Shaping better health
REMEDY : BNSSG referral pathways

Chronic Fatigue/ME

Checked: 21-11-2018 by vicky.ryan Next Review: 09-10-2019

Service Overview

Chronic Fatigue Syndrome (CFS) causes persistent fatigue (exhaustion) that affects everyday life and doesn't go away with sleep or rest.  CFS is also known as ME, which stands for myalgic encephalomyelitis. It is commonly known in the NHS as CFS/ME. CFS/ME is a serious condition that can cause long-term illness and disability, but many people – particularly children and young people – improve over time.

See also NBT webpage-  Chronic Fatigue Syndrome (ME) - For Clinicians

Please note that the NBT website does not contain the BNSSG standard referral form. Please therefore ensure that you include this referral form along with the checklist when referring. 

Contact details for the Bristol CFS/ME Service:
The Lodge
Cossham Hospital
Lodge Road
BS15 1LF

Telephone: 0117 3408390 Fax: 0117 3408466

Email for queries:



Referral Guidance - NBT

Referrals for Adult Chronic Fatigue Syndrome (patients aged 19 and over) are subject to a BNSSG Criteria Based Access policy.

Referrals should be submitted on the referral form for Chronic Fatigue Syndrome/ME and should include a print out of ALL required bloods. The CFS service will now reject referrals if they do not have a referral form or complete set of blood test results. Severn Pathology (NBT) have now introduced the blood panels required for CFS/ME referrals on ICE.

Once a referral has been accepted the patient can be seen at Southmead Hospital or Cossham Hospital in Bristol.

Check list for referrals to avoid delays:

1. Check patients meets criteria for referral (or obtain prior approval if criteria not met)

2. Complete check list of ALL bloods which should all be normal (unless abnormality explained) and attach print out of results to referral.

3. Complete referral form for Chronic Fatigue Syndrome/ME

4. Submit above via e-referral. Referrals that are incomplete will be returned by Bristol Referral Service or the CFS service.

There is a separate service for children with CFS aged 18 and under.

Referral Guidance - RNHRD Bath

Referrals for Adult Chronic Fatigue Syndrome (patients aged 19 and over) are subject to a BNSSG Criteria Based Access policy.

Referrals are made via e-RS using the Bath Centre for Fatigue Services referral form. Referrals need to confirm all bloods tests have been carried out within the last 12 months in accordance with NICE Guidelines and that the results do not indicate any other medically treatable cause for the patient’s enduring fatigue symptoms.

Please note that the blood test results required are different to those required for referral to NBT.