MODEL LETTER I am an adult living in England. I ask for an urgent review of my care and support plan under section 27 of the Care Act 2014 and, because my needs and risks require fresh evaluation, a reassessment under section 9. I report cerebral palsy, cramps and involuntary movements, fainting, inability at times to stand for blood-pressure measurement, suspected low-glucose episodes, itching, breathlessness, severe fatigue that can remove speech, flashbacks, nightmares with waking and screaming, and low mood. Some symptoms are clinically unexplained and I request that the council avoid assuming a psychiatric or physical cause without appropriate evidence. My current allocation is ten hours. Please identify in writing how each accepted daytime, night-time and unpredictable need is met outside those hours. Do not assume that relatives or another person will provide unpaid support unless that person has freely confirmed willingness and ability. I report coercion connected with obtaining care and ask that this be handled through a separate safeguarding process. Please provide communication adjustments: accept written or typed responses, allow additional time and breaks, give documents in advance, and do not treat fatigue-related silence or involuntary movement as consent. Please consider independent advocacy. Pending full assessment, please complete an immediate risk review and state what interim support will be provided. I request a copy of the assessment, eligibility decision, care and support plan, risk assessment, personal-budget calculation, and reasons for any refusal of the requested provision.
15.2 Safeguarding referral
MODEL REFERRAL I am an adult with care and support needs and report that access to essential care was connected with coercion, including [state the act, demand, threat, date range and person]. I say I could not protect myself because [explain dependency, disability, lack of alternative care, communication difficulty or threat]. I request consideration of the duty under section 42 of the Care Act 2014, immediate safety planning, an independent advocate where required, and coordination with police or modern-slavery specialists if the evidence indicates. Please communicate with me by [text/email/other method] when speech is affected.
15.3 GP and clinical assessment request
MODEL CLINICAL NOTE Please assess recurrent fainting, cramps and involuntary movement, breathlessness, itching, suspected glucose changes and fatigue-related speech loss, including appropriate physical and neurological differentials. I also report flashbacks, trauma-related nightmares with waking and screaming, physiological distress and low mood. Please assess trauma-related disorder, depression and immediate safety without assuming that physical symptoms are psychological. I need a written account of functional impact, fluctuation, night risk, communication needs and the response required during episodes for my Care Act review.