We are currently carrying out our implementation of the New NICE guidance across the service. Please bear with us whilst we do this and look out for the new Primary Care Guidance uploaded here once its ready.
Still experiencing fatigue after a recent infection?
We are keen to support referrers, patients and other services by sharing useful links to information on post-Covid recovery and rehabilitation.
Post-viral fatigue is recognised to sometimes last for many months after the initial infection but, in the majority of cases, people make a full recovery. A diagnosis of Chronic Fatigue Syndrome/ME is only considered if there is evidence of Post-Exertional Malaise as well as multiple additional new symptoms alongside the fatigue such as cognitive symptoms, sleep changes and orthostatic problems and that the symptoms have persisted for over 4-6months in a way which is significantly affecting day to day life.
We therefore encourage good self-management in the meantime along with active review so referral can be considered if the symptoms persist and are interfering with daily activities 4-6 months after the initial infection.
We are keen that patients receive appropriate rehabilitation advice regarding recovery from infection. It is important that people aim to resume a normal routine regarding eating and sleeping and they undertake a balance of rest and carefully graded activity to prevent deconditioning when possible. It is also important that over exertion mentally or physically is avoided as this can perpetuate or escalate a fatigue condition so patients will often need to be supported during the time that they will have to reduce their daily activities. This may include prolonged periods off work or studies or adaptations being made to take account of the fatigue and the need for regular rest periods.
A helpful patient guide to managing Post-Viral Fatigue is available to download.
There is also additional advice on the BACME (The British Association for CFS/ME) and Royal College of Occupational Therapy websites regarding managing fatigue post infection whist researchers and clinicians start to understand more about the recovery trajectory of such patients with COVID related fatigue and other symptoms. Download
For patients who have been in hospital, including those who required ventilatory support, you may find the rehabilitation program developed by Lancashire Teaching Hospital a useful resource.
About the service
The Leeds and West Yorkshire CFS / ME Service is a specialist NHS service for people with Chronic Fatigue Syndrome (CFS) / Myalgic Encephalomyelitis (ME).
Our service is for adults aged over 17 years.
Our individual treatment plans and different options for treatment help people make sense of their condition and work towards recovery.
The aims of our service are to:
- improve your quality of life – people say we are giving them their lives back
- help you on a journey towards recovery
- help you to continue in education and work if this is important to you
- help you understand your condition
- involve and support your carers, family and friends too
Our service operates Monday to Friday, 8.30am to 4.30pm and is based in the Therapy Suite on the first floor of The Newsam Centre.
What to expect
Our service provides:
- 90 minute assessments by a specialist team and we devote time to gain a shared understanding of your condition
- individual or group programmes to help you recover
- the opportunity for you to access a range of professionals, including 14 qualified NHS clinicians
- liaison with your GP during your recovery
- different options for treatment, including home-based rehabilitation and home visits for people whose lives are severely affected by CFS/ME
- consultations and advice by video conferencing and telephone if needed
- consistently good outcomes to improve your quality of life
Our high patient satisfaction results show we are valued by people who use our service.
More information on what to expect if you are referred into our service is available in the referrals section further down this page.
Our service is provided by a team of professionals, all with specialist expertise and includes:
- occupational therapists
- clinician lead and matron
- cognitive behavioural therapist
We are supported by a team of administrative staff. We also value the input and involvement of former patients and carers, who make a unique contribution, as volunteers, to developing our service.
What people say about our service
Watch the following video where one of our service users, John talks about how he came to terms with CFS ME, overcame his own stigma and how he received help from our CFS ME services.
Referrals into our service are made by your GP or another health professional involved in your care. They will need to make a referral to us that includes your recent blood tests and other essential information we require.
If you live outside Leeds, we will need to request funding from the clinical commissioning group (CCG) local to where you live following your referral from your GP.
There is no test to tell whether someone has CFS / ME. The diagnosis, therefore, is largely dependent upon the history of the symptoms and exclusion of other causes or conditions that cause similar symptoms.
We will make sure that other illnesses have been excluded by your GP or other health professional involved in your care before we offer you an assessment. This will mean you having some routine tests such as blood tests before referral to our service.
Once this stage is complete we will then write to you to request that you contact us to arrange a suitable time to come for your initial assessment.
You will be offered an appointment within 13 weeks from the date we receive your referral.
Areas covered by our service
Typically, our referrals come from Leeds and surrounding areas in Yorkshire, but we do accept referrals from outside this area if you can travel.
Resources for professionals making a referral into our service
Professionals making a referral to our service
To make a referral into our service, complete a referral form and submit this in one of the following ways:
- to make a referral by post, please download, complete and return a referral form to Leeds and West Yorkshire CFS/ME Service, Therapy Suite, 1st Floor, The Newsam Centre, Seacroft Hospital, York Road, Leeds, LS14 6WB
- to make a referral by email, please download, complete and return a referral form using secure email such as an nhs.net address to firstname.lastname@example.org*
- to make a referral by fax please download, complete and return a referral form to 0113 85 56337.
* Please be aware any information sent via email that isn’t from a secure email address such as an nhs.net address is at risk and as such should be encrypted.
You can find out more about MS-Office document encryption in the appendices of our Trust’s Safe Haven Guidance.
Visit our ‘how we use information about you’ page for more information and a copy of this guidance.
Get in touch
Useful resources providing support and advice for CFS/ME patients
Action for ME http://www.actionforme.org.uk/ provide helpful booklets on the condition, pacing, employment and welfare rights, includes section for children/young people. Supports the CMRC (research collaborative). They are tracking all the advice regarding the current COVID-19 situation and how this applies to people living with CFS/ME on their website.
ME Association http://www.meassociation.org.uk/ links to local groups and telephone line for information and support
BACME – http://www.bacme.info British Association for CFS/ME professionals -NHS services map, symptom and therapy guide, and shared practice document on severe CFS/ME
Autonomic dysfunction – http://www.dysautonomiainternational.org American site providing information and advice for managing autonomic dysfunction. http://www.potsuk.org/ is a UK site specifically about Postural Orthostatic Tachycardia Syndrome with a section for medics as well as patients and families.
Hypermobility syndromes: http://hypermobility.org/ Information for patients and professionals
British Dietetic Association https://www.bda.uk.com/ provides basic dietary advice on a wide range of subjects including a food fact leaflet for CFS and various food intolerances/allergies.
CMRC – Research conference videos available from the Action for ME YouTube channel https://www.youtube.com/channel/UC42_Y8tjFhBbR1zpnmJsGBg/videos
Book (also available as an eBook) – Fighting Fatigue: a practical guide to managing the symptoms of CFS/ME (Pemberton & Berry 2009)
Mental Wellbeing and Coping especially during the current Coronavirus crisis:
- https://www.bbc.co.uk/news/health-51873799 good article on dealing with coronavirus anxiety
- https://web.ntw.nhs.uk look for self -help guides
- https://bit.ly/3briPpe great video by Russ Harris on coping with the Coronavirus crisis
Mind – Online support groups and general information about mental health 0300 5000 927
Samaritans – offering emotional support 24 hours a day on the phone 116 123 and online https://www.samaritans.org/
Mental health Foundation – Offers an online peer support community
Rethink advice and information line – Benefits, debt and money issues, Police and court and MH rights.
Shout– For people experiencing a Crisis text service for people experiencing suicidal thoughts, thoughts to self-harm. Text Shout on 58258