Outpatient-only diagnostic and management service for adults experiencing mild to moderate chronic fatigue symptoms, such as for suspected diagnosis of:

• myalgic encephalopathy/chronic fatigue syndrome (ME/CFS)
• post-viral fatigue syndrome (PVFS).

Suitable patients will be invited to a service information session, to outline the diagnostic process and therapy options available. Patients who wish to engage with the service will be offered an initial assessment and diagnosis.

Subsequent therapy options include a group-based fatigue management programme or one-to-one therapy, which includes access to physiotherapy, psychology and peer support. The service also offers the co-development of care plans. 

RFL's fatigue management programmes are formulated on an Acceptance and Commitment Therapy (ACT) and Compassion-Focused Therapy (CFT) approach, supported by other key interventions such as:

• peer support
• energy management
• communication skills
• sleep hygiene and advice
• diet and nutrition.

Eligibility Criteria

Inclusions

• aged 18+
• persistent fatigue symptoms for at least 3 months
• mild-to-moderate severity
• other pathology/causes ruled out (as recommended by NICE, see referral form blood test requirements for primary care).

Exclusions

• Not commissioned for long-COVID referrals
• Patients experiencing fatigue-dominant long-COVID should be referred to the CNWL COVID-19 Rehabilitation Service e: cnwl.covidrehabilitation@nhs.net

How to Refer

Locations

RFL Fatigue Service