School Day Treatment & PE Letter

What is your child's first name?

And their surname?

Which year is NAME in?

Is this about one issue, or several?

One issue Several issues

Is this a one-off, or something that keeps happening?

A one-off - it has happened once so far It keeps happening It is how the school always does things

What's the main issue about?

Which of these apply?

Select all that apply.

Kept out of PE or sport Kept out of another practical subject (food tech, science, swimming)

Which subject?

Which of these apply?

Select all that apply.

Made to leave the classroom to check glucose Sent elsewhere, or made to walk, to treat a hypo instead of being treated on the spot Stopped from keeping hypo treatment or equipment within easy reach Refused the toilet when needed Refused water when needed Missing teaching time because diabetes care happens away from the classroom

Is there a problem with the level of support?

Too much - unwanted supervision or having to ask permission Too little - left to manage alone No problem with the level of support

Which applies?

Select all that apply.

Constant supervision Having to ask permission

Which of these apply?

Select all that apply.

Given a late mark for lateness caused by diabetes Disciplined for behaviour actually caused by high or low glucose Sent home for diabetes when it was not necessary

Anything else you'd like to mention?

Which of these describes how NAME manages day to day?

Select all that apply, if any.

Checks their own glucose before and during activity Carries their own hypo treatment Manages day to day independently, with staff aware and available

Does NAME have an Individual Healthcare Plan?

A written plan the school agrees for managing a medical condition.

Yes, and it already covers this Yes, but it does not cover this (or not sure if it does) No, or not sure if they have one

Who should the letter be addressed to?

And your name?