GOSH gives platform to Lightning Process

GOSH gives platform to Lightning Process

Shortlink: http://wp.me/p5foE-1Ok

(Correction: An earlier version of this post had erroneously associated Ms Anna Gregorowski with the PRIME Project – apologies to Ms Gregorowski for this misattribution. )

In the previous posting Forward-ME: Minutes of meeting 8 July 2009 Dr Charles Shepherd (ME Association) is reported as having raised concerns in relation to a forthcoming event at University College London in conjunction with Great Ormand Street Hospital (GOSH) at which Phil Parker of the Lightning Process is scheduled to give a presentation.  Also presenting is Prof Peter White (BARTs, co-PI for the PACE Trial). 

See:  Forward-ME: Minutes of meeting 8 July 2009  Minute item 5. Lightning Process

The event to which this item refers is:

University College London in conjunction with Great Ormond Street Hospital

http://www.ich.ucl.ac.uk/education/short_courses/courses/2S-88

From Assessment to Recovery: Holistic Approaches to Working with Young People with CFS/ME

This annual one day event will provide you with skills and knowledge on how to manage Chronic Fatigue Syndrome (CFSME) when working with children and young people.

The holistic theme is throughout the day from diagnosis to treatment. You will learn about motivational interviewing and have an introduction to the Lightning Process. You will hear from young people accessing support at GOSH and be able to ask them questions.

There will be two interactive workshops: Dietary management and Interdisciplinary skills for treatment. There will be a mini-lecture focussed on Medical management.

Date: 30 September 2009

Why you should attend

The day will provide

- Interdisciplinary assessment and treatment ideas

- opportunity for networking

- interactive workshops

- informative presentations

Who should attend?

Clinicians and health professionals who work with young people and /or have a special interest in CFSME

Programme

Please note that this is a draft programme and is likely to change before the event. Please continue to check the website for updates.

08.45 – 09.15 REGISTRATION & REFRESHMENTS

09.15 – 09.45 Keynote address Ms Anna Gregorowski

09.45 – 10.30 The importance of diagnosis & the power of labeling for patients with chronic, unexplained, disabling fatigue Professor Peter White

10.30 – 11.15 Helping kids get ready, willing & able to make changes: motivational interviewing in chronic illness Dr Deborah Christie

11.15 – 11.30 REFRESHMENTS

11.30 – 12.30 Video diaries Patient/parents

12.30 – 13.00 Outpatient Rehabilitation Programme at GOSH Dr Anna Hutchinson & Monica Samuel

13.00 – 13.45 LUNCH

13.45 – 14.00 Networking options

14.00 – 15.15 Workshops/Mini lectures (each delegate selects 1 workshop/mini lecture to attend)

1. Dietary management of CFS/ME Judith Harding

2. Clinical investigation…to test or not to test Dr Vic Larcher, Dr Jo Begent & Dr Terry Segal

3. Basic skills of treatment & management of CFSME, including relapse prevention Dr Anna Hutchinson & Monica Samuel

15.15 – 15.30 REFRESHMENTS

15.30 – 16.15 Introduction to Lightning Process Phil Parker

16.15 CLOSE

DISCLAIMER

The GOSH Chronic Fatigue Syndrome/ME (CFSME) service is committed to sharing expertise & knowledge related to CFSME & young people. We do not endorse or recommend treatment & management other then that recommended by NICE (www.nice.org.uk) & RCPCH guidelines (www.rcpch.ac.uk).

Speakers

Course Directors:

Dr Anna Hutchinson, Senior Clinical Psychologist

Monica Samuel, Senior Physiotherapist

——————–

Please refer to UCL site for meeting registration details

Examples of concerns raised by professional bodies about the NICE (draft) Guideline CG53 on “CFS/ME”

html version:  http://www.meactionuk.org.uk/Compilation_of_Professional_concerns.htm

Examples of concerns raised by professional bodies about the NICE (draft) Guideline CG53 on “CFS/ME”

by Margaret Williams  | 13 March 2009

In his Approved Judgment in the Judicial Review of the NICE Clinical Guideline 53 on “CFS/ME” released today, the Judge (Mr Justice Simon) stated:

“The circumstances are not such as to lead a fair minded and informed observer to conclude that there was a real risk of bias among the members of the GDG.”

Commenting on today’s Judgment, NICE’s Press Statement says: “Professor Peter Littlejohns, NICE Clinical and Public Health Director, responded to the High Court judgment saying…We are pleased that all members of the GDG and those involved in selecting the GDG were totally exonerated from the unfounded claims made against them”

http://www.nice.org.uk/media/001/6F/CFSMEJRJudgementStatement130309.pdf  ).

Read full document here on ME agenda: 14pp MS Word:  Compilation of Professional Concerns by Margaret Williams

Does Action for ME operate openly and is it fulfilling its obligations to the Big Lottery Fund?

Can Action for ME be said to be operating openly and democratically and is it fulfilling its obligations to the Big Lottery Fund?

As issues around the AfME National ME Observatory are currently being debated, it may be useful to revisit a posting from last year; this is prefaced with commentary on just one aspect of Action for ME’s management of the National ME Observatory Project:

Action for ME has yet to fulfil its obligation to the Big Lottery Fund to create a website or dedicated webpages for the purpose of communicating with the public, professionals and the ME community and for disseminating reports and results on the various projects being undertaken and for the publication of other information relating to the operation of the Observatory.

Even basic information such as the names of members of the Observatory Steering, Management and Reference Groups and other individuals or organisations involved in this Project, the organisations these individuals represent and their function within the Project Groups or within the Observatory Project as a whole, is still not publicly available and has not been published on Action for ME’s website or on a dedicated website.

[The following information taken from documents provided by the Big Lottery Fund under FOI Act.]

Total grant awarded by the Big Lottery Fund to Action for ME in March 2006 was £503,028

The revised yearly breakdown, as it stood on 1 November 2007, was:

Year One  £213,105
Year Two  £171,644
Year Three  £118,279

Of this, £23,120 has been allocated for “Publicity and dissemination“, broken down over three years:

Year One  £8,000
Year Two  £7,300
Year Three  £7,820

During the application assessment process, it had been agreed with the Big Lottery Fund that the Project would carry out certain tasks in each year of the grant.

Extract Page 6, Grant Offer, taken from document provided by the Big Lottery Fund under FOI Act:

Page 6: Project tasks

During the assessment of your application we agreed that your project would deliver certain tasks during each year of the grant.

We will ask you to report on how far you have met these each year.  For more details of this see ‘Monitoring your grant’ on pages 10-13 of your Grant offer pack.  The tasks that we agreed are as follows:

Year One – Action for ME

  • Initiation of National ME Observatory collaboration, including media announcements in lay and professional media, and establishing communication links with the CFS/ME community.
  • Website will contain some information on support for social inclusion of people living with CFS/ME and their families in England.

Year One – University of East Anglia, London School of Hygiene & Tropical Medicine, University of Hull

  • Report of main findings of the systematic review of support for social inclusion of people with CFS/ME in England.
  • Initial report of the pilot of disease register for CFS/ME.

Year Two – Action for ME

  • Expansion of web-based communication facilities for Observatory, in order to improve facilities for dissemination of the results of the project, and preparation of strategy for succession funding.
  • Workshops involving people benefiting from research.

Year Two – University of East Anglia, London School of Hygiene & Tropical Medicine, University of Hull

  • Descriptive epidemiological study: completion of patients recruitment.
  • Report of main findings of quality studies (studies IV, V and VI)

Year Three – Action for ME

  • Dissemination of results through workshops reporting back to people with CFS/ME, conferences, publications, the media and web-based facilities, and submission of research proposals for further funding.

Year Three – University of East Anglia, London School of Hygiene & Tropical Medicine, University of Hull

  • Descriptive epidemiological study: report of main findings
  • Disease register: evaluation of pilot study and complete proposal for extension of register.


In Table 10, Page 46, of Action for ME’s funding application document “Establishing A Chronic Fatigue Syndrome (CFS)/Myalgic Encephalomyelitis (ME) OBSERVATORY FOR SOCIALLY-INCLUSIVE EPIDEMIOLOGICAL AND SOCIAL RESEARCH INTO CFS/ME” submitted to the Big Lottery Fund in 2005, a figure of £2000 was projected for “The internet-website for CFS/ME Observatory” for the dissemination of information to a target audience of “lay public, CFS/ME community, Professional, carers, Stakeholders” with the delivery date given as the second and third years.

On 6 November 2007, the Big Lottery Fund Grant Officer had written to Dr Trish Taylor, CCd to Sir Peter Spencer, requesting an interim monitoring report detailing progress to date against agreed tasks and any changes to the project that may have occurred.  In particular, comments on the project tasks for year one were requested. 

According to the document “National M.E. Observatory Long Term Strategy to Funding, Derek Pheby, 14 September 2007″, work on the three year programme had begun in April 2007.  In 2008, the Observatory Project would have entered Year Two –  in which “Expansion of web-based communication facilities for Observatory, in order to improve facilities for dissemination of the results of the project, and preparation of strategy for succession funding” had been an agreed task. 

The Project will shortly be entering Year Three and Action for ME are significantly behind schedule over the creation of the website/webpages for the dissemination of information relating to the Observatory.

In late November 2008, Action for ME’s Heather Walker advised one enquirer that “The Observatory will have web pages accessible via Action for M.E.’s website” and that these are being produced by Action for ME’s IT Manager in association with the University of East Anglia but there is still no web presence for the Observatory.

How much longer is it going to take Action for ME to fulfil this requirement of their grant award?

Is the Big Lottery Fund Grant Officer aware that no website for the dissemination of information about this project is in operation; that AfME has failed to set out lines of accountability for those responsible for the management of this project and for the oversight of the spending of £500,000 of public money and that no channel of communication exists between the project’s management and the public because this has yet to be facilitated?  Therefore the operation and progress of this project and those responsible for it cannot be monitored by the public because this information is not available for public scrutiny.

————————

Disclosure by AfME of the composition of the Steering and Management Groups for the National ME Observatory
[First published on ME agenda on 29 October 2008]

“The irony of this is, that as a result of AfME and the Observatory Project Group Co-ordinator’s decision not to place the information I had requested in the public domain the result has been that I have actually ended up with a vast bundle of stuff – the research proposal application documents, the research project costings, copies of the three independent expert review reports, the business plan, the research agreement, variation reports, copies of letters and emails between AfME/Observatory Project personnel and The Big Lottery Fund, internal and external correspondence relating to applications submitted by other individuals under FOI for information about the Observatory Project; staff costings, job specs, costings for equipment, travel, workshops, conference attendance, translations, transcriptions, video equipment, printing, consumables, development of a website…” 

AfME finally coughs up with a list of names!

I’d like to set the following on record:

On 1 October 2007, I first contacted Dr Derek Pheby, AfME National Observatory Project Co-ordinator, (CCd to AfME’s Sara Brooks):

I wrote:

“Following the 16 June meeting of The ME Association Board of Trustees, Dr Charles Shepherd published a summary of key points emerging at that meeting. In his summary, Dr Shepherd writes:

‘A meeting of the ME Observatory Steering Group took place on the same day. As this clashed with the Board meeting, the MEA could not, unfortunately, be represented.’

To the best of my knowledge, The ME Association has not made any announcement to this effect, but I assume from what Dr Shepherd has written in his summary that a representative of the ME Association, possibly Dr Shepherd, himself, has been appointed to the ME Observatory Steering Group.

Issue 61 of AfME’s InterAction magazine carries an update on the National Research Observatory which includes a list of lay members appointed to the Steering Group and a list of those appointed to a Reference Group but there is no mention of Dr Shepherd’s appointment or of any others who may have been appointed over and above lay members.

I would like to make a formal request for the following information:

1] Have any other representatives of national ME patient organisations (other than the MEA and AfME’s own staff and Trustees) been allocated seats on the Steering Group and through what process were these seats allocated?

2] Other than any ME patient organisations, have any other organisations or individuals (other than those specifically named lay individuals that comprise the Steering and Reference Groups and are named as such in InterAction) been allocated seats on the Steering, Management or any other group or groups that comprise the Observatory Project and through what process were these seats allocated?

3] Would you please provide a complete list of members of:

The Steering Group (both lay and professional)
The Management Group
The Reference group
Any other individuals or organisations involved in this Project

The list to include:

Name of individual
Organisation Represented (where appropriate)
Function within Project Group or within Project as a whole

Contact details for individuals/organisations are not required.

If a Line Management organisational chart has been produced then a copy of this would also be welcomed.”

Apart from confirming that Dr Shepherd (MEA) did indeed hold a seat on the Steering Group, Dr Pheby provided no responses to these questions, stating that “Those lay members who were appointed as a result of the exercise all consented to have that fact reported in Interaction. We were obliged to seek that consent as a result of our obligations under the Data Protection Act, which restricts what further information we can disclose about other participants in the project whose consent to disclosure has not at this stage been sought.”

Dr Pheby evidently had no inclination to obtain consent in order to release a list of names to me nor did he appear to consider that the information I had requested should already have been placed in the public domain.

Read the rest of this entry »

Parry, PRIME, Minervation and the ME Observatory

Update:  The comment facility for this article on the Times website is premoderated and restricted to just 300 characters.  I have left the following comment this morning which is awaiting moderation:

“This misrepresents the status of the PRIME Project.  It was initiated and funded by GUS Charitable Trust (£320,000) of which Ms Parry is the Administrator.  It is managed by Crowe Associates and Minervation.  Its Steering Group includes patient reps but PRIME created and owns the website and forum.”

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

May be reposted

Parry, PRIME, Minervation and the ME Observatory

On Saturday 15 November, there was a two page article on Page 10 of the Body & Soul section of the Times by Vivienne Parry around internet forums and medical information sites.

The full article can be read on the Times site, here

In this article, Vivienne Parry writes: “Similarly, the patient-led website www.prime-cfs.org  is also used by medical professionals. This site was set up by a group of patient support groups to allow information about the experiences and concerns of people with ME/CFS to be accessed by medical researchers. By doing this they hoped researchers would better understand this misunderstood condition.”

This misrepresents the status of the PRIME Project.

The PRIME Project was initiated and funded by GUS (£320,000).  The PRIME Project is managed by Crowe Associates.  Vivienne Parry is the administrator of the GUS Charitable Trust so she knows all about PRIME and she also attended an initial PRIME meeting, following which a Steering Group was put together.

The PRIME Project appointed patient group reps and other interested parties to sit on its Steering Group but the PRIME website had already been conceived by PRIME in conjunction with Minervation (Douglas Badenoch) prior to the formation of the Steering Group.  It is PRIME that “owns” the PRIME Project and it is PRIME that “owns” the PRIME website.

The site was not set up by “a group of patient support groups” as Ms Parry has stated and neither was the PRIME Project, itself - the Project was initiated by its funders, GUS, who appointed management consultancy Crowe Associates to manage the Project.

The PRIME website hosts a forum which is owned, managed and moderated by PRIME in conjunction with Minervation’s Douglas Badenoch who has performed the role of moderator (and may still be moderating) the PRIME forum.

As the author of the piece, Ms Parry does not declare a professional interest in the PRIME Project.

Further on in the article, Ms Parry has also written: “However, some sites have started their own schemes, such as the site www.prostate-link.org.uk. This is a great example of what collective patient action can achieve.”

Prostate Cancer Charter for Action which hosts the “Prostate Link” forum is, according to its website, “a collaboration between the key voluntary sector and professional groups with a commitment to tackling prostate cancer.” 

PCCA was initiated, funded and facilitated by the GUS Charitable Trust of which Ms Parry, as already stated, is the administrator.

I thought the website of Prostate Link had a rather familiar feel to it - the site was also created by Minervation.

Sally Crowe (Crowe Associates, PRIME), Douglas Badenoch (Minervation) and Dr Kirstie Haywood, RCN Institute (worked on PRIME) are all involved in the AfME National Observatory Project.

Ms Crowe and Ms Haywood hold seats on the Observatory Steering Group. Douglas Badenoch is listed under “Others involved in the project”.

Why is Douglas Badenoch involved in the Observatory? Mr Badenoch confirmed to me in December 2007:

“Sally Crowe and I both sit on the steering group of the Observatory; this is a reciprocal arrangement.”

when asked to explain “reciprocal”, he wrote:

“Derek Pheby from the Observatory sits on PRIME’s advisory group; that’s what I mean by “reciprocal”. Both projects wanted to make sure that we learned from each other and didn’t duplicate any efforts.”

But what specific role does Minervation/Badenoch fulfil within the Observatory?

One of the tasks for year one of the AfME National ME Observatory Project was to set up a website for information about the Observatory. This requirement of the Big Lottery Fund has yet to be fulfilled.

Is the website going to be created and maintained by Minervation?

In the summary of the November ME Association Board of Trustees meeting, Charles Shepherd writes:

“[Observatory] Among the items discussed was a proposal to hold some public meetings next year where the work of the MEO could be presented. The next Steering Group meeting will take place in January 2009.”

Are Sally Crowe Associates/Minervation going to be involved in facilitating these public meetings on behalf of AfME?

If and when the Observatory website is set up, if it is managed by Minervation, what function might Minervation perform as a gateway for communication and interaction between the ME community and the Observatory?  Users of the PRIME forum have reported problems with censorious moderation of their postings and a lack of transparency from those involved in the management of the PRIME Project who participate in discussions and respond to questions, queries and comments from members of the public via the PRIME forum.

It has already proved difficult to communicate with the Observatory and to obtain information about the Observatory Project.  For example, AfME has only very recently released the names of those on the Observatory Steering and Management Groups – Dr Derek Pheby (AfME Observatory Project Co-ordinator) was not prepared to release these to me in October 2007.

Will Dr Pheby or AfME be prepared to confirm what role Minervation plays in the management of the Observatory project, when the Observatory website will be launched and who will be responsible for its management?

The full article by Vivienne Parry can be read here:

http://www.timesonline.co.uk/tol/life_and_style/health/article5154795.ece

November 15, 2008

Should you trust health advice from internet forums? 

There are internet forums for all kinds of illness. We explore whether you can rely the advice and information you can get from these sites

by Vivienne Parry

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