Occupational Aspects of the Management of Chronic Fatigue Syndrome: a National Guideline Oct 2006 "Chronic fatigue syndrome (CFS) is a medically unexplained illness characterised by severe, disabling fatigue and other symptoms. Although there is a large body of research into CFS and its treatment, few studies have looked at the employment outcomes of individuals with CFS. This review summarises current evidence and is intended to assist occupational health professionals, managers and other interested parties in providing advice on fitness for work in employees with CFS. Three key questions were used as the basis for a systematic evidence review: 1. What treatments are effective in enabling individuals with CFS to return to or remain at work? 2. What are the predictive factors for a successful return to work in individuals who are currently absent from work? 3. What is the risk of relapse and what are the risk factors for relapse, in terms of non-attendance or poor functioning at work?" " Guideline leader Dr Karen Pratt Specialist Registrar in Occupational Medicine, BUPA Wellness, London Director of NHS Plus evidence-based guideline project Dr Ira Madan Consultant Occupational Physician, Guy’s and St Thomas’ NHS (Foundation) Trust, London External assessors Professor Michael Sharpe Professor of Psychological Medicine and Symptoms Research, School of Molecular and Clinical Medicine, University of Edinburgh Professor Peter White Professor of Psychological Medicine, Wolfson Institute of Preventative Medicine (School of Medicine and Dentistry), Queen Mary’s University of London Guideline Development Group members Dr William Bruce-Jones General Adult and Liaison Psychiatrist, Avon and Wiltshire Mental Health Partnership NHSTrust Nikie Catchpool Occupational Advanced Practitioner Therapist, Bath and Wiltshire CFS/ME Service, Royal National Hospital for Rheumatic Diseases NHS Foundation Trust, Bath Professor Trudie Chalder Professor of Cognitive Behavioural Psychotherapy, Institute of Psychiatry, at the Maudsley, King’s College, London Chris Clark Chief Executive, Action for ME (until March 2006), AfME, 3rd Floor, Canningford House, 38 Victoria Street, Bristol BS1 6BY Sharon Hynes Head of Human Resources and Training, BUPA Wellness, London Dr Meirion Llewelyn Consultant Physician, Infectious Diseases/General Medicine, Royal Gwent Hospital, Newport, Gwent Dr Jon Poole Consultant Occupational Physician, Dudley NHS Primary Care Trust, Dudley, West Midlands Suzanne Roche Research Assistant, South London and Maudsley NHS Trust, London Gael Somerville Occupational Health Nurse, British Broadcasting Corporation, London Bella Stensnas Research Assistant, South London and Maudsley NHS Trust, London Conflicts of interest: none declared." " http://www.nhshealthatwork.co.uk/images/library/files/Clinical excellence/CFS_full_guideline.pdf reading this you can see why PACE had to succeed one way or another and I imagine that this also played a big role in the 2007 guidelines.