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NHS rejects Worthing man's £4,000 plea

A disabled man has been refused vital medical equipment which could prolong his life because of NHS red tape. Jonathan Hastie, 30, has Duchenne muscular dystrophy, a muscle wasting condition which gets worse over time and affects his lungs, heart muscles and mobility.

He is particularly at risk whenever he develops a cold because his condition makes it difficult for him to cough and clear his lungs.

Mr Hastie's doctors applied for him to have a £4,000 cough assist.

But NHS Sussex has refused funding for the machine, saying it is not effective.

Mr Hastie, of High Salvington, Worthing, branded the decision short-sighted.

He said: "There is a wealth of evidence supporting the use of these devices in the treatment of this condition.

"These include consensus statements in the US and in the UK, including top consultants.

"My own consultants at the Royal Brompton Hospital believe it would help me.

"I am angry and frustrated by this as it makes no sense.

"I am really worried that the refusal to provide this equipment could seriously affect my life. Even a cold could potentially become fatal for me especially if it develops into pneumonia."

A spokeswoman for NHS Sussex said: "NHS funds are limited and the NHS makes difficult funding decisions every day over new drugs and equipment, unusual forms of surgery and different therapies.

"For cases like Mr Hastie's where a patient is requesting treatment not normally funded by the NHS we have a robust process which takes into account clinical evidence as well as best value for money.

"The Individual Funding Request Panel which considered this request for a cough assist device included three hospital consultants, three GPs and two specially trained lay members.

"Having thoroughly reviewed all the relevant factors the panel made the difficult decision not to approve funding. This decision was made on the basis that there is very little evidence of effectiveness.

"We understand that Mr Hastie plans to appeal this decision. Any additional evidence will be carefully considered."

Comments(12)

Hove Actually says...
12:05pm Sun 4 Sep 11

probally rejected the request over a team building outing out followed by a working lunch followed by a board meeting with high tea followed by a gala dinner before jetting off on fact finding event, or to put it another way spent £8000 to reject the £4000 request

rolivan says...
1:38pm Sun 4 Sep 11

Hove Actually wrote:
probally rejected the request over a team building outing out followed by a working lunch followed by a board meeting with high tea followed by a gala dinner before jetting off on fact finding event, or to put it another way spent £8000 to reject the £4000 request
Absolutely spot on

gmgc81 says...
1:48pm Sun 4 Sep 11

Reading this report makes me sad and angry. Sad, because this guy is being denied equipment that could essentially save his life. Angry, because this government's cuts and lies are causing the decision to be made in the negative. I hope something can be done to help the poor guy.

censored says...
1:58pm Sun 4 Sep 11

I'm sure the commenters have read the relevant research on the equipment and have concluded that it's both effective and value for money?

alanbarnett says...
3:01pm Sun 4 Sep 11

Dear mr/mrs censored, how would you feel if you were in this state, and if even only mentally this would provide you with a little comfort? I bet you would be screaming blue murder. This money would be far better spent helping this young man, than being given to a workshy layabout for cigs and booze.

Morpheus says...
4:11pm Sun 4 Sep 11

Look on the internet. The effectiveness is not proven and trials are in progress.

GIVE UP says...
8:19pm Sun 4 Sep 11

Why doesn't his consultants at the Royal Brompton get in contact with the supliers of these devices and treatments and see if their willing to have him take part in their trails?After all the evidence of it working the more chance of them getting it accepted on the market.

jonhastie says...
10:53pm Sun 4 Sep 11

Here's the evidence if u want to make up your own mind:
http://ajrccm.atsjou
rnals.org/cgi/conten
t/full/170/4/456

Cough assist, aka mechanical insufflation-exsuffl
ation

Trust me, I've tried it and it works - they have one at Worthing hospital. But it will cost more for 2 weeks in ICU every time I get a cold than it would to buy me a machine which allows me to be treated at home.

Maxwell's Ghost says...
6:20am Mon 5 Sep 11

This man has a terminal condition so refusing to pay for something which will ease his discomfort and fear is downright mean and I hope those making the decision can sleep at night. It's even more disguting when I read that killer Tracey Andrews had plastic surgery on the NHS and fat people getting gastric banding because they refuse to take responsibility for their own health.

John Steed says...
8:37am Mon 5 Sep 11

every time you put some cash in the parking ticket machines at worthing or southlands think of this guy.

Kizywizz says...
1:53pm Mon 5 Sep 11

As a mother with a child who suffers from duchenne this saddens me deeply, WHY is the NHS refusing this vital equipment??? it could prolong Jon's life, this is outrageous.
A cough assist is widely used in other countries, why not here! this condition is life shortening and it will take my son from me, any machine that could prolong his life and any other Duchenne sufferers needs to available as standard.

I thought says...
5:31pm Mon 5 Sep 11

"For cases like Mr Hastie's where a patient is requesting treatment not normally funded by the NHS we have a robust process which takes into account clinical evidence as well as best value for money.

"The Individual Funding Request Panel which considered this request for a cough assist device included three hospital consultants, three GPs and two specially trained lay members.

"Having thoroughly reviewed all the relevant factors the panel made the difficult decision not to approve funding. This decision was made on the basis that there is very little evidence of effectiveness.

"We understand that Mr Hastie plans to appeal this decision. Any additional evidence will be carefully considered."

Perfectly clear I think.

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