| R (Ann Marie Rogers) v Swindon Primary Care Trust | |
|---|---|
 | |
| Court | Court of Appeal (England and Wales) |
| Citation | EWCA Civ 392 |
| Keywords | |
| Health | |
R (Ann Marie Rogers) v Swindon Primary Care Trust EWCA Civ 392 is a UK enterprise law case, concerning health care in the UK.
Facts
Ms Rogers claimed that she should be treated with Herceptin for her breast cancer, although it was not yet licensed by the National Institute for Health and Care Excellence. Dr Cole, her consultant, was turned down by Swindon Primary Care Trust for the treatment. She could only afford two doses herself. The PCT would only fund if her case was ‘exceptional’ but after a review it decided her case was not, because all women with stage 1 breast cancer were in the same position as Ms Rogers. She brought judicial review, arguing the PCT had acted irrationally.
Bean J dismissed Ms Rogers' appeal for judicial review.
Judgment
The Court of Appeal held the ‘exceptionality’ review had been meaningless, and the decision was irrational.
Sir Anthony Clarke MR said the following:
If that policy had involved a balance of financial considerations against a general policy not to fund off-licence drugs not approved by NICE and the healthcare needs of the particular patient in an exceptional case, we do not think that such a policy would have been irrational...
Where the clinical needs are equal, and resources are not an issue, discrimination between patients in the same eligible group cannot be justified on the basis of personal characteristics not based on healthcare.
See also
| Public health sources | |
|---|---|
| UDHR 1948 art 25 | |
| European Social Charter 1961 arts 11 and 13 | |
| ECHR 1950 arts 2, 3 and 8 | |
| National Health Service Act 2006 ss 1-1I, Sch 1A and Sch 7 | |
| NHS (Clinical Commissioning Groups) Regulations 2012 regs 11-12 | |
| Health and Social Care Act 2012 ss 75, 115-121 and 165 | |
| NHS (Procurement, Patient Choice and Competition) (No 2) Regulations 2013 regs 2-11 | |
| National Health Service (Private Finance) Act 1997 s 1 | |
| National Health Service Act 2006 ss 1A-C and 3 | |
| R (B) v Cambridge Health Authority EWCA Civ 43 | |
| R (Coughlan) v North and East Devon HA EWCA Civ 1871 | |
| R (Ann Marie Rogers) v Swindon PCT EWCA Civ 392 | |
| R (Watts) v Bedford Primary Care Trust (2006) C-372/04 | |
| National Health Service Act 2006 ss 6BB and 175 | |
| NHS (Charges to Overseas Visitors) Regulations 2015 regs 3-9 | |
| N v United Kingdom ECHR 453 | |
| see UK enterprise law |