IVI, that's just one service in one area. We don't know how many patients they see, we don't know if doctors mention it to patients and we don't know if they even have a leaflet in a waiting toom in any cancer clincs. There is a huge difference about a service being available to those who need it and ask but as an adjunt to medical treatment and a "service" being the sole offering to a patient group and intended as their only treatment. In normal practise I'm not seeing psychiatric services being routinely offered in any NHS clinics apart from for PWME where CBT and GET and other "services" are mentioned. My husband was treated for cancer by the NHS and not one doctor mentioned psychiatry. When I was treated for endometriosis and other non-ME ailments no one mentions psychiatry. When I broke a bone, once again, no offer of psychiatry. If it did happen, psychiatry offered commonly as part of treatment for other NHS conditions then we would all know about it.