Jason
Has the GP refused to issue a DS1500? They are under obligation to do so unless they believe that there is a reasonable prospect of death within six months, however, if they do then there really should be no problem with one being issued.
Does the client have a MacMillan Nurse? If they do then this may offer an alternative route to a DS1500.
If not then I would seriously consider contacting the Practice Manager about the situation.
Gordon
Nothing on this board constitutes legal advice - always consult a professional about specific problems