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Mental Health Services

Question for Department of Health and Social Care

UIN HL8135, tabled on 22 May 2018

To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 15 May (HL7468), upon what scientific evidence the promotion of cognitive behaviour therapy and graded exercise therapy in the Improving Access to Psychological Therapies programme is based; and what assessment they have made of recovery rates for patients with myalgic encephalomyelitis or chronic fatigue syndrome from pilot programmes of such therapies.

Answered on

5 June 2018

The inclusion of these therapies is based on National Institute for Health and Care Excellence (NICE) guidance. NICE is the independent expert body responsible for developing robust, evidence based guidance for the National Health Service. In 2007, NICE published a guideline on the management of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) in adults and children that sets out best practice on the treatment and support of patients. The guidance recommended cognitive behavioural therapy (CBT) and graded exercise therapy (GET) as appropriate treatments for mild to moderate CFS/ME, in line with the best available evidence from eight randomised controlled trials. A copy of the guidance, Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): diagnosis and management, is attached.

Information concerning the assessment of recovery rates for patients with CFS/ME accessing CBT or GET through Improving Access to Psychological Therapies services is not available.