Search

Myalgic Encephalomyelitis (ME) / Chronic Fatigue Syndrome (CFS), is a long-term, complex condition that affects multiple body systems. While the exact cause is not fully understood, research suggests involvement of the nervous system, immune system, and hormonal (neuroendocrine) systems.

Common symptoms

ME/CFS affects everyone differently, but commonly includes:

• Persistent, severe fatigue.
• Post-exertional malaise (PEM) – worsening of symptoms after activity.
• Sleep disturbance.
• Cognitive difficulties (“brain fog”), such as problems with memory, concentration, or word-finding.
• Symptoms often fluctuate and can be unpredictable, varying in severity over time.

Our service

All referrals are reviewed by our specialist team. If appropriate, you will be offered an initial assessment to understand your symptoms and confirm diagnosis where possible.
We provide person-centred support to help you manage your condition, including:

• Understanding ME/CFS and its symptoms.
• Energy management (pacing).
• Activity and daily routine planning.
• Sleep support.
• Relaxation and stress management.
• Emotional wellbeing support.

Support is delivered through a combination of:

• Therapy sessions.
• Education and self-management guidance.
• Written resources.

Why we offer virtual appointments

Many of our appointments are offered by phone or video as this is often the most appropriate way to deliver care for people with ME/CFS.

Virtual appointments can:

• Reduce physical and cognitive effort.
• Lower the risk of symptom flare-ups (PEM).
• Support pacing and energy conservation.
• Offer greater flexibility around your energy levels.
• Allow you to remain in a comfortable, familiar environment.

Our aim is to provide care in a way that supports your health, rather than worsening symptoms. We offer face-to-face appointments only when clinically necessary, ensuring care is tailored to individual needs while minimising unnecessary exertion.

Our team

Our service is delivered by a team of experienced clinicians with specialist knowledge in ME/CFS and fatigue management. We:

• Work collaboratively with you and your family or carers.
• Provide advice and support to other healthcare professionals.
• Stay up to date with the latest research and best practice.
• Work closely with other ME/CFS services across the region.

Important information

Emergencies

• The ME/CFS service is not an emergency or crisis service.
• For urgent medical concerns, contact your GP, NHS 111, or 999.
• For a mental health crisis, call NHS 111 and select option 2 (First Response Service or The Sanctuary).