Health organisation poorly handled request for exceptional funding

What happened

Mr L's GP made an exceptional funding request to the PCT for three sessions of specialist treatment at a specific hospital. The PCT refused it because it considered that the service at his local hospital was appropriate for Mr L's needs.

Despite a further application with representations from Mr L's specialist consultant, who suggested that the service at his local hospital was not appropriate, the PCT maintained its position.

The Wiltshire Clinical Commissioning Group (CCG) continued to agree with the PCT's position despite the further information from the consultant.  Mr L complained of lengthy delays and sought an apology for the delay, the confusion and lack of flexibility he experienced.

What we found

There were failings by the PCT and the CCG in how they handled Mr L's request for funding, and the manner in which they then dealt with his complaint.

Putting it right

Following our report, the CCG apologised for its failings. It paid Mr L £500 in recognition of the distress and frustration caused arising from the poor handling of his requests for funding and the failure to give him a properly considered decision.