1) By the consultant psychiatrist who referred me on my behalf
2) By requesting a meeting with someone from the Commissioning Team
3) By Formally challenging their decision - (there will be a policy saying how this an be done)
4) By legal action - sometimes the threat of this will cause them to cave in - or a solicitors letter citing previous case law can have the same effect.
My counsellor assures me Do not despair - although you will have to go through an unnecessary battle - it is one that you will win. "YES I CAN !"
I have made great progress under your excellent care this year & done everything asked of me to the point my mental health has been stable for the twelve months since I begun my real life experience. I will shortly complete all the necessary criteria for surgery with Mr Thomas & have had over 12 years of specialist gender care. The PCT’s decision will have a direct & negative impact on my mental health. It is a medical fact further delaying my right to the appropriate treatment for my gender dysphoria will have a detrimental effect on my health.
My sincere wish is that you will continue to support my ECR referral from the PCT for my gender re-assignment surgery preferably with Mr Thomas at Brighton.
The fact the PCT has an agreement with the west London Mental Health Trust Gender Dysphoria Service is not relevant to my case, for the reasons already clearly stated in the letter I sent to you regarding my reasons for requesting my Surgery with Mr Thomas which I have enclosed overleaf.
I have consulted my counsellor ## who is a recognised expert in these matters & she assures me the PCTs decision is illegal. I wish to have the details of the procedure for challenging their decision. ## will be contacting the team of solicitors she has worked with on a number of similar cases of which they have a 100% success rate. I sincerely hope this situation can be resolved amicably & fairly so as not to have a detrimental impact on my health or cause unnecessary expense to the NHS.