A patient unable to afford transport

Setting: A specialist referral review

The patient cannot afford repeated journeys. The fictional service has a transport-support enquiry route but no entitlement has been established.

Task

Explore the concern behind this opening: If I cannot pay for the journey, I suppose I just do not get the appointment.
Clarify the patient perspective using an appropriate follow-up, such as: How have the travel costs affected you?
Explain the supplied information and its limits in manageable sections.
Explore practical barriers and agree a workable next step from the supplied options.
Check the patient understanding and identify any unresolved question.

A patient unable to afford transport supplied information

The patient cannot afford repeated journeys. The fictional service has a transport-support enquiry route but no entitlement has been established.
The supplied service has a team that can discuss transport-support options. We can explain your circumstances to them with your permission instead of assuming that non-attendance means refusal.
I cannot confirm eligibility, free travel or reimbursement before that team checks its criteria.
We can ask the clinic about the arrival instruction and tell the support team about the available connections. Neither request guarantees a different appointment time.
Contact the support team using the number on the card and keep the clinic informed if travel remains unworkable.

Fictional scenario information supplied for exam communication practice only; not medical guidance for real patients.