Bruce Crawford is right: there is a need to change the culture. Winnie Ewing and others referred to the need to change the culture in the medical profession, Robin Harper spoke about education and John McAllion and others spoke about the problems in the wider NHS. I agree that the culture in Government must change significantly as well.

The report of the English chief medical officer's working group on care for people with ME is welcome for a number of reasons. It should lay to rest the controversy over whether the condition is real, which has sometimes been a barrier preventing sufferers from obtaining good-quality care. It is important that the report gives due weight to the views and experiences of patients.