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Practices held to ransom over computer upgrades

I was alarmed by Dr Chris Manning's reply (Letters,

22 October) to my letter summarising NICE's findings in favour of the Beating the Blues (Ultrasis) computerised-CBT package.

I understand that Dr Manning is the chief executive of PriMHE (Primary Care Mental Health and Education). PriMHE states that it aims to 'deliver the best standards of mental health care'. I note also that the RCGP-affiliated PriMHE has a contract with Media Innovations Ltd for its CBT product which NICE has not approved. This in itself is a concern, suggesting lack of due diligence by a registered charity.

Is he really suggesting the NHS should fund small-scale non-RCT researched treatments instead of those that have successfully negotiated the rigours of NICE appraisal, which includes a cost-effectiveness study?

If this is the case, I will be sure to consult my local shaman and crystal therapist next time I develop a nasty rash. Personally I prefer to base my own practice on peer-reviewed journals rather than Bella magazine.

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