• Dawn Thomas has almost lost vision in her left eye and is having trouble with her right eye
  • South Staffordshire PCT said her case was not 'exceptional enough' but are now reviewing the decision

By Daily Mail Reporter

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An Army wife with a rare eye condition faces going blind unless health chiefs fund sight-saving treatment.

Dawn Thomas says her local Primary Care Trust (PCT) has denied her the medication despite it being available on the NHS in other parts of the country.

The mother-of-one fears her family will have to sell their home to pay for private care as a result.

Dawn Thomas, is already suffering from sight problems, and is now battling for treatment on the NHS

Dawn Thomas, is already suffering from sight problems, and is now battling for treatment on the NHS

'If the PCT doesn't fund the treatment it will condemn me to blindness,' the 44-year-old said.

'I would have to give up my job and driving - it would be life-changing and devastating.'

South Staffordshire PCT initially told the lance corporal's wife that it would not fund the treatment injections that can cost up to 800 each.

However, the trust has since decided to review its decision after it received further information about Mrs Thomas' case from the Macular Disease Society.

Mrs Thomas, from Branston, Staffordshire, who has almost lost vision in her left eye and is having trouble with her other eye, said: 'We are now thinking of selling our house to fund the treatment privately.'

Although Mrs Thomas was diagnosed with pseudoxanthoma elasticum (PXE) when she was 21, it has only given her serious cause for concern in the past 12 months.

After suffering headaches and worsening vision in her left eye at the turn of the year, she saw a consultant at Burton's Queen's Hospital who allegedly attributed her problems to her glasses and told her to return in a year.

Concerned, Mrs Thomas saw her GP and two months later was seen at the Royal Derby Hospital by another consultant, who spotted abnormal blood vessels and the appearance of a bleed in her left eye.

A box containing Lucentis injections

Treatment: Lucentis injections proved effective in treating PXE sight problems in trials

Another expert at the hospital confirmed the findings and said treatment was available - but not on the NHS.

He supported Mrs Thomas's funding bid to the PCT but it sent her a letter saying her case was not 'exceptional enough'.

Mrs Thomas said: 'I've worked all my life, always paid my national insurance and thought I would never have a problem getting treatment on the NHS.

'I thought the NHS was healthcare for everyone but since I've gone through all this I feel like they don't care about people.

'It's about whether they meet their expenditure targets. They just seem so heartless. As far as I know, people in other PCTs are getting it - so why can't I?'

An NHS spokesman said the original decision not to fund Mrs Thomas's treatment was 'being reviewed'.

'This is following the receipt of further information from the Macular Disease Society, who are acting on behalf of Mrs Thomas,' he said.

'The decision will be reviewed and examined by our clinically-led panel and a decision should be taken within a month.'

SOME OF ENGLAND'S POST-CODE LOTTERIES

CANCER

Patients with suspected cancer in parts of England are 60 times more likely to be sent for scans than those living elsewhere, according to a study by the National Cancer Intelligence Network in July.

While a GP practice in Sefton, Merseyside, referred 5,591 per 100,000, another in Hillingdon, London, referred only 89 per 100,000.

DIABETES

Only six per cent of sufferers received the recommended levels of care in some areas compared to 69 per cent in the highest-achieving primary care trusts (PCTs), a National Audit Office (NAO) report found in May.

The worst offenders were Mid Essex and Swindon PCTs.

ARTHRITIS

There is almost a three-fold variation in the amount of money primary care trusts across England spend on arthritis services, a study revealed in April.

NHS Hartlepool spent 764 per patient in 2009-10, but NHS Peterborough only 275, according to the Arthritis and Musculoskeletal Alliance.

Mrs Thomas needs anti-vascular endothelial growth factor medications (anti-VEGFs), which slow sight loss by stopping blood vessels forming or growing. The deterioration, known as wet macular degeneration, can be treated by three drugs: Macugen, Avastin and Lucentis.

Repeated injections into the eye are usually required. The treatment has been found to be very successful at preserving vision of PXE patients in clinical trials.

PXE is a hereditary disorder in which the elastic fibres that normally occur in the skin, eyes and cardiovascular system gradually become calcified and cause characteristic symptoms in each area. It is estimated about one in 25,000 people in the world have PXE, but recent indications are that it is more common.

Approximately 60 per cent of PXE sufferers develop eye problems and many experience the loss of some central vision. 

The Royal National Institute of the Blind said South Staffordshire PCT had made a 'cruel decision.'

Steve Winyard, head of campaigns and policy, said: 'The refusal of her PCT to fund an effective and proven treatment is a cruel decision that is likely to mean Mrs Thomas has to stop working.

'There will be a massive impact on her quality of life and a big long-term cost to the taxpayer.

'If there's an approved treatment available which will save a person's sight then it should be given.

'It's vital people diagnosed with sight-threatening conditions have the opportunity to receive proven and timely treatments.'

Here's what other readers have said. Why not add your thoughts, or debate this issue live on our message boards.

The comments below have been moderated in advance.

A post code lottery for medical care is not acceptable!!

Britain has a "Postcode" Health system,not a National Health system.The system would be better run if there were less over paid Health bureaucrats and a few more useless managers sacked.

At the age of 32 I too developed Macular Degeneration - my PCT also would not pay - and I had to pay for 3 rounds of treatment myself - with bank loans... I lost my sight - the treatment didn't work... I've had to work VERY hard for the last 10 years to pay off the loans. I still have my sight in one eye - but no idea for how long - so am living life to the full, until I cannot continue. At the time I did argue with my PCT that in the long term me being a "burden on society" could cost more than the treatment - but their decision was upheld.

Come in the country illegally with aids and go straight to the front of the queue, live here, work here and pay tax and national insurance and go to the back of the queue, this story says all that is wrong with this once great country of ours.

Yet they can afford to fund gastric bands for the obese(In a majority of cases they are too lazy to lose the weight through healthy eating so take the easy way out) yet this poor lady has a rare eye condition through no fault of her own gets no funding!?!!? Something wrong here!

I think this case is just the type of thing to take to the European Court of Human Rights. It is a clear abuse that in the same country depending on where you live depends on medical treatment you receive through the NHS. The only criteria for treatment should be whether it is effective and never because of where you live.

what has gone wrong with this county that it refuses someone who is the backbone of this society, treatment. to busy giving fat people ops, changing women to men and men to women, and giving ivf to some people. we need to get our prioreties right.

Difficult. There is so little money to fund every problem. Someone , however unpopular has to make this decision Glad I don't have to..

But they will pay 1000s for weight loss surgery when it is a self inflicted problem..... the mind boggles,

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