Lancashire County Council Post 16 transport to education and training policy statement 2018/19

 
Lancashire County Council Post 16 transport to education and training policy statement 2018/19
Lancashire County Council

Post 16 transport to education and
training policy statement 2018/19

                 Page 1 of 12
Contents
Summary of Policy Statement and Main Objectives ..............................................................................3
Details of support available ...................................................................................................................3
   Government funded schemes ............................................................................................................3
   Discretionary Learner Support Funds ................................................................................................4
For Students attending a School Sixth Form .........................................................................................4
For Students attending a Further Education College or Provider ...........................................................4
For Students attending a Special School ...............................................................................................4
Eligibility for Transport Support..............................................................................................................4
Support for Learners with Disabilities and/or Learning Difficulties ..........................................................4
   What happens when my child turns 16?.............................................................................................4
   Students with special educational needs or disability with a Special Educational Needs
   statement/Education, Health and Care Plan maintained by the local authority ...................................5
   Attendance at a school or college outside Lancashire........................................................................5
   Passenger Assistants ........................................................................................................................5
   Route Reviews...................................................................................................................................6
    What can you apply for? .................................................................................................................7
      Who can apply? .............................................................................................................................7
      Where to apply? .............................................................................................................................7
Mobility / independence training for learners who face difficulty with transport ......................................7
Support available for students who attend a further education institution which is beyond daily
travelling distance and they need to stay away ......................................................................................8
   Support available for young parents...................................................................................................8
Useful contact information .....................................................................................................................8
   School Transport Enquiry Line ...........................................................................................................8
Appeals and Complaints Procedure ......................................................................................................8
Support available from post 16 institutions in Lancashire ......................................................................9
For young people following an Apprenticeship .................................................................................... 11
Appendix A .......................................................................................................................................... 12

                                                                  Page 2 of 12
Summary of Policy Statement and Main Objectives
Every Local Authority in England has a duty to prepare and publish an annual Transport Policy
Statement which complies with the requirements of section 509 AA of the Education Act 1996
regarding adequate provision of transport to facilitate the attendance of post 16 learners.
The Transport Policy Statement describes the transport support available to young people aged 16-19
years old, and young person's up to 25 years old who have a learning difficulty and /or a disability, who
are entering or continuing in further education and learning, including apprenticeships and
traineeships.
This statement provides information regarding transport support available for Lancashire learners
accessing 16-19 education and training for the academic year 2018/2019.
The following sections outline how 16-19 year olds and young person's up to 25 years old who have a
learning difficulty and / or a disability can access support with transport to their chosen educational
establishment. Much of this support is provided by the establishments themselves, in partnership with
public transport providers and the County Council.
All young people's transition to adulthood should support them to reach their full potential as an adult,
by helping them to make decisions about their career, education, social life and where they are going
to live. The transition process should be driven by the needs, views and wishes of the young person
and their family, and not by the agencies surrounding them, in order that they can become as
independent as possible.

Prior to the end of Y11 we will work with parents, colleagues in our SEND team who have been
working with you to develop the Education Health Care (EHC) plan for your young person, and both
their current school and preferred post 16 education or training provider to determine what support is
required to enable them to travel to and from college/setting.

In line with the preparing for adulthood agenda of encouraging independence and building self-esteem,
support for travel to college/setting will take the following form:
      Mainstream Public Transport;
      Independent Travel Training;
      Contracted transport from pick up and drop off points; and
       In exceptional circumstances, contracted transport will be from home.
      Where transport is provided, it will be at the beginning and end of the academic post 16
       education or training provider day and not around individual bespoke timetables.

Those who do not qualify under the Council's post-16 home to school travel assistance policy for
financial support will need to make their own travel arrangements to and from school or college.
Some colleges operate their own transport services. Therefore, students may wish to contact their
chosen centre directly for information regarding services available in their area. See page 10-11.

Details of support available
Government funded schemes

The 16-19 Bursary Fund
The 16 to 19 Bursary Fund provides financial support to help students overcome specific barriers to
participation so they can remain in education.
The Bursary Fund is administered directly by individual schools and colleges and has two elements:
Vulnerable Student Bursary – for young people in care or care leavers; those on Income Support or
Universal Credit in their own right; and disabled young people in receipt of both Employment Support
Allowance or Universal Credit and either Disability Living Allowance or a Personal Independence
Payment in their own name. A vulnerable student bursary can be up to £1,200 annually

                                              Page 3 of 12
Discretionary Bursary - the rest of the fund is awarded on a discretionary basis by your school or
college. Institutions set their own criteria for allocating this funding and can award discretionary
bursaries to any student facing genuine financial barriers to participating.
Individual institutions are responsible for managing both types of bursary. They will decide which
students receive a discretionary bursary and how much this will be, depending on each student's
circumstances. The bursary is paid directly by the institution. Students who want to apply for support
from the bursary fund should contact their chosen institution to make an application.
More information about the 16-19 bursary fund are available on the Gov.UK website at
https://www.gov.uk/1619-bursary-fund/overview

Discretionary Learner Support Funds
If you are aged 19 or over on a further education course and facing financial hardship, you could get
discretionary learner support. This funding can be used to contribute towards travel costs, amongst
other things. More information about discretionary learner support is available at Discretionary
Learner Support.

For Students attending a School Sixth Form
Students attending a school sixth form may be able to travel on the contracted school buses provided
by the County Council, subject to the availability of places. Fares can be paid daily or by purchasing a
season ticket. For more information, please contact the School Traveline on 0300 123 6738 or at
schooltransport@lancashire.gov.uk.
For details of any additional support for transport available from the schools, for example through the
16-19 bursary, please contact the individual school sixth forms directly.

For Students attending a Further Education College or Provider
Transport assistance is generally made available by further education colleges.
In general, college travel passes permit travel to and from the college at the start and end of the
college day. However, some passes may allow greater flexibility. Details of this and any assessment
criteria and costs to the student can be obtained by contacting the college or provider directly for more
detailed information. The table starting on page 9 which has details of support from colleges.

For Students attending a Special School
Students attending a special school may be able to travel on the contracted school buses provided by
the county council, subject to the availability of places. Fares can be paid daily or by purchasing a
season ticket. For more information, please contact the School Transport enquiry line on 0300 123
6738 or at schooltransport@lancashire.gov.uk.
For details of any additional support for transport available, for example through the 16-19 bursary,
please contact the individual special school directly.

Eligibility for Transport Support
Information regarding eligibility for concessionary fares offered by schools, colleges or public transport
operators can be obtained by contacting them directly.

Support for Learners with Disabilities and/or Learning Difficulties
What happens when my child turns 16?
The Local Authority has a duty to encourage, enable and assist participation of all young people with
learning difficulties and/or disabilities up to 25 years of age. However, there is no automatic
entitlement to free home to school transport if your child is over 16 at the beginning of the
academic year (1st September). This is regardless of whether they are working a year behind.
Further education colleges and schools may be able to provide additional support to their students.
This will depend on the policy of the individual college and your circumstances. Please contact your
                                              Page 4 of 12
local college's Student Services or Finance Department for further details.
Additionally, please see the special educational needs and disabilities section of Lancashire County
Council's website for more information and the detail below as a summary of support which in 2016/17
the County Council will continue to deliver.

Students with special educational needs or disability with a Special Educational Needs
statement/Education, Health and Care Plan maintained by the local authority
Travel assistance will generally only be considered to the nearest provider with post 16 provision
which, in the opinion of the County Council offers an appropriate course. An appropriate course is
one that enables the young person to meet his or her learning and or employment objectives, or is
specifically designed to meet the student's special educational needs. The following conditions also
apply;
      The young person is under 19 years of age when they start their course
      The distance between the young person's home and their education provider is more than 3
       miles by the nearest suitable walking route

Home to school/provider transport assistance will be considered for young people aged 16-19 who
are attending their nearest appropriate school/provider which is within the 3 mile walking distance if
they could not be reasonably expected to walk there, accompanied as necessary, by reason of their
SEN, disability or mobility problem. Cases are considered on an individual basis and medical
evidence is required before transport assistance is agreed.
Where a young person is able to access and use the public transport network safely they will be
expected to do so. Where appropriate, passenger assistant support will be provided, for a period of
time, to support a young person develop independent travelling skills.
No assistance will be provided under this policy for a student who is aged 19 or more when he/she
begins a course of further education, a student choosing to attending a part time course (less than 12
hours) –or a student undertaking a higher education course. Any student who is unable to attend a full-
time course by reason of their disabilities may be considered for transport however any application
must be supported by clear evidence from the school/provider and/or medical professionals working
with the student.
Where travel assistance is provided it would normally consist of a maximum of 1 outward journey and
one return journey from home to school/ designated pickup drop off points. For young people who
have been placed in residential provision by the local authority, transport assistance would normally
consist of one outward and one return journey per term.

Attendance at a school or college outside Lancashire
If a student chooses to undertake a full-time further education course at a school or college outside the
County, travel costs will only be met if the school or college attended is the nearest one providing an
appropriate course and the journey is three miles or more. If a place is available on a comparable
course at a nearer Lancashire school/college, no assistance will be provided.

Passenger Assistants
There is no specific duty on the Council to provide passenger assistants for children carried on home
to school transport. However, fulfilling a duty of care to passengers and others may involve the
provision of a passenger assistant.
A passenger assistant may be provided to accompany a child with significant needs arising from a
medical condition or a disability and where there is an exceptional need for care or supervision. The
decision on whether to provide a passenger assistant will be made as part of the transport banding
assessment taking a number of factors into account. Such factors may include information relating, but
not limited, to:
      Medical issues
      Health and safety related issues, including risk to self or others
      The child's mobility
                                              Page 5 of 12
   Any challenging behaviour arising from the child's SEN
      Where a passenger has severe learning or physical difficulties, the need for continual care and
       supervision
      Age and capability
      Length of journey
      The vehicle type and size.

A 1:1 passenger assistant will only be provided where there is substantial evidence that demonstrates
a child may be at significant risk, or may pose a significant risk to others on the same route, if they
travel without supervision. Any assessment for an individual passenger assistant must be supported
by detailed evidence that clearly demonstrates the nature and level of risk to themselves and/or others.
In exceptional cases, and where a child has a severe medical condition that requires support during
transportation, professional medical support may be provided. Any assessment for this level of
support must be supported by detailed evidence that clearly demonstrates the nature and level of the
risk to the individual.
Where a passenger assistant is provided, he or she will:
      Travel with the child from an designated pick-up point to an agreed drop-off point
      Assist with entry to and exit from the vehicle
      Ensure, as far as reasonably practicable, a safe journey for the child and other passengers
      Provide a caring environment whilst on the vehicle
      Act as an extended communication channel between home, the transport service and school.

A passenger assistant may supervise more than one child on a journey, consistent with providing the
appropriate level of service for each individual while they are on the vehicle.
First aid may only be given by a passenger assistant trained to do so. A passenger assistant will only
administer any form of medication in an emergency, and only to a child who has a known medical
condition and has the appropriate medication or specific instructions with them; and then only when the
passenger assistant has been specifically trained to administer the medication or appropriate
intervention.
Parents must provide details of all up-to-date information regarding the child's needs. Once transport
with a passenger assistant has been arranged, parents must provide full details of any changes in the
child's need and circumstances, including any information specific to the journey in writing to the SEND
Service Area Teams:
North - Fylde, Wyre and Lancaster
Tel: 01524 581 200
SEND.North@lancashire.gov.uk

South - Chorley, South Ribble, West Lancashire and Preston
Tel: 01772 531 597
SEND.South@lancashire.gov.uk

East - Hyndburn, Ribble Valley, Rossendale, Burnley and Pendle
Tel: 01254 220563 or 01254 220562
SEND.East@lancashire.gov.uk

Route Reviews
Over a period of time the children and young people travelling to a school changes – some children will
leave and new children will join. Sometimes the needs of the children travelling also change.
Our transport teams regularly review transport operators and individual transport routes to make sure
that they meet the needs of the children travelling as much as possible, as well as delivering best value
for public money.

                                             Page 6 of 12
It is not possible to consult with parents as part of an operator or route review. This is to enable
operator / route reviews to be carried out in a timely and efficient manner and to avoid raising parental
expectations that preference for a particular form of provision will override the cost-effectiveness or
efficiency. However, where a child's education health and care plan indicates that he or she is
particularly sensitive to change, the impact of any proposed change will be considered. This may
involve discussion with the school / college or the parent.
Parents may receive notification at any time that the type of transport provision for their child's school
transport is to be changed as a result of a review. Changes may involve:
      Changes to the contractor employed
      Changes to Passenger Assistant provision
      Changes to timings.

Notice will be given of changes wherever possible, but some may need to be made at very short
notice, for example as a result of termination of a contract with a vehicle operator or sickness.
Further sources of support
In addition disabled students, if eligible, can apply for the NoWcard. The NoWcard is part of the
English National Concessionary Travel Scheme and is jointly operated by Cumbria and Lancashire
County Councils, and Blackburn with Darwen and Blackpool Borough Councils to enable
concessionary bus travel for both older and disabled residents.

What can you apply for?
You can apply for a pass which will entitle holders to free off-peak travel, between 9.30am and 11pm
Monday to Friday and all day Saturday, Sunday and bank holidays, on local bus services throughout
England.

Who can apply?
   The scheme is open to all citizens over the age of 5 who:
   Are registered blind or partially sighted
   Are registered profoundly or severely deaf
   Are without speech
   Have a disability or suffered an injury which has a substantial and long-term adverse effect on
     his/her ability to walk
   Have a learning disability that is a state of arrested or incomplete development of mind which
     includes significant impairment of intelligence and social functioning
   Do not have both arms or have long term loss of the use of both arms
   Would be refused a driving license under Section 92 of the Road Traffic Act (1998), otherwise
     than on the ground of persistent drug or alcohol misuse.

Where to apply?
Lancashire residents should contact the NoWcard Helpline on 0300 123 6737 or visit
www.nowcard.org to find out how to apply.

Mobility / independence training for learners who face difficulty
with transport
A number of colleges provide training and support. Please contact the college or school directly.
Bus Confidence is a website designed to help young people with special educational needs travel to
school or college on their own. The on-line training package is available at Bus Confidence free of
charge to students, parents & schools.

                                               Page 7 of 12
Support available for students who attend a further education
institution which is beyond daily travelling distance and they
need to stay away
There are two options available for students studying away from home because their chosen course is
not available locally:

      Studying at a college that offers residential bursaries for certain courses
       Students aged at least 16 and under 19 on 31 August 2015 who are studying at Myerscough
       College can apply for accommodation on campus. Priority is normally given to students living
       outside a 25 mile radius. Funds may be available to help towards residential costs through the
       Residential Bursary Fund. For more information please contact the College’s Student Finance
       Advisor on 01995 642398 or email studentfinance@myerscough.ac.uk
      Applying for finance under the Residential Support Scheme (RSS)
       The Residential Support Scheme is nationally administered by the Education Funding Agency
       and provides help with term-time accommodation costs, up to a maximum of three years.
       Awards are up to £3,458 depending on the level of household income.
For more information regarding eligibility criteria or how to apply, visit https://www.gov.uk/residential-
support-scheme or call the Learner Support Helpline on 0800 121 8989.

Support available for young parents
The Care to Learn (C2L) scheme can help pay for childcare and travel costs for young parents aged
19 and under at the start of their course. The scheme is available for publicly funded courses in
England including courses in schools, school sixth forms and sixth form colleges.
Applications and further information are available from the Student Bursary Support Service on 0800
121 8989 or at c2l@studentbursarysupport.co.uk. Further information is available at
https://www.gov.uk/care-to-learn

Useful contact information
School Transport Enquiry Line
Telephone: 0300 123 6738
Email: schooltransport@lancashire.gov.uk
Open Monday to Friday 9am-5pm
For information on public transport services, including bus timetables and routes, visit the Public
Transport section of Lancashire County Council's website.
For help planning your journey, please visit http://www.traveline.info/ or telephone 0871 200 22 33.

Appeals and Complaints Procedure
Appeals to Lancashire County Council regarding transport provision for learners with special
educational needs/disabilities
Parents or students can appeal against a decision not to provide transport, the mode of transport or
passenger assistance, if they feel there are exceptional circumstances.
The Student Support Appeals Committee will consider any written information you give them to support
your appeal, but they will not allow you to give your information in person. The Student Support
Appeals Committee decision is final, unless there is some significant change in your circumstances
which means we should reconsider the appeal.
Appeal forms are available from local area education offices or downloadable from the council's
website.

                                               Page 8 of 12
Appeals to Colleges of Further Education
If you have applied for transport support from a local college, have been unsuccessful and feel there
are valid reasons for an appeal, please write to the Principal at the relevant College.
Complaints about Lancashire County Council
Should you wish to make a complaint about the local authority in relation to this policy statement, you
are able to do this in a variety of formats. Further information is available at Complaints Process.
If this does not result in a satisfactory outcome, young people and their families may consider
contacting the Local Government Ombudsmen (LGO) or complaining to the Secretary of State.
Further information on the LGO complaints process is available at LGO Complaints. To complain to the
Secretary of State, young people and their families should use the contact form which can be found
here.

Support available from post 16 institutions in Lancashire
*Transport support available from colleges is subject to change.

 College          Information                                   Contact
 Accrington &     Contact the college for          Address      Accrington and Rossendale College
 Rossendale       more information/terms                        Broad Oak Campus
 College          and conditions.                               Broad Oak Road
                                                                Accrington
                                                                BB5 2AW
                                                   Telephone    01254 389933
                                                   Email        info@accross.ac.uk
                                                   Website      www.accross.ac.uk
 Blackburn        £30 per term travel pass         Address      Blackburn college student support The Hub
 College          for a number of travel                        Blackburn College
                  options.                                      Feilden Street
                                                                Blackburn
                                                                BB2 1LH
                                                   Telephone    01254 292929
                                                   Email        thehub@blackburn.ac.uk
                                                   Website
 Blackburn St     An SMC Travel Pass               Address      Student Services
 Mary's           entitles you to daily travel                  St Mary's Sixth Form College
 College          on the SMC service buses                      Shear Brow
                  for one Academic Year                         Blackburn
                  (term time only). Routes                      BB1 8DX
                  and timetables are               Telephone    01254 580464
                  available from the college.      Email        studentservices@stmarysblackburn.ac.uk
                                                   Website      www.stmarysblackburn.ac.uk
 Blackpool 6th    Subsidised transport             Address      Student Services
 Form College     support is available across                   Blackpool Sixth Form College
                  the majority of transport                     Highfurlong
                  routes to the college.                        Blackpool
                  Prices vary dependent on                      FY3 7LR
                  route.                           Telephone    01253 394911
                                                   Email        vjackson@blackpoolsixth.ac.uk
                                                   Website      www.blackpool.ac.uk/support/funding

                                                 Page 9 of 12
Blackpool &     The college runs two bus        Address      Student Services
the Fylde       services from Fleetwood                      Blackpool and the Fylde College
College         and South Fylde. Contact                     Ashfield Road
                the college directly for                     Blackpool
                details.                                     FY2 0HB
                                                Telephone    01253 504343
                                                Email        info@blackpool.ac.uk
                                                Website      www.blackpool.ac.uk/support/funding
Burnley         Full time students              Address      Student Services
College         travelling over 2 miles to                   Burnley College
                college are able to buy a                    Princess Way
                bus pass for £2.50 per                       Burnley
                week                                         BB12 0AN
                                                Telephone    01282 733333
                                                Email        student.services@burnley.ac.uk
                                                Website      www.burnley.ac.uk
Cardinal        Subsidised passes are           Address      Student Services
Newman          available with all the major                 Lark Hill Road
College         transport providers in the                   Preston
                Lancashire Area. Passes                      PR1 4HD
                are valid for the entire        Telephone    01772 460181
                academic year and most          Email        studentservices@cardinalnewman.ac.uk
                can also be used at             Website      www.cardinalnewman.ac.uk
                evenings and weekends.
                Please complete the
                Transport Application
                Form available from the
                College.
Lancaster &     Free College Bus Service        Address      Student Services
Morecambe       available for scheduled                      Lancaster & Morecambe College
College         services for full time                       Morecambe Road
                students from the                            Lancaster
                Garstang and Galgate                         LA1 2TY
                area.                           Telephone    0800 306 306
                Special rates (up to 20%        Email        info@lmc.ac.uk
                discount) on Stagecoach         Website      www.lmc.ac.uk
                termly bus passes.
Myerscough      Transport provided to and       Address      Myerscough College
College         from the main campus                         Bilsborrow
                each day during term time.                   Preston
                Routes cover much of                         Lancashire PR3 0RY
                Lancashire. Various bus         Telephone    01995 642222
                pass schemes are                Email        transport@myerscough.ac.uk
                available.                      Website      www.myerscough.ac.uk
Nelson and      All 16-18 students are          Address      Nelson and Colne College
Colne College   eligible for subsidised                      Scotland Rd
                termly bus passes.                           Nelson
                If you would like a                          BB9 7YT
                personal Travel Plan            Telephone    01282 440 200
                before you enrol, or you        Email        studentservices@nelson.ac.uk
                require more information        Website      www.nelson.ac.uk
                on transport contact the
                college directly.

                                             Page 10 of 12
NLTG                                             Address       The Old Bakery
 Vocational                                                     Grange Lane
 Centre of                                                      Accrington
 Excellence                                                     BB5 2BU
                                                  Telephone     01254 397119
                                                  Email         info@nltg.co.uk
                                                  Website       www.nltg.co.uk

 Preston           Subsidised travel available    Address       Student Services
 College           across a number of routes                    Preston College
                   - Contact the college                        St Vincent's Road
                   directly for more                            Preston
                   information.                                 PR1 6AS
                                                  Telephone     01772 22 56 56
                                                  Website       www.preston.ac.uk
 Runshaw           Subsidised travel available    Address       Student Advice Centre
 College           across a number of routes                    Runshaw College
                   - Contact the college                        Langdale Road
                   directly for more                            Leyland
                   information.                                 PR25 3DQ
                                                  Telephone     01772 643020
                                                  Email         justask@runshaw.ac.uk
                                                  Website       www.runshaw.ac.uk/life-at-runshaw/travel-
                                                                to-runshaw/
 West              A free Arriva bus pass is      Address       Learner Gateway
 Lancashire        available to full-time                       West Lancs College
 College           further education students                   Yewdale
                   (aged 16-18 years) who                       Skelmersdale
                   need a bus to get to                         WN8 6JA
                   college. Passes will be        Telephone     01695 52300
                   issued in the first term.      Email         enquiries@skelmersdale.ac.uk
                   The college also offers a      Website       www.westlancs.ac.uk/student-
                   free bus Service from                        support/transport
                   Kirkby, Fazakerley,
                   Aintree and Maghull areas
                   to Skelmersdale.

For young people following an Apprenticeship
As apprentices are employed and will being receiving a wage, no financial support will be provided by
post 16 institutions in relation to travel costs. It may be that young people on an apprenticeship are still
entitled to discounts on bus fares and the bus companies would be able to advise on this.
Support available from post 16 institutions in neighbouring local authority areas
For information about the transport policies in the neighbouring local authority areas of Blackpool and
Blackburn with Darwen, these will be available on their websites:
      www.blackpool.gov.uk
      www.blackburn.gov.uk

                                              Page 11 of 12
Appendix A
Transport Banding   Indicator                                       Specification
Framework Band
T1                  Child/young person can travel                   No transport required.
                    independently eg: walk, public transport,       No passenger assistant
                    parent drop off.                                required.
T2                  Parent can transport child/young person         No transport required.
                    using own transport in exchange for             No passenger assistant
                    payment at appropriate mileage rate.            required.
T3                  Child/young person is developing                No transport required.
                    independent travel skills.                      Passenger assistant support
                                                                    required.
T4                  Child/young person is able to access            Transport in a suitable vehicle
                    dedicated transport at designated pick          provided.
                    up/drop off points.                             No passenger assistant
                                                                    required.
T5                  Child/young person is able to travel with       Transport in a suitable vehicle
                    selected other pupils without supervision.      provided.
                                                                    No passenger assistant
                                                                    required.
T6                  Child/young person is able to travel with       Transport in a suitable vehicle
                    selected other pupils. The level of need may    provided.
                    require intervention/supervision from a         Passenger assistant provided.
                    trained passenger assistant.
T7                  Child/young person is not able to travel with   Individual travel in a suitable
                    other children or young people but can          vehicle provided.
                    travel without supervision.                     No passenger assistant
                    Appropriate evidence must be submitted to       required.
                    support the need for individual travel.
T8                  Child/young person is not able to travel with   Individual travel in a suitable
                    other children or young people. The level of    vehicle provided.
                    need may require intervention/supervision       Passenger assistant provided.
                    from a trained passenger assistant.
                    Appropriate evidence must be submitted to
                    support the need for individual travel
T9                  Child/young person has complex medical          Specialist transport provided.
                    needs that may require possible specialist      Appropriately trained
                    intervention in transit.                        passenger assistant/medical
                    Appropriate evidence must be submitted to       support required.
                    support the need for specialist transport.

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