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Chronic fatigue guidance is not without merit

Thank you for highlighting the undue emphasis placed on cognitive behaviour therapy and graded exercise therapy in the new NICE guideline on ME, also known as chronic fatigue syndrome (News, 6 September).

Your quote was accurate but may inadvertently have led readers to believe that Action for ME was wholly critical of the guideline. We were not. It is not perfect but it does state from the outset, as a key priority, that GPs should acknowledge the reality and impact of this illness and its symptoms – a landmark in the mainstreaming of ME/CFS as a legitimate illness.

Above all, we welcome the opportunity which the guideline represents to drive forward improvements in NHS services. Properly implemented and with appropriate training, it should help GPs on the frontline to reach an early diagnosis and identify pathways of care, treatment and support.

From Sir Peter Spencer, chief executive Action for ME, Bristol

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