Violetsky, what do you want to happen? I think if you can walk into the GP and say, "This is what I want and I want you to put me on the pathway to it immediately," the GP has to explain why he is refusing to do that. In matters like this, I also take my husband along because very often I find that I get further. He tends to keep quiet until it is looking like a refusal and then he will say something about making very good notes because he intends to challenge the decision. It is amazing how quickly things get done. It fills me with rage that I need to have a man to fight my medical battles but sadly, it seems to me that it is sometimes the only way through.
Some years ago, I had a radical hysterectomy which we had to push for. I made the case on the quality of my life, my ability to care for the people around me and the burden on the NHS from the fallout if it didn't happen. It might be worth a try on those grounds.