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HealthCare 4 ME

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The Health and Social Care Pilot Project

The pilot project, which began in October 2024, resulted from six months of dedicated research. Once our funding was secured, we were able to bring on board Lucy and Charlotte, who joined Karren, all of whom are experienced NHS professionals. Their dedication and expertise have been instrumental in the project's progress.

We selected the Buckinghamshire, Oxfordshire and West Berkshire (BOB) Integrated Care Boards areas because the existing services in some regions could help provide a foundation for our work. The BOB area is extensive, encompassing just under two million people.

Aim: To foster positive engagement with healthcare services and residents.

We initiated the pilot project with three main goals, each broken down into specific actions:

1. Engagement with Health and Social Care Services

Our first goal is to ensure that individuals with ME/CFS/Long Covid can access reliable specialist care and management, regardless of their location.

2. Support for NICE Guidelines

Our second goal is to encourage and assist all NHS and support services in adopting the NICE Guidelines for ME/CFS. We will provide support and advice to help current services implement these guidelines effectively.

3. Addressing Individual Patient Concerns

Our third goal is to engage with individuals and healthcare professionals (HCPs) to address and resolve individual patient concerns. We are committed to ensuring that every voice is heard and that each issue is addressed, both within and outside the pilot regions.

We planned to review the current state of ME/CFS/Long Covid services in each area, assess gaps and challenges in service provision, and provide recommendations for improvement. This process was designed to enhance our understanding of how NHS and social care services manage individuals with ME/CFS/Long Covid and to identify actionable steps to advocate for practical improvements.

We also intended to liaise with commissioners and the NHS to ensure better service provision for people with ME/CFS/Long Covid, including those with severe or very severe cases. Our goal is to support health and social care services so that everyone with ME/CFS/Long Covid has access to the specialist teams and referral services recommended by the new NICE guidelines.

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The past six months have been incredibly productive in our efforts to support individuals with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and to strengthen the services available to them. We have engaged with key service leads and provided direct support to individuals.

The team has played a vital role in collaborating with healthcare organisations and residents across various regions of the UK, especially those taking part in the pilot program. This collaboration has strengthened our project's credibility and ensured that the voices of all stakeholders are heard and considered.

A key focus has been meeting with service leads across Wales and England who oversee ME/CFS and Long Covid services. Additionally, direct engagement with individuals who have ME/CFS/Long Covid ensures their voices are included.

We have concentrated on raising awareness and advocating for the implementation of the NICE Guidelines, which may involve creating new or improving existing specialist services for ME/CFS and Long Covid clinics. National and local initiatives, driven by our shared goal of enhancing healthcare, will show healthcare commissioners that local communities desire quality healthcare.

We are committed to actively engaging with local representatives, including councillors and Members of Parliament (MPs), as well as existing local support groups, patients, and caregivers. This inclusive approach ensures that all perspectives are heard and considered.

We reached out to all social care teams in the pilot region; while all teams responded, they highlighted a significant issue: ME/CFS diagnoses are not formally recorded because social care assessments are based on needs rather than specific conditions. This means we cannot accurately record the number of individuals within the community who have ME/CFS/Long Covid and require home care.

In light of recent announcements about the closure of NHSE and a mandate for all Integrated Care Boards (ICBs) to reduce their operating costs by 50%, we have contacted the engaged ICBs to determine whether this has affected their service provision. Updates will be provided based on their responses.

We aim to build upon the insights and experiences gathered during the pilot program, applying these lessons to enhance our strategies and expand our outreach, ultimately affecting a larger population while increasing awareness of our mission.

To support our efforts, we will initiate or strengthen educational training programs for healthcare providers, ensuring they have the most relevant knowledge and skills.

Some of the services we have worked with so far include:

  • ICBs
  • NHS Trusts (including Mental Health and Community care)
  • Commissioners
  • Local authorities (responsible for Adult and Children’s social services)
  • District councils
  • All Healthwatch’s
  • Primary Care networks
  • NICE
  • GP Practices
  • ME/CFS and Long Covid clinics
  • People with ME/CFS/LC and carers/family
  • MPs
  • Support groups
  • Social Care HCPs
  • Other Charities

We distributed a new leaflet to all Councillors and MPs. This leaflet was created in response to a request for a physical handout that they could provide to individuals inquiring about ME/CFS and Long COVID services or wishing to join our working group.

The HASC team have recruited a lived experience working group of ME/CFS/LC patients and carers living in BOB ICB (Buckinghamshire, Oxfordshire, and West Berkshire Integrated Care Boards).

The Working Group supports the pilot initiative across BOB ICB aimed at reviewing and improving NHS and social care services for people with ME/CFS and Long Covid. Its core purpose is to ensure that lived experience directly informs service development, particularly in relation to the updated NICE Guideline on ME/CFS.

The working group has helped us to:

  • Shape the direction of the ME Association’s pilot initiative by providing real-world insights from local patients and carers.
  • Identify gaps in current health and social care provision.
  • Share anonymous feedback with service leads and commissioners.
  • Influence the development of services that better reflect patient needs.

Patient severity ranged between moderate to severe, and many members of the working group were housebound. Attendees described similar experiences of dismissal of their symptoms by healthcare professionals and a lack of NHS support, which resulted in some members disengaging with NHS services.

Through a series of working group meetings, key areas of concern and opportunity were identified. This included the need for more coordinated services and the importance of specialist roles within a multi-disciplinary care team. Discussions highlighted the vital role of specialist nurses, the need for domiciliary care, and barriers to accessing health services and financial support. The group put forward the recommendation of establishing a specialist hub which could provide ongoing follow-up care and annual reviews in line with the latest NICE guidance. There was a strong emphasis on making services more inclusive, particularly for the most severely affected patients.

About us: Meet the team

Ren

Ren

Head of Health
and Social Care

Charlotte

Deputy Manager of Health
and Social care

Lucy

Clinical Coordinator

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