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<p>No central assessment has been made of chronic fatigue syndrome/myalgic encephalomyelitis
(CFS/ME) clinical services established between 2004 and 2006. The commissioning of
services for people with CFS/ME is a local matter, and the management of patients
within such services is the responsibility of the commissioners, providers and clinicians
responsible for their care. Clinical commissioning groups have a duty to exercise
their functions effectively, efficiently and economically</p><p> </p><p>Since its
publication in 2007, the National Institute for Health and Care Excellence (NICE)
clinical guideline on the management of CFS/ME in adults and children, which set outs
best practice on the care, treatment and support of people with the condition, has
supported the local National Health Service in delivering services for people with
the condition. The guidance recognises the challenges in managing a condition for
which there is no definitive diagnostic test, no clear understanding of the causes
and process of disease and no cure. The guidance is also clear that there is no one
form of treatment to suit every patient and that treatment and care should take into
account the personal needs and preferences of the patient. NICE is currently reviewing
the guidance to ensure it reflects the latest available evidence and a decision regarding
this matter is expected shortly.</p><p><br></p>
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