⟡ “The Dose Is Wrong and You Know It”: When Access to Medicine Becomes a Monthly Siege ⟡
A sick woman begs for the correct dose of a life-saving drug. The reply? Silence — and a 50mg shortfall.
Filed: 12 June 2025
Reference: SWANK/WCC-NHS/RX-044
📎 Download PDF – 2024-12-14_SWANK_EMAIL_WCC-NHS_Prescription-Obstruction.pdf
Email to NHS and council contacts alerting them to an under-dosed prescription blocking access to biological treatment. No correction was made.
I. What Happened
On 14 December 2024, Polly Chromatic wrote to NHS liaison Dr Philip Reid, with council and legal parties copied, regarding a critical prescription error. Royal Brompton Hospital had confirmed that she required a dose of 250mg in order to proceed with biological treatment — yet the prescription held by the GP stated only 200mg.
This discrepancy, left uncorrected, blocked her access to care.
In that same message, she noted the absurd regularity with which her medications became inaccessible — a ritual humiliation repeated monthly. Despite life-threatening asthma, despite consultant confirmation, despite email upon email — the dose was wrong, and the system shrugged.
There was no apology. No amendment. No clinical urgency. Just inertia, weaponised by familiarity.
II. What the Complaint Establishes
Neglect of duty by prescribing bodies and GP liaison
Breach of continuity of care standards under NHS Constitution
Obstruction of life-saving treatment through administrative indifference
Disability-based medical neglect: systemic delay in required asthma care
Compounded safeguarding risk via uncorrected prescriptions and unrelieved harassment
This was not a clerical oversight. It was pharmacological negligence, sustained and ignored.
III. Why SWANK Logged It
Because underdosing is not an accident when it recurs with such precision.
Because no one with specialist-confirmed treatment requirements should be forced to beg for the correct numbers on a digital form.
Because a 50mg shortfall becomes lethal when the patient is already struggling to breathe — and has been for decades.
Because institutions now treat medicine the way they treat communication: as something a disabled woman must earn.
SWANK records this not as a symptom, but as a structure. A system in which survival is conditional on obedience — and dosage is a disciplinary mechanism.
IV. SWANK’s Position
This was not just the wrong dose.
This was a denial of access to life-saving treatment, by design or by habitual disdain.
This wasn’t a prescription. It was a procedural snare.
SWANK does not accept healthcare that withholds on a technicality. Nor do we accept silence as dosage.
We document every refusal, every delay, every underdose.
Because until the systems that make women sick are held to account, every 50mg matters.
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