IiMER’s Vision for the UK/European Centre of Excellence for ME

This article describes the essence of Invest in ME Research's decade-long effort to establish a UK/European Centre of Excellence for ME at Norwich Research Park. Despite facing funding limitations and institutional hurdles, the charity has laid a strong foundation for ME research, including supporting PhD students and the first post-doc(s) for ME, funding and facilitating the UK's only clinical trial for ME, and fostering European collaboration through networks such as EMERG. The Centre is uniquely positioned to lead ME research in the UK and Europe, but sustained investment is essential for it to realise its full potential. The progress made so far demonstrates the potential, yet the future of ME research hinges on a commitment to prioritising and adequately funding this initiative. - October 2024


Professor Ian Charles recently retired as director of Quadram Institute Bioscience in Norwich Research Park (one of the largest research parks in Europe). Professor Charles was appointed as director shortly after the institute's establishment, guiding its development into a significant research facility.

Invest in ME Research (IiMER) has been advocating for, and facilitating and funding, a Centre of Excellence for ME at Norwich Research Park for over a decade. The charity's goal has been to establish the Centre as a leading UK and European hub for ME research, employing existing infrastructure and networks to make significant progress and improve patient outcomes.

IiMER invited Professor Charles to speak at the international ME conference in 2015 [1], shortly after he took on his role. He returned to speak again in 2017 [2], when Quadram Institute was fully operational. At both conferences, he highlighted the institute’s potential to support the vision for a Centre of Excellence for ME, which aligns with IiMER’s strategy for establishing such a centre.

Since 2011, the charity has been advocating for this strategy, collaborating with Dr Ian Gibson and other researchers to build a solid foundation for ME research and foster European collaboration.

With Professor Charles’ retirement, we now reflect on the progress made toward fulfilling this crucial need for patients.


A C of E for ME


Despite challenges such as the COVID-19 pandemic and ongoing underfunding, the foundations of the Centre for ME at Norwich Research Park are firmly established, demonstrating significant progress.

Invest in ME Research (IiMER) has funded five PhDs and two post-doctoral researchers [3, 4], building a solid base of expertise in ME research. Additionally, the charity has initiated the creation of European networks of researchers, clinicians, and patients (in collaboration with EMEA colleagues).
Recently, the Young EMERG early career network was added to further support, and encourage, emerging talent in the field.

However, one crucial ingredient is still missing: adequate and sustained funding

The Centre, located within a modern and expanding European research park, is uniquely positioned with all the necessary elements for leading ME research. It actively includes collaboration and working relationships with key institutions situated within walking distance, including:

  • A major university
  • A university hospital
  • A medical school (that trains doctors)
  • an official Clinical Trials Unit (one of only a few in UK)
  • A local ME clinic, treating thousands of patients
  • A Genomic institute
  • Established connections with research funders
  • Various other institutes and start-up companies
  • A nearby international airport

The Centre is also conducting the only clinical trial for ME in the UK, funded by IiMER supporters, bringing together all these elements to advance ME research.

The groundwork is complete, and the infrastructure is already in place. All that remains is the vital task of securing adequate and sustained funding to fully realise the Centre's potential and propel ME research across the UK and Europe.

All of this exists - now.


A European Context

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IiMER’s vision has always extended beyond the UK, emphasising European collaboration – and the centre also has links to European institutes and is working on collaborative applications.

  • European ME Research Group (EMERG): IiMER helped establish EMERG to bring together researchers across Europe to share knowledge and standardise research approaches.
  • Advancing Clinical and Research Guidelines: Through the formation of the European Clinicians Council (EMECC) and Young EMERG, efforts are underway to harmonise clinical guidelines, diagnostic criteria, and research methodologies, aligning with NIH initiatives.
  • Recognition and Advocacy: As a founding member of the European ME Alliance (EMEA), a coalition of national ME patient organisations and charities, IiMER has played a significant role in advocating for ME research across Europe. The recent accreditation of EMEA by WHO Europe as a Non-State Actor highlights the longstanding advocacy efforts that have been made by IiMER and EMEA colleagues.

EMEA has embraced the vision of establishing European Centres of Excellence for ME, optimising resources across the continent, which was highlighted in recent statements to WHO.

With all of these initiatives in place, what is needed now is scaling up through adequate funding and capacity to ensure the Centre thrives as the premier UK Centre of Excellence for ME and a key partner for similar European centres.

What remains absent is sufficient funding.


Advocacy and Institutional Challenges

The achievements of Invest in ME Research supporters are particularly significant given that it is a small, volunteer-led charity where passion and commitment drive progress—without reliance on salaries or large overheads. This focus on dedication rather than compensation highlights the charity's approach to ME advocacy.

However, much of this progress has gone unacknowledged, often overlooked by those who claim to champion ME research. Participation in meetings with the Department of Health and Social Care (DHSC) led to frustration, as the charity's proposals were ignored, wasting two years of effort with little to show for it following a process that was lacklustre and without ambition or direction. Despite the Medical Research Council (MRC) holding a highlight notice for ME for 13 years, it has failed to pursue necessary evaluations or advancements, as highlighted during DHSC meetings – something we pointed out in input to DHSC working group meetings.

From the outset of the DHSC process, IiMER proposed funding the Norwich Centre of Excellence as the most direct route to advancing ME research and expanding research capacity. Despite presenting a practical and expedited path forward, this suggestion was never seriously considered, hindered by the group's inflexible approach.

The charity even advocated for a collaborative research strategy, suggesting that other UK research sites could partner with the Norwich Centre, following a model similar to the NIH's approach in the USA. This would allow the Norwich Centre to take the lead in coordinating biomedical research, drawing on existing European collaborations to strengthen the initiative.

Sadly, there was no tangible support or follow-up on these proposals.

Following the DHSC's final meeting, IiMER suggested that researchers from the working group meet with MRC and NIHR representatives during the charity’s international ME conference in June 2024, even offering to cover expenses. Yet, no response was ever received.


A Path Forward - Our Continuing vision

The foundations of a Centre of Excellence are in place, but sustained and adequate funding remains the key barrier to realising its full potential. Without significant financial investment, the Centre cannot expand its research activities, recruit new talent, or increase collaborative projects.
The current fragmented funding landscape is insufficient to meet the needs of the ME community - a failure that has existed for decades.

IiMER remains dedicated to its vision of a Centre of Excellence for ME at Norwich Research Park.

The progress achieved thus far is a testament to the resilience of the charity and tis supporters. However, realising the full potential of this vision requires a firm commitment to funding and a concerted effort to prioritise ME research. With the right support, the Norwich Centre can become a model for ME research, leading the way in developing effective treatments and improving the lives of those affected by this debilitating condition.

    To overcome these challenges, IiMER has already called for a new approach that prioritises action and strategic collaboration: [5]

    • Expand and Fund the Centre of Excellence in Norwich Research Park:
      Scale up the Norwich Centre to build a world-class research hub, leveraging existing partnerships at Norwich Research Park and beyond.
    • Strengthen UK and European Collaboration:
      Utilise networks like EMERG, EMECC, and Young EMERG, supported by EMEA, to unify research efforts across Europe, creating a coordinated strategy that maximises the impact of ongoing studies.
    • Implement a Strategic Research Plan :
      Transition from prolonged discussions to actionable initiatives with a three-to-five-year plan that includes clear goals, regular reviews, and necessary adjustments to maintain momentum. The Norwich Centre can lead these efforts alongside other participating locations.
    • Utilise Established Resources:
      Build on the existing infrastructure and networks.
      The Quadram Institute’s ongoing projects and international research connections provide a strong foundation for coordinated efforts.
    • **Demand Accountability and Funding**: Challenge the DHSC, MRC, and NIHR to commit specific funding targets for this centre and for ME research. The current ad hoc approach to funding will consign ME research to another decade of neglect and underdevelopment.

    In addition, we must:

    • Build on research foundations established since 2013.
    • Expand research initiatives aligned with this strategic vision.
    • Involve more clinicians in ongoing projects.
    • Foster European collaboration within EMERG and pursue grant funding for joint projects.
    • Develop the Young EMERG network for early-career researchers in Europe.
    • Standardise clinical and research guidelines, diagnosis, and outcome measures.

Last Update 20/10/2024