UCLH offers an outpatient-only service for conditions, based on guided self-management, according to NICE guidelines, with the aim to:

• Help patients understand their condition
• self-manage symptoms
• Reduce distress and disability
• Improve quality of life

After assessment patients may be offered various interventions such as occupational therapy, physiotherapy, dietetics and psychological therapy for coping with chronic physical conditions. 

Eligibility Criteria

Inclusions

• Adults aged 18+
• Basic diagnostic criteria for the conditions are met (as per referral form)
• No clinical evidence of secondary causes of fatigue (as per referral form) 
• Routine blood investigations have been performed (as per referral form)
• Fatigue secondary to long COVID (as per referral form)

Exclusions

• Very severe cases: refer to domiciliary rehabilitation service
• Severe psychiatric conditions (severe depression/anxiety, bipolar disorder, psychosis, eating disorder, psychological trauma, personality disorder) if precluding engagement in guided self-management

How to Refer