Archive for the Royal Society of Medicine Category

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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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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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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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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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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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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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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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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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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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

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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Dr Scadding and The James Lind Alliance: One

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: One

From April 2004

http://www.jameslindlibrary.org/pdf/james_lind_alliance.pdf

The James Lind Alliance

A coalition of organisations representing patients and clinicians collaborating to confront important uncertainties about the effects of treatments

Co-convenors

INVOLVE  
The Royal Society of Medicine
The James Lind Library

Introduction

Two hundred and fifty years ago there were many conflicting opinions about how to treat the deadly disease scurvy, and these disagreements were reflected in wide variations in practice. The Royal College of Physicians of London recommended dilute sulphuric acid; the Admiralty favoured vinegar; other proposed treatments ranged from burying patients up to their necks in the ground, through to patented concoctions made from secret recipes.

Faced with this confusing situation, James Lind, a Scottish naval surgeon, wondered how to treat patients dying from scurvy. He decided to confront his uncertainty by treating his patients within a controlled clinical trial comparing six of the proposed remedies, including those favoured by the Royal College of Physicians and the Admiralty. Lind’s controlled trial showed that oranges and lemons were dramatically better than those favoured by the authorities of the day, and the other supposed treatments with which he had compared them.

Important uncertainties about the effects of treatments exist today, and, as in Lind’s day, these are reflected in variations in clinical practice. These uncertainties must be confronted to help improve the quality of care provided for current and future patients using the National Health Service. The James Lind Alliance has been established to foster discussion among patients and clinicians (doctors, nurses, therapists, and others who treat patients) about these variations in practice, and to identify which uncertainties about the effects of treatments are sufficiently important that they should be addressed in clinical trials. The Alliance is being co-convened initially by INVOLVE (formerly Consumers in NHS Research), the Royal Society of Medicine, and The James Lind Library.

Exploratory meetings

An ongoing series of meetings will be held at the Royal Society of Medicine to help promote discussion about how important uncertainties about the effects of treatments can be identified and confronted. Each of these meetings will be co-convened by a partnership consisting of an organisation representing patients and an organisation representing clinicians, both sharing an interest in a particular health problem or group of related problems. Every meeting will be facilitated by a chair from outside the field concerned, and will have the following elements:

  • Declarations of competing (financial) interests by all contributors
  • Presentation of data on variations in practice, suggesting collective uncertainty
  • Presentation of the results of systematic reviews relevant to practice variations
  • Discussion about how to confront important residual uncertainties
  • Agreement on an action plan by the organisations convening the meeting

Annual meeting of the James Lind Alliance

The James Lind Alliance will be formed from a gradually increasing number of partnerships between organisations representing patients and organisations representing clinicians, working together to confront important uncertainties about the effects of treatments. The first annual meeting of the Alliance will be held as part of the annual Clinical Excellence conference, on Wednesday 1 December 2004, at the International Convention Centre in Birmingham. The meeting will provide an opportunity for members of the Alliance to share experiences of progress and obstacles, and to identify common themes.

The annual meeting will also be used by members of the Alliance to inform representatives of the facilitating and regulatory organisations able to promote progress and help overcome obstacles experienced by the patient-clinician partnerships. These facilitators/regulators include:

  • the Department of Health
  • NHS Trusts and Strategic Health Authorities
  • organisations that fund research (particularly the MRC and the NHS Technology Assessment Programme
  • clinical researchers
  • academia, including the Higher Education Funding Council
  • information providers and educators (including the print, broadcast and electronic media)
  • the Medicines and Healthcare products Regulatory Agency
  • the research ethics committee system

INVOLVE, the Royal Society of Medicine, and The James Lind Library are coconvening the James Lind Alliance for an initial period of two years. If the Alliance has begun to fulfil its objectives by the end of 2006, Alliance members (pairs of organisations representing patients and clinicians) will then assume responsibility for the Alliance’s management and development.

Coalitions of patient and clinician organisations in the UK interested in developing the James Lind Alliance should write jointly to:

Patricia Atkinson
Administrator, James Lind Alliance Secretariat

Summertown Pavilion
Middle Way
Oxford OX2 7LG.

Email: patkinson@jameslindlibrary.org

Nick Partridge, Chair, INVOLVE (Consumers in NHS Research) www.invo.org.uk

John Scadding, Associate Dean, Royal Society of Medicine www.rsm.ac.uk 

Iain Chalmers, Editor, James Lind Library www.jameslindlibrary.org 

8 April 2004

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Concerns about the RSM Conference on “CFS”: M Williams

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 24, 2008 by meagenda

Ed: Note: In her commentary, below, Margaret Williams refers to RSM Dean and Chair of RSM CFS Conference Planning Committee, Dr John Scadding’s attendance at a conference on 17th September 2007, in London, entitled Should patients Tell Researchers What To Do? If so, How? arranged by the James Lind Alliance, in conjunction with the Association of Medical Research Charities.

As previously mentioned on this site, Dr Scadding also participated in the NICE 2006 Tackling Health Priorities Annual Conference and Exhibition, at the ICC in Birmingham, in which, incidently, Dr Ian Gibson, MP and Ms Sally Crowe (PRIME) also took part.

http://www.healthlinks-events.co.uk/nice2006/day2indepth.htm

On Day 2 of the conference, Dr Scadding chaired the session: Tackling treatment uncertainties together, In association with James Lind Alliance

  • Bringing patients and clinicians together in “working partnerships” to identify and prioritise the most important unanswered questions  
  • Ensuring that those who fund health research are aware of what matters to patients and clinicians
  • An update on progress, sharing the successes and disappointments
  • In the chair
    Dr John Scadding, Consultant Neurologist, National Hospital for Neurology and Neurosurgery

    Speakers
    Sally Crowe, Director, Crowe Associates
    Mark Fenton, Editor, DUETs, James Lind Alliance
    Sophie Petit- Zeman, Director of Public Dialogue, Association of Medical Research Charities

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

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

    By Margaret Williams
    24th April 2008 

    There is international concern about the forthcoming conference on “CFS” (chronic fatigue syndrome) to be held at the Royal Society of Medicine (RSM) on 28th April 2008 because there can be little doubt that the conference is a “Wessely School” initiative that is intended to promote the psychosocial model of “CFS” and to “educate” GPs accordingly. The psychosocial model denies the reality of myalgic encephalomyelitis as a distinct neurological disorder and subsumes it within “CFS/ME” as a behavioural disorder.

    Such is the concern that many representations have been made to the Dean of the RSM, Dr John Scadding. People have expressed dismay that the Royal Society of Medicine should be providing a platform for a group of psychiatrists who are committed to eradicating ME as a distinct medical disorder and who persistently dismiss the substantive evidence that it is not a primary mental disorder but a serious and complex multi-system organic disorder.

    In addition to countless postings on the internet, a postcard campaign has been organised for people to write to the Dean; there have been letters to the press; a demonstration outside the RSM has been organised to take place on the day of the conference, and one medical practitioner (himself a Physician-in-Waiting to the Royal Family) has written to Her Majesty the Queen suggesting that such is the outrage, she may wish to consider withdrawing the Royal patronage from the Society. Most of the UK ME/CFS charities have expressed profound disapproval of the undeniable psychiatric bias of this RSM conference.

    In response to some of those publicly expressed concerns, the Chief Executive of the RSM, Mr Ian Balmer, wrote on 23rd April rejecting the “supposed bias” of the conference on “CFS”: “Our agenda was drawn up to reflect current thinking on its diagnosis and treatment, as outlined in the NICE guidelines. The content of the meeting is well-grounded in evidence-based medicine and has been planned by a broad-based academic planning group”.

    This has further fuelled the international concern, because innumerable people (including not only well-informed patients but also clinicians and medical scientists who have direct knowledge of ME/CFS) believe it is simply untrue that the conference content is “well-grounded in evidence-based medicine”.

    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). They have submitted substantial evidence to the High Court that the NICE Guideline was not properly founded on “evidence-based medicine” — and thus by implication, the content of the RSM conference cannot be. In a recent Order, the High Court (Mr Justice Stanley Burnton) recognised that despite NICE’s assertions that the legal case is without merit, the evidence is so extensive that the Court will hold a day’s hearing to consider the case in more detail. The Order states: “The Court is usually cautious to intervene in matters involving medical or other scientific judgment. Be that as it may, the evidence is sufficiently substantial for the Court to be assisted by oral submissions”.

    It will be recalled that Professor Hooper and Horace Reid were amongst the first to expose the inadequacy of the York Systematic Review upon which NICE relies for its so-called “evidence” of the efficacy of its recommended management strategy http://www.meactionuk.org.uk/FINAL_on_NICE_for_Gibson.html

    There is in existence a letter dated 17th April 2008 from The Scottish Government’s Healthcare Policy and Strategy Directorate Healthcare Planning Division (reference 2008/0010027OR) signed by Fiona McGrath of the Long Term Conditions Unit. It states, amongst other things: ” One of the most effective ways of improving services for long term conditions such as CFS/ME is by developing clinical standards. NHS Quality Improvement Scotland (NHS QIS) is working on clinical standards for neurological conditions, including access to investigations by neurologists. NHS QIS expects the draft standards to be ready for consultation in autumn 2008, with publication of the final version likely to take place in the summer of 2009″.

    The whole two page letter is about CFS/ME, so questions arise as to how and why “CFS/ME” is now officially regarded as a chronic neurological disorder under the auspices of the Long Term Conditions Unit in Scotland, but as a behavioural disorder under the aegis of mental health policy by the RSM, the Medical Research Council (MRC) and NICE in England?

    A copy of the letter has been sent to the Dean of the RSM asking him to explain this discrepancy, but so far there has been no acknowledgement or response.

    This is all the more pertinent in that it was the same Dr John Scadding who on 17th September 2007 attended a conference in London entitled “Should patients Tell Researchers What To Do? If so, How?” that was arranged by the James Lind Alliance in conjunction with the Association of Medical Research Charities; the meeting had as its main topic the importance of expert patient input into medical research and how this can best be achieved. It was Dr Scadding who chaired the afternoon Working Group session to establish an effective way of implementing patients’ input. One question that was put before the panel was: “What would panel members suggest could be done to ensure that major UK funding and other Institutions — like the Medical Research Council, NICE, the Centre for Reviews and Dissemination at York, the National Health Service and the Department of Health — take more notice of what patients say?”.

    There can be no doubt that this issue was raised and that Dr Scadding was fully aware of the immense concerns amongst ME/CFS patients, so it is all the more disturbing that he has apparently agreed not only to host this controversial conference at the RSM, but that he is also scheduled as a speaker and co-chair of the event. As a result, it is difficult to reconcile his apparent sympathies with patients’ needs to be heeded with his support for and involvement with a conference to promote the psychiatric model of “CFS/ME”.

    A letter setting out concerns about the RSM conference has also been sent to the Parliamentary Under Secretary of State for Health (Mrs Ann Keen MP), drawing her attention to the widespread disquiet about the forthcoming RSM conference and pointing out that numerous large-scale patient surveys have shown that NICE’s management regime of cognitive behavioural therapy (CBT) is largely ineffective and that graded exercise therapy (GET) is potentially harmful, and that it is therefore inappropriate for the RSM conference to promote such a regime. Her attention was drawn to the substantial international evidence of demonstrable and replicable biomedical abnormalities that Wessely School psychiatrists continue to ignore or dismiss. It will be recalled that at the All Party Parliamentary Group on ME that was held on 22nd January 2008, Mrs Keen went on record saying that she believed ME/CFS to be a neurological disorder.

    A copy of the letter from the Scottish Government was also enclosed with the letter to Ann Keen MP, requesting that she address the discrepancy between the Scottish and English government’s approach to the same disorder that Dr Scadding has so far failed to address.

    Margaret Williams

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    RSM Postcard Campaign: Final reminder

    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 21, 2008 by meagenda

    Graphic copyright meagenda

    With just a few posting days left before the Royal Society of Medicine’s “CFS” Conference, this will be the final reminder about the “On a Postcard, please” Campaign.

    For more information about the conference and for copies of the Postcard Campaign Flyer click the links, below

    Word Postcard Flyer Word doc (55KB)
    PDF Postcard Flyer PDF (105KB)

    PDF RSM CFS Conference programme

    Links to position statements from AfME, MEA, IiME, RiME, TYMES Trust and 25% ME Group

    Address your postcard or letter to:

    Post card front

    If you haven’t written yet, there’s still time to let the Dean of the RSM know what you think about this conference.

    Although new material will continue to be added to the site, this will be the final reminder for the Postcard Campaign.

    I’d like to thank everyone, including local and regional ME support group committees and their members for sending postcards and letters to the RSM. I’d also like to thank website owners, bloggers, internet forum managers, email list owners, ME support group committees and individuals who have assisted with the promotion of this campaign, either via the internet or by including campaign flyers and information about the conference in their newsletters and email contact lists or have helped raise awareness about the concerns surrounding this conference in other ways. I know that many of you have also encouraged your friends, family and carers to send in messages to the RSM, as well – your enthusiasm and support for this campaign has been very much appreciated.

    I wish Gus Ryan, organiser of the demonstration scheduled for the afternoon of Monday, 28 April (1.00pm to 6.00pm outside the RSM building) all good wishes for a fine day and a successful event. Media enquiries about the demonstration and from those planning to attend this event should be addressed to Gus Ryan

    I finally got my own card off, yesterday. If you haven’t sent yours in yet, there’s still two posting days left!

     

    suzypost4

    Graphic copyright meagenda

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    Can AfME claim a mandate to represent “The patient perspective”?

    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 19, 2008 by meagenda

    From Suzy Chapman & Ciaran Farrell

    19 April 2008

    Can AfME claim a mandate to represent “The patient perspective”?

    This week, Third Sector website highlights interesting figures from AfME’s (Action for ME) 2006/2007 year end accounts:

    The numbers: Action For ME

    By Patrick McCurry, Third Sector, 16 April 2008

    “Action for ME works to improve the lives of people with chronic fatigue syndrome, or myalgic encephalopathy. Total income – £693,000 for the year ending 31 March 2007, compared with £956,000 for the previous 12 months. Highest salary – The interim chief executive was paid £55,000. Reserves policy – The charity seeks to hold free reserves equivalent to at least three times its monthly running costs…”

    You’ll need to register here with Third Sector site to read the rest of this item.

    [Note: “Interim chief executive” refers to Ms Trish Taylor, formerly Vice-chair for governance, who took on the position of Acting Chief Executive in the wake of Chris Clark’s resignation and prior to Sir Peter Spencer taking up his position as the new CEO of AfME.  According to the job specification, the vacancy for a CEO attracted a salary in the region of 70K – not a bad remuneration for someone who has told us that he felt it was time to give something back to society.]

    Download a copy of AfME’s 2006/2007 Report and Accounts, as filed at Companies House, here
    Download a copy of AfME’s 2006/07 Annual Review here

    On Monday, 28 April, Sir Peter Spencer will be addressing the Royal Society of Medicine’s “CFS” Conference – at 2.00pm Sir Peter will be representing “The patient perspective”.

    Professor Anthony Pinching, Principal Medical Adviser to AfME, is acting as one of the session chairs for this meeting; other sessions are to be chaired by Professor Mansel Aylward (Director, Unum Centre for Psychosocial and Disability Research, Cardiff University), Professor Kam Bhui (Department of Psychiatry, Queen Mary School of Medicine and Dentistry) and Dr John Scadding, Dean of the RSM and chair of the CFS Conference Planning Group.

    If you don’t already have a copy of the RSM’s “CFS” Conference Programme you can download a PDF here: http://rsmcfsprogramme.notlong.com

    It is of considerable concern to many of us within the ME community that “The patient perspective” is not being given by ME patients or carers, themselves, but by the Chief Executive of what many of us consider to be an undemocratically run organisation, and that this has been the case for many years.

    While Sir Peter is enjoying his lunch in the RSM’s dining rooms and honing his address for the conference, will he consider this perspective?

    That AfME claims – in breach of its own governing document, its Memorandum & Articles of Association – that its members are merely passive “subscribers” to its magazine rather than members of the company and charity, Action for ME;

    That AfME has not held a public AGM to which the membership of AfME has been invited to attend for many years;

    That AfME’s trustees are not elected though free, fair and democratic trustee election processes;

    That as a result, AfME’s members have for many years been denied the voting rights to which they are entitled under Charity and Company Law;

    [ For detailed analysis of AfME’s modus operandi see the ONE CLICK AfME Dossier ]

    That AfME operates within a culture of secrecy and that a good example of this is their handling of the joint AfME/MRC “Research Summit”, held in November 2006;

    That AfME were unwilling to disclose to enquirers, including their own members, the names of those who would be taking part in this already contentious event, which had previously been postponed due to public disquiet over the psychiatric/psychological bias of the participants, forcing enquirers to apply to the MRC under the Freedom of Information Act in order to obtain this information;

    That in October 2006, the month before the AfME/MRC Research Summit was due to take place, AfME sent out letters to its members and lapsed members asking for donations in support of pilot studies for “biomedical research into M.E.” but failed to mention that the Research Summit, out of which these studies might be developed, was a joint venture between itself and the MRC and failed to mention that many of those who would be participating in this event were from psychiatric/psychological backgrounds.

    Read the brouhaha surrounding this Research Summit and view the list of those who participated in it, here, on ME agenda site:

    The AfME Research Summit and the list they did not want us to see

    That the list of names of those who attended the AfME/MRC Research Summit is not the only information which ME charity AfME has been unwilling to disclose.

    The AfME National ME Observatory project has been awarded £500,000 in funding from The Big Lottery Fund for six epidemiological research studies:

    That to date, AfME has failed to place in the public domain a list of all members of the Project Steering Group and the Project Management Group and has published only a list of the lay members of the Steering Group and named the twenty odd individuals who comprise the Project’s Reference Group and then, only in its magazine;

    That to date, Dr Derek Pheby, 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 this Project, together with the organisations they represent (where appropriate), and their functions within the Project Group or within the Project as a whole;

    That to date, Dr Derek Pheby, ME Observatory Project Co-ordinator and AfME have refused to disclose by what process seats within the Steering and Management Groups were allocated. The Project Co-ordinator has confirmed to me only that Dr Charles Shepherd holds a seat on the Steering Group;

    That it is not possible, therefore, for stakeholders like myself, or for the general public to establish with whom specific questions, queries or concerns about this Project or the management of this Project should be raised, nor by whom and on what basis their questions will be addressed, since no lines of management accountability have been set out for public use, and therefore scrutiny since the functions of those comprising the Steering and Management Groups have not been defined, since the organisations they represent have not been declared and since the process through which they were appointed to these Groups remains unknown.

    That even members of what rapidly became a tokenistic Reference Group set up for the Observatory Project in order the advise the Steering Group have been denied this basic information;

    That “CFS/ME” is to be diagnosed for epidemiological purposes for these National ME Observatory Projects using patient survey forms which employ the term “the tiredness symptom” and that ask study participants or prospective study participants whether they had been “happy” at school and whether they had been “active” six months before the onset of their illness.

    That the National ME Observatory Steering and Management Groups are responsible for overseeing the spending of half a million pounds of public money and are accountable to the public for the manner in which that money is spent and are expected to be open to public scrutiny;

    That in AfME’s 2006 Research Summit Report there was reference to a “Research Advisory Panel” – are members of AfME, the wider ME community and the general public going to meet a similar lack of transparency from AfME when trying to establish who will comprise this “Research Advisory Panel”?

    That Professor Stephen Holgate, Professor of clinical pharmacology at Southampton University has just been named as 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.”

    In what ways and on what basis might AfME have an involvement in the multi-disciplinary body that the MRC is in the process of setting up, which was one of the recommendations that came out of the AfME/MRC Summit?

    Will this information also have to be applied for under FOI?

    Last November, Ondine Upton, representing this organisation as a trustee in the week long “You and Yours” ME strand declaimed that she and her fellow trustees are representative of, and act in the interests of people with ME.  It is unacceptable that a membership charity like Action for ME that purports to “be run by and for people with ME” makes such claims when Action for ME is not prepared to be open, honest and transparent with its members.

    Sir Peter is the unelected employee of an unrepresentative, undemocratic and unelected board of trustees; he does not suffer from ME, himself, and neither is he a carer of anyone with ME.  Perhaps Sir Peter would care to reflect on his personal and organisational credentials, or lack thereof, as he takes a final look through his notes before giving his presentation to the RSM Conference, on 28 April.

    Suzy Chapman
    me.agenda@virgin.net
    https://readmeukevents.wordpress.com

    Ciaran Farrell
    ciaran@jfarrell58.freeserve.co.uk

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    Therapy for ME under fire: Martin Guttridge-Hewitt

    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 19, 2008 by meagenda

    Ed: Note that throughout this article the Royal Society of Medicine has been erroneously referred to as the “The Royal Medical School”.  Additionally, the statement “A UK adaptation of WHO guidelines reclassified the condition as a mental disorder.” cannot be relied upon.

    From The Big Issue in the North

    Therapy for ME under fire by Martin Guttridge-Hewitt

    The use of cognitive behavioural in the treatment of chronic fatigue syndrome has come under renewed fire ahead of a Royal Medical School [sic] conference at the end of this month. Cognitive Behavioural Therapy (CBT), currently promoted as a treatment for a range of mental conditions, it is also recommended by the National Institute for Clinical Excellence (NICE) for chronic fatigue syndrome, also known as ME which is thought to affect some 250,000 UK residents.

    CBT teaches patients to recognise their thoughts and behaviour and to take steps to change them. Unlike other talking therapies, it focuses on the here and now rather than seeking to find the root cause of the problems. But some health professionals including members of the British Psychological Society believe that advocating CBT for chronic fatigue syndrome implies that it has a psychological origin, whereas the World Health Organisation (WHO) classifies the condition as a neurological disease, a category which includes multiple sclerosis and epilepsy.

    British Psychological Society members also brand CBT as impractical, uneconomical and inflexible . And the absence of critics of CBT in the Royal Medical Schools [sic] conference is further evidence of bias, they say. “NICE’s guidelines do not accept any alternative”, said Dr Ellen Goudsmit of the BPS. “They’re not just promoting the treatment, they are actively hyping it up and ignoring evidence that shows alternatives may be more suitable”. They are also the most expensive treatments available.”

    A UK adaptation of WHO guidelines reclassified the condition as a mental disorder. But in 2006, a coroner attributed the death of Sophie Mirza, 32, of Brighton, to acute renal failure resulting from chronic fatigue syndrome – a verdict campaigners believe shows the condition is a physical one.

    Dr Charles Shepherd, medical advisor to the ME Association (MEA), said. “The MEA does not accept the conclusion that ME and chronic fatigue syndrome is largely or wholly maintained by unhelpful beliefs and behaviours. Consequently, we would not endorse any form of behaviour or treatment that is purely based on the idea.” A Chief Medical Officer report gives weight to this view. It found that only 7 percent of patients treated with CBT had noticed an improvement in their condition.

    Commenting on the absence of BPS members from the RMS [sic] conference, Goudsmit said: “It is strange for independent psychologists to see all evidence that challenges CBT and the preferred treatment of ME and chronic fatigue being ignored by the dominant bodies in medicine”. Some health professional say the best way to treat chronic fatigue patients is with tailor-made programmes combining different medical components.

    From the Big Issue in the North. No 17 14-20 April 2008
    Contact address 10 Swan Street, Manchester, M4 5JN
    email letter@bigissueinthenorth.co.uk

    http://www.bigissueinthenorth.com

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    Response from Ian Balmer, CE of RSM to John Greensmith

    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 18, 2008 by meagenda

    Dr John Greensmith has received a response on the This is North Devon website from Mr Ian Balmer, Chief Executive of the Royal Society of Medicine.  Comments, which may be selected for publication in the paper edition, can be left on the website.

    From John Greensmith

    18 April 2008

    My letter about the forthcoming Royal Society of Medicine (RSM) Conference, ‘Chronic fatigue syndrome’, on 28 April 2008 (copy below my signature), has elicited this reply from Mr Ian Balmer, Chief Executive of the Royal Society of Medicine:

    Reply to letter, Sufferers of ME need support, Dr John H Greensmith
    published in North Devon Journal, 17 April 2008

    I write in response to Dr John Greensmith’s letter (North Devon Journal, 17 April 2008) criticising the Royal Society of Medicine over supposed bias of a forthcoming conference on Chronic Fatigue Syndrome.

    The RSM holds over 400 meetings a year as part of its programme of medical education for doctors. A small number of these are aimed at the general public but our conference on CFS is not such a meeting.

    It has been set up to contribute to health practitioners’ understanding of this debilitating and distressing condition.

    The causes of CFS are not clear and our agenda was drawn up to reflect current thinking on its diagnosis an treatment, as outlined in the National Institute for Health and Clinical Excellence (NICE) guidelines.

    We are aware that Dr John Greensmith and some sufferers of the condition are unhappy that psychiatrists will be giving presentations at the meeting. This has nothing to do with distortion, nor is it immoral or unscientific. The content of the meeting is, instead, well-grounded in evidence-based medicine and has been planned by a broad-based academic planning group.

    Dr Greensmith does not make clear what he means by censorship and selective editing but his accusation of inappropriate association with an insurance company is completely untrue. No representative from any insurance company was invited to speak nor involved in the programme planning. Nor has any insurance company contributed any sponsorship to the meeting.

    There are many groups aimed at sufferers of ME/CFS and their carers. There is no way that our conference – aimed at doctors – could include representatives from so many organisations. We will be holding a meeting for sufferers of CFS as part of our Medicine and Me series, which aim to bring together patients, carers, researchers, doctors and other health practitioners to discuss care and research issues in a particular condition.

    Yours sincerely
    Ian Balmer
    Chief Executive
    Royal Society of Medicine
    1 Wimpole Street
    London W1G 0AE

    John writes:

    May I suggest, for truly representative coverage of the strength of feeling about this conference that as man individuals and ME spport groups, from around the World, as can manage, reply to Ian Balmer, Chief Executive:

    (1) either in writing, addressed to the Royal Society of Medicine, 1 Wimpole Street, London W1G 0AE or by e-mail to ian.balmer@rsm.ac.uk all lower case ian dot balmer at sign rsm dot ac dot uk)

    (2) copy it to (or rework it to suit) the letters page of the North Devon Journal, where this reply appeared. e-mail address: letters@northdevonjournal.co.uk (all lower case, no spaces letters at sign northdevonjournal dot co dot uk)

    (3) copy it to us at ME Free For All. org with permission to post it on our website with the other letters on the same subject.

    I know how much energy it takes to do these things, especially when you are not feeling well but I urge you not to miss this opportunity.

    I, also, remind ME sufferers who live abroad that, although this conference is to be held in the UK, its agend affects people with ME in all parts of the world and I hope that you will want to have your say too.

    Cheers
    John
    drjohngreensmith@mefreeforall.org
    Dr John H Greensmith
    ME Free For All

    SUFFERERS OF ME NEED SUPPORT
    (North Devon Journal, 17 April 2008)

    There is more than a little disquiet about the forthcoming Royal Society of Medicine Conference, “Chronic fatigue syndrome”, scheduled for April 28, because its agenda is wholly biased towards the mental health perspective of ME (Myalgic Encephalomyelitis) as an illness of psychiatric origin – for which there is no evidence, and completely away from its neurological classification – for which there is an abundance. If not wholesale schism, there is an unprecedented rift in the ME community because only one organisation has been invited to attend.

    Whatever the motives for this, there is a higher priority put on self-interest than on ME.

    There will be a peaceful protest outside the Wimpole Street and Henrietta Street entrances of the venue. Those who are too ill to participate are encouraged by the “On a postcard please” campaign to address their concerns to the Dean, Dr John Scadding, 1 Wimpole Street W1G 0AE.

    The responses, so far, have not been from firebrand activists but from a cross section of people, whose live have been affected by this disabling illness, including doctors and researchers, of at least equal qualification and authority with the ones chosen to speak at this meeting, who have written of their uneasiness about professional conduct and ethics to national newspapers, the Dean of the RSM and even to the Queen suggesting removing Royal Patronage because of an inappropriate association with an insurance company. There is also a video on YouTube.com, which has been made to allow free expression of opinion.

    This is possibly the shabbiest episode in ME history.

    There are professionals imposing their speciality, as well as individuals and organisations, purporting to represent people with ME, who ought to consider their positions.

    Yours sincerely
    drjohngreensmith@mefreeforall.org
    Dr John H Greensmith
    ME Free For All

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    Professor Simon Wessely: Retired, tired or hired?

    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 15, 2008 by meagenda

    Graphic copyright meagenda

    From Suzy Chapman & Ciaran Farrell

    14 April 2008

    Professor Simon Wessely: Retired, tired or hired?

    Unless you have had your head stuck in a bucket for the past four weeks, you’ll be most likely aware that one of the several psychiatrists whom Dr John Scadding invited onto his CFS Conference Planning Group, is Professor Simon Wessely.

    Simon Wessely (KCL) and fellow Planning Group members, psychiatrists Peter Denton White (BARTS, PI PACE Trials) and Mathew Hotopf (IoP), have all invited each other to be speakers at this CFS conference. It’s all very cosy.

    We are sure fellow psychiatrists are delighted that Professor Wessely has come out of his “retirement” from CFS research not only to sit on the Planning Group for this meeting but to also address the conference, itself.

    Professor Simon Wessely will speak on Epidemiology at 10.55am, following Dr Anthony Cleare (IoP) and before Professor Chris Dowrick who, incidentally, is a member of the FINE Trial research group.

    On 20 September 2001, the Guardian published an article by Health Editor, Sarah Boseley, quoting Professor Wessely, called: Continue reading

    Dr Speedy writes to the Dean, RSM

    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 13, 2008 by meagenda

    Australian GP ME sufferer, Dr Speedy, who blogs at

    http://niceguidelines.blogspot.com/

    has written to the Dean, RSM.

    You can read Dr Speedy’s letter on the RSM postcards and letters page

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    RSM CFS Conference in Bristol, 18 September 08

    Posted in NICE CFS/ME guideline, Prof Peter White, Royal Society of Medicine on April 13, 2008 by meagenda

    It has been brought to my attention that there is another RSM CFS Conference for RSM members and health professionals being held in September 2008, this time in Bristol.

    One of the speakers is Mary Jane Willows who is listed as a “Person with CFS/ME”.  Why is it not being disclosed that Ms Willows is the CEO of AYME (Association of Young People with ME)?

    http://www.rsm.ac.uk/academ/condiary.php
    Wessex Region – Bristol
    Chronic Fatigue Syndrome Bristol

    Thursday 18 September 2008

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

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

    Registration Details:
    Trainee: £65
    Fellow: £95
    Associate: £85
    Non-Fellow: £140
    RSM Trainee: £55
    RSM Student: £25
    Student: £45
    Nurse: £85
    AHP: £85
    CPD: 5 credits

    9.30 am
    Registration and Coffee

    9.55 am
    Welcome Address
    Prof Mick Leary, Regional Sub Dean Royal Society of Medicine, Wessex

    Session One
    Chair: Prof Mick Leary, Regional Sub Dean Royal Society of Medicine, Wessex

    10.00 am
    What is Chronic Fatigue Syndrome and what is ME?
    Prof Peter White, Centre for Psychiatry, Wolfson Institute of Preventive
    Medicine, London

    10.30 am
    What we know about the genetics of CFS/ME
    Dr Nicholas Timson, Department of Social Medicine, University of Bristol

    11.00 am
    Differential diagnosis of CFS/ME
    Prof Damien Longson, Department of Psychiatry, North Manchester General Hospital

    11.30 am
    Discussion

    11.40 am
    Coffee

    Session Two
    Chair: Dr Esther Crawley, Royal National Hospital for Rheumatic Diseases, Bath

    12.10 pm
    What it feels like to have CFS/ME
    Mary-Jane Willows, Person with CFS/ME

    12.40 pm
    Cognitive behaviour therapy for behaviour change in medical conditions
    Dr Hazel O’Dowd, Team Leader CFS/ME Services, Frenchay Hospital, Bristol

    1.10 pm
    Discussion

    1.20 pm
    Lunch

    Session Three
    Chair: Dr Tim Chambers, Bristol Royal Children’s Hospital

    2.20 pm
    The NICE guidelines

    2.50 pm
    The practical management of CFS/ME
    Dr Esther Crawley, Royal National Hospital for Rheumatic Diseases, Bath

    3.20 pm
    Medication for symptom control. And beyond?
    Prof Tony Pinching, Associate Dean for Cornwall & Professor of Clinical Immunology

    3.50 pm
    Questions and Discussion

    4.20 pm
    Close of Meeting

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    Please note…

    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 13, 2008 by meagenda

    Please note…

    that the “On a Postcard, please” Campaign is being organised independently of the RSM demo/protest organised by Gus Ryan. 
    All enquiries about the demo should be addressed to Gus Ryan.

    Please also note that the Read ME UK Events site, the “On a Postcard, please” Campaign and associated promotional material is the initiative of Suzy Chapman and that Suzy Chapman has no connection with any other initiatives or with any email campaigns directed at the RSM, ME charities or any other bodies, organisations or individuals.

    Graphic copyright meagenda

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    Postcards and letters page

    Posted in Royal Society of Medicine on April 11, 2008 by meagenda

    If you’ve already sent a letter or a postcard to the Dean of the RSM and would like a copy of the text displayed on this site please forward a copy to Suzy Chapman and I will add it to the RSM postcards and letters page (listed under Read ME).

    Please remove any personal or contact details that you don’t want displayed.

    I know that some of you are encouraging relatives, friends and carers to send postcards, too – and that’s great!

    For more information and PDF or Word copies of the Postcard Campaign Flyer click on this link

    Graphic copyright meagenda

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    Postcard to Dean, RSM: Dr John Greensmith

    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 11, 2008 by meagenda
    Dr John Greensmith, ME Free For All writes to the Dean, RSM

    May I suggest that as many people as can manage send a letter or/and a postcard to support Suzy Chapman’s “On a postcard, please” campaign to Dr John Scadding, who is the Dean of the Royal Society of Medicine at 1 Wimpole Street, London W1G 0AE with their concerns about the forthcoming conference on 28 April 2008. Or you can e-mail him at john.scadding at rsm.ac.uk

    Please do not be deterred from writing with your particular concern even if you know it has already been voiced by someone else. To do so would be to underestimate the true strength of feeling there is about this conference.

    And this conference may be in London, UK but M.E. isn’t restricted to this City or Country. It is, therefore, quite reasonable for M.E. sufferers from all over the world to have a say about this and I hope they will want to.

    Cheers
    John
    drjohngreensmith@mefreeforall.org

    11.04.08

    Dear Dr Scadding,

    You must, no doubt, by now, be aware of the extent of the concern there is in the M.E. Community about the forthcoming RSM Conference, “Chronic fatigue syndrome”, scheduled for 28 April 2008 because of the bias towards M.E. as a psychiatric illness, favoured by the overwhelming majority of speakers.

    There are also whisperings of censorship and secrecy surrounding some of the delegates.

    Can you assure us that, if not a DVD of the whole proceedings, transcripts will be available to anyone who requests them and, if there is any cost at all, it will be affordable by people with M.E. in receipt of disability benefits.

    Yours sincerely
    drjohngreensmith@mefreeforall.org
    Dr John H Greensmith
    ME Free For ALL

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    RSM: ME, psychosocial school: Peter Kemp

    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 11, 2008 by meagenda
    RSM: ME, psychosocial school

    From Peter Kemp

    If I had any faith in the powers that be within the medical establishments of the United Kingdom; I would welcome the Royal Society of Medicine conference on ME/CFS.

    I believe that were they to live up to the claim that this is a scienctific and evidence based conference, they would be forced to conclude that the psychosocial school theories are unproven and are not supported by solid research. They might also find that the years dominated by these theories have resulted in a shocking lack of progress in addressing a serious health problem in the UK.

    If medical doctors had claimed to understand ME/CFS but had demonstrated a similar inability to address the problem, their theories would have been discredited and dismissed years ago.

    How long can the medical authorities of the UK continue supporting people who have so utterly failed?

    The forthcoming conference would be an ideal opportunity for a mainstream medical organization to identify this failure and to withdraw support from the psychosocial school of thinking on ME/CFS.

    I have no faith that this will happen.

    How many more years will be wasted?

    Peter Kemp

    Graphic copyright meagenda

     

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    Is the MEA planning to boycott the RSM Conference?

    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 10, 2008 by meagenda

    Although there was some initial confusion around whether the RSM were going to permit the ME Association to take a paid for stand at the RSM’s conference, the MEA has since clarified that they are going to be manning a stand in order that literature and information can be made available to conference attendees.

    There has also been speculation over whether or not the MEA would obtain seats at the conference, itself.

    It is my understanding that the MEA is in a position to obtain seats, should they wish to have a representative(s) attend the actual conference, itself, in addition to manning a stand outside the room in which the meeting is being held.  I am awaiting the MEA’s confirmation of the basis on which they have taken this stand at the conference.

    Should the MEA send a representative in order that it can report on the proceedings to its membership or should the MEA boycott the conference altogether? 

    And if an MEA rep does attend, should the rep engage with the speakers and participate in discussion sessions or should they remain a passive observer and attend solely in order to record the proceedings?

    There is an argument for considering that not only should the MEA take a stand outside the conference room but that they should also attend the conference to produce summaries of the presentations for their members – especially given that members of the public are excluded from purchasing seats and given that the RSM has said that it has no plans to make transcripts or DVDs available to the public, after the conference.

    On the other hand, how would attendance of this conference by the MEA sit with the position statements the MEA has already issued and the expectations of the ME community?

    Given the MEA’s stated views and opinions concerning the psychiatric / psychological bias to the presentations and in the light of the RSM’s declaration of the extent of its interest and involvement in the initial proposal to hold a CFS event, in the setting up of the CFS Conference Planning Committee, in the selection of speakers and session chairs and in the drawing up of the conference agenda and topics for discussion, I shall be interested to read their rationale should they decide to have a rep present at the conference, itself.

    But what the MEA cannot do, following the RSM’s clarification, yesterday, is to seek to legitimise attendance of this conference on the grounds that the RSM was not responsible for the selection of the speakers.

    The situation at the moment remains somewhat obscure but I will update when I have a clearer picture of the MEA’s intentions.

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    Response from the RSM

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

    Yesterday, I received the following clarification from the RSM’s Director of Education and Professional Development, Mrs Jo Parkinson. 

    In answer to the questions, below, Mrs Parkinson has responded:

    that the Dean of the RSM decided to organise a meeting on Chronic Fatigue Syndrome following the publication of the NICE guidelines;

    that there are no sponsors for this meeting;

    that the academic planning groups for RSM conferences are set up by the Dean or the Associate Dean;  

    that the planning group will consist of a group of experts in the field;

    that the planning group decides the topics for discussion and the speakers;

    that planning groups never include sponsors;

    that there were no external organisations involved in the planning of this meeting;

    that in general, ideas for conferences are not proposed by external bodies, organisations or companies.

     

    Sent: Monday, March 31

    To: Ms Bina Arpino, RSM Administration
    CC: Mrs Jo Parkinson, RSM Director of Education and Professional Development

    Subject: Concerning the planning of CFS Conference 28 April 2008

    Dear Ms Arpino,

    It is my understanding that RSM conferences can be planned by the RSM around topics proposed by external bodies, organisations or companies.

    With regard to the forthcoming conference on Chronic fatigue syndrome, on 28 April, I should be pleased if you would clarify the following:

    1] Was the concept for this CFS conference initiated internally or externally and does the conference have sponsors?

    2] If externally, please specify which companies, bodies or organisations initiated the concept and/or have sponsorship status within this specific conference?

    If internally, are any companies, bodies or organisations sponsoring this conference and who are these sponsors?

    3] Through what process were members of the CFS Conference Planning Committee, other than RSM office holders and personnel, appointed?

    4] Through what process were potential speakers for this conference identified, that is:

    was the drawing up of a list of potential speakers for this specific conference the preserve of the CFS Planning Committee or did any external body or organisation with an interest in, or sponsorship status within the conference put forward suggestions for potential speakers, and if so, please specify which bodies or organisations and which speakers were identified as a result;

    was any external body or organisation not directly involved with the conference or a sponsor of the conference consulted by the RSM for suggestions for potential speakers, and if so please specify which bodies or organisations were approached and which speakers were identified as a result.

    Sincerely,

    Suzy Chapman

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    Have you sent yours in, yet?

    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 8, 2008 by meagenda

    Graphic copyright meagenda

    Flyers for the “On a Postcard, please” Campaign were emailed out yesterday to local and regional ME support organisations across the UK.  If you’re a local ME group co-ordinator and aren’t on my mailing list, you can download a Flyer here

    Word Postcard Flyer Word doc (55KB)
    PDF Postcard Flyer PDF (105KB)

    Download a copy of the RSM’s CFS Conference programme here or drop me an email and I’ll forward electronic copies to you.

    Postcard Front

    Reports are coming in that not only are local group members sending in their own concerns to the RSM on postcards but support group committees are also writing to the Dean of the RSM, on behalf of their members.

    Jacqui Footman, Publicity Officer for South Moulton ME Support Group, tells me that the group’s committee has sent a letter to the Dean with a copy to Sir Peter Spencer, CEO of AfME, setting out its concerns about this conference.

    You can read a copy of South Moulton ME Support Group’s letter below and a copy will also be added to the RSM postcards and letters Page

    South Moulton ME Support  Letter to Dean, RSM  Word doc (35KB)

    I hope committees of other local and regional groups will also be setting out their concerns to the RSM as well as encouraging their members to send postcards.

    I’m still waiting for the RSM to provide answers to my questions.

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    RSM demo: Update from Organiser, Gus Ryan

    Posted in ME videos, Royal Society of Medicine on April 8, 2008 by meagenda

    Please note that all enquiries concerning the demo should be addressed to the Organiser, Gus Ryan Email: creamcrackereduk@yahoo.co.uk

    RSM demo: Update from Organiser, Gus Ryan

    8 April 08

    I have been pleasantly surprised by the overwhelmingly positive reaction to the protest. I have received emails from the USA, Denmark and Australia and the YouTube video advertising the event:
    http://uk.youtube.com/watch?v=IBRC9SzmKNk has had hits from countries as distant and diverse as Argentina, Israel, Morocco and Japan.

    Thank you to everyone who has shown an interest.

    May I take this opportunity to announce an initiative for the day?

    It’s very simple.

    If you are a carer, could you please bring a photograph of the PWME you are caring for. The event will be recorded on video and I would like to hear your stories for broadcast on YouTube.

    Nothing more complicated than that!

    Banners will be displayed, information sheets will be handed out and there will be an open letter
    which I hope will be presented to the RSM.

    It will also be a chance to meet others.

    See you there!

    Gus.

    —————————————————

    Where?

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

    http://www.rsm.ac.uk/
    http://www.multimap.com/maps/?hloc=GB|W1G%200AE

    There are two entrances/exits to the building:
    Wimpole Street (general public)
    Henrietta Street (members)

    It is intended that a protest will occur outside both doors simultaneously.

    Each gathering will have a steward.

    The RSM building is just behind/north of House of Fraser in Oxford Street.

    —————————————————

    When?

    Protest is 1 pm to 6 pm on Monday 28th April 2008

    Conference is from 9:50 am to 5 pm

    —————————————————-

    How do I get there?

    Tube:
    Bond Street tube station is five minutes walk from
    the RSM. Unfortunately, there is no wheelchair
    access at Bond Street.

    The station is on the Jubilee and Central lines
    http://www.tfl.gov.uk/modalpages/2625.aspx

    Bus:
    3, 6, 7, 8, 10, 13, 15, 23, 25, 55, 73, 88, 94, 98, 113, 137, 139, 159, 176, 189, 390, 453, C2
    are all within a 15 minute walk (approximately)

    London bus map:
    http://tinyurl.com/62pmkl

    Car:
    Parking in Harley Street and Cavendish Square
    http://www.westminster.gov.uk/carparks/
    http://tinyurl.com/5sfvsl
    NCP in Welbeck Street
    http://www.ncp.co.uk/

    The RSM is within London’s Congestion Charge zone which operates between 07:00 and 18:00 Monday to Friday. The charge starts at £8.
    http://www.tfl.gov.uk/roadusers/congestioncharging/

    Blue badge holders are exempt.
    http://tinyurl.com/4drwnt

    Assisted transport:
    http://tinyurl.com/3elnt6

    —————————————————

    Are there any amenities and facilities nearby?

    Cavendish Square has a garden for relaxation and the nearest public toilet is in James Street.

    Department stores House of Fraser and John Lewis both have toilets with disabled facilities.

    Both stores also have places to eat:
    HoF: Cafe Zest and Cafe Nero
    http://tinyurl.com/5bg6h9
    JL: The Place to Eat, The Brasserie, The Bistro
    and The Coffee Shop
    http://www.johnlewis.com/Shops/DSTemplate.aspx?Id=388

    JL also has its foodhall, courtesy of Waitrose.
    http://www.johnlewis.com/Shops/DSTemplate.aspx?Id=531

    ——————————————————–

    For greater detail, please visit the sites.

    Enquiries about the protest to: creamcrackereduk@yahoo.co.uk

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    Stats

    Posted in Royal Society of Medicine on April 7, 2008 by meagenda
    2000 page views on Read ME UK Events since 8 March
    3 weeks until the RSM Conference
    8 days and still no answers from the RSM on who is behind this conference
    5 postcards from every UK local/regional group would mean in excess of 500 messages to the Dean.
    Have you sent yours in, yet?

    http://rsmcfspostcards.notlong.com 

    One further stat:

    there have been over 340 page views of Read ME UK Events, today – the largest number of hits since this blog was created.  I’d like to thank all the websites, forums and mailing lists that are carrying links to the blog, including nmj at http://velo-gubbed-legs.blogspot.com whose novel, The State of Me, is due to be published later this year.
     

    Graphic copyright meagenda

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    RiME issues position statement on RSM

    Posted in 25% ME Group, AfME/Action for ME, CBT/GET, ME Association, NICE CFS/ME guideline, Prof Peter White, Prof Simon Wessely, RiME, Royal Society of Medicine, Sir Peter Spencer, The Young ME Sufferers Trust on April 7, 2008 by meagenda

    Paul Davis of RiME has provided me with the following position statement on the RSM CFS Conference for inclusion in the “On a Postcard, please” Campaign Flyer.

    Campaigning for Research into ME (RiME)

    RSM Meeting 28/4/08

    RiME disassociates itself from the above meeting. This type of forum is not only unhelpful but harmful in that it enmeshes a neuro-immune-endocrine-vascular disease (ME) with a range of other conditions, some of which might respond to psychiatric / psychological models of treatment. That an organisation which purports to represent ME patients’ interests would participate shows the depths to which it has sunk. Instead of fighting the ME patient’s corner, it cosies up to the establishment. I wonder why? Shame on it.

    Paul Davis
    6 April 08

    Position statements issued by the following national ME patient organisations can be found here:

    AfME (First statement)

    https://readmeukevents.wordpress.com/2008/03/12/afmes-statement-re-the-rsm-chronic-fatigue-syndrome-conference/

    AfME (Second statement)

    https://readmeukevents.wordpress.com/2008/03/14/further-statement-from-action-for-me-on-rsm-conference-14-march-2008/

    ME Association

    https://readmeukevents.wordpress.com/2008/03/25/me-association-issues-revised-statement-on-rsm-conference/

    25% M.E. Group

    https://readmeukevents.wordpress.com/2008/03/21/25-me-group-position-statement-on-the-rsm-cfs-conference/

    The Young ME Sufferers Trust

    https://readmeukevents.wordpress.com/2008/03/22/the-young-me-sufferers-trust-statement-on-rsm-cfs-conference/

    Invest in ME

    https://readmeukevents.wordpress.com/2008/03/30/invest-in-me-issues-statement-on-rsm-cfs-conference/

    Graphic copyright meagenda

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    A holding response from 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 7, 2008 by meagenda

    Yesterday, I wrote again to Ms Bina Arpino, Event Team Manager, Royal Society of Medicine as I have received no response to the questions I raised with the RSM, on Monday 31 March which were also copied to Mrs Jo Parkinson, RSM Director of Education and Professional Development.

    See Questions to the RSM

    I have received a response, this morning, from Ms Arpino.

    Ms Arpino advises me that she is sorry I have not received a reply yet. That since she is not responsible for that meeting any more she can not help me, however she has forwarded my email to the new coordinator for that meeting and that she will be chasing her today.

    Bina Arpino
    Event Team Manager

    The Royal Society of Medicine
    1 Wimpole Street
    London W1G 0AE
    Tel: 020 7290 2982
    Fax: 020 7290 2989

    Graphic copyright meagenda

     

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    Have you sent yours, yet?

    Posted in Royal Society of Medicine on April 6, 2008 by meagenda
    Postcard front

    Jump to RSM postcards and letters link under “Read ME”

    This new page will be used to display some of the messages you’ve been sending to the Dean of the RSM, like the example below, from Ciaran Farrell.  If you’d like your message featured – send me a copy of the text and I’ll add your message to the Postcard page.

    To: Dr John Scadding, Dean RSM

    Dear Dr. Scadding,
    I am absolutely appalled by the lack of scientific rigour and balance within the RSM Chronic Fatigue Syndrome Conference of 28th April 2008 which has a very high level of pro psychiatric and psychological bias against the physical neurological disease Myalgic Encephalomyelitis, ME. ME is classified by the World Health Organisation in the International Classification of Diseases at G93.3 in the Neurological Chapter, and has been so since 1969, and is not a mental disorder as many of the speakers at the conference erroneously believe. As an ME sufferer I am outraged that the physical disability and debility I suffer from is being portrayed as “all in the mind” by doctors like those speaking at your conference who refuse to listen to patients like me.

    Yours Sincerely
    Ciaran Farrell, London NW5

     

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    Eight days, no answers

    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 6, 2008 by meagenda

    Note: Yesterday, WordPress introduced major changes to the Management section for WordPress blog owners;  there are many improvements which are welcomed but also many glitches.  Until the glitches have been sorted, posts on WordPress blogs may not display as their authors intended.

    eightdays

    Last Monday I put the following questions to the RSM:

    To: Ms Bina Arpino, RSM Administration
    CC: Mrs Jo Parkinson, RSM Director of Education and Professional Development

    Sent: Monday, March 3

    Subject: Concerning the planning of CFS Conference 28 April 2008

    Dear Ms Arpino,

    It is my understanding that RSM conferences can be planned by the RSM around topics proposed by external bodies, organisations or companies.

    With regard to the forthcoming conference on Chronic fatigue syndrome, on 28 April, I should be pleased if you would clarify the following:

    1] Was the concept for this CFS conference initiated internally or externally and does the conference have sponsors?

    2] If externally, please specify which companies, bodies or organisations initiated the concept and/or have sponsorship status within this specific conference?

    If internally, are any companies, bodies or organisations sponsoring this conference and who are these sponsors?

    3] Through what process were members of the CFS Conference Planning Committee, other than RSM office holders and personnel, appointed?

    4] Through what process were potential speakers for this conference identified, that is:

    was the drawing up of a list of potential speakers for this specific conference the preserve of the CFS Planning Committee or did any external body or organisation with an interest in, or sponsorship status within the conference put forward suggestions for potential speakers, and if so, please specify which bodies or organisations and which speakers were identified as a result;

    was any external body or organisation not directly involved with the conference or a sponsor of the conference consulted by the RSM for suggestions for potential speakers, and if so please specify which bodies or organisations were approached and which speakers were identified as a result.

    Sincerely,

    Suzy Chapman

     

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