I am well aware of the short half-life of hydrocortisone and the necessity of regular dosing.  I certainly did NOT say that it was OK to leave a child without their medication and you were right to be concerned.  I was however pointing out that you are lucky that your son goes to a school whereby they have agreed to administer medication, which is not available to everyone.  However schools here are usually within a 2-3  mile radius and parents are allowed to come at midday and give their children medication themselves, but I am sure you will appreciate this is a ’nuisance’, especially when long-term!    My son has therefore taken responsibility for his condition at an early age (which is encouraged by his specialist) and is extremely good at monitoring and knowing when he requires an increase. 

Your long, scathing letter will not do you any favours. Whilst I too sympathise with the problems you are experiencing with the school,  to rant and rave is not the answer.  You need to talk rationally and agree on a suitable time for medication which will not disrupt lessons and cause Ashley any unnecesssary distress.  You really should work on your approach and try not to continually get people’s backs up, then perhaps you will earn their respect and they will take more notice of what you say.  It will make life easier for your kids too!