The network of CFS/ME clinics which were set up in 2005 across Britain represented a hard won advance in the recognition of CFS/ME as a disease. I say this despite recognising the problems in treatment and care in these clinics which still need to be resolved. The problem is not the clinic service as such, but that once the service had been commissioned, the only specialist who wished to apply for the new posts running the service were psychiatrists. This simply reflects ignorance among immunologists, infectious disease specialists etc. that their specialty may be relevant to this disorder. The CFS/ME service was not commissioned as a psychiatrically led service. The difficulty is the battle going on in the medical profession about what ME is and which specialty it belongs to! I too, as a patient am not happy with the way the local clinics view ME and are managing their patients. But to go back to the days when the ME patient could only rely on the understanding (or lack of it ) of their own GP and the days when there was no separate recognition of ME as a disease entity with specific needs which need to be addressed, will be a disaster and I hope the current proposals for further destruction of the NHS can be blocked by the BMA.