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NICE Clinical Guideline on ME/CFS new publication date - 18 August 2021

18/4/2021

 
Delay - NICE (National Institute for Health & Care Excellence) Guideline on ME/CFS.
18 August 2021 - new NICE Clinical Guideline on ME/CFS expected publication date.
 
On 31 March, ME Research UK (MERUK), along with other national ME charities, announced -
 
On 29th March 2021 stakeholders received the following e-mail from NICE’s Senior Guideline Co-ordinator.
Dear Stakeholder,   Because of the large number of comments received during consultation on the ME/CFS guideline, and the additional work needed to respond to them fully, the publication date has changed. The guideline will now publish on 18th August 2021.
 
(MERUK) explained  -
The review of the 2007 clinical guideline “Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): diagnosis and management” (CG53) has been beset with delays - some being attributed to staff redeployment due to COVID and others to the volume of evidence submitted and the workload involved in evaluating and formulating a document which will have a direct impact on many patients.  A further delay is regrettable as the current guideline, with its faults, remains in place and continues to influence NHS policies throughout the UK.  
The finalised, updated guideline is awaited eagerly not only to allow it to come into force but also to allow stakeholders to gauge any changes which may have arisen from the comments received during the draft consultation stage which ended on 22 December 2020.  Of particular interest will be whether the rejection of GET and CBT as ‘treatments’ for ME/CFS remains unaltered.
 
It was in September 2017 that NICE announced “After considering all the evidence and views of topic experts, we decided that a full update with modified scope is necessary for this guideline.”
In December 2019 it was announced that the publication date would be delayed from 14th October 2020 to 9th December 2020 to ensure that the committee would have sufficient time to consider both the findings from a call for evidence, and from two additional pieces of group work centering on children and young people with ME/CFS, and people with severe ME/CFS.  
By 10th November 2020 a draft guideline was produced entitled “Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management” and a finalised publication date of 21st April 2021 mooted. It is hoped that 18th August 2021 brings this four year saga to an end.
 
Further reactions -
 
The ME Association (MEA) stated -  
NICE announce new publication date for the ME/CFS clinical guideline, and included an updated downloadable leaflet summarising the main changes proposed in the new clinical guideline for ME/CFS.
 
The ME Association was expecting NICE (The National Institute for Health and Care Excellence) to push back the publication date for the new ME/CFS clinical guideline.  
  • Visit the NICE guideline for ME/CFS website to learn more 
  • Download the free MEA leaflet that summarises the proposed changes in the new clinical guideline
The announcement we received yesterday comes as no surprise but we had hoped the new guideline might have been published in early May so that we could have highlighted it during ME Awareness Week.   Publication was originally expected by 21 April and this decision reflects the massive workload that the voluntary clinical guideline committee has had to tackle following the stakeholder consultation at the end of last year.  
 
Action for ME (AfME) announced -
NICE guideline delayed until August 2021  March 30, 2021
The National Institute for Health and Care Excellence (NICE) emailed stakeholders yesterday to let us know there will be a delay in the publication of its new guideline for diagnosing and managing M.E./CFS:  "Because of the large number of comments received during consultation on the M.E./CFS guideline, and the additional work needed to respond to them fully, the publication date has changed. The guideline will now publish on 18th August 2021."
 
AfME explained -
This follows a consultation on the draft guideline at the end of last year, with a significant number of responses from registered stakeholders.  The people with M.E. and clinicians who make up the guideline committee that review these responses do so on a voluntary basis, and it's important they have the necessary time to do this.  We are disappointed though that NICE was not able to build in this time from the beginning, and are concerned about the impact this further delay will have on people being supported by doctors using the 2007 guideline.
The draft of the new guideline makes it clear that people with M.E. should not be offered "any therapy based on physical activity or exercise as a treatment or cure for ME/CFS [or] any programme based on fixed incremental increases in physical activity or exercise, for example graded exercise therapy."

 
See our previous blogs for more information on the development of the new NICE (The National Institute for Health and Care Excellence) Clinical Guideline on ME/CFS.
 
Take care, and stay safe everyone.

APPG on ME to discuss impact of Covid-19 on people with ME/CFS -19 April

10/4/2021

 
Please encourage your local MP to join the next APPG (All Party Parliamentary Group) on ME meeting.
 
The ME Association announced -
APPG on ME: Annual General Meeting and the impact of COVID-19 on people with ME/CFS. 
The Annual General Meeting of the All-Party Parliamentary Group on Myalgic Encephalomyelitis (ME) will take place on Monday 19 April between 11:00 - 12:00. 
Your MP should RSVP to carol.monaghan.mp@parliament.uk if they are hoping to attend this meeting so they can obtain the zoom link.
 
From the MEA article -
In addition to AGM business, this meeting will focus on the impact of the COVID-19 pandemic on the ME community. 
Points of discussion will include the clinical and pathological overlaps between ME and Long Covid, the COVID-19 vaccination programme and JCVI guidance for ME patient prioritisation, and the general challenges facing the ME community at this difficult time.  
At this stage two guest speakers are confirmed who will share their expertise through short presentations and a Q&A discussion: 
  1. Dr David Strain, a Senior Clinical Lecturer at the University of Exeter Medical School and Honorary Consultant in medicine for the older adult who is heavily involved in the British Medical Association COVID response team.
  2. Dr Nina Muirhead, a Buckinghamshire Healthcare NHS Trust Dermatologist who is actively working to deliver better education for healthcare professionals on the topic of ME.
Background Information relating to the overlap between Long Covid and ME/CFS:
The overlap between ME/CFS and Long covid from a British Medical Association publication, including contributions from Dr David Strain, Dr Nina Muirhead, Dr Charles Shepherd and Dr Amy Small can be read here.
  • Article in Pharma Technology Focus
  • Dr David Strain talking on the BBC Horizon programme on Long Covid.
 
For local Covid-19 advice and guidance, see the Worcestershire County Council news items, and for Covid-19 information specifically for people affected by ME/CFS see further posts on the blog.

Take care, and stay safe everyone.

•  A.P.P.G  •  B.B.C.  •  Coronavirus (COVID 19)  •  Local News 
•  M.E. Association  •  MP   •  Post COVID Syndrome (Long COVID)  •  Parliament U.K.  •  Worcestershire County Council

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