SMC was going to be 'standard medical care', but they called it 'specialist medical care' because it involved the patient seeing a specialist, and being able to get basic drug treatments etc. This means that PACE was very unlikely to be able to show that CFS specialists were a waste of money. re APT: I thought this was really restrictive pacing. They had a 70% rule, so patients were told to only do 70% of what they felt comfortable doing - sounded terrible to me. I'm surprised it didn't lead to more patients feeling depressed. I think people are best off relaxing and doing what they feel like, and that all these attempts to medicalise patient's behaviour just because they have CFS are dodgy.