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NICE guidelines
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====Three month "pause"==== Hours before the new ME/CFS was due to be published, NICE took the extraordinary step of halting publication as a result of several Royal Colleges, including the [[Royal College of Paediatrics and Child Health]] and the [[Royal College of Physicians]], circumventing the guideline review process by complaining to NICE and demanding changes to the final, approved guideline.<ref name="Guardian-17Aug2021">{{Cite news | work=The Guardian | url =https://www.theguardian.com/society/2021/aug/17/uk-health-watchdog-nice-delays-new-me-guidance-therapy-row-chronic-fatigue? | title = UK health standards body delays new ME guidance in therapy row | first = Natalie | last = Grover | date = Aug 17, 2021}}</ref> The delay was heavily criticised by guideline stakeholders including [[Doctors with M.E.]] who accused NICE of acting unlawfully, and all the national patient groups, who had not been aware of the private discussions taking place.<ref name="sense">{{Cite web|url=https://www.senseaboutscience.org.uk/doctors-with-m-e-medical-unlawfulness-and-the-nice-me-cfs-guideline-delay/ | title = Doctors with M.E. : Medical unlawfulness and the NICE ME/CFS Guideline delay | date = 2021-08-18 | website = Sense About Science Blog|language=en-US|access-date=2021-12-09}}</ref> In the UK news coverage, NICE was accused of "capitulating to vested interests" and "putting patients at risk" over the delays.<ref name="Independent-pause">{{Cite web|url=https://www.independent.co.uk/news/health/nice-chronic-fatigue-exercise-therapy-covid-b1904127.html | title = Health watchdog accused of ‘capitulating to vested interests’ over chronic fatigue as it delays new advice | date = 2021-08-17 | website = The Independent|language=en|access-date=2021-12-09}}</ref><ref name="Times-pause">{{Cite news | url=https://www.thetimes.co.uk/article/delays-to-me-guidelines-are-putting-patients-at-risk-s5bzfhxjl | title = Delays to ME guidelines ‘are putting patients at risk’ | last = | first = | date = Aug 2021|work=The Times|access-date=2021-12-09|archive-url=|archive-date=|url-status=|language=en|issn=0140-0460|quote=}}</ref> During the three month "pause" in publication, NICE invited a limited number of guideline stakeholders to a roundtable meeting, and communicated directly with a number of Royal Colleges and other stakeholders.{{citation needed | date = Oct 2021}}
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