1.10 Multidisciplinary care
1.10.1 Provide care for people with ME/CFS using a coordinated multidisciplinary approach. Based on the person's needs, include access to health and social care professionals with expertise in the following as a minimum, with additional expertise depending on symptoms:
- medical assessment and diagnosis
- developing personalised care and support plans
- self-management strategies, including energy management
- symptom management, including prescribing and medicines management
- managing flare-ups and relapses
- activities of daily living, including dental health
- psychological, emotional and social wellbeing, including family and sexual relationships
- diet and nutrition
- mobility, avoiding falls and problems from loss of dexterity, including access to aids and rehabilitation services
- social care and support
- support to engage in work, education, social activities and hobbies.
1.10.2 Care for people whose ME/CFS is managed in primary care should be supported by advice and direct clinical consultation from an ME/CFS specialist team.
1.10.3 Give adults, children and young people with ME/CFS and their family or carers (as appropriate):
- A named contact in their primary care and/or ME/CFS specialist team to coordinate their care and support plan, help them access services and support them during periods of relapse.
1.10.4 Provide children and young people with ME/CFS and their family or carers (as appropriate):
- with details of a named professional in the ME/CFS specialist team who they can contact with any concerns about the child or young person's health, education or social life.
1.10.5 For young adults with ME/CFS moving from children's to adults' services:
- manage transitions in line with the NICE guideline on transition from children's to adults' services for young people using health or social care services.