🪞SWANK LOG ENTRY
The Prescription of Punishment
Or, Why the NHS Believes a Breathless Mother Should Collect Her Own Oxygen
Filed: 2 November 2024
Reference Code: SWK-ASTHMA-DISCRIMINATION-2024-11
PDF Filename: 2024-11-02_SWANK_Letter_Westminster_NHSPrescriptionBarrier.pdf
One-Line Summary: Polly Chromatic explains why she still cannot access biological asthma treatment — because the system requires breath before it provides breathing support.
I. What Happened
On 1 November 2024, Polly Chromatic attended a respiratory appointment at Brompton. The subject: biological asthma treatment, the only long-term solution for eosinophilic asthma — a condition she and all four of her children have.
The conclusion? She still hasn’t started treatment.
Why?
Because the NHS insists she physically pick up prescriptions each month, speak by phone to an uncooperative GP, and solve systemic failures… while she can’t breathe.
This is what happens when reasonable adjustments are refused — and asthma becomes a test of stamina rather than a clinical diagnosis.
II. What the Complaint Establishes
This message reveals a structural absurdity in disability care:
Monthly prescription pickup is mandatory, despite chronic breathlessness
Digital options (e.g. NHS app) are blocked
No alternative plan has been offered
Pharmacy staff had to offer the only workable solution
The GP has been consistently unhelpful
This is not a clinical failure — it’s a logistical one, with discriminatory consequences.
III. Why SWANK Logged It
Because “you must collect your own oxygen while struggling to breathe” is not a policy — it’s performance art.
Because access to biological treatment shouldn’t require superhuman endurance or administrative warfare.
Because no health system that calls itself compassionate should punish people for the very symptoms it refuses to accommodate.
And because asthma management shouldn’t depend on whether a disabled mother can out-navigate a GP receptionist.
IV. Violations
Equality Act 2010 – Failure to provide reasonable adjustments for chronic disability
Article 8 ECHR – Infringement on private and family life through medical obstruction
Clinical Negligence – Prolonged lack of access to treatment due to procedural design
Administrative Cruelty – Expecting the breathless to chase breath
Safeguarding Sabotage – Refusal to facilitate stable medical care for an asthmatic family
V. SWANK’s Position
We consider this email a case study in infrastructural discrimination: the kind that doesn’t scream in your face — it just whispers, “call again tomorrow.”
The NHS did not deny Polly care outright. It simply created conditions where accessing that care would require either superhuman coordination or the miraculous suspension of all asthma symptoms.
Let the archive reflect: the issue is not that she hasn’t tried — it’s that they haven’t.
And in the time it takes for one GP to return a phone call, another child’s lungs tighten.
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