I FEEL compelled to write regarding your recent article about Clair Douglass, who has been refused a breast reduction operation on the NHS despite having obvious problems due to the size of her breasts (Cosmetic Or Crucial? July 14).

Last year I worked with a woman who was given a breast implant operation on the NHS because she claimed to be depressed! (She told us a different story.) How can there be such obvious double standards?

Should the rules guiding the decision-makers on these matters be more clear-cut?

Surely someone like Clair should be able to get help. It must cost the NHS more to treat the effects her breasts are having on the rest of her body than it would to do the operation!

HG, Holgate, York.