NHS and Groups

Bath Specialist Paediatric CFS/ME Treatment Service

The Bath Specialist Paediatric CFS/ME Treatment Service can provide assessment, diagnosis and treatment programmes for children and young people aged 2 to 18 years old who live anywhere in the UK. The team comprises specialist Consultant Paediatricians, Psychologists, Physiotherapists and Occupational Therapists, and offers individually tailored treatment packages.We accept referrals from across the UK, and currently offer the opportunity for CFS/ME treatment without the need for travel within the FITNET-NHS Trial (subject to specific criteria). ALL referrals should be made via the NHS e-Referrals system – Enter Post Code BA1 3NG : Children & Adolescent Services/Neurology/Paediatric CFS Service The service sees over 450 children with CFS/ME a year and provides a specialist service for the assessment, diagnosis and treatment of any child or young person who has CFS/ME and needs help.We have particular expertise in helping and supporting children who are severely affected, as well as children whose case may be complicated by more than one problem. The outlook for children with CFS/ME who access appropriate treatment is excellent, with most making a good or complete recovery. We therefore aim for recovery. We believe that all clinical care should have an evidence base. We therefore only offer treatment that has been recommended by NICE. The service has close links with the University of Bristol, which conducts research in to the causes and treatment of CFS/ME. This means that all the treatment offered by the clinical team is based on the most up-to-date research results.

BCUHB (West) CFS/ME Service

We are a part-time multidisciplinary (psychology led) NHS service for adults with CFS/ME. We provide diagnosis and CBT/GET on an individual or group basis. We accept only GP referrals accompanied with confirmation that the necessary exclusion blood/urine tests have been undertaken.

Bedfordshire Chronic Fatigue Service

The Chronic Fatigue Service provides assessment, diagnosis and treatment for people aged 16 and over experiencing medically unexplained fatigue as their main symptom living in Bedfordshire (excluding Luton).

Birmingham Chronic Fatigue Service

We offer a responsive and accessible service through a multidisciplinary approach for service users aged 16 or above with CFS of any degree of severity. Referrals are requested through Single Point of Access - Birmingham and Solihull Mental Health Foundation Trust.We accept referrals from GPs and other services. We accept out-of-area referrals but funding may need to be secured before an appointment can be offered.For service users with a previously established diagnosis of CFS, initial triage assessments are carried out by a nurse or an occupational therapist.For those service users without a diagnosis, the initial assessment will be carried out by a consultant neuropsychiatrist. This will include exclusion of secondary causes of chronic fatigue based on clinical history. Additional investigations including lab tests, imaging studies and onward referrals to other specialists may be requested as clinically indicated.After the initial assessment and the confirmation of diagnosis the multidisciplinary team will discuss each case and decide on follow up care which may progress through further appointments with a consultant, nurse or occupational therapist, or through group format.Our intervention is based on principles of energy management and pacing, delivered individually or through group format. Our consultant neuropsychiatrist may also recommend pharmacological treatment as indicated.

Bristol CFS/ME Service

Age 18 upwards All severity Bristol, North Somerset and Gloucestershire Referrals accepted form Primary Care and Secondary Care We offer diagnostic assessments We offer a range of therapy options tailored to individual need Staff include Occupational Therapists, Physiotherapists and Psychological therapists We offer remote access options of telephone and video appointments

Buckinghamshire Chronic Pain and Fatigue Management Services

The service aims to help people who have chronic pain and/or fatigue who have not responded to other interventions. Following face-to-face or telephone screening, if a client meets the criteria for the service they will then be offered an assessment to establish suitability for the programme. The service provides chronic fatigue management programmes (CFMPs) at Rayners Hedge in Aylesbury. The CFMPs are led by members of the interdisciplinary team and each group has up to 10 participants and meets weekly for 2.5 hours for 10 weeks. All participants are offered an individual review following completion of the programme and a follow up at six months.North Team: 01296 393319 (Aylesbury - pain and fatigue management) South Team: 01494 734318 (Amersham - pain management). Referrals accepted from GPs, consultants, and other healthcare and social care professionals.

Cambridge and Peterborough CFS/ME service for Children and Young People

Referrals from medical professionals for children and young people up to the age of 19 years whilst still in education.

Central Lancashire Moving Well CFS/ME Service

Out patient clinic based service for patients presenting with moderate and mild CFS/ME. From age 16 upwards. For patients who have a GP Preston, Chorley and South Ribble. GP referral only. Diagnostic and intervention from MDT. MDT includes OT, Physio, Nurse, Pharmacist, Psychology and GPwsi. Provide face to face assessment and intervention, telephone and consultation via media teleconferencing. Follow bio-psycho-social model and offer 1:1 and group intervention.

CFS/ME Service (Ashton, Leigh and Wigan)

The CFS/ME service based at Golborne Clinic is a rehabilitation service aimed at adults aged 18 and over, registered with a GP in the Wigan Borough. Referrals will be accepted for ages 16-17 if no longer in full time education or if adult services are considered to best meet their needs. Referrals can be made by GPs, previous patients of the service can self-refer within 12 months of discharge. The service offers specialist clinical assessment with a Consultant in Rehabilitation Medicine and Occupational Therapist to confirm a diagnosis of CFS/ME. Following diagnosis, the service provides a rehabilitation program using a self-management approach which aims to enable patients to develop the skills they require to effectively manage their CFS/ME symptoms.

Cornwall and Isles of Scilly CFS/ME Service

Children and adults Moderate to severe Cornwall and Isles of Scilly (patients with a GP here) Specialty Lead/Service Manager (OT), Clinical Lead Psychologist, 3 B6 AHPs, 1 B7 OT Referrals through Referral Management System, primarily GPs for adults from aged 17, and from Paediatricians for children up to the age of 16. Medic/Specialty Lead provide assessment and diagnosis. Psychological one to one interventions, primarily virtual (video/phone) bur face to face available dependent on clinical needs. Occupational therapy one to one and group interventions, primarily virtual (Video/phone) though some home visits as indicated by clinical need.

Derbyshire Chronic Fatigue Syndrome (CFS)/ME Service (Adults)

The CFS/ME Service provides specialist assessment and treatment for adults who have been diagnosed with chronic fatigue syndrome/ME. Most patients are assessed and treated by specialist therapists, some are seen by the consultant. Treatment is either one to one or group basis. Severely affected patients can be seen at home.

Dorset CFS/ME Services

The Dorset-wide CFS/ME service offers specialist assessment, diagnosis, intervention and review. The team offers interventions to those with mild/moderate or severe CFS/ME. https://www.dorsethealthcare.nhs.uk/patients-and-visitors/our-services-h... The Dorset-wide CFS/ME service for children and young people also offers a specialist service and can be accessed here:http://www.dchft.nhs.uk/patients/departments-A-F/Pages/Children-Therapy-...

Dorset Children and Young People’s Chronic Fatigue Service

The Dorset Children and Young People’s Chronic Fatigue service offers specialist assessment, diagnosis, intervention and review to young people under 18 years of age. The team offers interventions to those with mild/moderate or severe CFS/ME.

East and North Herts Chronic Fatigue/ME service for young people

We are a Specialist Multidisciplinary Team (MDT) Consultant Psychologist, Specialist Nurse and Physiotherapist. Our cases can vary from mild symptoms to severe symptomsWe have close links with the Educational Support Team for Medical Absence (ESTMA). We see children and young people up until the age of 18 in education under the care of the acute paediatricians.Referrals come from acute paediatricians within the Trust aswell as out of area (Essex and Bedfordshire) Paediatricians and GPs.We offer assessment with an individualised treatment plan. Clinic appointments are face to face, virtual or telephone)

Essex Chronic Fatigue Service

The Essex Chronic Fatigue Service is a county-wide service for adults and is run from Southend University Hospital. We are a rehabilitation Service with outpatient assessments and therapy sessions held at venues throughout Essex. Our treatment aims to work with you towards recovery and management of your symptoms.

Fatigue Service, Royal Free London NHS Foundation Trust

The Fatigue service is a Physician lead outpatient service providing assessment, diagnosis and treatment for adults (16+ years) experiencing fatigue symptoms. Fatigue can present in different ways and the team is involved with the care and rehabilitation for people with: CFS/ME; Post viral fatigue; Fatigue syndrome; Fatigue due to other health conditions.

George Eliot Hospital CFS Clinic, Nuneaton

The CFS clinic consists of a multi-disciplinary team of consultants and includes registrars, junior doctors, physician associate and occupational therapist.Aims/FocusThe service at GEH is focused on the following aims:

  • Offer a specific diagnosis of CFS and exclude other conditions that can mimic these.
  • Management of treatable conditions which can exacerbate CFS.
  • Offer support and advice on the patient’s concerns, including treatment of some symptoms.
  • Promote and empower individuals to self-manage the condition.

Hillingdon CFS/ME Service

NHS service for adults with chronic fatigue CFS/ME, providing assessment and treatment in line with NICE guidelines. Group or individual treatment incorporates CBT and GET. See service website for areas covered.

Isle of Man Community Adult Therapy Service

We are a part time therapy based service; Occupational Therapy and Physiotherapy for adults (18+) with a confirmed diagnosis of ME/CFS. Referrals are accepted from a consultant or a GP. Referrals may be accepted for ages 16-17 if no longer in full time education. We support patients with mild, moderate and severe ME/CFS.We are predominantly an out patient based service currently offering 1 to 1 assessment and treatment however at request we can offer home visits or telephone appointments.We provide education and advice in a supported self management rehabilitation programme to enable patients to develop the skills they require in effectively managing their CFS/ME symptoms and achieving their agreed goals. The programme includes; pacing, activity management, sleep, diet and relapse prevention/ management.

Kent & Medway CFS/ME Service

Leicester CFS Service

Sees adults aged 16-65. Accepts referrals from primary care, general hospitals, and colleagues within the mental health services. Preference for GP referral. GPs are requested to complete a screening form on referral.

Lincolnshire CFS/ME Service

Lincolnshire ME/CFS Service is a therapy led service for children, young people, and adults covering the Lincolnshire CCG. The team has a full time Specialist Occupational Therapist, a part time Specialist Physiotherapist and a part time Senior Rehabilitation worker. We see mild, moderate and severe patients and offer a domiciliary service for the housebound. Referrals are from GPs and Consultants as we require a range of medical conditions to have been excluded prior to acceptance. We offer individual treatment and also a robust Biopsychosocial 10 week group programme for people with mild to moderate symptoms. Sessions can be online, F2F or over the telephone.

Liverpool CFS/ME Management Services

We offer a Consultant Physician clinic and multi-disciplinary therapy service. Our Group Information Session outlines our approach and patients ‘opt in’ for a review telephone call before being offered workshops and a one to one review. Therapy sessions can be offered if appropriate, providing an understanding of symptoms, how to halt deterioration, stabilise and improve.

Liverpool Children’s CFS/ME service

This is a general paediatrician led multidisciplinary team (MDT) including senior physiotherapist, CFS/ME specialist nurse, psychologist, consultant psychiatrist and a medical secretary. We provide both diagnostic and therapeutic services to children and young people with this condition coming from Liverpool, Knowsly and Sefton areas.

Lothian ME/CFS Service

This is a Lothian-wide service for patients who have been given, and accepted, a diagnosis of ME/CFS. It is staffed by Specialist Physiotherapists and Applied Psychologists. The programme is a rehabilitative, time-limited, specialised treatment service with its basis in graded activity and cognitive behavioural principles.

Manchester CFS/ME Service for Children and Young People

We are a multi-disciplinary team offering individualised evidence based treatment packages incorporating Cognitive Behaviour Therapy, Graded Exercise Therapy, Sleep Hygiene and Activity Management and work generically on a one-to-one basis with patients and their families. We have diverse professional backgrounds including Paediatrics, Clinical Psychology, Nursing, Physiotherapy, Occupational Therapy and Social Work.

ME/CFS Team North, Mid, East Devon and Exeter

• Adult service only • Low to severe cases seen • We cover North, Mid, East Devon and Exeter • From GPs and Long-covid pathway only • we are therapy led so are unable to provide diagnostic assessments or advice on medication • We offer 1:1 appointments for initial assessments and a follow up appointment. These can be – face to face (just for initial assessments) or via Attend Anywhere or telephone. • Thereafter we offer a 7 week online group programme looking at activity management, sleep strategies, effective rest and relaxation, diet, exercise, impact of thoughts, memory and concentration, self-care planning and managing set-backs. Although we do also offer further 1:1 sessions for those unable to attend the group programme. • We have an establishments 2.5 Whole Time Equivalent specialist Occupational Therapists

National Centre for Psychological Medicine (NICPM)

YCPM provides multidisciplinary biopsychosocial inpatient care for adults with severe CFS/ME, complex medically unexplained symptoms and physical/psychological comorbidities. Care is provided by highly trained, experienced staff representing the following elements: nursing, liaison psychiatry doctors, occupational therapy, physiotherapy, cognitive behavioural therapy, dietetics, and pharmacy.

National CFS Diagnostic and Specialist Rehabilitation Service, Essex Neurosciences

The CFS service at Queen’s Hospital, Romford, is currently accepting nationwide outpatient referrals. We are also able to offer telephone consultations. Referrals need to be made by a General Practitioner or Consultant Neurologist. We accept GP and Consultant Neurologist referrals in writing, to: Neurology Consultant Dr Abhijit Chaudhuri. For further information please contact our Administrator Tracy Grover on: 01708 435000 extension 2647 / Tracy.Grover@bhrhospitals.nhs.uk

National Inpatient Centre for Psychological Medicine

Norfolk and Suffolk ME/CFS Service

Adults and children Norfolk and Suffolk (based on the GP practice the patient is registered with)Referrals accepted from GPsWe use the CDC Criteria to guide diagnosis.The team consists of 9 Specialist therapists who provide treatment follow up which is based around the NICE Guidelines mainly Activity Management. We also have two GPWSI who provide a diagnostic service plus a Specialist Practitioner who is the service lead.We offer telephone, video and some face to face. We are also in the process of setting up virtual groups

North of Tyne CFS/ME Service

Patients over the age of 16 (separate services for children) Please see eReferral System for guidelines on referral requirement. Referrals from GPs must be made via NHS eReferral system. Therapy team access is via medical assessment team only (direct referral to therapy team from primary care is not permitted). Referrals from outside the North of Tyne area can be accepted for medical assessment only: therapy services for other areas are locality based. Referrals to Dr G.P.Spickett, Consultant Clinical Immunologist.

North West Fatigue Clinic

At North West Fatigue Clinic, we use evidence based treatment to treat adults with CFS/ME either at our clinic in Blackburn, Lancashire, or via SKYPE. We offer specialist assessment with a Specialist Occupational Therapist and Specialist Nurse to aid in the diagnosis of CFS/ME, followed by individual treatment. We also provide training for health professionals/employers. Self-referrals and referrals from health professionals are accepted via telephone, email and through our website.

Nottingham Childrens Hospital CFS/ME Service for Children and Young Adults

Service for Children and Young People age 10 - 18 years diagnosed with CFS/ME who live in Nottingham and Nottinghamshire. Currently no service available for severely-affected patients .

Nottingham CityCare MOSAIC Service

The MOSAIC service covers many conditions, including CFS/ME, for patients who are registered with a GP in Nottingham City. The service brings together experienced physiotherapists, occupational therapists, hospital consultants, pain practitioners, CFS/ME practitioners, pharmacists and well-being practitioners. Patients are seen by the most appropriate clinician according to their needs, at the right time and in a community location close to their home. Following an assessment, patients may be referred for further diagnostics or offered a range of interventions specific to their needs. Typically this may include musculoskeletal physiotherapy or occupational therapy, individual biopsychosocial treatment, pain or CFS/ME management programmes, self-management workshops, medication review clinics, injections if indicated or onward referral for surgery in hospital if required. The MOSAIC service also works closely with other healthcare and voluntary sector organisations, providing access to services such as psychological therapies or exercise groups in the community. Our focus is on education and self-management support to best help you manage your condition in the long term.

Nottinghamshire PICS CFS/ME Service

The CFS/ME service for Nottinghamshire CCG is delivered by PICS (Primary Integrated Community Services Ltd). Patients can be referred from the following CCG areas: Nottingham West, Nottingham North and East, Rushcliffe, and Newark and Sherwood. PICS is a community pathway where a multidisciplinary team of specialist clinicians help patients with spinal and other persistent pain conditions as well as patients with chronic fatigue syndrome (CFS) to get the right diagnosis and treatment, manage their symptoms better and improve their quality of life.The service provides holistic patient centred care within a biopsychosocial framework, with individual treatment or group work depending on patient need. A highly skilled cognitive behavioural therapist (CBT) provides supervision for all staff and work with local substance misuse services and IAPT providers to ensure the mental wellbeing of our patients is looked after. The service employs a wellbeing practitioner to facilitate the self care part of the pathway. The wellbeing practitioner promotes self-management, forged partnerships with local voluntary groups, undertaken goal setting, exercise referral schemes and weight loss programmes.

Oxfordshire CFS/ME Service

We are a community based service, working with adults and young people over 14 with mild/moderate/severe CFS/ME with an Oxfordshire GP. We provide an individualised programme of group or 1:1 therapy supporting a person towards a place of self management and recovery.

Persistent Physical Symptoms Research and Treatment Unit

Internationally recognised NHS service providing assessment and evidence-based treatment for chronic fatigue syndrome and persistent physical symptoms. We see adults of any age and adolescents aged 11-18 years, including severely affected. We also see people with a range of conditions including: chronic physical symptoms/disability in long term conditions; fibromyalgia; IBS; non-cardiac chest pain; dysfunctional breathing; chronic pain. We offer expert assessments and clinical recommendations, cognitive behaviour therapy (CBT), graded exercise therapy, family-focused CBT for adolescents, and, home-based and telephone treatment for people who are not able to attend the unit. (Home-based service is London area only). We accept referrals from across the UK, from any health professional. Preferred referral method is via letter. All referrals need to be funded by the CCG.

Portsmouth Chronic Fatigue Syndrome Service

We see people age 16 and over who meet criteria for a diagnosis of CFS/ME. We take referrals for all levels of severity. We provide group and individual treatments for Activity Management and Cognitive Behavioural Therapy, as well as individual Graded Exercise Therapy.

Salford CFS/ME Service

Adult service, accepts referrals over 16 years. Referrals currently only accepted from Salford GPs. Secondary and tertiary referrals also accepted. Diagnostic and treatment service in line with current NICE guidance. No provision for severely affected patients. Referral letters to: CFS/ME Service, Department of Clinical Health Psychology, Clinical Sciences Building, Salford Royal NHS Foundation Trust, Stott Lane, Salford .

Somerset CFS/ME Service

Somerset CFS/ME Service is a County-wide service. The aim of the service is to help adults 18 years+ with mild to moderate CFS/ME develop strategies and skills to better manage their condition so that their overall quality of life and independence is improved. We currently only accept referrals from GP’s. The team consists of a Health Psychologist, Administrator and 2 Occupational Therapists. We are a team of specialists with many years of experience of helping people live as well as possible with the condition. Since the pandemic we have been offering clients appointments via the telephone or video consultation. We will continue to review the guidelines related to returning to face-to-face appointments. As a service we do not offer home visits.

South of Tyne and Wear Children's and Young People's Chronic Fatigue Syndrome Service

We provide comprehensive multidisciplinary team (MDT) services to children and young people (up to 18 years of age) with Chronic Fatigue Syndrome of all severity in the Sunderland, South Tyneside and Gateshead areas.

South of Tyne CFS Service

The South of Tyne CFS Service is a specialist multidisciplinary service. We offer outpatient treatment to adults with Chronic Fatigue Syndrome from Gateshead, South Tyneside, and Sunderland areas who are referred by their GP. Treatment is tailored to the individual following assessment and is delivered either through individual appointments or in a group programme.

South Tees CFS/ME Service

We are a specialist outpatient service for adults (18+) registered with a GP across both North and South Teesside. We accept GP referrals only, via the e-nhs referral system (formerly Choose and Book). The service provides specialist assessment and diagnosis of CFS/ME by medical consultants, and a therapeutic rehabilitation programme delivered by specialist therapists (occupational therapy, physiotherapy, and clinical psychology). Therapy is delivered in either a group setting or in individual appointments. We accept referrals for all severities, though as an outpatient service there are limitations to what we can offer for those severely affected. We do however try to arrange therapy closer to home through generic community therapy teams where possible.

South West London and Surrey CFS/ME Service

Multidisciplinary team - consultant psychiatrist and consultant clinical psychologist, clinical psychologists, clinical nurse specialists, and a specialist physiotherapist. Offers a combination of one-to-one and group lifestyle management treatment options based on NICE guidance for adults. No domiciliary service but can liaise with local carers. No current paediatric service, although this is under consideration.

South Yorkshire/North Derbyshire Children and Young People’s Specialist CFS/ME Service

We see CYP up to 18 years with CFS/ME of any severity. We accept referrals from general paediatricians [<16 yrs] and GPs [>16 yrs]. We are commissioned for S Yorks/N Derbyshire but accept out of area referrals accompanied by an agreed Individual Funding Request form the local CCG. The team comprises: paediatrician; OTs; psychologist.. Initial assessments are carried out face to face but subsequent appointments maybe telephone or virtual according to the service users preference

St Leonard's Locomotor Service

General City and Hackney service based in primary care. Includes extended-scope physiotherapy, locomotor pain service, and other therapy options for patients with various conditions. Referral by GP letter or e-RS (City and Hackney area). http://www.homerton.nhs.uk/gps-referrers/

Staffordshire Chronic Fatigue Syndrome Service

The Chronic Fatigue Syndrome Service is a small multidisciplinary service made up of Psychology and Occupational Therapy input within the Physical Health Psychology Service at Cannock Chase Hospital in Staffordshire. All referrals to the CFS service are received from G.P’s within the geographical areas of Staffordshire. We also accept referrals from medical consultants form the Royal Wolverhampton Trust. The G.P/ consultant making the referral should provide a confirmed diagnosis of Chronic Fatigue Syndrome. We do not have a medic and therefore the service is unable to provide a diagnosis. GP’s/ Consultants can complete our CFS referral form or write a confirmation letter. We accept referral age 16 and over and the majority of referrals are of people with moderate CFS. However we do see some severe patients. We can provide group and time limited individual input. These can cover • .The understanding and acceptance of CFS • Thoughts and feelings in relation to CFS • Activity and resting advice • Guidance on sleep, memory and concentration issues • Managing stress • Problem solving techniques • Coping strategies • The importance of relaxationGroups also provide the opportunity to meet others online/ face to face who have CFS, therefore reducing the feelings of isolation that can often be experienced.We can see patient’s face to face, via telephone or online video consultation.

Sussex Paediatric CFS/ME Service

Sussex-wide CFS/ME service

Adult outpatient service offering assessment, diagnosis and treatment for those with CFS/ME. Self management programmes in various locations across Sussex.

Torbay and South Devon CFS/ME

age range seen: Up to 18 severity seen: Any severity geographic boundaries: Torbay and South Devon Who you accept referrals from: Primary Care Do you provide diagnostic assessments: Yes what therapy programmes you offer: Specialist Physiotherapy led group and individual therapy MDT/TAF meetings including schools What staff make up your team: Consultant Paediatrician with interest in ME/CFS Specialist Physiotherapist (Pain and Fatigue) Paediatric Psychologist (for advice to clinicians, not funded to provide 1:1/F2F appointments Remote access options: (video/telephone/home visits) Video Appointments Telephone Appointments About to commence use of Patients Know Best (Home | Patients Know Best)

TRACCS, University College Hospital

The Treatment and Rehabilitation for Adolescents with Complex Conditions Service (TRACCS) is a merger between UCL Hospital and Great Ormond Street Hospital specialist services for children and adolescents. The service includes assessment and treatment for adolescents and younger children with CFS/ME. GP enquiries via 020 3447 9489.


THIS IS A PRIVATE SERVICE AND DOES NOT ACCEPT NHS REFERRALS. We provide effective evidence-based rehabilitation delivered by leading fatigue and pain specialists. We are all experienced in supporting people with CFS/ME, fatigue, fibromyalgia and chronic pain. We can provide physiotherapy, occupational therapy, Cognitive Behavioural Therapy (CBT), Graded Exercise Therapy (GET), specialist dietetics and psychotherapy.

West Berkshire ME/CFS service

We see patients who are over 18 years who have a GP within West Berkshire. Referrals have to come from their GP and recent blood tests need to have been completed. We do not offer diagnostic assessments but require the GP to have made the ME/CFS diagnosis. We are a team of physiotherapists and psychologists who work largely within a Acceptance and Commitment Therapeutic approach. We offer individual interventions as well as a Stabilisation group programme. We are able to offer video, telephone or face to face appointments.

Worcestershire CFS/ME Service

We offer a part-time, community-based service to adults (18 years +) who have a confirmed diagnosis of CFS/ME. Referrals are accepted from agreed Consultants or General Practitioners. The service adopts a ‘person centred’, holistic approach and works collaboratively with other agencies as required. It is made up of a multidisciplinary team, with a range of skills and backgrounds; this includes Occupational Therapy and Clinical Psychology. Intervention can involve 1:1 sessions and/or group work, with an emphasis on self-management and peer support. We also offer an on-going Recovery and Management group for those who have been discharged from the service. The service is countywide, with clinics being held throughout Worcestershire, however group work is solely Worcester-based at present. We are not able to offer home visits.

Yorkshire Fatigue Clinic

The service provides NHS provision for ME/CFS within North Yorkshire (excluding the Harrogate and Rural area). NHS referrals funded through individual funding from other CCG areas are accepted. The service works with young people, aged 13 years or over, and adults of all levels of severity. Referrals are accepted from GPs within the contracted area or from other GPs once NHS funding is approved. Self-funding is also available if NHS funding is not accessible. The team includes a GP with Special Interest and occupational therapists. The service offers approaches based on addressing dysregulation through initially stabilising and then building tolerance to daily life activity, through both group formats and individual therapy. Sessions are currently remote using video calls due to COVID but will return to offering clinic visits, remote sessions and home visits for severely affected when appropriate.

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