.pdf

What drugs can I use? [PDF 243k]
Dr Alastair Miller, Royal Liverpool University Hospital
http://www.rsm.ac.uk/chronicfatigue08/moss_morris.pdf

Please note that copyright in the presentations on the RSM’s site belong to the authors listed. Permission must be sought for any copying or other re-use of their material.

The Royal Society of Medicine is not responsible for the content of the presentations of the listed authors.

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Statement regarding the promotion of events associated with Ms Diane Newman

Posted in 12 May ME events on June 29, 2008 by meagenda

Statement regarding the promotion of events associated with Ms Diane Newman

Ms Diane Newman runs the Peterborough M.E. & CFS Self Help Group and is a former trustee of the ME Association.

In May 2007, Ms Newman undertook to organise two ME Awareness Week “Peoples Day Events”. She also took on the role of Event Organiser for two events to mark ME Awareness Week 2008 – the first on 12th May and a public “M.E./CFS Open Forum” meeting held in a House of Commons committee room on 15th May.

For both events, I had undertaken to publish notices and promotional material on my sites at http://meagenda.wordpress.com  and https://readmeukevents.wordpress.com .

In the light of recent issues, I am no longer prepared to carry notices, reports and promotional material for any events organised by Ms Newman. This means that I am not prepared to publish Ms Newman’s 27th June report of the events on 12th May and 15th May or the minutes of the “Open Forum” meeting held on the 15th, if and when minutes are produced by Ms Newman for circulation.

Nor will I be prepared to carry notices or other material for the May 2009 “Peoples Day Events” which Ms Newman is also undertaking to organise. Nor will I be prepared to carry notices or other material associated with any other event which Ms Newman might be planning to organise in the interim.

This decision has been made for the following reasons:

Mr Trevor Wainwright, a Founder Member and former Administrator of MERSC, is listed by Ms Newman as being “Event Patron” to these “Peoples Day Events” organised in May 2007 and May 2008.

In July 2003, Mr Wainwright had published a series of postings on the Yahoo list “MEActionUK” in which he set out his vision for a new campaigning organisation in the wake of the first 12th May event, which had taken place a couple of months earlier.

At the time, Mr Wainwright had been challenged by another member of the Yahoo group to expand on some of the comments he had expressed via this series of postings and one of the questions he was asked was whether this proposed society would cater for various fatigue conditions as well as Myalgic Encephalomyelitis and if not, how did he intend to separate the different patient groups?

Mr Wainwright’s response, in 2003, had been:

“Myalgic Encephalomyelitis should be the main illness, but I see no reason why other conditions which include severe fatigue should not be included. This I have often said during my pub collections when there has been confusion with varying fatigueable illnesses. Find the cure for one and you’re on the way to finding the cure for the rest.”

Earlier this month, during discussions centring around the concepts of “leaders” and “leadership” and whether the ME community would benefit from “leaders” and “leadership” or whether what was required was the formation of a new democratically run campaigning organisation, I asked Mr Wainwright if he would clarify his current position on the views he had held in 2003, as set out above.

Mr Wainwright has confirmed that he still holds those views and that he stands by them.

It is this issue that I have set before Ms Newman, as Organiser of this year’s 12th and 15th May events.

Given that Mr Wainwright was listed as “Event Patron” to this year’s 12th May events (either as a self elected patron or having had this role bestowed upon him by Ms Newman) and given that he has confirmed that he holds views that I consider anathema to me, as a carer and member of the ME community, I have asked Ms Newman, as Event Organiser, for her position on the following:

Do you consider that ME organisations should include and cater for “other conditions which include severe fatigue” as well as Myalgic Encephalomyelitis?

Not only is Ms Newman seemingly unwilling to provide a clarification of her own position on this issue, in her capacity as Organiser of the “Peoples Day Events”, but the setting of this issue before her has provoked a hostile and vituperative ad hominem attack, in response to a polite request.

Mr Wainwright is entitled to hold the views and opinions that he holds but I do not support the view that ME organisations should include and cater for “other conditions which include severe fatigue” as well as Myalgic Encephalomyelitis.

It is a fundamentally antagonistic principle that has no place on platforms for political issues affecting the lives of sufferers of Myalgic encephalomyelitis [WHO ICD-10:G93.3] and those who care for them.

I cannot undertake to publicise any past or future events where an “Event Patron” has been appointed who holds such views.

Nor am I prepared to undertake to publicise any past or future events or ventures where the Event Organiser is not prepared to be open and transparent about the views and opinions she holds on such matters.

I shall not, therefore, be publishing copies of Ms Newman’s report of the 12th May event and the 15th May “Open Forum”, nor a copy of the minutes for the “Open Forum” meeting, if and when Ms Newman produces minutes.

Nor shall I be publishing or circulating any material in connection with any future venture(s) with which Ms Newman may be associated and I disassociate myself, entirely, from Ms Newman and from any events, organisations and ventures with which she is currently associated or with which she may be involved or seek to involve herself in the future.

Suzy Chapman

http://meagenda.wordpress.com  
https://readmeukevents.wordpress.com   

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RSM CFS Conference webcasts: update

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer, UNUM on June 27, 2008 by meagenda

RSM CFS Conference update on release of webcast

This morning (27 June) I telephoned the office of Mr Ian Balmer, Chief Executive of the Royal Society of Medicine for an update on the release of a webcast of the presentations made at the RSM’s CFS conference on 28 April.

I spoke to Mr Balmer’s personal assistant, Ms Joanna Rose, who telephoned me later with the following information:

That Power Point slides used during the presentations are expected to be available from the RSM website from next Monday (30th June).

That a webcast of the presentations is expected to be completed and available from the website by the end of next week (4th July).

I asked Ms Rose whether all the presentations would be available on the website since there had been some concerns that permission might not yet have been obtained from all presenters: Ms Rose advised me that it was her understanding that all presentations will be included.

The page on the RSM website for RSM webcasts is:

http://www.rsm.ac.uk/academ/video.php

I will update as soon as I can confirm that the Powerpoint Presentations have been published.

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MP3 download: ME strand on BBC Radio Norfolk, 19 June

Posted in CBT/GET, Dr Ian Gibson, Judicial Review, ME in the media on June 25, 2008 by meagenda

The ME Association News page has flagged up an MP3 download of the first segment of the strand on ME broadcast on BBC Radio Norfolk on the “Breakfast with Bumfry” show, Thursday, 19 June.

The MP3 can be downloaded from the You Send It site, here:

norfolk.mp3 (7344 KB)

https://www.yousendit.com/transfer.php?action=download&ufid=75E3CC9025578384

For a transcript of this segment see previous posting.

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Transcript: BBC Radio Norfolk, Ian Gibson on NICE JR

Posted in CBT/GET, Judicial Review, NICE CFS/ME guideline on June 23, 2008 by meagenda

********************************************************

This transcript has been prepared by Suzy Chapman and is not an official BBC transcript. Although care has been taken to produce a fair and verbatim record, some errors and omissions may remain. This transcript may be reproduced in full or in part as long as the author and the source is credited and on condition that it is published together with this disclaimer.

********************************************************

BBC Radio Norfolk

“Breakfast with Stephen Bumfry”
http://www.bbc.co.uk/norfolk/local_radio/  

7am to 10am, Thursday 19 June 2008
[The first segment in this ME strand started at approximately 7.20am and continued to 7.29am.]

Stephen Bumfry: People with ME in Norfolk have been handed a life-line. Victims of the chronic fatigue syndrome have won a significant legal victory after a top judge declared it “in the public interest” for the High Court to rule on claims that treatments being offered on the NHS are potentially fatal.

Two people, including Kevin Short from Norwich, have fought for this move. Speaking to BBC Radio Norfolk, Mr Short’s lawyer, Jamie Beagent said “It is a huge step.”

Jamie Beagent: It’s great news for our clients and for the wider ME community – we are actually overwhelmed with messages of support and thanks that we’ve received since the hearing, so it is very good news. Nice actually fought, defended the claim vigorously and they’ll obviously be disappointed by the result because now we will have a proper review carried out by the High Court into the procedures that went into the production of the Guideline and that, as I say, with the potential that the Guideline will actually be quashed, when it finally does come to Court.

Stephen Bumfry: And Mr Beagent says while it’s some good news, there’s still some way to go until a full High Court hearing in the Autumn.

Jamie Beagent: Well, the Court will be looking at the process that brought about the publication of the Guideline in August, last year. The crux of our argument is that the evidence which NICE based their conclusions upon was skewed very heavily in favour of the psychiatric school and in particular, the randomised controlled tests which were relied upon, we consider were entirely inadequate – they were very small in number – I think only seven tests, trials carried out in relation to CBT and five in relation to Graded Exercise Therapy.

Stephen Bumfry: Now if you or someone in your family is affected by ME and you’d like to get in touch with me, here on “Breakfast with Bumfry”, pick up the phone now – 01603 617 321 or text 07786 200 951. Lynne, I know someone in your family’s been affected – we’ll hear what they’ll have to say very, very soon…”

Lynne McKinley (programme producer): Absolutely…

Stephen Bumfry: Dr Ian Gibson is Kevin Short’s local MP and he joins us on the line now. Dr Gibson, Good morning.

Ian Gibson: Good morning.

Stephen Bumfry: How did you first become involved with the campaign?

Ian Gibson: Well, I mean, Kevin and I first had a discussion about the whole business of ME, and he persuaded me that it was something worth taking up and the way I approached it was to call for an inquiry in the House of Commons, which I set up with members in both Houses and we produced a Gibson Inquiry report which, your know, went a long way, I think, to helping people see that there were some real problems in this issue – you speak at meetings about the Report and so on…

It’s a very combative field – there’s a lot of argument, a lot of dispute about what’s known and what’s not known, but certainly I think, we helped raise the profile of ME as a serious illness, which seriously afflicts people and has to be taken, you know, right up into the echelons of a new illness which hasn’t been addressed properly by the medical profession…

Stephen Bumfry: Well, just describe to me what ME means and what the symptoms are…

Ian Gibson: Well, I have met constituents who have very depressed days when they can’t move, when they can’t get out of the house, and so on… For some people it’s very, very serious, that goes on for quite a long time – it might go on for their whole lives. Other people recover and can go out of doors, can maybe even stagger to work but it’s certainly not something that is manageable without proper treatment.

Stephen Bumfry: Now, I know that this condition has been dubbed “Yuppie Flu” – which is very unfortunate…

Ian Gibson: Yes. That was the meaning, I think. I think that was the attempt to say “Oh, dear, they’re just making it all up – it’s artificial.” Completely, completely untrue. There’s I think 250,000 people in this country who have symptoms of ME, different gradations of it, as I pointed out.

Quite often GPs miss it, don’t recognise it, don’t see it, just think it’s a temporary thing – just go home, have a couple of days in bed and you’ll be alright, again. Now that’s not their fault – it’s just that it’s never been taken seriously by the medical profession – whereas it has been in other parts of the world – the World Health Organisation has recognised that it is a neurological disease, that there may be factors like viruses, and other agents present – that it’s more biomedical than psychiatric and that has not been the prevailing thinking of the people in the medical professional.

So now…now this decision really helps us move that on and to say look NICE have made a decision based very, very much on the psychiatric analysis and there is plenty of evidence…massive amount of evidence now to suggest that it’s more complicated than that…

Stephen Bumfry: So your campaign has a got a bit of momentum, now, then?

Ian Gibson: Oh, yes. It’s got a momentum…we will support…there are many different groups in this field who argue about the different causes of it in terms of which agents might be involved…the problems with children and particularly with adults. It’s very combative, everybody has little arguments about it…what it really does need is a huge investment into research to find out what the cause is and we have been pleading for that for some time.

We have got the scientists and medics who are interested in this field together…they’re be putting together an application in conjunction with people in Canada and other countries who are interested in this, who’ve done some research but certainly need a huge injection of resource to get this settled once and for all.

NICE’s decision is what’s being challenged. Without all that evidence, it’s pretty poor, I think, to come out with the decision that they have and I’m very grateful that Kevin and a friend of his have challenged the ruling by NICE. In fact, I’m seeing, in an hour’s time, the Chairman of NICE, Sir Michael Rawlings, who’s a friend of mine, and we’ve had lots of arguments about drug availability for cancers and other things where NICE has been involved to make the assessment of the evidence and I shall talk to him about ME and say “Come on, don’t you really think we need to have a proper study carried out on this now, before you make decisions…”

Stephen Bumfry: We’ve got Lynne McKinley producing the show in the studio, Dr Gibson, and a member of Lynne’s family is affected by ME – Lynne…

Lynne McKinley: Absolutely. I know my nephew Rob has had ME for sixteen years. Actually, I did actually send him a copy of the High Court ruling ‘cos I thought he might be interested in seeing this and he said – well, this is what he emailed back to me:

“The bottom line is that until more biomedical research is carried out to understand the condition the arguments will continue to rage.”

He said, “It’s depressing to acknowledge just how little progress has been made in the sixteen years since I’ve been unwell. Two weeks ago, I went up to South London to give blood for Dr Jonathon Kerr’s research project…”

Ian Gibson: Excellent work, excellent biomedical work…

Lynne McKinley: “…abnormal gene expression in ME patients. I’m sure it’s through scientists like him that the real breakthroughs will be made.”

And so obviously, my nephew is very much a fan of Dr Kerr. But I can almost feel his frustration – sixteen years with ME…

Ian Gibson: Oh, absolutely…I can replicate that story many times over – it’s an absolute disgrace and appalling that it has been unacknowledged as a serious, serious condition which the medical profession really should have taken up. It’s up to government now to take a serious look at the whole situation and inject some money into it. The fight back starts here, again, for the hundredth time…we keep pushing at it and just now and again, this just shows you, if you give up, you know you’ll get nothing, you’ve gotta keep pushing and suddenly there’s a break somewhere.

Stephen Bumfry: Lynne, just briefly, then…

Lynne McKinley: The other thing that Rob just mentions in his email, he says some of the charities like ME Research UK and CFS Research Foundation, they’re raising money for biomedical research, just, you know, worth a mention, and I guess, you know, anybody that has a member of the family that has ME will understand the importance of supporting…

Ian Gibson: Fair comments…fair comments..

Stephen Bumfry: Dr Ian Gibson, MP for Norwich North, thank you very much for joining us this morning…

Ian Gibson: Thank you very much.

Stephen Bumfry: And if its affected you or someone in your family in any way, shape or form – 01603 617 321 or you can text me and that’s 07786 200 951, give us a shout here on “Breakfast with Bumfry”.

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JR lawyer and Ian Gibson speaking on BBC Radio Norfolk

Posted in CBT/GET, Judicial Review, NICE CFS/ME guideline on June 19, 2008 by meagenda

This morning, Mr Jamie Beagent, lawyer for Kevin Short, and Dr Ian Gibson MP, were speaking via phone link on BBC Radio Norfolk about yesterday’s court decision.

The programme was the Breakfast with Stephen Bumfry show (Thursday, 19 June) which runs for three hours, from 7.00am.

Listen again for 24 hours only at:

http://www.bbc.co.uk/norfolk/local_radio/  

BBC Radio Norfolk 19 June 2008

‘Breakfast with Stephen Bumfry’ show.

7am to 10am

Mr Jamie Beagent (Mr Kevin Short’s lawyer) was speaking via phone link 20 mins into the programme for a couple of minutes.

Dr Ian Gibson MP was speaking via phone link 22 mins in from the start – to 29 mins from start of programme.

The producer of the programme intersperses Dr Gibson to talk about her own nephew who has suffered from ME for many years and she reads out comment from her nephew’s email.

Listeners with ME were invited to phone in with their experiences of the illness.

I’m not able to give the times when this strand was returned to throughout the programme after Dr Ian Gibson had finished speaking.

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Norwich ME sufferer wins court ruling (NICE CFS/ME Judicial Review)

Posted in CBT/GET, Judicial Review, NICE CFS/ME guideline on June 19, 2008 by meagenda

Norfolk Eastern Daily Press

This story at http://tinyurl.com/55t6gf

Norwich ME sufferer wins court ruling

JON WELCH

19 June 2008 04:30

An ME sufferer from Norfolk has won a significant legal victory after a leading judge declared it “in the public interest” for the High Court to rule on claims that treatments being offered on the NHS are “potentially fatal”.

Myalgic Encephalomyelitis, or chronic fatigue syndrome, has been surrounded by controversy since the first sufferers were diagnosed in the 1980s.

The condition, which affects an estimated 250,000 people in the UK, has often been met with scorn or disbelief and dismissed as being “all in the minds” of its victims.

Kevin Short, a university graduate, of Waddington Street, Norfolk; and Douglas Fraser, of London, a former professional concert violinist with the Scottish Philharmonic Orchestra, have both had their careers curtailed by the condition’s crippling effects.

Both men were outraged when, last August, the National Institute for Health and Clinical Excellence (NICE) issued new guidelines for the diagnosis and management of ME.

They say that, in its guidelines, NICE refused to classify ME as “a disease of the nervous system”, as the World Health Organisation has done, and recommended treatments which they argue are “harmful to patients” or could even prove fatal.

Mr Fraser and Mr Short took their fight to have NICE’s decision overturned to London’s High Court.

Barrister Jeremy Hyam, for the two men, explained that NICE guidelines recommended that ME sufferers be treated with cognitive behavioural therapy (CBT) and graded exercise therapy (GET) in an effort to alleviate their symptoms.

But, Mr Hyam told the court that, far from curing the condition, the recommended treatments could kill patients.

“There is a considerable body of evidence that CBT and GET is harmful to patients in a significant number of cases and GET may prove fatal for some patients,” he said, citing an example of one sufferer who collapsed and died coming out of a gym where they had been engaging in GET.

Mr Hyam argued NICE had failed to take into account any evidence apart from that unearthed by its controlled clinical trials, which he said were not extensive enough.

NICE had made its recommendations “based on inadequate evidence” and “failed to apply rational and consistent diagnostic criteria”, he added.

“Their reasoning is irrational,” he concluded, asking the judge for permission to seek judicial review of the NICE ruling.

Mr Justice Cranston expressed doubt over whether it was the court’s place to rule on medical or scientific matters, but was in the end persuaded that legal issues of “great public importance” were at stake.

Giving his judgement, and granting permission to seek judicial review, the judge said: “There is no doubt that, as with any debilitating condition that a person may suffer, many of us will know someone, or be connected to someone who has ME or chronic fatigue syndrome.

“It is a serious condition and the two appellants in this case have suffered a great deal as a result of it.

“I have indicated that I am very sceptical about the way in which this claim is put. This is not a court of science, or a court of medicine, but a court of law.

“Given that there is this obvious clash between the bio-medical and the psychosomatic theories of the cause of this condition and the great public interest therein, it seems to me that this case ought to go forward to a full hearing,” the judge concluded.

The case will now go ahead to a full High Court hearing at a date yet to be fixed.

 

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MEA summary of NICE CFS/ME court hearing, 17 June 2008

Posted in CBT/GET, Judicial Review, ME Association, NICE CFS/ME guideline on June 18, 2008 by meagenda

The ME Association has published a summary of yesterday’s court hearing, written up by Dr Charles Shepherd which can be read on the MEA’s website here:

http://www.meassociation.org.uk/content/view/590/70/

The case against the NICE guideline on ME/CFS moved to Court 7 in the Royal Courts of Justice on Tuesday 17 June. A short summary of key points that were made during the proceedings

Previous comment on behalf of the MEA in relation to judicial review of the NICE CFS/ME Guideline can be read here:

http://www.meassociation.org.uk/content/view/397/70/  

Financing a judicial review of the NICE guideline on ME/CFS

or read both items in full on ME agenda – jump to:

http://meagenda.wordpress.com/2008/06/18/summary-of-application-hearing-nice-cfsme-judicial-review/

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Judicial review: Judgment guidance

Posted in CBT/GET, Judicial Review, NICE CFS/ME guideline on June 18, 2008 by meagenda

http://www.judiciary.gov.uk/judgment_guidance/judicial_review/index.htm

Judicial review

Judicial review is a type of court proceeding in which a judge reviews the lawfulness of a decision or action made by a public body.

In other words, judicial reviews are a challenge to the way in which a decision has been made, rather than the rights and wrongs of the conclusion reached.

It is not really concerned with the conclusions of that process and whether those were ‘right’, as long as the right procedures have been followed. The court will not substitute what it thinks is the ‘correct’ decision.

This may mean that the public body will be able to make the same decision again, so long as it does so in a lawful way.

If you want to argue that a decision was incorrect, judicial review may not be best for you. There are alternative remedies, such as appealing against the decision to a higher court.

Examples of the types of decision which may fall within the range of judicial review include:

a Decisions of local authorities in the exercise of their duties to provide various welfare benefits and special education for children in need of such education;
b Certain decisions of the immigration authorities and Immigration Appellate Authority;
c Decisions of regulatory bodies;
d Decisions relating to prisoner’s rights.

http://www.hmcourts-service.gov.uk/cms/1220.htm

Her Majesty’s Court Service: Guidance notes on applying for judicial review

Administrative Court Guidance
Notes for guidance on applying for judicial review

January 2005

1 Introduction
2 What is Judicial Review?
3 What is the Pre-action protocol?
4 Where should I commence proceedings?
5 When should I lodge my application?
6 Fees
7 How do I apply for Judicial Review?
8 What do I do if my application is urgent?
9 Acknowledgements of Service
10 What happens if my application for permission is refused?
11 What happens if my application for permission is granted?
12 What happens when my case is ready for hearing?
13 What if I need to make an application for further orders after the grant of permission?
14 Can my application be determined without the need for a hearing?
15 What if the proceedings settle by consent prior to the hearing of my application?
16 What if I want to discontinue the proceedings at any stage?
17 Will I be responsible for costs?
18 What can I do if I am unhappy with the Judge’s decision?
19 Where can I get advice about procedural matters?

Read sections 1 – 19 here

http://www.hmcourts-service.gov.uk/cms/1220.htm

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Thanks to M.E. Support – Norfolk

Posted in 25% ME Group, AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer, The Young ME Sufferers Trust, UNUM on June 18, 2008 by meagenda

Thanks to M.E. Support – Norfolk

M.E. Support – Norfolk group mails out an A5 monthly newsletter called MEMO to its membership.

I’d like to thank John Sayer, Editor of MEMO and Chair of M.E. Support – Norfolk’s committee for the coverage given to two initiatives associated with the Royal Society of Medicine “CFS” Conference which took place, in London, on 28 April 2008.

The first four pages of the April edition of MEMO were given over to the promotion of the Royal Society of Medicine demonstration – the RSM Protest, which included an introduction by Suzy Chapman, a full copy of the position statements issued by The 25% M.E. Group and Jane Colby on behalf of The Young M.E. Sufferers Trust, and the RSM Protest notice issued by RSM Protest Organiser, Gus Ryan.

The following edition of MEMO devoted an additional four pages to the promotion of the RSM Postcard Campaign launched by Suzy Chapman in the run up to the “CFS” conference.

It was very much appreciated that M.E. Support – Norfolk committee and MEMO editorial gave over so much space in two consecutive newsletters to help promote these initiatives launched in protest against the RSM Conference and to help raise awareness of the considerable concerns surrounding this line-up and agenda for this conference and I should like to thank John Sayer and his committee for their support.

Suzy Chapman,
“On a Postcard, please” Campaign Co-ordinator
https://readmeukevents.wordpress.com
http://meagenda.wordpress.com

A copy of this notice also appears on ME agenda site.

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NICE CFS/ME Judicial review of NICE Guideline to go ahead

Posted in CBT/GET, Judicial Review, ME Association, NICE CFS/ME guideline on June 17, 2008 by meagenda

http://www.meassociation.org.uk/content/blogcategory/30/70/

Judicial review of NICE Guideline to go ahead
Monday, 16 June 2008

STOP PRESS – Mr Justice Cranston ruled in the High Court this afternoon that the application for a judicial review of the NICE clinical guideline into ME/CFS should go forward. The full review, which is expected to last two days, will take place sometime in the autumn. The ME Association will post a report into today’s exploratory hearing tomorrow morning.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

See also https://readmeukevents.wordpress.com/2008/06/16/application-court-hearing-jr-17-june-2008/

Please note:

The case was listed as:

CO/10435/2007 The Queen on the application of B v National Institute For Health And Clinical Excellence
CO/10408/2007 The Queen on the application of Fraser v National Institute For Health And Clinical Excellence

CO/10408/2007 is a separate case from the One Click Judicial Review of the CFS/ME NICE Guidelines listed as CO/10435/2007 The Queen on the application of B v National Institute For Health And Clinical Excellence. 

The Bryant (ONE CLICK) case was referred to during the application hearing for CO/10408/2007.
It has yet be clarified what the implications are for the progress of case CO/10435/2007 in the light of the outcome of the application heard on 17 June.

One Click Judicial Review, CFS/ME NICE Guidelines
http://tinyurl.com/4un6do  
http://www.theoneclickgroup.co.uk  

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Application: Court hearing, JR 17 June 2008

Posted in Judicial Review, NICE CFS/ME guideline on June 16, 2008 by meagenda

http://www.hmcourts-service.gov.uk/cms/list_admin.htm  

COURT 7

Before MR JUSTICE CRANSTON

Tuesday 17 June, 2008

Not before 2 o’clock

CO/10435/2007 The Queen on the application of B v National Institute For Health And Clinical Excellence

CO/10408/2007 The Queen on the application of Fraser v National Institute For Health And Clinical Excellence

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Press release

http://www.meactionuk.org.uk/Judicial_Review_Hearing_Press_Release_Jun08.htm

Patients of a devastating illness, Myalgic Encephalomyelitis (M.E.) have today welcomed the news that there is to be a hearing in the High Court in London on the 17th June to decide whether or not to grant permission for a Judicial Review of NICE guidelines on the illness which is sometimes referred to as CFS/ME.

NICE issued their Guideline for doctors in August last year amid protests from patients and medical researchers that they had not followed correct protocols in producing the Guideline. Patient groups fear that some patients could be pressured into accepting treatments which at best may be useless and at worst could cause real harm.

The hearing will take place in the High Court at the Royal Courts of Justice on the Strand on 17 June 2008. The hearing is listed to last for half a day and Court will hear legal argument from lawyers representing two ME sufferers as well lawyers for NICE. The precise time and location of the Court room will be published on HM Courts Service website on the afternoon of 16 June:

http://www.hmcourts-service.gov.uk/cms/list_admin.htm  

For further information please contact Jamie Beagent at jbeagent@leighday.co.uk

Leigh Day & Co
Priory House
25 St John’s Lane
London
EC1M 4LB
T 020 7650 1200
F 020 7253 4433
E postbox@leighday.co.uk
DX 53326 Clerkenwell

http://www.leighday.co.uk

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One Click Judicial Review CFS/ME NICE Guidelines

Posted in Judicial Review, NICE CFS/ME guideline on June 5, 2008 by meagenda

From the ONE CLICK Group

One Click Judicial Review, CFS/ME NICE Guidelines

http://tinyurl.com/4un6do  

It was announced on the internet yesterday that Messrs Kevin Short (of disgraceful Gibson ‘Inquiry’ notoriety http://tinyurl.com/24wgag) and Douglas Frazer have been privately planning a Judicial Review of the CFS/ME NICE Guidelines behind the scenes.

This is a separate case from the One Click Judicial Review of the CFS/ME NICE Guidelines. We do not yet have a date for when our case will be heard. The One Click Group will be publishing more information in relation to the background of the Short/Frazer Judicial Review when we judiciously choose the time to be right.

The One Click Group
5 June 2008

READ THE NEWS ON ONE CLICK
http://www.theoneclickgroup.co.uk  

 

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Press release: Judicial Review details

Posted in Judicial Review, NICE CFS/ME guideline on June 5, 2008 by meagenda

Ed: Please note that the Press release issued today does not refer to the ONE CLICK Judicial Review.

On 24 April, Margaret Williams wrote in:

Concerns about the RSM Conference on 28th April 2008 on “CFS”

http://www.meactionuk.org.uk/RSM_Conference_April_2008.htm
     
“It will be known by some in the ME community that there is more than one application for Judicial Review of the NICE Guideline currently before the High Court in London.  One application for judicial review has been brought by two ME sufferers which is supported by expert evidence from Professor Malcolm Hooper and Dr William Weir. The individuals bringing the case are represented by a premier Public Law firm, Messrs Leigh Day & Co in London.  Leigh Day & Co are leaders in the field of claimant public law and recognised as having particular expertise in the field of health care, being ranked as number one in Chambers’ Directory (the contact being Jamie Beagent)…”

Press Release

http://www.meactionuk.org.uk/Judicial_Review_Hearing_Press_Release_Jun08.htm

Patients of a devastating illness, Myalgic Encephalomyelitis (M.E.) have today welcomed the news that there is to be a hearing in the High Court in London on the 17th June to decide whether or not to grant permission for a Judicial Review of NICE guidelines on the illness which is sometimes referred to as CFS/ME.

NICE issued their Guideline for doctors in August last year amid protests from patients and medical researchers that they had not followed correct protocols in producing the Guideline. Patient groups fear that some patients could be pressured into accepting treatments which at best may be useless  and at worst could cause real harm.

The hearing will take place in the High Court at the Royal Courts of Justice on the Strand on 17 June 2008. The hearing is listed to last for half a day and Court will hear legal argument from lawyers representing two ME sufferers as well lawyers for NICE. The precise time and location of the Court room will be published on HM Courts Service website on the afternoon of 16 June: http://www.hmcourts-service.gov.uk/cms/list_admin.htm
For further information please contact Jamie Beagent at
jbeagent@leighday.co.uk

Leigh Day & Co
Priory House
25 St John’s Lane
London
EC1M 4LB
T 020 7650 1200
F 020 7253 4433
E postbox@leighday.co.uk
DX 53326 Clerkenwell

http://www.leighday.co.uk

 

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Prof Mansel Aylward and the RSM

Posted in CBT/GET, Royal Society of Medicine, UNUM on May 26, 2008 by meagenda

Professor Mansel Aylward, Director, Unum Centre for Psychosocial and Disability Research, Cardiff University, was one of the session chairs at the Royal Society of Medicine’s “CFS” Conference held on 28 April.

Conference Programme here

Readers may not have been aware that Professor Aylward is also a Sub-Dean of the Royal Society of Medicine (Regional Sub-Dean for Wales).

According to http://www.cardiff.ac.uk/psych/unum/staff/index.html and the RSM’s website, Professor Mansel Aylward was appointed The Royal Society of Medicine’s Academic Sub Dean for Wales in 2001.

http://www.rsm.ac.uk/regions/regions_wales.php

Wales
Honorary Sub-Dean

Professor Mansel Aylward

Email: wales@rsm.ac.uk  

Professor Mansel Aylward CB MD FRCP FFOM FFPM is Director of the UnumProvident Centre for Psychosocial and Disability Research at Cardiff University, Wales.

The Centre for Psychosocial and Disability Research at Cardiff University is the first of its kind to offer a unique opportunity to extend our knowledge and understanding of the psychosocial, social, economic and cultural factors that influence health, illness and disease, recovery, rehabilitation and reintegration into rewarding work.

He is also chair of the Wales Centre for Health which is a new body, established by the Welsh Assembly Government, to lead improvements in the nation’s health.

It aims to approach issues in a new way by advocating on public health issues, engaging with the public and their communities, advising on their concerns, and speaking independently on health, free from corporate or economic interests.

In July 2005 he became a Trustee of The Shaw Trust which provides training and work opportunities for people disadvantaged in the labour market due to disability, ill health, or other social circumstances.

From 1996 to April 2005 he was Chief Medical Adviser, Medical Director and Chief Scientist to the United Kingdom’s Department for Work and Pensions (DWP). He was also Chief Medical Adviser and Head of Profession at the Veterans’ Agency, Ministry of Defence.

He was made a Companion of the Bath in the Queen’s Birthday Honours List 2002. In 2001 he was appointed as The Royal Society of Medicine’s Academic Sub Dean for Wales.

He is a physician and specialist in rheumatology and rehabilitation, therapeutics and clinical pharmacology; a visiting Professor at several universities in Europe and North America and a consultant to the United States Social Security Administration and Department of Labour.

He entered the British Civil Service in 1985 and was appointed Chief Medical Adviser at the Department of Social Security in 1996 and at the Department for Work and Pensions in 2000. From 1974 to 1984 he was Chairman and Managing Director of Simbec Research Ltd, UK, and President of Simbec Inc, New Jersey USA.

He played a key role in development and evaluation of the UK’s medical assessment for incapacity (the All Work Test), and was heavily involved in developing the Personal Capability Assessment (PCA). He led the Corporate Medical Group on the UK Government’s Welfare Reform initiatives and made a major contribution in establishing the new postgraduate diploma for doctors in Disability Assessment Medicine.

He was closely involved in developing the UK’s successful “Pathways to Work” initiatives and a framework for Vocational Rehabilitation. He is keenly interested in addressing the health, work and social issues relevant to morbidity, mortality, work inactivity and social exclusion in the South Wales Valleys where he was born and brought up.

His interests are in rheumatology and rehabilitation, health and productivity, psychosocial illnesses, chronic fatigue syndromes and back pain disability. He has published widely in these various areas.

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Petition: Limit promotion and delivery of CBT within the NHS

Posted in CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely on May 18, 2008 by meagenda

http://petitions.pm.gov.uk/NHSCBT

We the undersigned petition the Prime Minister to limit the promotion & delivery of Cognitive Behavioural Therapy [CBT] within the NHS according to available evidence.

Submitted by S. Forrest of NHS – Deadline to sign up by: 11 April 2009

“Following economist Lord Layard’s promotion of CBT on economic grounds, the NHS has seen a boom in the funding made available for the exclusive employment and training of CBT therapists in the NHS. However, equal funding has NOT been made available for a diverse range of psychotherapies. CBT continues to be aggressively promoted on the grounds of ‘evidence’ of its alleged effectiveness in treating some forms of mental distress, thereby severely and unfairly biasing public perception of CBT as a cure-all when this is patently untrue. Published evidence exists that shows CBT to have no long-term benefit in treating common difficulties such as anxiety or psychosis.

Further evidence also shows CBT to worsen symptoms in people who suffer from, for example, Myalgic Encephalomyelitis (ME)/ Chronic Fatigue Syndrome (CFS). As CBT is promoted on the grounds of ‘evidence’ of its effectiveness with some patients, this petition calls for the cessation of the use and promotion of CBT in the NHS where there is either no ‘evidence’ of its effectiveness or where ‘evidence’ exists to show that CBT is ineffective or deleterious to a patient’s wellbeing or symptoms.

[237 signatures at 18 May 2008]

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Response to standard response issued by CE of RSM

Posted in AfME/Action for ME, CBT/GET, ME Association, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on May 18, 2008 by meagenda

Response to standard response issued by Ian Balmer, CE of the Royal Society of Medicine

15 May 2008

To: Mr Ian Balmer, CE Royal Society of Medicine
CC: Dr John Scadding, Dean Royal Society of Medicine

Re: Standard letter issued by RSM on 12 May 2008 re CFS Conference held on 28 April 2008

Dear Mr Balmer,

Yesterday I received from you what appears to be a standard letter which is being issued to those who had written in to the RSM in connection with the CFS Conference, held on 28 April. [Dated 12 May]

I have a query about a comment you have made, in your letter, in relation to the taking of stands at the conference. You have said:

“Although this was principally a conference for health professionals, the RSM did offer free stands to two patient interest groups. Indeed these offers were taken up and representatives of three groups were present and distributed a wide range of leaflets and documents.”

It is my understanding that the ME Association took a stand at the conference which was manned by the MEA’s Tony Britton.

You have stated that “representatives of three groups were present and distributed a wide range of leaflets and documents.”

I should be pleased if you could clarify which two other patient interest groups, in addition to the ME Association, had representatives distributing leaflets and documents within the RSM’s building, itself, and by arrangement with the conference organisers?

In your letter, you say that two major areas of criticism were identified that were common to most of the letters the RSM had received.

The first that “the conference was predominantly discussing this issue with reference to guidelines produced by NICE”; the second major criticism being that “the conference itself excluded patients”.

However, the RSM will also have received a large number of complaints about the fact that the Planning Committee for the CFS Conference comprised no less than four psychiatrists and that a significant number of those selected to give presentations were also from predominately psychiatric/psychological backgrounds.

But this concern remains unaddressed in the letter you have issued on behalf of the RSM. I would appreciate a response from the RSM to this specific concern, especially since it was the primary concern I had raised, myself, in my own communication.

In the meantime, since there is some confusion amongst members of the ME patient community about which patient interest groups were distributing literature within the RSM building, itself, I should be pleased if this issue could be addressed first.

Sincerely,

Suzy Chapman

 

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MEA: Summary of Prof Peter White’s RSM presentation

Posted in AfME/Action for ME, CBT/GET, ME Association, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer, The Young ME Sufferers Trust on May 15, 2008 by meagenda

Ed: Note that Professor Peter Denton White is also Principal Investigator of the PACE Trials.

From Dr Charles Shepherd, ME Association

As previously announced, the ME Association was allowed to set up a display stand at the meeting on Chronic Fatigue Syndrome (NB: no mention of ME in the official title) for health professionals (only) that was held that at the Royal Society of Medicine (RSM) on Monday 28 April.

During the day, myself and Tony Britton were able to talk to a considerable number of those attending about the key issues concerning people with ME/CFS – in particular the scandalous lack of MRC funding for biomedical research; the challenges to the NICE guideline; and problems with new guidance on benefits (from the Department of Work and Pensions) and occupational health (from NHS Plus). We were also able to distribute quite a lot of MEA literature covering these concerns, as well as providing information from the Tymes Trust and details of the forthcoming biomedical conference organised by Invest in ME.

The meeting was opened by Dr John Scadding, Dean of the RSM. During his short opening address Dr Scadding referred to the fact that there was a demonstration going on outside and that this reflected the fact that there were deep concerns coming from the patient community about the content of this conference. There was no criticism of the demonstration and I understand that RSM staff took refreshments out to those involved later in the day. So a well conducted demonstration appears to have been effective in bringing these concerns to the attention of the Medical Establishment.

I spoke to Dr Scadding before the meeting started and it looks as though the RSM is keen to put on a meeting in the next academic year for both patients and doctors as part of their programme that brings patients and doctors together. We have agreed to discuss this proposal in more detail at a later date.

I had originally intended to stay for the full day and attend all the presentations. Unfortunately, I was unable to do so as I also had to attend an important family funeral in the afternoon.

My report is therefore confined to the first presentation given by Professor Peter White. I had to leave half way through questions – so there may be additional points of interest that are not included in this summary.

Dr Charles Shepherd
Hon Medical Adviser, ME Association

PROFESSOR PETER WHITE: Professor of Medicine at Bart’s and the London School of Medicine

PRESENTATION TITLE: What is Chronic Fatigue Syndrome? And What is ME?

What is CFS?

Peter White started off by summarising the five ways in which he believed chronic fatigue and chronic fatigue syndrome, the name preferred by most physicians, can be classified using ICD10:

F48: neurasthenia

F45.3 somatoform autonomic dysfunction
F45.9 somatoform disorder, unspecified

R53 malaise and fatigue
R54 senile asthenia

[CS note: The only place that ME appears in ICD10 is in the neurology chapter under G93:3; CFS is also indexed to G93:3]

He then summarised the 7 different research criteria that have been published for CFS in adults and children:

  • CDC Holmes
  • Australian
  • Oxford
  • London
  • CDC 1994
  • CDC Revised 2003

However, as there is no evidence of a CDC defined CFS out there in the general population, this is not a useful criteria to use for clinical diagnosis.

Peter White also pointed out how research (eg the Witchita epidemiological study) indicates that for every patient with CDC diagnosed CFS there are far more people in the population with chronic disabling fatigue.

He then considered the three different clinical definitions that can be applied to CFS:

  • Canadian Criteria
  • NICE criteria (ie fatigue plus one symptom from the NICE list)
  • Royal College of Paediatricians and Child Health criteria

and what he felt were their relative value in clinical practice, especially in regard to their use of lists of symptoms in addition to fatigue.

Peter White pointed out that as more symptoms are used to define a core illness the more likely it is that people with a psychiatric illness will be brought into the definition.

[CS note: Most members of the public probably don’t realise that as a rough rule of thumb many doctors work on roughly the same basis – the more ‘ non red flag’ symptoms someone has above 5 in number, the more likely they are to have a psychiatric illness.]

Peter White considered that the Canadian Criteria had too many symptoms (8 in all) from long lists of grouped symptoms – some of which (eg ataxia) had an uncertain relationship to CFS. As a result he could not recommend the use of the Canadian Criteria for the clinical diagnosis of CFS.

The new NICE criteria, which only require fatigue plus four symptoms, allows a diagnosis to be made around four months and are, he felt, useful.

The RCPCH criteria were his ‘Gold Star’ choice when it came to making a clinical diagnosis of CFS.

What is ME?

Peter White gave a brief summary of events at the Royal Free Hospital back in 1955, the editorial in the Lancet introducing the term ME/myalgic encephalomyelitis, and pointed out that some of the clinical features of ME (eg cranial nerve palsies) were not seen in individual cases today.

ME implied an incurable organic neurological illness that was originally defined on the basis of symptoms and signs found in outbreaks/epidemics. However, a conference at the RSM in 1978 had helped to legitimise a move from ME being an illness that occurred in epidemics to an endemic one.

To back this up, part of the presentation on ME was accompanied by a slide using the front cover of the January issue of ME Essential magazine with a photo of a severely affected lady in a wheelchair.

Peter White believed (on the basis of a piece of research) that having a label of ME carried a worse prognosis than having a label of CFS.

ME is, therefore, a name/diagnosis that is not helpful for doctors to use.

Lumpers and Splitters

The final part of this presentation looked at the issue of lumping or splitting – in other words do conditions such as CFS form part of a spectrum of overlapping disorders or are they more distinct clinical entities?

Peter White’s conclusion is that CFS is likely to be heterogeneous (ie composed of diverse elements) in nature when it comes to pathophysiology/causation whereas it is more useful to regard CFS as homogeneous (ie of the same kind) when considering treatments.

PW Conclusion:

‘The reality is that mind and body cannot be divided and illnesses such as CFS/ME involve “both”, like most chronic diseases. The ME-CFS debate may be remembered in future more as one of the tipping point for the rejection of Cartesian dualism than for diseases that lie within’.

What conclusion would be a doctor with no prior interest in ME/CFS come away with?

Had I been a doctor attending this meeting with no prior or specialist interest in ME/CFS I would have come away with the conclusion that:

  • CFS is by far the best name for this illness
  • CFS affects both mind and body
  • Research criteria for CFS aren’t helpful for making a clinical diagnosis
  • The best diagnostic criteria to use for making a diagnosis of CFS are those produced by NICE and the RCPCH
  • Canadian Criteria are not helpful for making a diagnosis of CFS
  • There is a safe and effective treatment for people with CFS: graded exercise therapy
  • The term ME is best avoided as it refers to an illness with neurological signs that occurred in outbreaks some time ago – such as the one at the Royal Free Hospital
  • Giving people a label of ME, implying a serious and possibly incurable neurological disease, is likely to lead to a less favourable prognosis

 

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InterAction magazine May 08: RSM conference

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on May 15, 2008 by meagenda

On 14 March, Action for ME (AfME) issued a policy statement in defence of the organisation’s position regarding Sir Peter Spencer’s participation in the Royal Society of Medicine Conference on CFS in London on 28 April, where Sir Peter delivered an address entitled “M.E., the patient perspective”.

In this statement AfME wrote that it would be reporting on the proceedings of the conference to its members.  The current edition of AfME’s InterAction magazine, Issue 64, May 2008, carries a summary of Sir Peter’s presentation which is published, below. 

It isn’t clear whether AfME intends to report on some or all of the other presentations given at this conference.  AfME’s Heather Walker is known to have accompanied Sir Peter to the conference but may have been manning a stand.  Prior to the conference, the RSM had clarified to me that no charity representatives were being offered seats at the conference, itself.  The RSM has subsequently stated, in a standard letter, that three patient groups had representatives distributing literature within the RSM building.  The RSM has been asked, today, to clarify which two organisations had a presence at the conference venue, in addition to the ME Association’s stand.

Mr Ian Balmer, Chief Executive of the RSM said in his standard letter of 12 May, that the RSM now intends placing a webcast of the conference presentations on the RSM website.

Reproduced with permission of www.afme.org.uk

InterAction magazine, Issue 64, May 2008

Page 6: RSM conference

On 28 April Sir Peter Spencer addressed a Royal Society of Medicine (RSM) Conference on CFS in London. The charity was criticised by some for agreeing to share the platform with psychiatrists and a demonstration was arranged outside the event. Action for M.E. saw the conference as an opportunity to present the patient perspective through the evidence of our surveys and to make the case for more research.

Here is an extract from Peter’s presentation, which was made to an audience that included GPs and consultants in areas such as rheumatology, pain management and rehabilitation:

“In M.E. Awareness Week, Action for M.E. will again launch a campaign, based on the results of a national survey, highlighting some serious shortcomings in the provision of health care and social support to people with M.E. Continue reading

RSM “Medicine and Me” Events

Posted in AfME/Action for ME, ME Association, Royal Society of Medicine on May 14, 2008 by meagenda

RSM “Medicine and Me” Events

In the standard letter being sent out by Mr Ian Balmer, CE of the Royal Society of Medicine, see posting:

https://readmeukevents.wordpress.com/2008/05/14/letter-from-ian-balmer-ce-royal-society-of-medicine/

Mr Balmer writes:

“In order to redress the issue of patient involvement, the RSM has decided [to] introduce a ‘Medicine and Me’ conference on the subject of CFS/ME.

“This will be part of a series of conferences aimed at a wider audience, the planning of which will include patients and the format of which allows patients to speak first, and experts to respond to the issues raised. Typically the audiences for these conferences will be comprised of 70% patients and families. This particular series has proved extremely successful in allowing patients to share their experiences, focus on issues of greatest important to them and allow true dialogue between patients and acknowledged experts. This conference will be held in the early part of the 2008/09 academic year.”

Given the controversy over the RSM CFS Conference, it will be interesting to see which “experts”, clinicians and researchers, the RSM’s conference planners select to participate in this “Medicine and Me” “CFS/ME” meeting.

Past and future RSM “Medicine and Me” meetings appear to be arranged in association with a patient charity or organisation.

In the preface to his summary of Professor Peter D White’s presentation at the RSM Conference on 28 April, Dr Charles Shepherd, ME Association mentioned having discussions with Dr John Scadding in relation to this proposed meeting for the ME patient community and that they had agreed to discuss this proposal in more detail at a later date.

Will the ME Association and Action for ME be vying for the role of “in association with” and does the patient organisation have any influence over which “experts”, clinicians and researchers are invited to participate in these events?

In order to give an idea of the structure of these “Medicine and Me” meetings I am giving links, below, to one past meeting and three forthcoming conferences: Medicine and Me: Eczema, Medicine and Me: Sleep Apnoea, Medicine and Me: Hepatitis C and Medicine and Me: Lupus.

The charge to patients and carers is currently £20 to £25.00.

I will post any updates on this planned Medicine and Me: CFS/ME meeting.

 

http://www.rsm.ac.uk/academ/c10-z.php

Medicine and Me: Eczema

Tuesday 11 September 2007

Educational aims & objectives:

‘Medicine and Me’ conferences, initiated and developed by the Royal Society of Medicine, are specifically designed for patients. These meetings bring together patients, their families, carers, advocates, patient support groups, clinicians and researchers to discuss care and research issues in a particular condition.

‘Medicine and Me: Eczema’ is jointly organised by the Royal Society of Medicine and the National Eczema Society.

‘Medicine and Me’ meetings aim to provide a forum in which patients’ concerns about their illness are given top priority. The meetings provide an opportunity for patients and their families to share their experiences, to hear about the latest research and to question the experts. Eight Medicine and Me meetings have been held to date, on a wide range of diseases; these have all proved to be popular with patients.

The programme for this meeting includes an initial review of recent research, then presentations from three patients, each followed by a response from an expert on eczema, who will discuss the issues raised by the patients, concerning treatment and research. The meeting will finish with an extended interactive discussion involving all the speakers and the audience.

Who should attend?

The audience at ‘Medicine and Me’ meetings typically comprises patients, their families, carers and advocates, representing about 70% of those present; and clinicians and researchers, representing not more than 30%. Clinicians will include doctors, specialist nurses and all other types of health professionals involved in the treatment and care of patients.

This meeting will be suitable for all those with eczema.

[Go to the link for Agenda, speakers and conference registration details]

~~~~~~~~~~~~~~~~~~~~~~~~~~~

http://www.rsm.ac.uk/academ/apnoea.php

Medicine and Me: Sleep Apnoea

Saturday 10 May 2008

Venue: The Royal Society of Medicine, 1 Wimpole Street, London, W1G 0AE organised by the Royal Society of Medicine in association with The Sleep Apnoea Trust

‘Medicine and Me’ meetings aim to provide a forum in which patients’ concerns about their illness are given top priority. The meetings provide an opportunity for patients and their families to share their experiences, to hear about the latest research and to question the experts.

The programme for this meeting includes presentations from four people with sleep apnoea, addressing issues concerning diagnosis, treatment options and conditions associated with sleep apnoea. Each of these presentations will be followed by a response from an expert on sleep apnoea, who will discuss the issues raised.

The last part of the meeting will be an extended interactive panel discussion involving all the speakers and the audience.

[Go to the link for Agenda, speakers and conference registration details]

~~~~~~~~~~~~~~~~~~~~~~~~~~~

http://www.rsm.ac.uk/academ/hepc.php

Medicine and Me: Hepatitis C

Thursday 22 May 2008

Venue: The Royal Society of Medicine, 1 Wimpole Street, London, W1G 0AE organised by the Royal Society of Medicine and The Hepatitis C Trust

Patient attendance is supported by The Hepatitis C Trust

‘Medicine and Me’ conferences, initiated and developed by the Royal Society of Medicine, are specifically intended for patients. These meetings bring together patients, their families, carers, advocates, patient support groups, clinicians and researchers to discuss care and research issues in a particular condition. Medicine and Me conferences aim to provide a forum in which patients’ concerns about their illness are given top priority.

‘Medicine and Me: Hepatitis C’ is jointly organised by the Royal Society of Medicine and the Hepatitis C Trust. The programme includes presentations from three people affected by Hepatitis C, raising issues about the nature of the condition and its treatment, each followed by an expert response. The meeting will finish with an extended panel discussion which will involve the audience in an interactive discussion.

[Go to the link for Agenda, speakers and conference registration details]

~~~~~~~~~~~~~~~~~~~~~~~~~~~

http://www.rsm.ac.uk/academ/e10-lupus.php

Medicine and Me: Lupus

Tuesday 24 June 2008

Venue: The Royal Society of Medicine, 1 Wimpole Street, London, W1G 0AE organised by the Royal Society of Medicine in association with LUPUS UK

‘Medicine and Me’ conferences, initiated and developed by the Royal Society of Medicine, are specifically designed for patients. These meetings bring together patients, their families, carers, advocates, patient support groups, clinicians and researchers to discuss care and research issues in a particular condition.

‘Medicine and Me’ meetings aim to provide a forum in which patients’ concerns about their illness are given top priority. The meetings provide an opportunity for patients and their families to share their experiences, to hear about the latest research and to question the experts.

[Go to the link for Agenda, speakers and conference registration details]

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Letter from Ian Balmer, CE, Royal Society of Medicine

Posted in AfME/Action for ME, CBT/GET, ME Association, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on May 14, 2008 by meagenda

Letter from Mr Ian Balmer, Chief Executive, The Royal Society of Medicine

This morning, I have received a paper letter from Mr Ian Balmer, Chief Executive of the Royal Society of Medicine, dated 12 May 2008, in response to the postcard I had sent to Dr John Scadding, Dean of the RSM, as part of the “On a Postcard, please” Campaign.

This is a standard letter which is being sent out by Mr Balmer, on behalf of the RSM, in response to the many individuals and groups who had contacted the RSM by paper letter, postcard or email with their concerns about the line-up and agenda for this conference.

Leaving aside for the time being, the content of Mr Balmer’s responses to the many concerns which would have been brought to his attention, there are a few issues I would like to raise:

Mr Balmer has written:

“Although this was principally a conference for health professionals, the RSM did offer free stands to two patient interest groups. Indeed these offers were taken up and representatives of three groups were present and distributed a wide range of leaflets and documents.”

1] We know that the ME Association took a stand which was manned by Tony Britton. The MEA has stated that Dr Charles Shepherd attended the first presentation (Prof PD White) and that it had been his intention to attend all the conference sessions, but in the event, was unable to do so due to family circumstances.

The MEA has stated that “A member of the MEA has very generously agreed to cover all of our costs that will be involved.” If no charge was made by the RSM for the stand, itself, then it remains unclear what costs were met by a member of the MEA. It also remains unclear on what basis Dr Shepherd had attended the conference, itself.

2] Are we to assume that Action for ME (AfME) also took a stand? It is known that Heather Walker was present at the event – though there is no mention in the latest issue of InterAction of AfME having also taken a stand at the conference, in addition to Sir Peter Spencer’s having been a speaker.

Issue 64, May 2008 edition of AfME’s InterAction magazine carries a summary of the presentation Sir Peter delivered to the conference but there is no further mention of whether AfME still intends to produce summaries of all or some of the other presentations, as AfME has previously suggested. [Mr Balmer states that a webcast of the conference will shortly be made available on the RSM website.]

3] In his standard letter, Mr Balmer writes:

“…representatives of three groups were present and distributed a wide range of leaflets and documents.”

Who was the third group present, distributing leaflets? Is Mr Balmer referring to Joan Crawford and her husband and any assistants who joined them in the distribution of leaflets outside the RSM building, on the morning of the conference? If not, then who was the third group present?

4] Note the letter is headed “Re: CFS/ME Conference”

5] Mr Balmer does not address the criticism about the number of psychiatrists who comprised the CFS Conference Planning Committee or the heavy psychiatric / psychological bias of those selected to give the presentations.

6] Mr Balmer states that the RSM has decided to run a “Medicine and Me conference on the subject of CFS/ME” later this year.

These events appear to be run in association with a patient organisation / charity. I will post links for the Agendas of previous “Medicine and Me” conferences in the next few days so that readers can get a feel for the structure of these events. It will be interesting to see, assuming this proposed event follows the pattern of previous events, whether the ME Association will be vying with AfME for the role of “in association with”.

If you wrote to the RSM and have received a response other than this standard letter and would like a copy published on ME agenda and Read ME UK Events sites, please let me know.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The Royal Society of Medicine

Patron HM The Queen

FROM THE CHIEF EXECUTIVE
Mr Ian Balmer
Tel: 020 7290 2901 Fax: 020 7290 2909
Email: ian.balmer@rsm.ac.uk

12 May 2008

Ms Suzy Chapman
Address

Dear Ms Chapman

Re: CFS/ME Conference

Firstly, can I thank you for the views you have sent the Royal Society of Medicine regarding this important conference. It perhaps will not surprise you to know that we were inundated with such responses and therefore it has been decided that I will respond in all cases, regardless of who the original letter was sent to.

Perhaps there were two broad criticisms made of the RSM that were common to most of the letters we received. Firstly that the conference was predominantly discussing this issue with reference to guidelines produced by NICE, which in the view of some did not fully explore the potential biomedical causes of this problem. The second major criticism was that the conference itself excluded patients.

It is important to realise that the intended audience of this conference was health professionals from a range of diverse backgrounds. Although this was principally a conference for health professionals, the RSM did offer free stands to two patient interest groups. Indeed these offers were taken up and representatives of three groups were present and distributed a wide range of leaflets and documents.

The RSM rejects the criticism made of the symposium and believes that all the content was evidence based and of high scientific quality. We will be making the conference available as a webcast, and this will be on the RSM website shortly.

In order to redress the issue of patient involvement, the RSM has decided introduce a ‘Medicine and Me’ conference on the subject of CFS/ME.

This will be part of a series of conferences aimed at a wider audience, the planning of which will include patients and the format of which allows patients to speak first, and experts to respond to the issues raised. Typically the audiences for these conferences will be comprised of 70% patients and families. This particular series has proved extremely successful in allowing patients to share their experiences, focus on issues of greatest important to them and allow true dialogue between patients and acknowledged experts. This conference will be held in the early part of the 2008/09 academic year.

Once again, thank you for comments regarding this very important issue.

With kind regards,

Yours sincerely

Mr Ian Balmer
Chief Executive

1 Wimpole Street
London W1G 0AE
Tel: +44 (0)207290 2900
Charity No: 206219
VAT reg no 524 413671

 

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Third Sector AfME article: clarification from Farrell and Chapman

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on May 13, 2008 by meagenda

A clarification of factual inaccuracies in the Third Sector article “Action for ME in membership row”

Article:
http://www.thirdsector.co.uk/Channels/Management/Article/807171/Action-membership-row/

The article on the Third Sector website: “Action for ME in membership row” by Third Sector journalist, Paul Jump, published on 07 May 2008*, has erroneously presented the RSM Protest as though it had been a protest against Action for ME. This is not the case.

The RSM Protest, organised by Gus Ryan, who is not a member of AfME, took place outside the Royal Society of Medicine on the afternoon of 28 April. It was attended by individuals, some of whom are members of AfME as well as others who hold strong views about AfME’s governance, modus operandi and policies, but they were not there to protest against AfME, specifically. Those present saw AfME as part and parcel of a larger problem encompassed by the Royal Society of Medicine “CFS” Conference, of which AfME were only a part.

The Protest was organised, promoted and supported as a protest against the psychiatric / psychological bias of the presenters at the “CFS” Conference and not as a protest against AfME, per se, or against AfME’s participation in this conference.

There were a number of separate initiatives made by prominent ME advocates/activists and many individuals who wrote in to AfME, or the RSM, on this precise point. These initiatives were not directly part of the RSM Protest, itself, and the only linkage between them and the RSM Protest was that they arose out of discussion of the RSM Conference on ME internet message boards.

The problems with the article flow from the way Third Sector investigated and organised the material for the article in that it was not thought pertinent to want to know about or understand the physical/psychological debate, or to use a military analogy, battlefield, thus it was not possible for Third Sector to distinguish between different actions carried out on the same battlefield for the same reasons but over different, though linked, issues.

The RSM protest was about the psychological bias of the conference; the linkage to AfME was that AfME were representing the patient’s perspective at the conference by giving a presentation to the conference from the patient’s perspective. This presentation, in the view of the ME community, ought to have been given by ME sufferers and carers, not the CEO of a charity who is not an ME sufferer or a carer.

AfME’s perspective on ME is that ME is a “biopsychosocial” illness with large to very large psychological and social components and a small to very small physical component, which is the prevailing view in government and NHS circles, as opposed to a purely physical disease. This biopsychosocial model of ME is unacceptable to the ME community as the ME community believe that ME is defined by the World Health Organisation as a physical neurological disease, and that government, the NHS and the medical profession ought to respect the WHO classification.

Many in the ME community therefore see AfME as having the same kind of psychological bias against the physical nature of ME that the main speakers at the conference have, in that AfME is seen as an undemocratic and non transparent charity whose policy is made behind closed doors by a self selecting clique who work with government to retain a broadly psychological type of status quo, rather than seeking to change that psychological status quo into a physical status quo as AfME members and the ME community want.

Therefore to put it bluntly, it was a matter of birds of a certain psychological feather flocking together at a conference for medical and other health professionals to discuss CFS in relation to ME sufferers’ and carers’ lives without actually allowing any ME sufferers and carers into the conference, and where the voice of ME sufferers and carers would not be properly heard, if it was to be heard at all.

Thus the RSM protest was about presenting a physical presence outside the RSM in protest about the way in which ME was going to be depicted at the conference in a psychological light despite the massive biomedical research evidence base establishing ME as a physical disease, and the sidelining of the patient’s voice which would have spoken out against the psychological representation of ME at the conference if only there had been any opportunity for patients to actually have a voice.

The Protest and the Postcard Campaign have brought home to the RSM that ME sufferers and carers believe that ME is a physical disease and not some sort of biopsychosocial mental health condition and that therefore so many mental health professionals of one sort or another speaking at a conference about ME is unacceptable to the ME community. The RSM has also been left in no doubt that from their perspective that patients and carers ought to be given an opportunity to have a say on the matter which is why the RSM will be holding a “Medicine & Me” type of meeting for sufferers and carers on ME.**

The RSM would not have done this if it were not for the Protest, so this shows that protests do work and can obtain results.

Ciaran Farrell, RSM Protest Steward
ciaran@jfarrell58.freeserve.co.uk

Suzy Chapman, “On a Postcard, please” Campaign Co-ordinator
me.agenda@virgin.net

*A copy of the Third Sector article can also be read at:
http://thirdsectorafmearticle.notlong.com

**Confirmed by Mr Ian Balmer, Chief Executive of the Royal Society of Medicine, on 13 May.

 

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AfME magazine, article New Trustees

Posted in AfME/Action for ME, Uncategorized on May 12, 2008 by meagenda

The recent article published by Third Sector contained the following quote:

“A spokeswoman added that AfME required the majority of its trustees to have had ME, and that all but two of the current 10 board members were either sufferers or carers.”

The May 2008 issue of AfME’s InterAction magazine, is published this week.  In Issue 64, Sir Peter Spencer introduces two new members to the Board of Trustees:

Lionel Godfrey, a senior advertising and marketing executive with an large international agency, has a family interest in ME. 

Chris Cundy is an executive board member of the VT Group.  The VT Group is a corporate sponsor of AfME; in addition to donating funds to AfME, AfME is one of the VT Group’s three partnership charities for 2008. 

Before taking up the position of CEO of AfME (in order, he has said, to give something back to society) Sir Peter Spencer was a former Second Sea Lord who had recently retired as chief executive of the Defence Procurement Agency.

According to VT Group Annual Report & Accounts 2005, Admiral The Lord Boyce is listed as a Director of the VT Group:

http://www.vtgroupplc.net/store/AR&ACC_2005.pdf

“Admiral The Lord Boyce, Non-Executive, age 62

After a long and distinguished career in the Royal Navy, culminating in his appointment as First Sea Lord in 1998, Lord Boyce was subsequently appointed Chief of Defence Staff in 2001. He retired from the latter role in May 2003 and was appointed Lord Warden of the Cinque Ports in July 2004. He is a non-executive director of W S Atkins plc and he was appointed to the VT Group board in July 2004.”

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Reproduced with permission of

www.afme.org.uk

InterAction magazine, Issue 64, May 2008

Page 1: One year on

Looking back on my first year at Action for M.E., I am struck by how isolated so many people are because of this horrible illness and how generous some people are in giving their time, to try to make a difference – carers, volunteers, fundraisers and of course our members themselves.

During M.E. Awareness Month, we will be highlighting serious shortcomings in health and welfare services across this country and the injustices which result. The information which informs this campaign comes directly from those of you who responded to our recent questionnaire. Thank you for investing so much effort. I will be announcing the results on 12 May, M.E. Awareness Day.

In this issue of InterAction, it is a pleasure to acknowledge the contributions of those volunteers who staff the support-line (p15) and record InterAction on CD (p 37). Other volunteers write for us, proof read (see opposite), draw cartoons (Lindsay), run our postal library (Moira), provide admin support (Mary, Sue, Bridget, Alexis) and of course raise funds.

Personally, I am indebted to the many people who have shared their expertise and experiences with me over the past 12 months. In particular I would like to thank those members, colleagues and local group representatives who brought home to me the realities of M.E.

I have also drawn heavily on the wisdom of our trustees, who give Action for M.E. its strategic direction. It is very clear as we become a stronger and much more powerful organisation that the soul of the charity rests upon it continuing to be led by people with M.E. This retains an essential moral authority at the heart of all of our corporate decision making.

Today, the Board is preparing to welcome new members (see p 4). They bring with them a wide range of skills, which will stand us in good stead as we expand our operations.

One year on, I am looking forward to the next set of challenges in our fight to improve the lives of people with M.E.

Sir Peter Spencer
Chief Executive


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Reproduced with permission of

www.afme.org.uk

InterAction magazine, Issue 64, May 2008

Page 4: New trustees

Action for M.E. was founded by and is led by people with M.E., for people with M.E. It is the policy of the charity that the majority of trustees should have, or should have recovered from M.E. Trustees also include carers for people with M.E. and professionals whose expertise helps to provide additional skills in deciding the strategic direction of the charity and its activities.

As InterAction goes to press, six people who either have M.E. or who are carers are being interviewed for trustee roles. Two prominent new members – Chris Cundy and Lionel Godfrey – have already been appointed.

Lionel Godfrey

Lionel Godfrey is Worldwide Client Service Director with Ogilvy & Mather. He has spent his entire career in marketing and communications and has been a member of the Worldwide Board of Ogilvy, one of the top five global agencies, since 1994. His principal client responsibility is Unilever, (the world’s largest advertiser outside the US), an account which Ogilvy runs in 80 countries.

In addition to an impressive career history, Lionel understands what it is like to care for someone who has M.E. He told InterAction:

“My younger daughter Clemmie went down with M.E. in her final year at university. She was a highly talented sportswoman who played lacrosse for England but when the illness struck, she didn’t even have the energy to walk down the stairs.

“It was heartbreaking to watch, but we were fortunate to have an excellent and sympathetic GP and with his help and a lot of TLC from my wife, after a few months there was some improvement.

“As her strength returned, the next issue was to rebuild her confidence and help her believe that some sort of normal life would be possible.” A temporary job helped. “Eventually, after 18 months, she felt well enough to leave home and start her post-graduation life in London. Four years on, she has now built a successful career in sports marketing and she has recently got married.

“She still has to be very careful about pacing herself and energetic sports are no longer on the agenda. But we all feel very lucky and grateful that she has made such a good recovery.”

Amongst the famous campaigns that Lionel has led, the repositioning of Lucozade from a convalescence drink to an in-health energy boost, featuring Daley Thompson, in the early 1980s, is one of the most successful. More recently, Dove’s Campaign for Real Beauty has achieved enormous publicity around the world and this year won the coveted Grand Prix at the Cannes Festival.

“Action for M.E. was an invaluable source of information and support during Clemmie’s illness,” says Lionel.

“Having lived through my daughter’s M.E. and seen the support that Action for M.E. can provide, I am very gratified to have the opportunity to try and help the charity in whatever way I can. I hope my professional skills will be of some use, and I really look forward to working with the other trustees and with Peter Spencer.”

Chris Cundy

After studying for an Economics and Accounting Degree at Bristol University, Chris joined KPMG Audit Pic in 1982 and subsequently spent 11 years in the profession.

He qualified as an ACA in 1985 and transferred to KPMG’s Brussels office with responsibility for its multinational clients. On his return to Southampton in 1989, he was responsible for a number of plc audits.

In 1993 Chris joined VT as Group Accountant with particular involvement in the Group’s acquisition activities and development of its Support Service business. He became Group Finance Director in November 1997 and became an executive board member in 1999. After 10 years as Finance Director, he has now taken the role of Commercial Director, responsible for strategy, government relationships and business development activities.

Chris told InterAction:

“I am delighted to be joining Action for M.E. as a trustee. When VT Group agreed to become a corporate sponsor I was impressed with the work done by the charity and the people involved and look forward to being able to make a contribution to the charity’s development.”

When he is not busy with his corporate responsibilities, Chris’ interests include rugby, football and walking. Earlier this year, Action for M.E. was delighted to be selected as one of the VT Group’s three partnership charities for 2008. In addition to donating monetary funds, VT is encouraging staff to volunteer and take part in fundraising generally.

 

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RSM Protest video from GBCOne

Posted in AfME/Action for ME, CBT/GET, ME videos, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on May 12, 2008 by meagenda

RSM Protest video

http://www.youtube.com/watch?v=OLFGPc_fZ7A  

From: GBCOne

Added: May 11, 2008, Category: Nonprofits & Activism

The Royal Society of Medicine in London held a conference on “Chronic Fatigue Syndrome” in April 2008. Due to the strong presence of speakers from the field of mental health, some consternation was caused amongst people diagnosed with M.E.

M.E. has been categorised as a NEUROLOGICAL disorder by the World Health Organisation since 1969.

The two open letters presented to the RSM can be found at:
https://readmeukevents.wordpress.com 

here:  Open letter to the President of the RSM from the RSM Protest Group

and

here:  Open letter to Dean of the RSM from Mrs Sheila Barry

 

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25% ME Group Press Release: RSM CFS Conference

Posted in 25% ME Group, AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on May 10, 2008 by meagenda

In April, the 25% ME Group issued a Press Release in respect of their position on the Royal Society of Medicine’s “CFS” Conference, which was held on 28 April.  This Press Release has only just come to my attention and although the RSM’s conference has come and gone I am posting it, here, for the sake of completeness.

A Word doc of the Press Release can be downloaded from the 25% ME Group website here

For links to copies of the 25% ME Group’s position statement on the RSM “CFS” Conference and for position statements from Action for ME, the ME Association, The Young ME Sufferers Trust, Invest in ME and RiME click here

25% ME Group (Support for Severe ME Sufferers)

PRESS RELEASE

The Royal Society of Medicine Conference on “CFS” April 28th, London

Why is there an international outcry from patients suffering from Myalgic Encephalomyelitis (ME)?

It is because the Royal Society of Medicine is holding what should be an impartial conference in London, on Chronic Fatigue Syndrome (CFS), [often equated with Myalgic Encephalomyelitis (ME)]. Unfortunately it is only including information on psychiatric models of causation and treatment.

Sufferers in the UK have had to endure an unrelenting campaign by certain psychiatrists , some with connections to the medical insurance industry, to try to downgrade their World Health Organisation recognized neurological disease, to a psychosomatic disorder ; Chronic Fatigue,

Recent research by the 25% Group uncovered a shocking picture of severely ill ME sufferers being labeled as psychiatric patients, being treated with contempt by many GP’s, doctors and nurses, being locked in secure units and shut in AIDS wards, being refused food and being forced to participate in inappropriate graded exercise and behavioural therapy, designed to convince them there is nothing seriously wrong with them.

“I have had severe ME for almost a decade and a half and all that time have been severely disabled as well as chronically and constantly ill.” says Linda Crowhurst. “To my dismay and outrage, the situation which was dreadful when I first got ill has indeed worsened as the psychiatric lobby has got itself firmly embedded into the politics, culture and ‘treatment’ of ME.”

Calls from ME patients for a proper biomedical service continue to go unheeded, vital medical evidence is either ignored or suppressed and sufferers, many as ill as an AIDS patient close to death, are given a psychiatric label.

The upcoming RSM Conference is yet another example of how multi-billion dollar vested interests and corporate industry have managed to infiltrate almost all major institutions with the arrogant pursuit of a psychiatric construct for this serious life-threatening disease.

The Chairman of the 25% ME Group says: “The existing evidence from surveys of over 3,000 patients suggests that such regimes (e.g. Cognitive Behavioural Therapy/Graded Exercise Therapy), which are being discussed at the RSM Conference, are of limited value and at worst are harmful, leading to increased illness and disablement”.

The 25% ME Group stands uncompromisingly for the truth that ME is a World Health Organization classified neurological (ICD10:G93.3) multisystem, physical disease, not a subgroup of any fatigue syndrome. We cannot support any organisation that promotes or endorses the inappropriate and dangerous psychosocial model of M.E”.

Notes to Editors :

There is still much confusion and a lack of accurate knowledge about severe ME/CFS in the medical profession, leaving many patients dismissed and abandoned without support.

Variants of the term “M.E.” were first used following a series of repeating epidemics starting in May 1955 at the Royal Free Hospital, London. Recognised as a specific disease entity by The Royal Society of Medicine in 1978 and by the World Health Organisation since 1969 as an organic neurological disease, ME/CFS is currently classified under ICD code G93.3.

ME ranks second only to HIV as the cause of serious, long-term illness in the USA.

The following is a quote from Dr Marc Loveless under oath in testimony before Congress in 1995.

“I have treated more than 2,000 AIDS and CFS patients in my career. And the CFS patients are MORE sick and MORE disabled every single day than my AIDS patients are, except for the last two months of life!”

Cycles of severe relapse are common, as are further symptoms developing over time. Around 30% of cases are progressive and degenerative and sometimes ME/CFS is fatal. Two recent reviews have concluded that, “Substantial improvement is uncommon and is less than 6%”; and, “Full recovery… is rare.” According to the Chief Medical Officer, people with severe ME/CFS in the UK currently receive “seriously inadequate health care.”

25% ME Group (Support for Severe ME Sufferers)

21 Church Street
Troon
Ayrshire
KA10 6HT

Email: enquiry@25megroup.org

Website: www.25megroup.org

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Third Sector AfME article: Comments 4 and 5

Posted in Uncategorized on May 9, 2008 by meagenda

Clarification: The article on the Third Sector website: Action for ME in membership row, 07 May 2008, has erroneously presented the RSM Protest as though it had been a protest against Action for ME. The RSM Protest, organised by Gus Ryan, which took place outside the Royal Society of Medicine on the afternoon of 28 April was attended by individuals, some of whom were members of Action for ME and who hold strong views about Action for ME’s governance, modus operandi and policies. However, the Protest was organised, promoted and supported as a protest against the psychiatric / psychological bias of the presenters at the RSM’s “CFS” Conference and not as a protest against Action for ME, per se, or against Action for ME’s participation in this conference.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For Third Sector article and comments 1, 2 and 3 see:

https://readmeukevents.wordpress.com/2008/05/07/third-sector-action-for-me-in-membership-row-070508/

Two further comments have been added to the Third Sector article:

http://www.thirdsector.co.uk/Channels/Management/Article/807171/Action-membership-row/

Action for ME in membership row

By Paul Jump, Third Sector, 7 May 2008
Third Sector, 7 May 08
Website version

Comment 4

Gus Ryan, 8 May 2008, 21:41

The Third Sector article, that has been linked to on this list, has erroneously stated that:”Action for ME has defended itself after a public protest from a group of disgruntled members who believe they are being denied full membership rights.”

and

“The dissident members claim that the charitable company, which broke away from the ME Association in 1994, is acting unconstitutionally because it does not hold AGMs or represent members’ views.

A group of about 16 demonstrated last week outside a conference at the Royal Society of Medicine, where the charity’s chief executive, Sir Peter Spencer, was due to give a speech. They claimed the board of AfME had become dominated by people who believed ME was a psychological condition. Most ME sufferers, they said, believed it was physical.”

1) The protest outside the RSM was never about AfME. The protest was about the mental health bias of their conference on “Chronic Fatigue Syndrome”. This was stated on various lists more than once and advertised on YouTube.

2) The two open letters presented to Jo Parkinson of the RSM, again published on M.E. lists, did not refer to AfME’s governance.

3) I, being the organiser of the protest and therefore present, am not a member of AfME.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Comment 5

Ciaran Farrell, 9 May 2008, 17:52

Again Gus Ryan is absolutely right! The problems with the article flow from the way Third Sector investigated and organised the material for the article in that it was not thought pertinent to want to know about or understand the physical / psychological debate, so to use a military analogy, battlefield, thus it was not possible for Third Sector to distinguish between different actions carried out on the same battlefield for the same reasons, but over different though linked issues.

The RSM protest was about the psychological bias of the conference, the linkage to AfME was that AfME were representing the patient’s perspective at the conference by giving a presentation to the conference from the patient’s perspective. This presentation in the view of the ME community ought to have been given by patients, not the CEO of a charity who is not an ME sufferer or a carer.

AfME’s perspective on ME is that ME is a “biopsychosocial” illness with large to very large psychological and social components and a small to very small physical component, which is the prevailing view in government circles, as opposed to a purely physical disease. This biopsychosocial model of ME is unacceptable to the ME community as the ME community believe that ME is defined by the World Health Organisation as a physical neurological disease, and that government, the NHS and the medical profession ought to respect the WHO classification.

Many in the ME community therefore see AfME as having the same kind of psychological bias against the physical nature of ME that the main speakers at the conference have in that AfME is seen as a an undemocratic and non transparent charity whose policy is made behind closed doors by a self selecting clique who work with government to retain a broadly psychological type of status quo, rather than seeking to change that psychological status quo into a physical status quo as AfME members and the ME community want.

Therefore to put it bluntly, it was a matter of birds of a certain psychological feather flocking together at a conference for medical and other health professionals to discuss patients without actually allowing any patients into the conference, and where the patient’s voice would not be properly heard, if it was to be heard at all.

Thus the RSM protest was about presenting a physical presence outside the RSM in protest about the way in which ME was going to be depicted at the conference in a psychological light despite the massive biomedical research evidence base establishing ME as a physical disease, and the sidelining of the patient’s voice which would have spoken out against the psychological representation of ME at the conference if only there had been any opportunity for patients to actually have a voice.

The protest and the postcard campaign have brought home to the RSM that ME sufferers and carers believe that ME is a physical disease and not some sort of mental health condition and that so many mental health professionals of one sort or another speaking at a conference about ME is unacceptable to the ME community, and that patients and carers ought to be given an opportunity to have a say on the matter which is why the RSM will be holding a “Medicine & Me” type of meeting for patients and carers on ME. The RSM would not have done this if it were not for the protest.

Ciaran Farrell, RSM protest Steward

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Comment 6

Sue wheeler, 11 May 2008, 08:54

I resigned my membership from AFME because they no longer represent the best interests of their members. They are ever increasingly joinging forces with those who support the theory that ME is a psycho-social disease and favour psychiatric treatments for it. This is unacceptable when there are over 4000 respected medical reports proving the physical existence of ME. There is also now proof that some 88 different genes are malfunctioning in people with ME and they deserve better. Because of these people they do not receive proper care or support. I deliberately left out the word treatment as the MRC steadfastly refuses to fund anything that could lead to treatment for ME sufferers and has confirmed under the freedom of information act that so far several million pounds has been spent on psychiatric treatment research. They say, AFME included, that there are no tests for ME. This is a lie.

There is no simple blood test yet granted but there are a range of tests which conducted together can physically prove the existence of ME in a patient. These tests include Spect and PET scans, now ok these are expensive but compared to keeping people unwell and on benefit (once they have fought to get them) they are cheap. Not one person with ME wants to live the life they do yet they are mis represented and portrayed as skivvers who are simple ‘tired.’ The abuse is staggering – can you imagine what would happen if someone with cancer for example had to endure this and were told to ‘talk’ themselves better? Outrageous. And this is what AFME are aligning themselves to. For the record, they never gave me the decency of a response.

As for the RSM conference protest, the small number is indicative of how difficult it is for people with ME to do things. I wanted to go but the journey alone would have made me ill for several days, and of course there is the expense as despite being very limited in my activities I don’t qualifiy for any other benefit except incapacity benefit and I only got that because the DWP decided i have “moderate to severe mental ill health.” I don’t and never have had. I have moderate to severe ME.

The term CFS is an insult to all of us with this devastating condition and reflects the contempt with which we are treated by the medical profession.

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The MEA and the James Lind Alliance

Posted in ME Association, Royal Society of Medicine on May 8, 2008 by meagenda

The ME Association and the James Lind Alliance

In a previous entry, I reported that Professor Stephen Holgate, chair of the MRC’s new CFS/ME “multi-disciplinary panel”, is a Member of the James Lind Alliance Strategy and Development Group, 2008.

The James Lind Alliance was co-founded in April 2004 by Dr John Scadding, Dean of the RSM and Dr Scadding remains a Member of the JLA Strategy and Development Group. Continue reading

Open Forum Meeting: 15 May, House of Commons

Posted in 12 May ME events, ME Association on May 7, 2008 by meagenda

The organiser, Ms Newman, advises that a final reminder for this year’s 12th May event and Open Forum on 15th May is to follow.  Agenda for next Thursday’s Open Forum, below.  All enquiries to Di Newman, please, not to meagenda or Read ME UK Events.

 

Open Forum Meeting on M.E./CFS
House of Commons, Westminister SW1A 0AA
Committee Room Six
Thursday 15th May 2008
1:45 PM – 4:45 PM

AGENDA

1. WELCOME, INTRODUCTIONS & APOLOGIES

2. OPENING REMARKS: from the Chair

3. PANEL MEMBERS:
(i) Mental Health/Mental Capacity Act
(ii) Recent Guidelines on M.E./CFS (NICE, NHS-Plus, DWP)
(iii) UK M.E. Clinics & Services, Research & Funding
(iv) RSM Conference
(v) National M.E./CFS Charity Representation

4. THERE WILL BE A QUESTION & ANSWER SESSION: after every one of the topics above are introduced to the meeting by a Speaker. Then the Floor will be open to general discussion

5. ADDITIONAL TOPICS FOR DISCUSSION FROM THE FLOOR:

6. COMMENTS FROM MEMBERS OF THE PANEL & CONCLUSIONS TO TAKE FORWARD:

7. NEXT STEPS:
(i) Summary of the Day
(ii) Next Meeting
(iii) Circulation of any Notes and CD/DVD
(iv) Subjects to Focus for Next Meeting and Diary Dates
(v) Panel Members to Approve
(vi) Contact Mailing List

8. CLOSING REMARKS FROM THE PANEL & CHAIR:

9. CLOSE:

For further information contact:

Di Newman on dinewman1991@hotmail.co.uk  
Or 07742 615 952

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Third Sector: Action for ME in membership row, 07.05.08

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Royal Society of Medicine, Sir Peter Spencer on May 7, 2008 by meagenda

Clarification: The article on the Third Sector website: Action for ME in membership row, 07 May 2008, has erroneously presented the RSM Protest as though it had been a protest against Action for ME. The RSM Protest, organised by Gus Ryan, which took place outside the Royal Society of Medicine on the afternoon of 28 April was attended by individuals, some of whom were members of Action for ME and who hold strong views about Action for ME’s governance, modus operandi and policies. However, the Protest was organised, promoted and supported as a protest against the psychiatric / psychological bias of the presenters at the RSM’s “CFS” Conference and not as a protest against Action for ME, per se, or against Action for ME’s participation in this conference.

For an extended clarification from Ciaran Farrell and Suzy Chapman jump to:

https://readmeukevents.wordpress.com/2008/05/13/third-sector-afme-article-clarification-from-farrell-and-chapman/

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Third Sector, 7 May 08

[There is a comments facility]

Website version

http://www.thirdsector.co.uk/Channels/Management/Article/807171/Action-membership-row/

http://www.thirdsector.co.uk/news/Article/807171/Action-membership-row/

http://www.thirdsector.co.uk/channels/Governance/Article/807171/Action-membership-row/

Action for ME in membership row

By Paul Jump, Third Sector, 7 May 2008

Action for ME has defended itself after a public protest from a group of disgruntled members who believe they are being denied full membership rights.

The charity, which supports people with ME – also known as chronic fatigue syndrome – said that its 7,673 fee-paying members were not entitled to vote at AGMs because they were not members in a legal sense.

A Charity Commission spokeswoman said it had dismissed a number of complaints on the issue between 2003 and 2005. “We were satisfied that there had been a misunderstanding,” she said.

The dissident members claim that the charitable company, which broke away from the ME Association in 1994, is acting unconstitutionally because it does not hold AGMs or represent members’ views.

A group of about 16 demonstrated last week outside a conference at the Royal Society of Medicine, where the charity’s chief executive, Sir Peter Spencer, was due to give a speech. They claimed the board of AfME had become dominated by people who believed ME was a psychological condition. Most ME sufferers, they said, believed it was physical.

“Only by re-establishing the democratic link between AfME and its membership will AfME gain a mandate to speak and act on behalf of us,” said Ciaran Farrell, a member of AfME. “Filling in a questionnaire is not the same as being able to vote on policy or elect trustees who see things your way.”

Richard Evans, trustee and company secretary of AfME, said the charity’s website made it clear that “being a member of AfME, the organisation, is not the same as being a member of Action for ME, the company limited by guarantee, as a company law matter”.

He said the charity’s latest AGM had been held in February and that trustees, who are the only legal members, had been invited.

A spokeswoman added that AfME required the majority of its trustees to have had ME, and that all but two of the current 10 board members were either sufferers or carers. She said the disgruntled group had been campaigning against AfME for many years.

Governance expert Judith Rich said charities should hold regular meetings with their memberships regardless of whether it was legally required. “That is the only way charities can be sure they are truly representing the views of their members,” she said.

Ends

From article comment section:

Suzy Chapman, 7 May 2008, 08:23

Many of the estimated 250,000 ME sufferers in the UK lost confidence in Action for ME (AfME) years ago and have terminated their memberships; this is reflected in their falling membership figures. They have become disillusioned with the way in which Action for ME operates and with its lack of transparency and are critical of the charity’s relationship with government and with bodies such as NICE and the MRC. They do not believe that Action for ME effectively represents their needs as sufferers of a disabling and debilitating illness.

Membership of this patient organisation carries with it no voting rights and therefore no ability to participate in trustee election processes; no ability to put oneself forward for election as a trustee through a ballot of the membership at an AGM, or to nominate others to stand for election in AGM elections; no ability to attend AGMs or EGMs held by AfME and no ability to make proposals at AGMs or to call for an EGM. Although AfME issues very occasional invitations for expressions of interest for prospective trustees, via its magazine, trustees are selected by the existing trustees, not via a ballot of the membership through a democratic election process.

So although AfME claims on its website that “…our direction and policies are informed by the voices of people with M.E.” it is only those voices to which AfME chooses to listen, since the membership, itself, plays no part whatsoever in the selection of its trustees who “…guide, advise and support the Chief Executive to implement the charity’s strategy”.

When AfME’s members become disillusioned with the organisation’s policies, with its lack of transparency and with its general view of ME as a biopsychosocial condition as opposed to a physical neurological disease, as defined by the World Health Organisation, and feel that it continually fails to represent their best interests, they are disenfranchised from influencing its governance, its policies and direction because they have no vote. All they can do is vote with their feet.

Suzy Chapman, Dorset

~~~~~~~~~~~~~~~~~~~~~

Gus Ryan, 7 May 2008, 13:06

Just to clarify things, the RSM protest was about the psychiatric bias of the “Chronic Fatigue Syndrome” conference – not about AfME’s governance. I was the organiser of the protest.

~~~~~~~~~~~~~~~~~~~~~

Ciaran Farrell, 7 May 2008, 21:31

I am very disappointed in the way this story has been written up, Gus Ryan is right the RSM protest was about the psychiatric bias of the conference about CFS as opposed to ME held at the Royal Society of Medicine.

The linkage to Action for ME was simply that the CEO of AfME Sir Peter Spencer was speaking for ME patients at this conference. The point is that he had no mandate to do so since Action for ME make policy behind closed doors without reference to us their members. They refuse to acknowledge that we, the members of AfME, have any constitutional rights and therefore we have absolutely no say whatsoever in AfME policy or policy making.

AfME have backed the psychological treatments for ME, Cognitive Behaviour Therapy, CBT and Graded Exercise Therapy, GET which most members of the ME community consider are either of no use or value, or make them worse, as has been demonstrated in AfME’s own surveys of its membership. However AfME continue to promote these therapies as the answer to ME by way of rehabilitative “cures”, and they have worked with government to help set up a series of nationwide centres at which these therapies are delivered as the “treatments of choice” for ME patients. AfME have even promoted these self same therapies to their membership as well, totally ignoring the results of their membership surveys.

This is just one example of a very great many of a policy that is bitterly resented by those whom AfME claim to serve and represent, but who are given no say in what AfME policy is, and this is why many within the ME community consider that AfME is part of the psychological bias against ME that the ME community are fighting. AfME gain their finance from membership subscriptions, but the bulk of it comes from government and Lottery funding, and again members of AfME have no say in what the charity applies for grants for, or the work the charity undertakes on behalf of its members who are the beneficiaries of the charity.

The view of the ME community Online was clearly expressed on internet message boards that AfME ought not to condone or legitimise the conference by their presence, and the fact AfME were speaking for patients at the conference when AfME refuse to allow any of its members to have a say in the policy or running of AfME which claims to “be run by and for people with ME” as Trustee Ondine Upton said in the recent Radio 4 series on ME is simply not the case, as AfME are run by an unelected clique, for an unelected clique who refuse to allow people with ME to have a say in the charity that is supposed to represent us, is the height of hypocrisy.

There are serious legal issues that I do not consider were dealt with in a proper or serious way, and the question I would put to all those at Third Sector is this, ‘who are membership charities actually for, their members / beneficiaries who want a say in the organisation and its policy making with the ability to elect a Board of Trustees, or a self perpetuating oligarchy of the self selecting elite who dispense funds from the public purse to pursue their Victorian vision of “charity” to the poor and needy without reference to those they claim to be helping or representing in any way?”

This raises the issue of whether the concept of “charity” is being undermined, and whether the structure of a “charity” who can do such things as AfME appear to be able to get away with render the legal form, function and operation of “charity” as a vehicle for representing the needs of a community, and seeking to provide help and resources from the public purse for a community in need.

Ciaran Farrell, ME sufferer and Steward at the RSM protest

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Observations on the RSM protest: Joan Crawford

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer, Uncategorized on April 30, 2008 by meagenda

A copy of the leaflet handed out by Joan and her husband can be downloaded by clicking on this link

RSM Conference leaflet 

The leaflet was printed off on both sides of an A4 sheet, folded to A5 – hence the pagination layout which should be read in the order:

Page 4    Page 1

Page 2    Page 3

Observations on the RSM protest

by Joan Crawford

My husband (Dewi) and I handed out leaflets to as many people as possible entering the RSM conference between 9 and 10am. We handed out more than 120 and we know they were read…

When we arrived at Wimpole Street about 8.30am we had a coffee across from the 1 Wimpole Street entrance and as were getting ourselves organised but who should walk into the cafe for coffee – the one and only [Professor] Simon Wessely – and he looked VERY SHAKY and WARY – He looked like a man on the run…………………….. He then went into the RSM at 8.55am at the Wimpole Street entrance.

The RSM sent out 3 people to speak with my husband and I in the morning. All of them being polite and reasonable – of course they had nothing to be unreasonable about. We said nothing much other than handed them our leaflets. They came back out later on to ask for a two more leaflets – wonder what they did with these!

Two doctors came out after reading our leaflet and commented on not knowing about the biomedical evidence and wasn’t it good that this was now available for doctors to help their patients. Another medic was called away and asked me if I’d like to take his place at the conference. Unfortunately, I was not free to take up his offer. I saw other doctors leaving the RSM with our leaflet still in their hands – so it was not being binned…….. hurrah.

At the same time as the CFS conference there was a press association conference and we chatted to a few of them about what were doing.

Also, my husband spoke to a guy from the press who had been inside to speak to the RSM over breakfast. His daughter has ME. We didn’t get his name, unfortunately.

Curiously, the RSM had shut the doors on Henrietta Place, which actually made it easier for my husband and I to leaflet one door, rather than two. They had also closed 3 of the 4 glass doors at the 1 Wimpole Street entrance. It was clearly not normal practice as the admin workers kept nearly walking into the locked doors in the middle….. There were 2 securing guards opening and closing the one open door and vetting folks as they came it…….. What exactly were they expecting? Petrol bombs?

Anyway, we returned later on in the afternoon to lend our support to the guys and gals outside the RSM. What troopers. It was freezing cold out of the sun. The RSM were so embarrassed that they were bringing out cups of tea and coffee…

So well done to EVERYONE for getting to the RSM yesterday. It has and will make a difference to PWME.

Joan Crawford
29 April 2008

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Changing attitudes: RSM Conference leaflet

Posted in AfME/Action for ME, CBT/GET, ME Association, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on April 29, 2008 by meagenda

Changing attitudes: RSM Conference leaflet

In addition to the demonstration held in the afternoon, Joan Crawford and her husband handed out leaflets to as many people as possible entering the RSM CFS Conference, between 9.00 and 10.00am in the morning.  More than 120 leaflets were handed out. 

Joan has very kindly given permission for a copy of the leaflet to be made available from Read ME UK Events.

The leaflet was printed off on both sides of an A4 sheet, folded to A5 – hence the pagination layout which should be read in the order:

Page 4    Page 1

Page 2    Page 3

Click here  RSM Conference leaflet for ME Conference leaflet in Word format

 

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RSM Conference Protest: brief report from organiser

Posted in AfME/Action for ME, CBT/GET, ME Association, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer, Uncategorized on April 29, 2008 by meagenda

A brief report following the RSM CFS Conference from protest organiser, Gus Ryan

I arrived with Ciaran Farrell, author of the RSM protest group letter, at about 11am.

Immediately upon arrival we noticed that the Henrietta Street entrance was shut and two guards were inside the RSM’s Wimpole Street entrance.

Annette Barclay, one of the people who signed the RSM letter, arrived at about 12:30pm.

The presentation of the two letters took place outside the Wimpole Street entrance at just after 1pm. Jo Parkinson of the RSM accepted the letter on behalf of the RSM protest group and the letter from Sheila Barry.

Copies of the RSM protest letter were handed out to anyone who was willing to accept it and placards hopefully told the public why people were not very happy with the conference.

Faces that were recognised attending the conference were Tony Britton and Sir Peter Spencer. One person said she saw Simon Wessely in the morning and a number of us thought we spotted him in the afternoon. Tony Britton spoke to some of the group but Sir Peter Spencer hurried past us.

Oddly enough, none of us saw Wessely leave. However when heading home, Ciaran and me spotted the Henrietta Street entrance open – the members entrance.

All in all, about fifteen people attended the protest but there were no more than about ten present at any one given time.

During the afternoon and quite unexpectedly, the RSM sent out a trolly laden with tea, coffee and biscuits for the protestors.

A number of people stopped and looked at the placards and a few chatted to the protestors. I talked with a student attending the RSM about the controversy over the role of mental health in M.E. He seemed very understanding. However I did enter into a slightly heated discussion with someone else attending the conference who was extolling the virtues of CBT. I pointed out to him that despite having a diagnosis of M.E., I also had a psychiatrist’s letter stating I didn’t have mental health problems. He didn’t really give me an answer. In the process, he asked for my video camera to be switched off.

I hope to have a video ready within a few days.

Gus Ryan

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A message from Sophia’s mother

Posted in Royal Society of Medicine on April 28, 2008 by meagenda

May be reposted

A message from Sophia’s mother

Today, 9am, sees the launch of a website I have created in memory of my beautiful daughter who died of Myalgic Encephalomyelitis. It deliberately coincides with a conference being held by the Royal Society of Medicine on the subject of ME/CFS to which many psychiatrists and psychologists have been invited to speak. ME is a physical illness but the problem facing most ME patients is that a psychological causation of their symptoms is part of the dogma that has been foisted on them by a very small but highly influential group of psychiatrists who have established a niche market in what is a controversial but highly debilitating illness.

In June 2003 a warrant was granted through Brighton Magistrates Court that resulted in the sectioning of my daughter, Sophia Mirza, because she would not accept psychiatric treatment for her physical condition, Myalgic Encephalomyelitis (ME).

Despite our Solicitor being confident that there were no grounds for a warrant to be issued, a warrant was granted and my very ill daughter was sectioned against her will until a Tribunal sanctioned her release almost two weeks later.

My daughter never recovered from the shock of this incarceration and died in November 2005. The coroner’s verdict recorded that she died of CFS/ME.

Six doctors and a social worker were among the people who were involved in Sophia’s case.

I have tried, without success, to gain justice from the GMC and Social Services over the dreadful treatment my daughter received, but to no avail.

I have written to two Attorney Generals, numerous MPs and solicitors – again with no result. It seems that ordinary people like me and my daughter can be treated in the most appalling way and no-one is  accountable.

I have therefore decided to publish all letters and communications appertaining to my daughter’s ordeal at the hands of the authorities, in an effort to ensure that this should never happen again to someone suffering from ME.

I hope that the doctors and social workers involved in my daughter’s care will now reflect on what they did and learn from their mistakes and intransigence. I hope that other professionals will also learn lessons from what I have published and that no other person with ME will be treated so callously.

For more information see  www.sophiaandme.org.uk 

Criona Wilson

28th April 2008

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Final call for the RSM Protest

Posted in AfME/Action for ME, CBT/GET, ME Association, ME videos, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on April 27, 2008 by meagenda

From RSM Protest organiser, Gus Ryan

When is it?

Monday 28th April 2008 – 1pm to 6pm

Where is it?

On the corner of Wimpole Street and Henrietta Street in London:

Location

The members entrance is in Henrietta Street.
The public entrance is in Wimpole Street.

What’s happening?

Two letters will be presented to the RSM – one on behalf of the RSM CFS conference protestors and one from Sheila Barry – possibly soon after 1pm. The RSM have agreed to accept the letters.

I will be bringing a video camera to record people’s stories for broadcast on YouTube. I have reason to believe that at least another two people will be attending with video cameras – one of them hoping to record footage for a documentary about problems people with M.E. have with getting the illness recognised as a physiological condition.

People have emailed me saying that they will be bringing placards and handouts.

If at all possible, could you please bring a photo (if you’re a carer) and a camera. Placards and handouts would be very much appreciated as long as they are about the mental health bias in M.E. treatment.

At the risk of stating the obvious, it would help if the banners/placards were easy enough for the uninitiate members of the public to understand the issue.

Banners/placards and handouts would also have to be inoffensive. My contact at the Met police told me that offensive material would not be welcome so even though you may intensely dislike the proceedings in the RSM and especially dislike the participants (!), you’d do us all a favour by not getting us into trouble.

Why should I attend?

Is a reminder necessary?

Merely in the last few weeks, a psychiatrically-biased conference has been planned about something that has been classed as a neurological disorder for nearly four decades. It has then been defended by the Chief Executive of the RSM.

Again, this is after nearly four decades.
Do you find that acceptable?

As a PWME, how do you see your immediate future?

There is a danger that people might assume that they don’t have to attend the protest because somebody else will.

There are no guarantees that people will attend the protest.

Please don’t take that risk.

A very public demonstration of opposition is surely a more effective and eye-catching method than many others.

RSM protest basics:

YouTube video
enquiries: Email Protest Organiser Gus Ryan

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The Read ME UK Events site, the “On a Postcard, Please” Campaign and the “Squeeze” graphic are initiatives independent of the RSM Protest on 28 April. All enquiries from demo attendees and the media regarding Monday’s demonstration should be addressed to the Organiser, Gus Ryan, and not to Read ME UK Events.

All good wishes for Monday’s demo

Posted in Royal Society of Medicine, Uncategorized on April 26, 2008 by meagenda

 

All good wishes to the RSM Protest Group for Monday’s demo

Demonstration | Royal Society of Medicine | 1.00pm to 6.00pm
1 Wimpole Street London W1G 0AE
Monday 28 April 2008

Graphic copyright meagenda

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Presentation letter from Mrs Sheila Barry to Dean, RSM

Posted in Royal Society of Medicine on April 26, 2008 by meagenda

Demonstration | Royal Society of Medicine | 1.00pm to 6.00pm

1 Wimpole Street London W1G 0AE

Monday 28 April 2008

A personal letter from Mrs Sheila Barry to the Dean, Royal Society of Medicine, will also be presented to the Royal Society at the demonstration on Monday, 28 April at 1.00pm.

 

Presentation letter from Mrs Sheila Barry

24th April 2008

Dr John Scadding, Dean
Royal College of Medicine
1 Wimpole Street
London WIG OAE
Dear Dr Scadding

RSM Conference 28th April 2008

You will have received many letters from ME sufferers, and their carers, expressing dismay at the unbalanced list of speakers at this conference.

I am writing on a more personal level. My daughter, my only child, was a long term ME sufferer. She died by her own choice on her 27th birthday. She walked out of her flat in the middle of the night, the first time she had been out alone for eight years and took an overdose. It was 9 days before her body was found behind a church, 250 yards from her flat. The police later admitted that they had failed to search there. It was 4 years later before an Inquest was heard and ME was not even mentioned as a cause of death. It was simply recorded as ‘she killed herself’. Nobody seemed interested as to why she took this action. It is impossible to ascertain just how many sufferers have taken such action as ME is not recorded on the Death Certificates. To my knowledge only two people in UK have had M.E. recorded as cause of death on their Death Certificates – Annabel Senior and Sophia Mirza, both of whom were long term sufferers and died in extremely tragic circumstances.

My daughter’s health was, in fact, considerably better than it had been for years but she was no way at a stage where she could return to work. She would soon have to complete yet another application for DLA if she wanted to be able to maintain her flat and independence. She felt alone, isolated and with little hope for the future. Appealing for Benefits with an ‘invisible’ illness puts sufferers in an impossible position. They are treated in such a horrendous manner by the Benefit Agency staff that my daughter said that she would never ever apply again. Her action meant that she never had to.

Her death has had a most devastating effect on our family. I have since discovered that she was the third ME sufferer in this area to take such action. I was contacted by hundreds of sufferers from all around the country who felt that they had little to continue to live for. They did not want to live for another 2 or 3 decades with such a cruel illness. Reading their e-mails was a most harrowing experience.

I believe that the actions of the psychiatric lobby to have ME classified as a psychiatric illness and to prevent research into the cause, and a diagnostic test were the major reason that my daughter chose to end her life

Yours faithfully

Sheila Barry

 

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Open letter to the President of the RSM

Posted in AfME/Action for ME, CBT/GET, ME Association, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on April 26, 2008 by meagenda

Demonstration | Royal Society of Medicine | 1.00pm to 6.00pm

1 Wimpole Street London W1G 0AE

Monday 28 April 2008

An open letter to the President of the Royal Society of Medicine which has been prepared on behalf of The RSM Protest Group will be presented at approximately 1.00pm.

Open letter to President Word version

Open letter to President PDF version

You can read the letter in full below:

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The RSM Protest Group

An open letter to the President of the Royal Society of Medicine, The Dean, Council Members, Fellows and Members of the RSM, Conference Organisers as well as attendees at the RSM Conference on “Chronic Fatigue Syndrome” at the RSM on 28th April 2008

The President,
The Royal Society of Medicine,
1 Wimpole Street,
London W1G 0AE.

Date : 28th April 2008

Re: The RSM on April 28th on “Chronic Fatigue Syndrome”

Dear Prof. The Baroness Finlay of Llandaff,

We are individual members of the Myalgic Encephalomyelitis, or ME community of sufferers and carers for those with ME which also include those with positions of responsibility in various organisations. We few who are present at this demonstration here today represent many people from our community who were unable to attend due to the profound disability and debility produced by ME. We want to convey to you that the CFS conference has caused a great deal of concern to our community because of :- Continue reading

Follow-up to “Concerns about the RSM Conference”: M Williams

Posted in AfME/Action for ME, CBT/GET, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on April 26, 2008 by meagenda

A Follow-up to “Concerns about the RSM Conference”

By Margaret Williams

25th April 2008
Further information has come to light that is relevant to “Concerns about the RSM Conference on 28th April 2008 on ‘CFS'”.

See: http://www.meactionuk.org.uk/RSM_Conference_April_2008.htm

On 24th April 2008 a meeting entitled “The future of regulating health professionals – the patient’s perspective” was held at Avonmouth House, 6, Avonmouth Street, London SE1 6NX under the auspices of The Council for Healthcare Regulatory Excellence in conjunction with the Department of Health.

The UK Chief Medical Officer (CMO), Professor Sir Liam Donaldson, made what may be an important announcement. He referred to the matter that was mentioned in “Concerns about the RSM Conference”, namely the issue of clinical standards: he made it plain that the Scottish Government’s development of clinical standards is a pilot scheme and – importantly – he said that it will be extended to all parts of the United Kingdom.

The CMO did not mention “CFS/ME”, nor was it mentioned by anyone else on the platform, but it was brought up in the Working Group session.

Given that the Scottish Government now recognises “CFS/ME” as being a chronic neurological disorder under the auspices of the Long Term Conditions Unit and is working on clinical standards for neurological conditions, including access to investigations by neurologists, it may be expected that when the Scottish “clinical standards” are implemented throughout the UK, the rest of the UK will also recognise “CFS/ME” as a neurological Long Term Condition.

After all, this would be in accordance with the UK’s inclusion of “CFS/ME” in the National Service Framework (NSF) as a neurological disorder: the NSF for people with long-term neurological conditions was launched by the UK Department of Health on 10th March 2005 and it specifically includes people with ME/CFS. This has been confirmed more than once: see for example, Hansard for 6th March 2006 (HC column 1200W), where the then Parliamentary Under Secretary of State for Health, Liam Byrne MP, stated categorically: “The NSF sets out a clear vision of how health and social care  organisations can improve the quality, consistency and responsiveness of their services and help improve the lives of people with neurological conditions, including CFS/ME”.

Those exact words were reiterated on 12th May 2006 by Ivan Lewis MP, Parliamentary Under Secretary at The Department of Health, and he added: “Those most severely affected by CFS/ME have access to the full range of health and social service support as outlined in the national service framework for long-term conditions” (Hansard, 12th May 2006).

Sadly, such promises remain empty. Indeed, they may continue to remain empty because the aim of the RSM conference on 28th April seems intended to “educate” GPs that ME does not exist and that “CFS” is a behavioural disorder that should be managed by the recommendations for psychotherapy that are set out in the NICE Guideline.

It remains to be explained how the same neurological condition that is included in the NSF can be deemed by the psychiatrists who will be speaking at the RSM conference to be a mental health disorder and how, together with the Guideline Development Group who produced the NICE Guideline, those who planned the RSM conference (described by Mr Ian Balmer, Chief Executive of the RSM, as a “broad-based academic planning group”) can so resolutely ignore the fact that “CFS/ME” is already included in the NSF as a long-term neurological disorder.

The matter is now so serious that the High Court has ordered a full day’s hearing to determine permission to proceed to Judicial Review. This is an exceptionally long hearing for permission, which is usually only half an hour. Perhaps the RSM should take note.

www.meactionuk.org.uk

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Dr Scadding and The James Lind Alliance: Two

Posted in AfME/Action for ME, CBT/GET, ME Association, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, Royal Society of Medicine, Sir Peter Spencer on April 25, 2008 by meagenda

Dr Scadding and The James Lind Alliance: Two

Ed Notes:

1] Dr John Scadding, Dean of the RSM, is a Member of the James Lind Alliance Strategy and Development Group, 2008.

See the May 2007, Society Guardian article “Turning the tables” by Sophie Petit-Zeman, “Dr John Scadding, RSM dean, [who] had recently been involved in founding the James Lind Alliance (JLA), an initiative that enables patients and clinicians to work together to agree which uncertainties about  treatment matter most and therefore should be research priorities.”
http://www.guardian.co.uk/society/2007/may/21/health

Dr Scadding chaired the Planning Committee for the RSM’s “CFS” Conference. The Planning Committee  comprised Dr John Scadding (Chair), Ms Bina Arpino (RSM Admin), Professor Peter White, Professor Simon Wessley, Professor Kam Bhui and Professor Matthew Hotopf.*

*RSM CFS Conference Programme:
http://rsmcfsprogramme.notlong.com

According to a 2007 RSM Press release, Dr Scadding is a Consultant neurologist at the National Hospital for Neurology and Neurosurgery, Queen Square and an Honorary Senior Lecturer at the Institute of Neurology. He was the RSM’s Associate Dean from 2002 and became Dean of the Society  in October 2006.

There are at least three separate accounts on the internet by ME patients who have reported very negative experiences as in-patients and out-patients of the National Hospital, London.

2] Dr Sophie Petit-Zeman, Director of Public Dialogue, Association of Medical Research Charities is a Member of the James Lind Alliance Strategy and Development Group, 2008.

According to her Guardian Profile, “Sophie Petit-Zeman is a writer and journalist specialising in health, science and social care. Dr Sophie Petit-Zeman migrated from neuroscience and mental health research to communications and journalism. An award-winning writer, she has worked for all the UK broadsheets, a host of specialist journals, for the NHS, private and voluntary sectors in the UK and abroad.”

3] Professor Stephen Holgate, Professor of clinical pharmacology at Southampton University is a Member of the James Lind Alliance Strategy and Development Group, 2008.

Professor Holgate has recently been named chair of “a new multi-disciplinary panel set up by the Medical Research Council which is to focus on the subtypes and aetiology of ME/CFS as part of a plan to fertilise cross-disciplinary research activity in this field.”

According to a recent CFSR Foundation newsletter, Professor Holgate has taken a keen interest in ME/CFS and is a member of the research committee advising Dr Kerr and his team.  He has also co authored several papers published on gene research studies.

4] Sally Crowe Director, Director, Crowe Associates is a Member of the James Lind Alliance Strategy and Development Group, 2008.

According to the 2007, Sophie Petit-Zeman Guardian article, Ms Crowe chairs the James Lind Alliance strategy and development group.

Ms Crowe is project consultant to the PRIME (Partnership for ME Research) Project and a member of the PRIME Steering Group.

Dr Derek Pheby, National ME Observatory Project Co-ordinator and AfME have refused requests to identify those who comprise the ME Observatory Steering Group and the Management Group or who are otherwise involved in the Project, together with the organisations they represent (where appropriate), and their functions within the Project Group or within the Project as a whole; neither Dr Pheby nor AfME has been willing to confirm by what process seats within the Steering and Management Groups were allocated.

PRIME has confirmed to me that both Sally Crowe, PRIME, and Douglas Badenoch, Project Manager, Minervation Ltd, hold seats on the ME Observatory Steering Group. Kirsty Haywood, the researcher who led the PRIME review of Patient-Reported Outcome Measures was also allocated a seat on the ME Observatory Steering Group.

http://www.lindalliance.org/pdfs/SDG%20members_2008.pdf

JAMES LIND ALLIANCE
STRATEGY AND DEVELOPMENT GROUP MEMBERS 2008

Miss Lizzie Amis Project Manager, Patient and Public Involvement Programme, NICE

Dr Brian Buckley Primary Care Researcher, Cochrane Fellow and Chairman of Incontact (Action on Incontinence)

Sir Iain Chalmers Editor, James Lind Library

Mrs Sally Crowe Director, Crowe Associates

Prof Glyn Elwyn Chair, Primary Care, Cardiff University

Mr Lester Firkins Business consultant, Medical Research Council

Ms Jenny Hirst Trustee, Insulin Dependent Diabetes Trust

Prof Stephen Holgate Physician, Southampton General Hospital

Dr Susan Kerrison Assistant Director Research and Development University College London Hospitals Trust

Dr Sandy Oliver Editor, Cochrane Consumers & Communication Review Group

Mr Nick Partridge Chair, INVOLVE

Dr Sophie Petit-Zeman, Director of Public Dialogue, Association of Medical Research Charities

Dr John Scadding Dean, Royal Society of Medicine

Dr Peter Sneddon Head of Research Programmes, Department of Health

Dr David Tovey Editor, Clinical Evidence, BMJ

Mrs Jenny Versnel Executive Director of Research and Policy, Asthma UK

Dr Chris Watkins Board Programme Manager, Medical Research Council

Roger Wilson Associate Director PPI, UKCRN; Consumer Member, NCRI Sarcoma CSG; Chair, Prevention Research Advisory Board, NPRI.

Ms Philippa Yeeles Programme Manager, UK Clinical Research Collaboration

Ms Pamela Young Senior Programme Manager, National Coordinating Centre for Health Technology Assessment

Secretariat support
Ms Patricia Atkinson Administrator, James Lind Alliance Secretariat

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