This sounds like the sort of things that should be brought up at the NICE committee. ME is found all over NHS literature as a mental health condition despite not being classified as such and the NICE guidelines in no way, shape or form stating so. Because they only claim that psychological treatment is "helpful" (whatever that means, because they don't really bother quantifying or even qualifying what that means) and the best treatment available, not that it implies it is a mental illness. And yet, this is how the guidelines are translated in reality. How is it that despite not being classified as a mental health condition the NHS arbitrarily implements its services to ME patients within mental health services? Are the guidelines simply ignored in practice? Are there alternative guidelines unknown to the public privately advising services to ignore the public guidelines and insist that it is not a medical entity? If not, where do NHS services get the idea that it is OK to reinterpret the guidelines in such an arbitrary way? What guidelines or policies give way to those services considering they contradict what NICE and the NHS say publicly? Of course we know that this is what they actually mean, but so far have been allowed to say one thing and do another entirely. How common is that? Are guidelines a narrative for the public and superseded by internal documents on a regular basis? Because if it can happen for such a common disease, it can certainly happen with all of them.