Patient contact

Service management


Chronic Fatigue Syndrome (CFS) Service 
Royal London Hospital for Integrated Medicine
3rd floor  
60 Great Ormond Street 
London, WC1N 3HR

Other referral information

UCLH service name Choose and book specialty Clinic type
Chronic Fatigue Syndrome and Fibromyalgia Service Infectious Diseases Chronic Fatigue Syndrome Clinic


Referral address

Chronic Fatigue Syndrome (CFS) Service 
Royal London Hospital for Integrated Medicine
3rd floor  
60 Great Ormond Street 
London, WC1N 3HR

They are chronic conditions (lasting months or years) which affect daily functioning and involve chronic fatigue not much relieved by rest (defining CFS), chronic widespread muscle pain (defining FMS), mood and sleep disturbance (particularly unrefreshing sleep), concentration difficulties, and sometimes headaches, intestinal and urinary symptoms.

We use a holistic approach (meaning that we look at both the physical and the psychological aspects of the illness) which is based on current NICE guidelines for chronic fatigue syndrome (2022) and chronic pain (2021).

The specialist team consists of:

  • Doctors
  • Nurses
  • Occupational Therapist
  • Physiotherapist
  • Cognitive Behavioural Psychotherapist
  • Dietitian

The aims of the service are to:

  • Help you understand your condition
  • Enable you to develop helpful coping strategies to manage symptoms
  • Reduce distress and disability
  • Improve your quality of life

We use a holistic approach, meaning that we look at the physical and the psychological aspects of the illness.

You will first be seen by a doctor who will make a detailed clinical assessment. Your doctor may do some blood tests to exclude other possible causes of fatigue and associated symptoms, and review any medicines you are currently taking.

Other members of the team will also help you manage your condition. They will plan a personal programme for you. This may be one to one or you could be part of a small group. The plan may include:

  • Occupational Therapy (including Energy Management)
  • Cognitive Behavioural Therapy (for coping with chronic conditions)
  • Physiotherapy (to maintain physical functioning and mobility)
  • Stress Management
  • Sleep Management
  • Dietary Advice
  • Acupuncture (for chronic widespread muscle pain)

The doctor may see you for follow-up appointments during the programme to review any change in medication, and for final review once treatment is completed.

It is important for your treatment that you attend your scheduled appointment at the Royal London Hospital for Integrated Medicine.

If your appointment is more than 24 hours away, please change or cancel it by using the online form below or calling us on 0203 456 7890.

If your appointment is within the next 24 hrs please call us on 0203 456 7890.

If you have any non-urgent queries regarding your appointment or our services please email us at and we will respond to you within 72 hours.

The RLHIM is also a teaching hospital and from time to time other healthcare professionals may observe in outpatient clinics as part of a training course. We will always ask your permission for students to sit in during your consultation. You do not have to have students present if you would prefer not to.

Service location