The ELAROS NHS digital system for patient/clinician digital sharing questionnaire data, includes Yorkshire Rehab. Scale and Open-OH app

Is this shenanigans, together with the BACME guide a taster of the MEA when Charles retires fully ?

I'm not sure they've even bothered to wait for Charles to take a back seat, they seem to be steamrollering ahead regardless. I wouldn't blame him if he decided he's had enough of trying to be the voice of reason and balance, or the one person who reads and responds to individuals' concerns on social media.

I don't know what the MEA think they're going to achieve for people by going down this track. Why aren't they arguing that apps are not only unproven (and staggeringly tiresome) management tools, they're a wholly unacceptable offer in the context of ME/CFS? That there's a list of basic healthcare services that are not made accessible or even offered at all, and why aren't real, serious issues like that being addressed instead of insulting people with phone apps?
 
I feel like they have given up. The only way they have a “seat at the table” is by getting involved with this low grade junk. It’s like they just got tired of there being no progress so they’ve gone “well, this will do, at least it’s “something” kind of like PROMs in a way “well if we do this, we can measure our success and show we’re adding value” ok, but it’s junk. It’s not helpful, nobody wants it and it’s adding to our burden. Why do we have to always make other people feel better about themselves?
 
Email finally today to MEA RF

Sent today.
'Dear Russell,

I hope you had a good holiday break until 21st July.

As yet, you do not appear to have responded to my emails or actioned my reasonable requests?

Whilst I do not 'qualify', according to your criteria, as host of the Seminar, facilited only by Eleros, so they tell me, I have supplied the NHS email and contact link who was also booked by me to attend, but couldn't on tbe day to a clash with one by Sir James Macay.

I have been in touch with Paul O'Brien and Roman over release of recording of Seminar to the NHS email. I believe they have no problem with facilitating release. I am organising a meeting with them on their invitation soon.


In addition, I have asked Karren and Charles, who say they could not access the recording, suggesting only you can.

I have checked with Deputy CEO of SNEE ICB at the ICB Meeting in Public on 15th July. I will release that question in public recording as it is intended to be openly in the public domain.

Deputy CEO Richard has no problem either with release of the recording - which you flag as being in collaboration with SNEEICB and the Seminar posting you advertised carried their logo.

So please can you send the recording forthwith? Please also send it to Richard Watson.

The seminar showcases the work and development of our coproduced service work.

Frankly Russell, the withholding of this showcase from the person who delivered the approved business case to the ICB Clinical Executive, is both disrespectful and reputationally, potentially damaging.

If there are any further issues requiring clarification, please ring me.

I really am quite unwell at the moment, and this situation has caused me further stress and work.

We are days away from our new service commencement on the 1st August as you will be aware.

I have devoted, as a carer and member of the Voluntary Sector, 30 years to secure a service.

I have had the most engaging helpful and respectful relationship with the ME for most of that time apart from around the 2002 hiatus and Val Hockley stewardship.

So please begin to build bridges and restore that faith and trust, which is fast disappearing with the release of the crass NHS Delivery Plan, before it is too late.'


B
 
Admin Open-OH: Early Adopters Facebook - 14/08/2025

"Feedback requested on our resources!

Hi @everyone,

Over the past few months, we have been discussing our various resources with members of this group and our user co-design board to consider which resources are most appropriate for different users of the app.

At the moment, our Beta version of the Open-OH app provides various resources from NHS specialist services, charities, and organisations like the World Health Organisation who have produced resources for Long Covid, ME/CFS, Fibromyalgia and available support in the workplace.

We recognise there are issues and concerns with providing certain content about specific conditions or symptoms to those that don’t experience them. Additionally, we know that showing workplace-related content to those that are out of work or cannot work can feel irrelevant, so we have been working on some proposed solutions and fixes.

An early solution would be to hide condition-specific, symptom-specific, or workplace-related content from those that self-select a different condition or state that they are not in employment. For example, this would immediately hide any clinical resources designed for Long Covid patients from people with ME and Fibromyalgia.

This still leaves the task of reviewing which resources and sources of information our community think are genuinely helpful to them. Until now, we have mostly looked towards our UK clinical network given our 10+ year relationship with the NHS, but many of our members have highlighted some great resources from US organisations like Bateman Horne and Mt Sinai.

To facilitate this community review process, one colleague suggested implementing a ’thumbs up or down’ feature for users to rate how useful they find each bit of content, which would allow us to evaluate what our community think are the most helpful and relevant to them and adapt this over time.

Lastly, for the time being we have decided to remove the resource chapter on ‘Physical Activity and Exercise’ from the app (that brought together content from 2 specialist NHS Long Covid services) until we have updated the editorial/filtering process and have a way to ensure it won't be shown to users with PEM.

We value everyone’s opinions in this group so please feel free to comment below or reach out to the team at open-oh@elaros.com !"
 
Thanks for posting, @John_Lobb. So it looks like they are getting active again in trying to make the app more acceptable at least to some patients. I notice that there is no mention of ensuring the resources they include are NICE ME/CFS guideline compliant and supported by high quality evidence.

We can be tempted to get caught up in accepting crumbs of good things because we've been so badly treated in the past. I was going to write, well at least they recognise the existence of PEM, and that exercise programs aren't appropriate.

But the whole premise of this app project seems to be built on a rehab model and getting people back to work. On another thread we have been wondering what the OH stands for in Open-OH. Given the DWP funding and stuff about return to work on the app, it seems likely the OH stands for Occupational Health. That is so inappropriate for most pwME. Just making those parts hidden from people who don't tick a box saying the are in work or trying to return to work doesn't solve the problem if the slant of the advice on the app is towards 'recover' 'rehab' and getting back to work.

There is little or nothing in the app of any relevance to people with moderate, severe or very severe ME/CFS. Some poor quality stuff about diary keeping for pacing is not helpful.

I'm wondering whether it's worth people trying to help them improve what is basically a commercial product sold to the NHS. Would it be better to encourage them to scrap it and focus on providing higher quality support especially for people with severe and very severe ME/CFS.
 
Thanks for posting, @John_Lobb. So it looks like they are getting active again in trying to make the app more acceptable at least to some patients. I notice that there is no mention of ensuring the resources they include are NICE ME/CFS guideline compliant and supported by high quality evidence.

We can be tempted to get caught up in accepting crumbs of good things because we've been so badly treated in the past. I was going to write, well at least they recognise the existence of PEM, and that exercise programs aren't appropriate.

But the whole premise of this app project seems to be built on a rehab model and getting people back to work. On another thread we have been wondering what the OH stands for in Open-OH. Given the DWP funding and stuff about return to work on the app, it seems likely the OH stands for Occupational Health. That is so inappropriate for most pwME. Just making those parts hidden from people who don't tick a box saying the are in work or trying to return to work doesn't solve the problem if the slant of the advice on the app is towards 'recover' 'rehab' and getting back to work.

There is little or nothing in the app of any relevance to people with moderate, severe or very severe ME/CFS. Some poor quality stuff about diary keeping for pacing is not helpful.

I'm wondering whether it's worth people trying to help them improve what is basically a commercial product sold to the NHS. Would it be better to encourage them to scrap it and focus on providing higher quality support especially for people with severe and very severe ME/CFS.
I don’t think they will scrap it though.
It’s already been funded/sponsored/sold
It’s probably producing “data” out the back for clinicians/ICB’s/PROMS
If anything, the bits bolted on the front end to “help” patients is a bonus afterthought, it’s not the purpose of the app.
 
Email finally today to MEA RF

Sent today.
'Dear Russell,

I hope you had a good holiday break until 21st July.

As yet, you do not appear to have responded to my emails or actioned my reasonable requests?

Whilst I do not 'qualify', according to your criteria, as host of the Seminar, facilited only by Eleros, so they tell me, I have supplied the NHS email and contact link who was also booked by me to attend, but couldn't on tbe day to a clash with one by Sir James Macay.

I have been in touch with Paul O'Brien and Roman over release of recording of Seminar to the NHS email. I believe they have no problem with facilitating release. I am organising a meeting with them on their invitation soon.


In addition, I have asked Karren and Charles, who say they could not access the recording, suggesting only you can.

I have checked with Deputy CEO of SNEE ICB at the ICB Meeting in Public on 15th July. I will release that question in public recording as it is intended to be openly in the public domain.

Deputy CEO Richard has no problem either with release of the recording - which you flag as being in collaboration with SNEEICB and the Seminar posting you advertised carried their logo.

So please can you send the recording forthwith? Please also send it to Richard Watson.

The seminar showcases the work and development of our coproduced service work.

Frankly Russell, the withholding of this showcase from the person who delivered the approved business case to the ICB Clinical Executive, is both disrespectful and reputationally, potentially damaging.

If there are any further issues requiring clarification, please ring me.

I really am quite unwell at the moment, and this situation has caused me further stress and work.

We are days away from our new service commencement on the 1st August as you will be aware.

I have devoted, as a carer and member of the Voluntary Sector, 30 years to secure a service.

I have had the most engaging helpful and respectful relationship with the ME for most of that time apart from around the 2002 hiatus and Val Hockley stewardship.

So please begin to build bridges and restore that faith and trust, which is fast disappearing with the release of the crass NHS Delivery Plan, before it is too late.'


B


'Frankly Russell, the withholding of this showcase from the person who delivered the approved business case to the ICB Clinical Executive, is both disrespectful and reputationally, potentially damaging.'

Who does he think he is?

.
 
Last edited:
'Frankly Russell, the withholding of this showcase from the person who delivered the approved business case to the ICB Clinical Executive, is both disrespectful and reputationally, potentially damaging.'

Who does he think he is?

.

'Frankly Russell, the withholding of this showcase from the person who delivered the approved business case to the ICB Clinical Executive, is both disrespectful and reputationally, potentially damaging.'

Who does he think he is?

Another Paul Garner....
Below recent Substack... LC article!!!
 

Attachments

  • Screenshot_20250813_184924_Google.jpg
    Screenshot_20250813_184924_Google.jpg
    135.1 KB · Views: 6
Thanks for posting, @John_Lobb. So it looks like they are getting active again in trying to make the app more acceptable at least to some patients. I notice that there is no mention of ensuring the resources they include are NICE ME/CFS guideline compliant and supported by high quality evidence.

We can be tempted to get caught up in accepting crumbs of good things because we've been so badly treated in the past. I was going to write, well at least they recognise the existence of PEM, and that exercise programs aren't appropriate.

But the whole premise of this app project seems to be built on a rehab model and getting people back to work. On another thread we have been wondering what the OH stands for in Open-OH. Given the DWP funding and stuff about return to work on the app, it seems likely the OH stands for Occupational Health. That is so inappropriate for most pwME. Just making those parts hidden from people who don't tick a box saying the are in work or trying to return to work doesn't solve the problem if the slant of the advice on the app is towards 'recover' 'rehab' and getting back to work.

There is little or nothing in the app of any relevance to people with moderate, severe or very severe ME/CFS. Some poor quality stuff about diary keeping for pacing is not helpful.

I'm wondering whether it's worth people trying to help them improve what is basically a commercial product sold to the NHS. Would it be better to encourage them to scrap it and focus on providing higher quality support especially for people with severe and very severe ME/CFS.

The first hurdle for me, is informed consent to anything in it.
 
I don’t think they will scrap it though.
It’s already been funded/sponsored/sold
It’s probably producing “data” out the back for clinicians/ICB’s/PROMS
If anything, the bits bolted on the front end to “help” patients is a bonus afterthought, it’s not the purpose of the app.
Agreed.

The data collection is the product and the rest around it is just the gift-wrapping which could well mislead people on informed consent

I definitely have memories of there being issues with IAPT not sharing their data to researchers who weren't likely to produce research that was 'friendly' to their cause.

The DHSC is not the NHS - and I think that we need to work on unbundling and underlining this distinction.

The DWP isn't the health service either


1. Who is getting therefore an individual's non-anonymised data? So I agree thoroughly with @Maat below underlining this issue.

And it is almost an even bigger informed consent issue if the app uses some of the very good Bateman-Horne material like the cards or tips for preparing for a crash type thing. A clinic that operates very differently and is genuinely curious and will take at face-value anything someone writes and be curious about understanding it,

But then instead what people's data when they fill it in will be going to is instead a UK BACME clinic that is utterly the opposite: rather than invalidating focusing on thinking pwme deserve no autonomy or rights and targeting them with weaponisation of mental health powers they are neither due by the illness, their expertise nor their training/license.

So it becomes a switch-and-bait on consent.

And who has powers it seems to write letters that could demolishi someone's life forever - to GP, employer and other organisations. I

And who knows if said data is being accessed by the organisations directly as part of this anyway?


2. Who is getting the aggregated data?

And if it doesn't fit in with their agenda will it be disappeared, as been common?

Will it be cherry-picked despite the fact we have a condition that is all about patterns over days, weeks, months. The only research bps and BACME have produced has been full of these dodgy flaws so we have to assume this issue

Is there any other medical condition where people are banned from seeing a GP or any other medical doctor of any kind - whatever other illness they have - and then required to fill in personal data on their own body daily to the DWP and government department of health which focuses only on behavioural stuff: pwme are ill because they won't run marathons and don't get up at 7am including the weekends? replace ME with any other serious health condition and you'd hope someone would bat an eyelid but this dystopia seems to have been sold as what we deserve - and has nothing to do with good intentions or us having good outcomes healthwise.


3. Is it even secure?

Given how devastating potentially having a list of those labelled with ME/CFS even can be for an individual regarding their employment or access to services. This isn't about 'just' security-level for another illness where there is some list of people who have it then getting out. I do think that this is indeed definitely where the comparison with AIDs/HIV in the 80s/90s is absolutely accurate - people trying to play it down as if its a little bit of stigma and boo-woo 'getting upset about mentioning mental health' just shows how abusive the system and society is to us, that they won't even acknowledge what they've created as a nasty non-life, you can't exist as a person or have your truth, for us to be caged in.


4. Is there coercion forcing people to sign up to this despite all of the basic rights issues above?

Given what I have heard about some clinics then I expect so. People will be further labelled as non-compliant and threatened with more devastation of their life, career and reputation falsely - along probably with threats of ... let's call it what it is: incarceration and removal of freedom and autonomy potentially for the rest of your life with no proper legal trial, but instead a system focusing on war of attrition and false accusations that noone can disprove.

Basically people will very quickly be told how limited their rights are and how vulnerable they are once they've been bucketed into that diagnosis. And given option 1. of play the game/pretend you are well or risk option 2 which is brutal. That's what ME/CFS 'treatment' and the 'behavioural psychology' behind it has been and seems to want to continue to be in the UK.

The coercion of 1. seems to me now be being used to not only force people into providing the most intimate, daily data about themselves - which no criminal would have imposed on them - and that data itself can now be used untransparently to make it more impossible to evade option 2.



I'm not sure that those running this app have any idea of the brutality of the regime that has been suffocating pwme for all these years - the sheer extent of what they are getting involved in. It may come to those with long covid over time but hasn't been as prevalent/dominant and so they really need to think about what they are getting into bed on. And yes it matters that these are people terrified that what has been done to them over and over to make them more disabled will be repeated at harm yet again because they have been made that bit more vulnerable by that regime. Even though I appreciate them taking on board the feedback of what are the better materials etc themselves for what people might read on the app, it is a completely different bunch that is having the data passed onto them and they aren't in control of that.

and that the weasle-words from the same people say their intention is the exact same thing with more impenetrable branding. Why would they, because unlike some of the scandals we are seeing coming through, even if there weren't issues with those who might expose it being put off for various reasons, these people are so ill and boxed in and perhaps are stuck eg in hospital situations or other types of 'case' of various types where they are not permitted to even talk about it.

So, even if you are in a group where you actually can, if telling your story comes with massive risk, but is the only way of survival 'if something changed long term' but the chances of anyone doing anything with it that is good and changes think are so small and come with huge health costs from the energy and the labels you have been given errantly make your testimony weakened for no reason..
 
Last edited:
Agreed.

The data collection is the product and the rest around it is just the gift-wrapping which could well mislead people on informed consent

I definitely have memories of there being issues with IAPT not sharing their data to researchers who weren't likely to produce research that was 'friendly' to their cause.

The DHSC is not the NHS - and I think that we need to work on unbundling and underlining this distinction.

The DWP isn't the health service either


1. Who is getting therefore an individual's non-anonymised data? So I agree thoroughly with @Maat below underlining this issue.

And it is almost an even bigger informed consent issue if the app uses some of the very good Bateman-Horne material like the cards or tips for preparing for a crash type thing. A clinic that operates very differently and is genuinely curious and will take at face-value anything someone writes and be curious about understanding it,

But then instead what people's data when they fill it in will be going to is instead a UK BACME clinic that is utterly the opposite: rather than invalidating focusing on thinking pwme deserve no autonomy or rights and targeting them with weaponisation of mental health powers they are neither due by the illness, their expertise nor their training/license.

So it becomes a switch-and-bait on consent.

And who has powers it seems to write letters demolishing someone's life forever - to GP, employer and other organisations. I

And who knows if said data is being accessed by the organisations directly as part of this anyway?


2. Who is getting the aggregated data?

And if it doesn't fit in with their agenda will it be disappeared, as been common?

Will it be cherry-picked despite the fact we have a condition that is all about patterns over days, weeks, months. The only research bps and BACME have produced has been full of these dodgy flaws so we have to assume this issue

Is there any other medical condition where people are banned from seeing a GP or any other medical doctor of any kind - whatever other illness they have - and then required to fill in personal data on their own body daily to the DWP and government department of health which focuses only on behavioural stuff: pwme are ill because they won't run marathons and don't get up at 7am including the weekends? replace ME with any other serious health condition and you'd hope someone would bat an eyelid but this dystopia seems to have been sold as what we deserve - and has nothing to do with good intentions or us having good outcomes healthwise.


3. Is it even secure?

Given how devastating potentially having a list of those labelled with ME/CFS even can be for an individual regarding their employment or access to services. This isn't about 'just' security-level for another illness where there is some list of people who have it then getting out. I do think that this is indeed definitely where the comparison with AIDs/HIV in the 80s/90s is absolutely accurate - people trying to play it down as if its a little bit of stigma and boo-woo 'getting upset about mentioning mental health' just shows how abusive the system and society is to us, that they won't even acknowledge what they've created as a nasty non-life, you can't exist as a person or have your truth, for us to be caged in.


4. Is there coercion forcing people to sign up to this despite all of the human rights issues above?

Given what I have heard about some clinics then I expect so. People will be further labelled as non-compliant and threatened with more devastation of their life, career and reputation falsely - along probably with threats of ... let's call it what it is: incarceration and removal of freedom and autonomy potentially for the rest of your life with no proper legal trial, but instead a system focusing on war of attrition and false accusations that noone can disprove.

Basically people will very quickly be told how limited their rights are and how vulnerable they are once they've been bucketed into that diagnosis. And given option 1. of play the game/pretend you are well or risk option 2 which is brutal. That's what ME/CFS 'treatment' and the 'behavioural psychology' behind it has been and seems to want to continue to be in the UK.

The coercion of 1. seems to me now be being used to not only force people into providing the most intimate, daily data about themselves - which no criminal would have imposed on them - and that data itself can now be used untransparently to make it more impossible to evade option 2.



I'm not sure that those running this app have any idea of the brutality of the regime that has been suffocating pwme for all these years - the sheer extent of what they are getting involved in. It may come to those with long covid over time but hasn't been as prevalent/dominant and so they really need to think about what they are getting into bed on. And yes it matters that these are people terrified that what has been done to them over and over to make them more disabled will be repeated at harm yet again because they have been made that bit more vulnerable by that regime. Even though I appreciate them taking on board the feedback of what are the better materials etc themselves for what people might read on the app, it is a completely different bunch that is having the data passed onto them and they aren't in control of that.

and that the weasle-words from the same people say their intention is the exact same thing with more impenetrable branding. Why would they, because unlike some of the scandals we are seeing coming through, even if there weren't issues with those who might expose it being put off for various reasons, these people are so ill and boxed in and perhaps are stuck eg in hospital situations or other types of 'case' of various types where they are not permitted to even talk about it.

So, even if you are in a group where you actually can, if telling your story comes with massive risk, but is the only way of survival 'if something changed long term' but the chances of anyone doing anything with it that is good and changes think are so small and come with huge health costs from the energy and the labels you have been given errantly make your testimony weakened for no reason..


Thank you for all that @bobbler
 
Back
Top Bottom