A number of specialist M.E. clinics exist across the UK, with multi-disciplinary teams usually offering diagnostic services and specialist symptom management programmes.
The general principles of management within the specialist services will be similar although there may be slight differences. In general, all patients will be individually assessed and then offered management either as individual sessions or within a group.
Referral to other services may also be required for additional assessment, symptom control or further support and advice. This could include referral:
Some areas are not covered by specialist services, particularly in Wales, Scotland and Northern Ireland, so an out-of-area referral may be necessary.
The NICE guideline for M.E. says that referral to a specialist service should be made:
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