Both the ME association and the 25% group have Dr Speight as an advisor, with extensive experience in managing very severe cases. Savannah's own Dr is Dr Weir, so ditto. Action for ME has Dr Strain, who wrote the mysterious “for our eyes only” severe m.e care guide.
I don’t think the Problem is a lack of available guidance or experience, but scepticism of the hospital medical staff, in a context of a very severe illness that has for decades been misframed & trivialised; NHS rigidity - refusal to be guided by private/ retired drs who do have experience and charity failure to campaign for any severe ME NHS medical expertise to be built up or research on more severe expressions of this illness.
I don’t understand the purpose of Savannah’s medical admission this time but it looks like the severe experience in the hospital hasn’t improved, whilst the DHSC/NHS after 3 years of talks, continue to debate behind the scenes on whether they need to bother & its “cost-effective” to do anything.