A shame the comments are being pre-moderated but what a cracking article.
When this all comes out in court in the wash, I'm pretty certain that we will discover that NHS commissioners were lobbied too. I remember a discussion on these boards I had with R0 about this a few years ago.
For those who are unfamiliar with the system, a single commissioning group contracts nationally provided services on behalf of other local commissioning organisations throughout the country. While this is efficient, it unfortunately also means if that organisation puts idealism ahead of safeguarding, they are less likely to be challenged by other organisations.
Added to which it is considered "good" commissioning to involve patient representatives and or representative organisations. Getting patients representatives of working age to attend daytime meetings can be challenging, so involving - only too happy to rock up - lobby groups is an apparent solution.
This is no more than speculation, I have no specific knowledge of how the commissioning was done in this instance. My hunch though is that lobbyists would have been able to influence non-clinical commissioners and non-specialist clinicians. Commissioning has been GP led for over a decade now, where were the endocrinologists, the psychologists and the safeguarding experts?