Hello Jess' Mum
I remember my son's transfer to Secondary School very well indeed. He was diagnosed with Type 1 in February of Year 6 Primary School right before the SATS tests, so it was not long before he had to make the change and I was very daunted by it.
If you are not already familiar with the layout of Jess' new school, then it would be useful to be shown around at your appointment - so you can see where the medical room is and how far it might be from the dining hall. This may prompt you to ask questions around how the school would deal with pre-lunch checks - or whether in fact it would be better to test in the dining hall (which is what my son does).
Similarly, you may want to ask questions about how the school would deal with a hypo in class? Jess is likely to become increasingly self-conscious about having hypos in front of other people. Would she be treated in situ, or would she be moved to the medical room and if so, how would they manage this in terms of someone accompanying her, or sending for a wheelchair etc,? Again, your questions would really depend on the size and layout of the school.
Apart from the size of the school site, the other big difference will probably be that her class teachers will not have good awareness of her condition. There will always be supply staff and ancilliary staff and new staff - who simply will not be as familiar with individual students as they would be in primary school. To compensate for this, it could be useful if Jess is placed in a tutor group/class with an existing friend or friends, if possible. These friends could be invaluable for accompanying Jess if she needs to leave the classroom or perhaps to remind teaching staff of why Jess is not herself in the event of a hypo.
Discuss with the school whether Jess will need to be allowed to leave class early for lunch breaks (maybe with a pass card) or to have a 'queue jumping' pass card for the dining hall, whereby her and one friend can skip ahead to get food instead of waiting - especially if she has bolused beforehand.
The school cafeteria has instructions never to refuse Hugh food (even if he has no money) and always to allow him to finish eating his lunch, even if he is late and due back in class. These could be things you could think about too.
The biggest tip I have is to work in a friendly and co-operative way with the school, rather than to make demands upon them. Even though they have to make reasonable adjustments, it's as well to thank them for their consideration and get them on-side.
My son is now in Year 10 and has no issues at all with managing his condition in school. He has a great team of Support Staff in the office who do not hesitate to call or email me if they have any concerns at all. Likewise, I have sometimes sent Hugh into school with an unsuitable setting on his pump (e.g. on a Monday he has gone in with his 'weekend' insulin profile still running). The school have been only too happy to send a note to his class with my instructions.
Like you, I was concerned how he would get on, but although it took a while to get his management in school really right for him, we have done so to the point where I really feel he is as safe there as he is with me.
In fact, Hugh's school now has about 6 or 7 students with diabetes (2 on pumps) and the Head of Special Needs has been talking to me about bringing them together in some way for mutual support to try and help those who aren't managing theirs so well in school. How good is that??
Good luck. I hope Jess enjoys her new school.