Hillingdon Chronic Fatigue Service provides diagnosis, assessment and treatment for patients with mild to moderate Chronic Fatigue Syndrome (CFS) and Myalgic Encephalopathy (ME). 

This service includes a clinical psychologist, occupational therapist and physiotherapist, and supported by an assistant psychologist and service administrator.

Medical diagnostic screening appointments are offered by a consultant neurologist on a locum basis.

A specialist service for adults (18 years and over) who have Chronic Fatigue Syndrome (CFS) /Myalgic Encephalomyelitis (ME)

CFS/ME is a condition that causes physical and mental tiredness that does not improve after rest and often worsens after physical or mental exertion. In addition to fatigue, other common symptoms include:

  • Impaired memory or concentration
  • Unrefreshing sleep
  • Muscle pain
  • Pain in multiple joints
  • Severe headaches
  • Sore throat
  • Tender lymph nodes

Treatment for CFS/ME involves learning self-management strategies, aimed at symptom improvement and recovery in the long-term.

Once a diagnosis of CFS/ME has been confirmed, further assessment and treatment is provided. The assessment framework and intervention strategies delivered are in line with NICE guidelines for the management of CFS/ME and follow a symptom-management framework, incorporating elements of graded exercise therapy (GET), activity management and Cognitive Behaviour Therapy (CBT) principles.

The Team runs a limited satellite clinic at St Pancras Hospital on Thursdays, intended for patients who live or work closest to this location.

Therapy assessments and individual treatment sessions are available at St Pancras Hospital. The physiotherapist offers telephone appointments for patients receiving treatment at this location.

Due to resource limitations, medical screening appointments and group treatment are only available at Hillingdon Hospital.

Treatment is offered either in a group or individual format. The intervention programmes delivered as part of this service aim to teach patients the skills to self-manage their symptoms of chronic fatigue, and patients are strongly encouraged to continue these self-management skills on a long-term basis and beyond the end of the intervention received from the service.

We accept referrals from GPs and other NHS professionals on behalf of patients within the boroughs of Harrow, Hillingdon, Hammersmith & Fulham, Kensington, Chelsea and Westminster, Brent, Ealing and Hounslow.

All referrals must be accompanied by a complete set of blood results as detailed on our referral form:

Download the referral form (opens word doc).

Referrals can be posted or faxed to the service (address above).

This service is based at Hillingdon Hospital. Appointments take place at Hillingdon Hospital. If travelling by car, the nearest car parks are C and A, but parking space is very limited so patients are advised to travel by public transport where possible.  

Nearest tube station: Uxbridge (Piccadilly or Metropolitan lines)  from there you can catch a bus to Hillingdon Hospital. 

Nearest railway station: West Drayton, from there you can take the U3 bus to Hillingdon Hospital.

The service is open Monday to Friday from 9am to 5pm (closed on public holidays)