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⚖️ Reports support your appointments and applications. They are not medical evidence. Always seek professional welfare rights or legal advice for benefits claims. © 2026 FLARZY LTD.
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Sample Reports
See the depth and quality of reports FLARZY generates from your diary entries. All names are fictitious — your report is built from your words.
🌿 Illustrative samples only. These are the kinds of detailed, professional reports FLARZY generates from months of diary entries. Names, dates and reference numbers are entirely fictitious. Conditions are redacted as they would be in a live preview. Reports do not constitute medical or legal advice.
Personal Independence Payment — Supporting Evidence
Prepared from personal health diary records · FLARZY LTD · Company No. 17122546 · ICO Reg: ZC112453
Executive Summary
This report documents the health experience of Jane Doe over a period of 92 consecutive days, from 1 November 2025 to 31 January 2026. During this period, Jane recorded 92 diary entries, 6 vitals logs, 7 clinical appointments and 12 physiotherapy sessions, detailing the daily functional impact of her conditions on activities of daily living and mobility as defined under the PIP Assessment Guide (DWP, 2013, updated 2024).
The evidence demonstrates severe and consistent functional limitations across multiple PIP assessment activities. Pain levels averaged 7.8 out of 10 across the reporting period, with fatigue averaging 8.3 out of 10. Jane was unable to leave her home on 67 of 92 days (73%). On no single day during the reporting period did she describe herself as functioning at full capacity. The pattern of limitation is consistent, documented and corroborated across diary entries separated by days and weeks.
Functional Impact — Daily Living Activities
Preparing food (Activity 1): On 78 of 92 recorded days (85%), Jane reported being unable to prepare a cooked meal independently. Specific diary entries document the reality of this limitation in detail: "Could not stand long enough to cook. Ate crackers and cheese again — I'm so tired of this" (14 Jan); "Asked my partner to make dinner. Hands were too painful and stiff to hold the pan" (22 Jan); "Dropped the pan — had to sit on the kitchen floor until the pain passed. Took 20 minutes to get up" (3 Feb). Jane uses a perching stool and adaptive utensils as standard, but reports that even these aids do not reliably enable safe food preparation on bad days. She estimates she can prepare a simple cold meal (toast, sandwiches) independently on approximately 2–3 days per week.
Washing and bathing (Activity 2): Diary entries on 54 of 92 days describe significant difficulty with personal hygiene. Jane requires a shower chair, grab rail and non-slip mat as standard. On approximately 5 days per week she requires prompting or assistance from her partner to wash. Representative entries include: "Shower took 45 minutes and left me completely exhausted for the rest of the day — had to go back to bed" (9 Jan); "Could not lift my arms to wash my hair. Partner had to help. Felt humiliated" (18 Jan); "Skipped washing today. Too tired and too painful. This is not how I want to live" (27 Jan). Cognitive fog, documented on 34 separate diary occasions, further impairs Jane's ability to initiate and complete personal care routinely.
Managing therapy or monitoring a health condition (Activity 3): Jane takes ██████████████████████████████████████████████████████████████████ daily across 9 separate medications. She uses a blister pack organiser due to documented cognitive impairment but still requires reminders from her partner on approximately 5 days per week. On 14 occasions in the diary period, Jane documented missing a dose — on each occasion a symptomatic flare was recorded the following day. "Forgot my evening tablets again. Partner found them still in the pack the next morning. By afternoon I was in so much more pain" (16 Dec).
Dressing and undressing (Activity 4): Jane cannot manage buttons, zips or clasps on approximately 4 days per week due to grip impairment and upper limb pain. She has transitioned to adaptive clothing for most daily use but reports that getting dressed on difficult days takes 3–4 times the average time and frequently requires assistance. "Took me 40 minutes to get dressed today. By the time I was ready I was too tired to go out anyway" (11 Jan). A family member assisted with dressing on 31 documented occasions during the reporting period.
Functional Impact — Mobility
Planning and following a journey (Mobility Activity 1): Jane cannot use public transport independently. She documents becoming disoriented in unfamiliar environments during cognitive fog episodes (logged 34 times). She became lost on 3 separate occasions during the diary period, twice in areas she has visited regularly for years. "Got completely disorientated at the hospital today — ended up in the wrong building, couldn't work out how to get back. Had to phone my partner in tears" (5 Dec). She requires GPS navigation for all journeys outside her immediate local area and is accompanied by a familiar person for all medical appointments and any journey involving more than one transport connection.
Moving around (Mobility Activity 2): Jane's maximum walking distance without stopping is approximately 30 metres on a bad day — which occurs on 4 to 5 days per week. On good days (approximately 2 per week), she can walk up to 80 metres before significant pain onset forces her to stop. She uses a walking stick outdoors as standard. She fell on 4 occasions during the reporting period; twice the falls caused bruising that required GP review. "Fell outside the pharmacy today — my leg just gave way. A stranger helped me up. I cried on the way home" (8 Jan).
Symptom Diary — Statistical Overview
Across the 92 diary entries, the following consistent patterns emerge: pain rated ≥7 out of 10 on 80 days (87%); fatigue rated ≥7 out of 10 on 76 days (83%); unable to leave home on 67 days (73%); cognitive fog documented on 34 days (37%); sleep averaging 4.2 hours per night across the period; at least one activity of daily living significantly impaired on every single diary day. Jane attended 4 GP appointments, 3 rheumatology appointments and 12 physiotherapy sessions during this period. She attended A&E or urgent care on 2 occasions.
Medications During Reporting Period
Clinical Appointments and Evidence on File
Employment and Support Allowance — Work Capability Assessment Evidence
Prepared from personal health diary records · FLARZY LTD · Company No. 17122546
Executive Summary
This report documents the health experience of Joe Bloggs across 118 consecutive diary days between October 2025 and January 2026, prepared to support his Employment and Support Allowance claim and Work Capability Assessment. During this period, Joe recorded 118 diary entries, 9 documented crisis line contacts, 2 A&E attendances for mental health crisis, and 14 clinical appointments. His diary provides a detailed, consistent and contemporaneous account of the functional limitations that prevent him from working.
The overarching picture that emerges from 118 days of daily recording is one of severe and pervasive functional impairment. Joe left his home on only 11 occasions across 118 days — all were accompanied medical appointments. He was unable to initiate basic self-care independently on approximately 80% of diary days. He had 9 contacts with crisis services, attended A&E twice for mental health crisis, and experienced 3 serious incidents that required emergency intervention. The severity and consistency of these records make a compelling and evidenced case for the Support Group under the ESA Limited Capability for Work-Related Activity criteria.
Mental Health Functional Limitations
Learning and completing tasks: Joe documents profound and consistent difficulty with cognitive function across the diary period. On 94 of 118 days he records being unable to retain written instructions, follow multi-step tasks or sustain concentration for meaningful periods. This is not occasional forgetfulness — it is a pervasive impairment that affects every aspect of daily functioning. "Tried to follow a simple recipe today. Read the instructions five times and still couldn't hold them in my head. Ended up burning everything and just going back to bed" (14 Oct). "Stared at a form for two hours. Couldn't process what it was asking me. Filed it in a drawer" (2 Nov). "My brain just doesn't work anymore. Simple things feel impossible" (18 Jan).
Initiating and completing personal care: On approximately 80% of diary days, Joe documents being unable to initiate washing, dressing, meal preparation or household tasks without external prompting. He has not cooked a meal unaided since early October. On 51 documented occasions he records neglecting personal hygiene. "Didn't shower again today. Fourth day now. I know I should but I just can't make myself do it" (23 Nov). "Support worker came and found the flat in a terrible state. She helped me shower and make some food. I felt ashamed" (8 Dec). "Got dressed for the first time in four days because I had a GP appointment. Couldn't face the GP anyway and cancelled" (31 Jan).
Coping with social engagement: Of Joe's 11 outings in 118 days, 9 resulted in documented panic attacks. He describes the physical symptoms in detail: racing heart, difficulty breathing, dizziness, a conviction that something terrible is about to happen. "Had to leave the GP waiting room before I was seen. The noise and the people were too much. Sat outside hyperventilating for 20 minutes then came home" (3 Dec). "The walk from the taxi to the hospital door — maybe 30 metres — felt like crossing a battlefield. My legs were shaking by the time I got inside" (19 Jan). He has had no voluntary social contact whatsoever during the reporting period.
Risk — crisis contacts and serious incidents: Joe contacted crisis services on 9 occasions during the period. He attended A&E twice following acute mental health crises — 17 November and 8 January. Three serious incidents involving dangerous behaviour are documented in detail in the diary. "Called the crisis line again tonight. I don't know how many times that makes it now. They talked to me for an hour" (22 Nov). "Something happened tonight that scared me. I'm okay but I'm not okay. I called 999" (8 Jan). These entries, taken together, demonstrate a severity of mental illness that is entirely incompatible with any form of work or work-related activity.
Physical Health Limitations
In addition to his mental health conditions, Joe documents ████████████████████████████████████████████████████████████████████████████, confirmed by MRI scan on ████████████████. Pain in his lower back and right leg averaged 7.4 out of 10 across the diary period. He cannot stand for more than 5 minutes continuously or walk more than approximately 50 metres without needing to sit down. He cannot operate a keyboard for more than 10–15 minutes before pain forces cessation — a significant limitation given that most desk-based work requires sustained computer use. "Back was agony today. Couldn't sit, couldn't stand, couldn't lie down comfortably. Just existed in pain" (6 Dec).
Clinical Evidence and Appointments
Disability Living Allowance — Care and Mobility Supporting Evidence
Prepared from personal health diary records · FLARZY LTD · Company No. 17122546
Executive Summary
This report documents the care and mobility needs of Jane Doe over 153 consecutive diary days from September 2025 to January 2026, to support her Disability Living Allowance application. Jane recorded 153 diary entries, including 7 documented falls (3 requiring A&E attendance), a detailed night-time care log, and records of 11 daily medications — several of which require strict timing critical to her physical functioning.
The evidence consistently documents severe night-time and day-time care needs, and a complete inability to mobilise outdoors without high-level physical assistance. Jane has not left her home without another person physically supporting her at any point in the 153-day diary period. This is not a matter of preference — it is a medical reality documented in detail, day by day, across five months of entries.
Night-Time Care Needs
Jane's night-time care needs are severe and consistent. The diary documents that she required assistance turning in bed on 127 of 153 nights — an average of 3 repositioning episodes per night due to rigidity. Her carer (her husband) documents this from his perspective in several entries: "Up three times with Jane last night. She can't move herself when the stiffness is bad. By morning I'm exhausted too" (carer entry, 22 Oct). Jane herself writes: "Spent two hours trapped on my left side last night because I couldn't turn over. Called out for help but didn't want to wake him again. Eventually woke him anyway" (14 Nov).
Urinary urgency requiring night-time bathroom assistance is documented on approximately 5 nights per week throughout the period. On several occasions the diary records that Jane did not make it to the bathroom in time — entries written with evident distress. "Another accident last night. The humiliation never gets easier even after all this time. I need help getting to the bathroom quickly and I can't do it alone in the dark" (9 Dec). Falls risk during the night is acute — Jane fell twice during night-time bathroom trips in the diary period, one of which resulted in A&E attendance on 3 November 2025.
Day-Time Care Needs
Jane requires assistance with all aspects of washing and bathing. Hand tremor prevents safe use of taps on approximately 70% of diary days. She cannot step in or out of the bath without assistance and uses a shower chair with grab rails, requiring a carer to be present throughout. Dressing takes between 45 and 60 minutes with assistance — Jane estimates this would take approximately 10 minutes before her illness. She cannot manage buttons, zips or laces at any point in the diary period. "It took us an hour to get me dressed this morning. I used to be able to do all of this in ten minutes. Some days I feel like I've lost everything" (18 Jan).
Tremor and ████████████████ mean Jane cannot safely operate the hob or handle hot liquids on approximately 80% of days. She relies entirely on her husband for all cooked meals. Her medication regimen — 11 medications daily including ████████████ with strict timing requirements — was missed on 22 documented occasions when she was briefly alone, each time causing recorded motor symptom worsening: "He was at the supermarket and I missed my 2pm dose. By 4pm I couldn't walk across the room. This is why I can never be left" (7 Oct).
Mobility — Falls Record and Outdoor Functioning
Jane's mobility is severely restricted. She uses a wheeled walker outdoors but during ████████████ "off" periods — which occur on average 4.2 times per week — she is unable to walk more than a few steps and is effectively housebound for the duration. She has not left her home without physical assistance from another person at any point across the 153-day diary period. Seven falls are documented: 3 occurred outdoors and required A&E attendance; 2 occurred at night as described above; 2 occurred in the home during the day. A formal falls risk assessment conducted at Neurology on 14 November 2025 rated Jane as "high risk". "Fell in the garden today. Couldn't get up. Lay on the cold ground for 20 minutes until a neighbour heard me calling. I can never go outside alone again" (29 Sept).
GP Appointment Summary — 30-Day Symptom Report
Prepared by patient for Dr A. Patel, Elmfield Surgery · FLARZY LTD · Company No. 17122546
Reason for Today's Appointment
Jane is attending today's appointment with three specific concerns she has been tracking in her diary for the past 30 days and wishes to discuss within the time available. She has prepared this document to ensure nothing is missed. First, a significant and measurable worsening of her primary pain condition over the past six weeks, clearly reflected in her diary scores. Second, a new symptom — rectal bleeding during menstruation — that has appeared in the past three weeks and has not previously been investigated. Third, the ongoing impact of her conditions on her employment, and a medication change she has made without supervision that she needs to discuss.
Symptom Diary — Last 30 Days
Pain: Jane's primary pain was rated at 8 out of 10 or above on 22 of the 30 diary days in this period — compared to an average of 6 out of 10 in the preceding 3 months. This represents a meaningful deterioration. Pain is constant with cyclical worsening aligned to her menstrual cycle. It radiates to her lower back and right thigh on high-pain days. On 2 days in the period pain reached 10 out of 10, and on both occasions Jane was unable to get out of bed: "10/10 today. Cannot move, cannot think, just lying here waiting for it to pass. This is not living" (19 Jan). "Another 10-day. Partner worked from home so he could check on me. I feel like such a burden" (28 Jan).
New symptom — rectal bleeding ⚠: Jane first noted rectal bleeding on 15 January 2026. It has recurred on 4 diary days in the past three weeks, always coinciding with menstruation. Volume is small but consistent. Jane has not previously experienced this symptom. There is no family history of bowel cancer in her diary records. She describes it as "alarming" and has been hesitant to raise it: "Noticed blood again today. I keep putting off mentioning it because I'm scared of what it might mean. I know I have to say something" (29 Jan). This symptom has not been previously investigated and Jane is requesting urgent assessment today.
Sleep and anxiety: Sleep averaged 5.1 hours per night across the period. Anxiety self-rated at an average of 16 out of 21 (severe range) across the 30 days. Jane documented 3 panic attacks. "Woke at 3am in full panic again. Heart pounding, convinced something was terribly wrong. Couldn't get back to sleep until 6" (22 Jan). These figures reflect a significant ongoing mental health burden on top of her physical symptoms.
Medication Changes Since Last Appointment
Jane's current medication is documented in her medication log. She wishes to flag that she has self-reduced her ██████████ from ████mg to ████mg approximately three weeks ago due to side effects including fatigue and reduced libido that she describes as significantly impacting her quality of life. She has not previously discussed this with her prescriber and acknowledges this was not the correct approach: "I know I shouldn't have just changed it myself but I was desperate. The side effects were making everything worse. I need to talk to someone about this properly" (diary entry, 14 Jan).
Items Jane Wants to Raise Today
In order of priority: (1) the new rectal bleeding symptom — Jane would like urgent investigation and possible colorectal referral to rule out bowel ████████████████████████████████████; (2) a pain management review — current analgesia is no longer adequate given the deterioration documented above; (3) a supervised plan for her ████████████ dosage; (4) a Fit Note renewal for her employer — she is currently working 2 days per week.
Community Mental Health Team — Review Summary (62 Days)
Patient-prepared for care review · FLARZY LTD · Company No. 17122546
Mood and Mental State — 62-Day Overview
Joe's diary for the past 62 days documents a significant and clinically relevant episode trajectory. Between 18 and 28 December 2025, diary entries document a hypomanic episode of 11 days' duration, characterised by reduced sleep to 2–3 hours nightly, elevated and expansive mood, significantly increased activity, impulsive spending documented on 3 occasions, and grandiose thinking recorded on 7 diary days. "Slept for 2 hours and feel incredible. Got up at 4am and reorganised the entire flat. I've been doing this for days" (21 Dec). "I have so many plans. I've written them all down. Everything is going to change" (24 Dec). Critically, Joe missed 11 of his prescribed doses during this phase, recording that he "didn't feel he needed it".
From 29 December onward, the diary documents an abrupt depressive crash — the pattern typical of ████████████████████████████████████████████. PHQ-9 equivalent scores across January averaged 19 out of 27 (severe range). Sleep reversed entirely — Joe now records 12–14 hours of sleep per day, unable to get up before 1pm on 14 of the last 20 days. He describes the transition clearly: "Two weeks ago I felt invincible. Today I can barely lift my head off the pillow. This illness is a thief" (2 Jan). "Another day gone. I watched the light change in the room and that was it. That was my entire day" (15 Jan).
Risk — Self-Reported Diary Record
Joe documented one self-harm incident on 3 January 2026 — superficial, with no medical treatment sought. He notes it was the first such incident in 8 months. He contacted the crisis line the same evening: "I hurt myself tonight for the first time since May. I called the line straight after. I'm okay but I'm not okay" (3 Jan). In the weeks following, 9 diary entries contain documentation of passive suicidal ideation — thoughts described as intrusive and unwanted, without active planning. Most recent entries suggest some improvement: "The thoughts are less frequent this week. Still there but quieter" (7 Feb).
On alcohol use — a previous area of concern — Joe documents zero drinking days across all 62 diary entries. He attends AA twice weekly (logged in appointments section). He describes his sobriety as a source of genuine pride: "14 months today. Everything else might be falling apart but I'm still sober. That's mine" (28 Jan). This is a meaningful protective factor and significant positive development in Joe's overall picture.
On medication adherence — the 11 missed doses of ████████████████ during the hypomanic phase are a significant concern. Since 29 December, full adherence is documented daily. Joe's last ████████ blood level was checked on 14 November 2025 — this is now overdue and requires review at today's appointment.
Neurology Referral — 168-Day Symptom and Progression Report
Prepared for specialist pre-assessment · FLARZY LTD · Company No. 17122546
Purpose of This Document
This report has been prepared by Jane Doe to assist her consulting neurologist ahead of her first specialist appointment. It provides a detailed, chronological record of symptom onset, progression and functional impact across 168 days of diary entries — from the first recorded symptom on 4 August 2025 to the date of report generation. Jane's diary provides a level of temporal detail and clinical specificity that would be impossible to reconstruct retrospectively, and which is intended to make the most efficient use of clinic time.
Symptom Chronology — First Presentation to Present
August 2025 — onset: Jane's first diary entry flagging a new symptom was 4 August 2025: "Eye a bit blurry today. Probably just tired." Over the following two weeks, similar entries appear 6 times — all attributed to fatigue or screen use. By 22 August the character had changed: "The blurring today was different — more like double vision, lasted about 20 minutes then went. Googling things I probably shouldn't."
September 2025 — escalation: Episodes of diplopia (double vision) in the right eye were documented 14 times in September, with durations increasing from minutes to 20–45 minutes. Jane attended her GP on 22 September. Ophthalmology referral was made and optic neuritis was suspected. MRI was requested — estimated wait 18 weeks. Jane's diary reflects her growing anxiety: "GP says it could be optic neuritis. I don't know what that means but he looked serious" (23 Sept).
October–November 2025 — new symptoms: In early October, Jane began documenting bilateral lower limb weakness and tingling, predominantly right-sided. "My right leg keeps giving way without warning. Nearly fell going downstairs" (8 Oct). Falls occurred 3 times. A walking stick was purchased on 14 October. Fatigue, previously unremarkable, became severe and pervasive from 20 October — rated 9 or 10 out of 10 on 47 consecutive diary days. Jane scored her Fatigue Severity Scale as 56 out of 63. "I used to run. I used to do 5k three times a week. Today I couldn't walk to the end of the road" (1 Nov).
December 2025 — first relapse episode (3–12 December, 10 days): A distinct episode of increased symptom severity is clearly documented. Spasticity worsened significantly. Urinary urgency requiring 5–7 bathroom visits per day appeared for the first time. Cognitive slowing documented: "Can't think. Keep losing words in the middle of sentences. My colleague finished a sentence for me today and I wanted to cry" (7 Dec). Jane was unable to work for the duration of the episode.
January 2026 — second relapse episode (9–19 January, 11 days): Severe fatigue rated 10 out of 10 on 6 diary days. New symptom first documented 11 January: "Something strange happened today — when I bend my neck forward I get an electric shock sensation down my back and into my legs. It's happened four times today. Very frightening". This symptom (L'Hermitte's sign) was documented 9 times across the episode. Right arm weakness limiting writing and typing was also newly documented: "Couldn't sign my name today. My right hand just wouldn't cooperate" (14 Jan).
Current Symptom Profile and Functional Impact
CAMHS Referral — 147-Observation Parent Report
Prepared by parent to support referral · FLARZY LTD · Company No. 17122546
Purpose and Background
This report has been prepared by Jane Doe (mother) to support a CAMHS referral for her 12-year-old child, A.D. It documents 147 structured observations made at home, at school and in community settings over a 5-month period. Jane began using FLARZY's child development tracking tool in September 2025 following a meeting with A.D.'s SENCO, who suggested that detailed contemporaneous records would strengthen any future referral. The observations in this report are specific, dated, and consistent — they are not a parent's generalised concerns but a detailed, evidence-based account of a child who is struggling.
Attention, Concentration and Learning
A.D. cannot sustain attention on non-preferred tasks for more than 3–5 minutes without external redirection. This is not occasional inattention — it is a pervasive pattern documented in 147 diary observations across every environment. Homework that A.D.'s peers complete in 20 minutes takes a minimum of 90 minutes with parental support, and on many occasions cannot be completed at all: "Sat with her for two hours on the maths homework. She couldn't hold the instructions in her head long enough to act on them. By the end we were both in tears" (14 Oct). "School rang to say she'd been 'disruptive' in French. What they mean is she couldn't follow the instructions and panicked" (22 Nov). A.D. has lost her school diary 7 times since September.
The pattern of appearing to not listen while actually processing information with a delay is documented repeatedly across multiple subjects and multiple teachers: "Her form tutor told me she doesn't pay attention. But when I spoke to A.D. she repeated back almost word for word what the tutor had said — just 10 minutes later. She's not not listening. She's processing differently" (3 Dec). This distinction is clinically significant and consistent with a ████████████████████████████████ profile.
Social Interaction and Peer Relationships
A.D. has one close friend. She becomes overwhelmed in large group settings — this is documented on 34 separate occasions in the diary, with entries noting physical symptoms including covering her ears, rocking, leaving the room, and in more extreme cases, full meltdown. She has left the classroom without permission on 12 documented occasions this term. "Got a call from school. A.D. had left her classroom and was found sitting in the toilet block with her hands over her ears. They're calling it 'defiant behaviour'. I'm calling it overwhelm" (7 Nov). Three bullying incidents are logged — A.D. appears unable to understand the unspoken social rules that her peers navigate intuitively, and this makes her a target.
School Attendance and Refusal
A.D. has attended school on 61 of 92 possible school days since September (66% attendance). Of the 31 missed days, 19 were school refusal — mornings where A.D. experienced meltdowns or shutdowns that made leaving the house impossible. Jane documents these mornings in detail: "Up at 7. By 7:20 she was on the floor, screaming, couldn't talk. We couldn't physically get her out of the house. I called it in as illness because what else do I say?" (18 Oct). "Day 4 of not going in. She's not ill. She's terrified. The school keeps asking for a medical certificate. I don't have a medical certificate. I have a child who is breaking" (9 Nov). Eight further absences were anxiety-related somatic symptoms — stomach aches and headaches for which no physical cause has been identified.
Sensory Profile and Daily Life at Home
EHC Needs Assessment — Parent Evidence and Section A Contribution
Children and Families Act 2014 · FLARZY LTD · Company No. 17122546
Section A — Views, Interests and Aspirations of T.B.
T.B. communicates through a combination of his AAC device (TouchChat), Makaton signs, PECS symbols and approximately 40 functional words. His views on school and on what helps him are genuine and clearly expressed through these means — they should be afforded the same weight as a verbally communicating child's views. T.B. loves dinosaurs and trains with an intensity and depth of knowledge that exceeds many adults. He can name every species of theropod and the geological period in which it lived. He is happiest when he has uninterrupted, low-stimulus time with his train set in a quiet room. He is visibly calmer for hours after hydrotherapy sessions.
T.B. communicates that school is "too loud" — this is one of his consistent, reliable functional phrases. He communicates "no school" on most mornings. He wants to have friends but finds social interaction confusing and distressing — he has made attempts at play with peers that have resulted in distress for all children involved due to his difficulty reading social cues. His aspiration, as expressed through his AAC device over multiple sessions, is to feel safe. This is what he needs, above all else, from his educational setting.
Section B — Communication and Interaction Needs
T.B.'s communication profile is complex and requires specialist expertise to support effectively. He has approximately 40 functional words. He uses his AAC device (TouchChat), Makaton and PECS as primary communication channels. He cannot initiate interaction spontaneously with unfamiliar people. Echolalia is present in approximately 30% of his verbal outputs — familiar phrases are repeated in contexts that parents and close carers have learned to decode, but which are opaque to others. His Speech and Language Therapist (NHS, fortnightly since September 2023) notes a "complex communication profile with slow progress" in her most recent report. T.B. cannot follow verbal instructions beyond one step without a visual support — a practical implication that affects every lesson in school.
Parents document the practical reality of T.B.'s communication needs in daily diary entries: "Took 45 minutes this morning to communicate to T.B. that we were going to the shops, then the park, then home. He needed the PECS schedule three times and still became distressed at the transition" (12 Oct). "Class teacher rang to say T.B. had 'refused to follow instructions' during PE. He wasn't refusing. He had not processed what was being asked. These are not the same thing and his school needs to understand that" (3 Dec).
Section B — Cognition and Learning Needs
T.B. is currently working at P8/Step 1 level across all curriculum areas — the equivalent of a Reception-level child in a Year 4 class. He cannot access the mainstream curriculum without full 1:1 support and completely adapted, concrete, visual resources. His processing speed is significantly impaired. He requires additional time for all tasks and cannot work under time pressure. The gap between T.B.'s actual attainment and the national curriculum expectation for his age is now so significant that without specialist provision it will only widen. He is not failing to learn — he is learning in a setting that is not designed for how he learns.
Section B — SEMH and Behaviour
Cancer Care — Chemotherapy Cycle 3 Side Effect and Wellbeing Report
Prepared for Cycle 4 oncology appointment · FLARZY LTD · Company No. 17122546
Purpose of This Report
This report documents Jane Doe's experience during Chemotherapy Cycle 3, compiled from daily diary entries recorded in FLARZY across the full 21-day cycle. It has been prepared for her Cycle 4 oncology appointment on 9 February 2026, to ensure that all side effects — including one new symptom that has not yet been reported in clinic — are accurately communicated. Jane's oncology team have encouraged her to track daily, and this report is the result of that daily commitment.
Cycle 3 Side Effects — Daily Log Summary
Days 1–2: Infusion day and immediate post-infusion period. Nausea rated 6 out of 10 despite pre-medication with Ondansetron. Jane documented: "The sickness started about 4 hours after I got home. I know they said it might happen but it's different when it does. Managed to keep some dry crackers down" (Day 1).
Days 3–4 — breakthrough nausea: Ondansetron alone proved insufficient on both days. Nausea rated 7 and 8 out of 10 respectively. Jane vomited on both mornings: "Really bad today. Sick three times before noon. The Ondansetron isn't touching it" (Day 3). Metoclopramide was added from Day 3 via the oncology helpline, providing partial benefit. Jane notes this protocol for the Cycle 4 discussion.
Days 3–7 and 10–14 — severe fatigue: Fatigue rated 8 out of 10 or above on 10 diary days. Jane required assistance with personal care on 8 of these days — washing, dressing and meals. Her husband took 2 weeks of emergency leave to provide care: "He's sitting outside the bathroom door while I shower in case I fall. I feel guilty and grateful in equal measure. This is not what either of us signed up for" (Day 6). "Didn't get out of bed until 4pm. Not through choice" (Day 12).
Days 9–11 — neutropenic fever ⚠: Jane's temperature reached 38.4°C on Day 9. She attended A&E as instructed under the neutropenic protocol. White cell count confirmed neutropenia. IV antibiotics were administered for 48 hours and she was discharged on Day 11. G-CSF injections are documented as administered on all prescribed days. "Fever hit 38.4 at 10pm. Called the number they gave me. 'Come in now.' Partner drove me. I was terrified" (Day 9).
Days 5–21+ — new symptom: peripheral neuropathy ⚠: From Day 5, Jane began documenting tingling and numbness in both hands, beginning at the fingertips. This symptom has not been reported in clinic and is not listed in her current treatment notes. It has persisted beyond the end of Cycle 3 and is present at the time of this report. Functional impact is significant: "Can't do my buttons today. My fingertips are completely numb. Dropped my phone three times. This is new and I need to mention it" (Day 7). "Still can't feel my fingertips properly. Finding it hard to use my phone, can't hold a pen properly. This is worrying me" (Day 16). Jane wishes to formally raise this as a new unreported symptom at today's appointment and to discuss whether a dose reduction or treatment modification is indicated.
Weight and Nutrition
Jane's weight at the start of Cycle 3 was 63.2kg — down 2.1kg from Cycle 2. She documents consistent difficulty with eating throughout the cycle, particularly in the first two weeks: "Can't face food. Everything smells wrong. Had half a cup of soup and went to bed" (Day 4). A dietitian referral has not yet been made and Jane would like to discuss this at today's appointment.
Psychological Wellbeing
Mandatory Reconsideration — 90-Day Contemporaneous Evidence Report
Prepared to support PIP appeal · FLARZY LTD · Company No. 17122546
Grounds for Mandatory Reconsideration
Joe Bloggs requests Mandatory Reconsideration of the PIP decision dated 10 January 2026. The decision awarded Standard Daily Living and no Mobility component. Joe contends that this decision is incorrect, contains a significant factual error regarding the assessment day itself, and does not reflect his actual functional ability as documented across 90 consecutive days of contemporaneous diary evidence recorded prior to the assessment date. This report sets out the grounds for that challenge.
Factual Error — Assessment Day Record
The assessor's report states: "Mr Bloggs walked from the car park to the assessment centre without difficulty." This statement is factually incorrect and can be disproved. Joe travelled to his assessment by ambulance patient transport — he cannot transfer in or out of a standard car due to his condition, and his GP has confirmed this in writing. There was no car park. Joe did not walk from a car park. Ambulance transport records are available on request and will be submitted as supporting evidence. The inclusion of this observation in the assessor's report — an observation that is physically impossible given the transport used — raises serious concerns about the accuracy of the assessment as a whole.
Mobility — Moving Around: Diary Evidence
The assessor awarded descriptor e (can move more than 200 metres with an aid — 8 points) under the Moving Around activity. Joe's position is that descriptor a (cannot move more than 20 metres, enhanced rate) more accurately reflects his functional ability, as documented across 90 diary days. On 74 of those 90 days, diary entries document a maximum walking distance of between 15 and 25 metres before ████████████████ spasticity causes leg collapse risk or forces Joe to stop: "Made it to the end of the road today — maybe 20 metres — and had to turn back. Legs gave way twice on the way home" (12 Dec). "Tried to walk to the corner shop. Got about 15 metres. Stood gripping a fence for 5 minutes before I could get back inside" (3 Jan).
His MS Nurse, in a letter dated 14 December 2025, states that Joe is "effectively wheelchair dependent outside the home." His physiotherapist's discharge summary confirms "functional mobility reduced to household level." These clinical opinions are entirely consistent with the 90 days of diary evidence. The assessor's finding is not consistent with any of this evidence and cannot be reconciled with it.
Furthermore, under PIP regulations an activity must be completable safely, reliably, repeatedly and in a reasonable time. Joe cannot satisfy any of these criteria for mobilising beyond 20 metres. He has fallen 12 times in 90 diary days. He cannot mobilise safely in warm weather due to Uhthoff's phenomenon (documented on 23 occasions). Post-exertional fatigue after walking 15–20 metres requires rest periods of 30–90 minutes before any further activity is possible — documented 51 times. Even on his best days, walking 25 metres takes approximately 4 minutes due to spasticity — eight times the average pace. None of this is consistent with moving reliably over 200 metres.
Daily Living — Washing and Bathing: Diary Evidence
The assessor awarded descriptor c (needs an aid to wash or bathe — 2 points). Joe's position is that descriptor d (needs physical assistance from another person — 3 points) more accurately reflects his needs, as documented on 64 of 90 diary days. Joe's wife assists him with bathing on approximately 5 days per week. An Occupational Therapy assessment conducted in November 2025 recommended a shower commode and carer support for all personal care. The OT report is available as supporting evidence. "She had to help me shower again today. On a good day I can manage alone if I'm very careful. Today wasn't a good day" (18 Dec).
Summary
Occupational Health — Reasonable Adjustments Evidence Report
Equality Act 2010 · FLARZY LTD · Company No. 17122546
Purpose and Context
This report has been prepared by Jane Doe for her Occupational Health appointment on 10 February 2026. It provides contemporaneous evidence of the functional impact of her health conditions on her ability to perform her role as Senior Accounts Manager, in support of a formal request for reasonable adjustments under the Equality Act 2010. Jane has been working an informal 3-day week since November 2025, agreed verbally with her line manager, and wishes to formalise this arrangement. She has been tracking her symptoms, work capacity and absence in FLARZY daily for the past 4 months to build a clear evidence base for this appointment.
Impact on Computer-Based Work
Jane's conditions affect both hands, limiting typing to approximately 25 minutes before pain and stiffness require a 15–20 minute break. Over an 8-hour day, this represents a significant reduction in productive output time. She has adopted voice recognition software to partially compensate, but this adds 30–40% to task completion time and is not fully effective for complex financial analysis. She cannot use a standard mouse and has purchased a trackball at her own expense. On migraine days — which occur on average 3.1 times per month, each lasting between 12 and 48 hours — screen-based work is entirely impossible: "Full migraine today. Screen is like looking at the sun. Couldn't even check my email" (14 Nov). "Third migraine this month. Starting to wonder how much longer I can keep doing this job" (29 Nov).
Impact on Meetings and Client-Facing Work
Long train journeys trigger significant joint inflammation — documented on 4 diary occasions following client visits. Jane has declined 4 client visits during the diary period due to active flares: "Had to pull out of the Manchester client visit today. Woke up and couldn't put weight on my right knee. Sent my junior colleague instead. Felt I'd let the team down" (7 Oct). "Missed the Edinburgh trip. Third one I've had to cancel. I know it's noticed" (18 Dec). She is fully effective on video calls when her pain is managed, but experiences significant fatigue on high-pain days that affects concentration during complex client discussions.
Sickness Absence Pattern
Jane had 18 days of sickness absence in the period October to January — 3 migraine episodes (6 days total), 2 significant joint flares (4 days total), and the remainder comprising individual days where pain or fatigue prevented work. On 34% of working days where she was present, Jane documented cognitive fog affecting her ability to perform complex analysis: "Stared at the quarterly report for two hours and couldn't see the error I knew was there. My brain just wouldn't do it. Asked a colleague to check it — she found it in five minutes" (4 Jan). She has requested extended deadlines on 3 occasions in the diary period, each time providing a detailed explanation to her manager.
Requested Reasonable Adjustments
Private Health Insurance — Clinical Necessity and Disease Activity Report
75-day diary evidence · FLARZY LTD · Company No. 17122546
Clinical Necessity — Evidence of Active Disease
This report provides 75 days of contemporaneous daily diary evidence of active, severe, inadequately controlled ████████████████████, in support of Joe Bloggs' private health insurance claim for gastroenterology outpatient assessment and initiation of biologic therapy. Joe's consultant gastroenterologist stated in writing on 18 October 2025 that "biologic therapy is now clinically indicated given inadequate response to current immunomodulator therapy." The NHS wait for this assessment is 18–24 months. The evidence below demonstrates that Joe's disease cannot wait 18–24 months.
Bowel Diary — 75-Day Record
Joe maintained a detailed daily bowel diary across all 75 days, recording frequency, consistency, bleeding and associated symptoms. Average bowel frequency was 8.4 movements per day — ranging from 4 on the best days to 14 on the worst. Nocturnal frequency — waking to use the bathroom 3 or more times per night — is documented on 61 of 75 nights, resulting in chronic sleep deprivation (average 3.8 hours per night across the diary period). Representative entries: "Up 5 times in the night. By morning I was so exhausted I couldn't get off the sofa. This is destroying my quality of life" (8 Dec). "14 times today. I can't leave the bathroom for more than 20 minutes. I can't work like this, I can't live like this" (2 Jan).
Rectal bleeding is documented on 50 of 75 diary days (67%). Volume ranges from trace to moderate. Blood is consistently recorded alongside cramping pain described as "severe" or "unbearable" on 34 diary days. Joe's weight at diary start was 84.0kg; at diary end, 79.0kg — a loss of 5.0kg in 75 days without dietary restriction. He documents loss of appetite on 58 of 75 days: "Can't eat. The thought of food makes me anxious because I know what comes after" (19 Dec).
Evidence of NHS Pathway Delay
Joe was referred to NHS gastroenterology on 10 September 2025. His FLARZY waiting list record confirms an estimated wait of 18–24 months, communicated at a GP appointment on 14 November 2025. His current medications — ████████████████ and ████████████ — are no longer providing adequate disease control as documented consistently across the 75-day diary and confirmed by his consultant's letter of 18 October 2025. CRP measured at 47mg/L in November 2025 confirms active systemic inflammation. Joe's diary makes clear the impact of waiting: "Another month gone. Every day I'm getting a bit worse. They told me to wait. I'm waiting. But my body isn't waiting" (15 Jan).
Musculoskeletal Symptoms
Your report is built from your own words
Every diary entry you write becomes evidence. Log daily — even for 5 minutes — and FLARZY builds a professional, detailed report that speaks for you.
Mandatory Review & Appeals
Evidence-focused documentation for mandatory reconsideration and tribunal proceedings
⚖️ Use this section to build evidence for a Mandatory Reconsideration or tribunal appeal. Document every descriptor dispute, record the frequency and reliability of your functional difficulties, and log all supporting evidence. This section uses evidence-focused language aligned with tribunal standards.
⚖️ Assessment Challenge Log
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⚠️ Use this section to document exactly where the assessment report is wrong. Be as specific as possible — exact quotes from the report, what actually happened, and what score you believe applies and why.
📋 Disputed Descriptors
For each activity where you disagree with the score, record what they said, what the correct score should be, and your evidence.
📅 Frequency & Consistency
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🏛️ PIP is awarded based on what you can do on more than 50% of days. If you can only manage an activity safely and reliably on fewer than half your days, you should be scored as unable to do it. Document your good days vs bad days here.
Activity Frequency Ratings
For each key activity, how often can you do it safely, reliably and to an acceptable standard?
🔍 Reliability Criteria Breakdown
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🏛️ An activity only counts as "can do" if you can do it safely (without risk of harm), repeatedly (as often as needed), in a reasonable time (no more than twice as long as someone without a disability), and to an acceptable standard. If any one of these criteria fails, you cannot be said to complete the activity.
🦽 Aids & Adaptations Record
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💡 Using an aid scores points under PIP descriptors — but only if the aid is "normally used." Record every aid, adaptation and appliance you use or have been recommended. Critically, note whether the aid fully resolves the difficulty or only partially helps — partial help still means you cannot complete the activity reliably.
👥 Third Party Evidence
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💡 Third party evidence — from carers, family, friends, neighbours or support workers who have witnessed your difficulties — carries significant weight at tribunal. Ask them to write a detailed letter describing specific incidents they have witnessed, not general statements.
No witnesses added yet.
📋 Evidence Tracker
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💡 Tribunals look for corroborating medical evidence. Track what you have submitted, what you are waiting for, and any gaps in your evidence. If evidence is missing, note why — e.g. long NHS waiting times, lack of diagnosis.
Evidence in hand
Evidence outstanding
🔄 Assessment Day vs Typical Day
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⚖️ Assessors often record what you could do on the day of assessment — which may have been a better day, or you may have pushed through to attend. This section documents the contrast between an exceptional effort and your typical reality.
How to Use Flarzy
Your complete guide to getting the most from your health diary
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