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MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME

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• a copy of the orig<strong>in</strong>al proposal received by the DWP request<strong>in</strong>g fund<strong>in</strong>g for the PACE Trial<br />

• documents that reviewed the request for fund<strong>in</strong>g of the PACE Trial<br />

• documents expla<strong>in</strong><strong>in</strong>g the DWP’s reasons for agree<strong>in</strong>g to offer fund<strong>in</strong>g for the trial.<br />

On 24 th August 2007 the DWP replied by letter say<strong>in</strong>g: “The Department does not hold this <strong>in</strong>formation”.<br />

On 1 st October 2007 the DWP was asked to double check that it did not hold the requested <strong>in</strong>formation<br />

about its fund<strong>in</strong>g of the PACE Trial.<br />

On 5 th November 2007 the DWP replied by letter say<strong>in</strong>g: “I am satisfied that this department does not hold<br />

the <strong>in</strong>formation that you request”.<br />

Thus it can be said with certa<strong>in</strong>ty that the DWP has no record of the orig<strong>in</strong>al application for fund<strong>in</strong>g of the<br />

PACE Trial; that the DWP has no record of how the application for fund<strong>in</strong>g of the PACE Trial was reviewed,<br />

and has no record of why it chose to fund the PACE Trial.<br />

This is astonish<strong>in</strong>g, given that the PACE Trial is the only cl<strong>in</strong>ical trial that the DWP has ever funded.<br />

Clearly, therefore, the DWP seems to fail all the criteria from the “Jo<strong>in</strong>t policy and guidance to research staff<br />

on the acceptance of external research fund<strong>in</strong>g” set out above.<br />

Could this lack of “transparency” concern<strong>in</strong>g the fund<strong>in</strong>g ‐‐ us<strong>in</strong>g tax‐payers’ money ‐‐ by a Government<br />

body of an MRC cl<strong>in</strong>ical trial about which there is serious concern be <strong>in</strong> any way connected to the fact<br />

that the trial’s Chief <strong>Invest</strong>igator happens to be the DWP’s lead advisor on the disorder <strong>in</strong> question?<br />

There can be no doubt that there are substantial conflicts of <strong>in</strong>terest on the part of numerous people<br />

<strong>in</strong>volved with the PACE Trial, many of whom ‐‐ as noted above ‐‐ work for the medical and permanent<br />

health <strong>in</strong>surance <strong>in</strong>dustry and thus they cannot but have vested <strong>in</strong>terests <strong>in</strong> pleas<strong>in</strong>g their paymasters,<br />

whose aim on behalf of shareholders is thought by many not to pay out on a policy if they can possibly<br />

avoid do<strong>in</strong>g so (“UNUM stands to lose millions if we do not move quickly to address this <strong>in</strong>creas<strong>in</strong>g problem”:<br />

UNUM’s CFS Management Plan; Dr Carolyn Jackson, 4 th April 1995). Examples of the failure of<br />

UNUMProvident to honour its obligations can be found <strong>in</strong> Appendix IV.<br />

Prom<strong>in</strong>ent PACE Trial <strong>in</strong>dividuals who work for the <strong>in</strong>surance <strong>in</strong>dustry <strong>in</strong>clude Professors Peter White,<br />

Michael Sharpe, Simon Wessely and Trudie Chalder. Jessica Bav<strong>in</strong>ton (a physiotherapist who used to work<br />

with Professor White and who co‐authored the PACE Trial GET Manual with him) also does a lot of work<br />

for the same <strong>in</strong>surance companies. These facts are backed by written evidence.<br />

This important issue of vested <strong>in</strong>terests has been repeatedly raised <strong>in</strong> the House of Commons (for example<br />

<strong>in</strong> the 2006 Report of the Gibson Inquiry) and Members of the Scottish Parliament have written to Allied<br />

Dunbar about their concerns over Michael Sharpe’s suitability to give an unbiased view when assess<strong>in</strong>g<br />

people with <strong>ME</strong>/CFS; Sharpe has asked MSPs to withdraw their statements to Allied Dunbar about him.<br />

With the support of Action for <strong>ME</strong>, fund<strong>in</strong>g of “rehabilitation” (ie. CBT/GET) <strong>in</strong> the NHS by commercial<br />

bodies, <strong>in</strong>clud<strong>in</strong>g PRISMA, began before 2002: “One of the major patients charities (Action for <strong>ME</strong>) is align<strong>in</strong>g<br />

itself with a more evidence‐based approach……Fund<strong>in</strong>g of rehabilitation by commercial bodies has begun <strong>in</strong> the UK<br />

(with organisations such as PRISMA) and is likely to cont<strong>in</strong>ue” (Functional Symptoms and Syndromes: Recent<br />

Developments. Michael Sharpe. In: Trends <strong>in</strong> Health and Disability. UNUMProvident 2002).<br />

PRISMA is a multi‐national healthcare company work<strong>in</strong>g with <strong>in</strong>surance companies; it arranges<br />

“rehabilitation” programmes (ie. GET) for those claim<strong>in</strong>g on their <strong>in</strong>surance policies and it claims to be

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