I have noticed several people state that everyone with AF has the right to see an EP. I have read NICE guidelines very thoroughly and all I can find is that if primary treatment with drugs has failed or proved unsuitable then the patient should be referred for specialist management (which can be with an Arrhythmia Nurse) within 4 weeks. Also there is a long preface which basically says that ultimately all treatment and referrals are down to clinical judgement.
I am not saying anyone is giving incorrect information, just like to know where it is found.
If the NICE guidelines are indeed the only ones to follow then patients are not really able to insist on any referrals so informed argument would seem to be the way to go and of course GPs/cardiologists should take the trouble to explain why they are refusing your request, even if the answer is that they have other patients whose need is much greater.