Information
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Personnel
- Noreen Dixon
- Richard Greenwood
- Debbie Ireland
- Diane Hill
- Jane Hilton
- Jan Barker
- Pat Jenkinson
- Neil Evans
- Tina Southworth
- Louise Noblett
- Other
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Students name, D.O.B. & Age
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Address
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Telephone number
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Banding
- A
- B
- C
- D
- E
- F
- G
- H
- I
- No Banding
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Name of school
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School contact name and number
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Parent(s)/Guardian(s) name and contact number
Course and LDD
Course of interest
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Course name
Support Requirements
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Support Requirements
- 01 - Emotional/behavioural difficulties
- 02 - Multiple disabilities
- 03 - Multiple learning difficulties
- 04 - Visual impairment
- 05 - Hearing impairment
- 06 - Disability affecting mobility
- 07 - Profound complex disabilities
- 08 - Social and emotional difficulties
- 09 - Mental health difficulty
- 10 - Moderate learning difficulties
- 11 - Severe learning difficulties
- 12 - Dyslexia
- 13 - Dyscalculia
- 14 - Autism Spectrum Disorder
- 15 - Asperger's Syndrome
- 16 - Temporary disability after illness (eg post viral) or accident
- 17 - Speech, Language and Communication Needs
- 93 - Other physical disability
- 94 - Other Specific Learning Difficulty (eg. Dyspraxia)
- 95 - Other medical condition (eg Epilepsy, Asthma, Diabetes)
- 96 - Other learning difficulty
- 97 - Other Disability
- 99 - No LLDD/SEND
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If other please state which:
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Has the learning difficulty/disability been diagnosed?
Evidence of support requirements (copy held)
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Form 8
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Free writing
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Medical Evidence
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139a/EHC Plan
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SEN
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All About Me
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Fit to study letter
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Care Plan/Risk Assessment
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Ed Psychologist Report
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CAF/TAF
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Other
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If other please state which:
Support History
History of Support
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In class support
- 1:1 support
- Floating / access to support
- 1:1 support in English (only)
- Floating / access to support in English (only)
- 1:1 support in Maths (only)
- Floating / access to support in Maths (only)
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Which lessons?
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EAA
- N/A
- Reader
- Scribe
- Extra time
- Separate room
- Modified paper
- Word processor
- Rest breaks
- Prompt
- Shared room
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If modified paper please give more details: (Font size, colour, paper size etc)
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Normal way of working
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Specialist Equipment/Assistive Technology
Medical Needs
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Medical Condition/Allergy/Dietary Information
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Support from External Agencies (Name and contact details) (Social worker, YPS Advisor, YOT)
YOT
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• Are you, or have you been, supervised by the Youth Offending Team (YOT) or Probation Services in the past 3 years?
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If 'Yes' please give details (dates, length of time, offence)
General Details
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General Details
Review the following
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Attendance Issue
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Reference Check
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Looked After Child
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Excluded/Suspended
Pre-enrolment actions required
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Further information
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BKSB Assessments
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Familiarisation Visit
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Taster in school area(s)
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Enrolment Support
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Personal Care/Payments/Carer Liaison
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Meeting with PTL/HoS
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Reason
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Other
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Please state:
Tutor Adjustments
Accessing information
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Difficulties
- Reading difficulties (unfamiliar words)
- Reading difficulties (all words)
- Reading speed
- Reading out loud
- Understanding tasks
- Verbal instructions
- Processing information (verbal format)
- Processing information (written format)
- Loses place when reading
- Needs to re-read information to be able to process
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Strategies
- Handouts prior to lesson provided by tutor
- Tutor to read occasionally
- LSA to read every word
- Tasks to be broken down into manageable chunks by tutor
- Simplified language (rephrasing) by tutor
- Instructions to be visually reinforced by tutor (wipe board/handout)
- Materials to be uploaded onto MyCourse by tutor
- Assistive Technology
- Extra time to re-read information
- Use of a ruler / overlay to track text
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Other: (please specify)
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Overlay colour:
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Colour of pen on whiteboard:
Producing information
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Difficulties
- Note-taking
- Handwriting illegible
- Slow handwriting speed
- Organisation of thoughts
- Getting ideas onto paper
- Processing and thinking of information
- Organisation of workload
- Typing
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Strategies
- Assistive Technology
- Note-taker/Scribe
- Starter phrase
- Take photos using mobile phone
- Pace of lesson. Tutor to check at regular intervals
- Time to respond verbally
- Time to respond in written format
- Tutor to action plan / prioritise workload
- Use of planner
- Reinforce understanding of lesson / tasks
- Use of planning techniques (e.g. Mind Mapping)
- CSW to transcribe for a HI learner
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Other: (please specify)
Working memory / concentration
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Difficulties
- Time management
- Forget things (appointments, equipment)
- Forget to take medication and therefore loses concentration
- Forgets tasks (things to do)
- Concentration difficulties
- Easily distracted
- Forgetting lesson content / key information
- Problems with short term memory
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Strategies
- Action plan / prioritise workload
- Tutor and student to create a system to help remember key information (i.e. diary/phone/notebook)
- Write down / record homework
- Prompt to refocus
- Instructions to be visually reinforced and broken down into smaller, manageable chunks
- Repeating information to reinforce
- Use of phone to take visual format of key information
- Tutors to give times in different formats to enable student to be more independent (e.g. quarter to 11, 10.45am)
- Recapping of key points as learner needs to overlearn
- Change timetable format to one more easily understood
- Time out to refocus
- Use of countdown strategy for practical tasks (e.g. timer on iPad)
- Reminders by tutors for learners to check their emails
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Other: (please specify)
Communication/Social interaction
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Difficulties
- Embarrassed to ask for support
- Stressed and anxious in unfamiliar / difficult situations
- Avoid / difficulties with eye contact
- Struggles with changes to routine
- Literal interpretation of (response to) information
- Struggles with non-verbal communication which can lead to misinterpretation.
- Difficulty in accepting criticism
- May take immediate dislike to other learners or staff for no apparent reason
- Wanting to impose their ideas on other learners - must have it all their way
- Difficulties coping with change (i.e. staff members, rooming, timetable)
- Can't listen to tutor if others are talking
- Learner uses BSL as their first language and will be accompanied by a CSW
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Strategies
- Awareness of student and their difficulties / triggers
- Time out
- Do not force eye contact
- Discuss and explain any changes in advance
- Be specific, concise and clear with instructions including start and finish times of breaks
- When communicating with the learner they should use their first name and then pose the question`
- Encourage students to listen to views of others
- Tutors to manage classroom environment (e.g. noise levels)
- Tutor to ensure they introduce new people
- Check understanding
- Don't put student on the spot (e.g. reading aloud or answering questions)
- For group work liaise with support staff, if appropriate, prior to the lesson to ensure student is included in group work / activities, working together effectively
- Positive reinforcement for interaction
- Facilitate social interactions
- Tutors to explain when misinterpretation has taken place
- Be cautious when using humour, sarcasm, tone of voice
- Provide information in advance wherever possible
- Use of open questions
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Other: (please specify)
Sensory / Physical
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Difficulties
- Visual discomfort / stress
- Hypersensitive to noise
- Hypersensitive to touch
- Hypersensitive to taste
- Hypersensitive to light
- Visual Difficulties (loss of peripheral vision, loss of tunnel vision)
- Struggles to see in areas of low illumination
- Student lip reads
- Student has difficulties with hearing
- Student has limited / reduced mobility (e.g. wheelchair user, uses a cane etc.)
- Difficulties navigating the campus
- Student uses BSL and will be supported by CSW
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Strategies
- Assistive Technology
- Colour overlay
- Tutors to produce handouts on coloured paper (as identified in the earlier section)
- Avoid using particular pens on the wipe board (as identified in earlier section)
- Tutor to be aware of student's difficulties and adjust learning environment accordingly (i.e. sound/light, layout of the room, familiarisation of room)
- Additional time to process and produce information
- Information provided before the session to enable preparation for the session
- When the student enters or departs the room, tutor to speak to student by introducing themself and informing students who is present in the room
- Other students in class to introduce themselves whenever speaking
- Familiarisation of the coffee bar and refectory facilities. Assistance with menus, snacks and meals
- Tutor to face the student when giving information
- Handouts to student, and if applicable CSW, prior to the session
- Take photos using mobile phone
- When working in group situations tutors need to manage the situation getting students to raise their hands prior to talking
- Allow the student time to process the verbal information
- Tutors to use simplified language (task clarification)
- Provide lift codes
- Font size (enlarged)
- Tutor to be aware of their position when teaching the class to take into account the students needs
- To relocate classroom to the ground floor / accessible location
- Tutors to provide links to videos before sessions. Tutors to find vidoes with subtitles or provide transcript
- Tutors to be aware not to cross the path of the communication between the student and CSW
- Takes longer to navigate the campus - may need to leave early or arrive late
- At times student may need to move around the classroom in order to alleviate pain and stretch
- Tutor to provide a comfortable chair
- Tutor to provide height adjustable desk
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Other: (please specify)
Support Recommendations/Appointments
Initial Support Recommendations
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LSA Observations (Main Programme)
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LSA Observations (English)
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LSA Observations (Maths)
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CSW Observations
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CSW out of class
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Counselling
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Inclusion Contract
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Learning Support Coach
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EAA
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EAA - Medical
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Assistive Technology Assessment - ICT
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Overlay Assessment
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Materials Adaption
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Tutor Adjustments
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Risk Assessment
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PEEP
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Evacuation Chair Training
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Safe Haven Training
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Medical alert to school
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ELM Support
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Meeting and Taking to class
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Accompanying to and from transport
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Travel Training (Taxi)
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Independent Travel Training
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Vulnerable Learner
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Refer to safeguarding officer
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Maths Support (Out of class)
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English Support (Out of class)
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Student Manager
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SEN Coding
Declaration
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Should I enrol at college I understand that The SEND Team may wish to share/release information on a 'needs to know' basis so that you can be provided with the most appropriate support. I also understand that a further, more in depth interview may need to take place before I enrol.
Disclosure/Enrolment Statement
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If I enrol at the college I agree to this information being shared within college and with relevant outside bodies (e.g. Work placements, exam boards etc)
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All requests for SEND will be considered on an individual basis by the SEND Team. Applications for support can not be processed until all relevant evidence is received.
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Student signature:
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Student photo
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Staff signature:
Admin use
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Person to cost for:
- Noreen Dixon
- Richard Greenwood
- Debbie Ireland
- Diane Hill
- Jane Hilton
- Jan Barker
- Pat Jenkinson
- Neil Evans
- Tina Southworth
- Louise Noblett
- Other
-
Time taken
- 5 mins = 0.08
- 10 mins = 0.17
- 15 mins = 0.25
- 20 mins = 0.33
- 25 mins = 0.42
- 30 mins = 0.50
- 35 mins = 0.58
- 40 mins = 0.67
- 45 mins = 0.75
- 50 mins = 0.83
- 55 mins = 0.92
- 60 mins = 1.00
- 65 mins = 1.08
- 70 mins = 1.17
- 75 mins = 1.25
- 80 mins = 1.33
- 85 mins = 1.42
- 90 mins = 1.50
- 95 mins = 1.58
- 100 mins = 1.67
- 105 mins = 1.75
- 110 mins = 1.83
- 115 mins = 1.92
- 120 mins = 2.00
- 125 mins = 2.08
- 130 mins = 2.17
- 135 mins = 2.25
- 140 mins = 2.33
- 145 mins = 2.42
- 150 mins = 2.50
- 155 mins = 2.58
- 160 mins = 2.67
- 165 mins = 2.75
- 170 mins = 2.83
- 175 mins = 2.92
- 180 mins = 3.00
- 185 mins = 3.08
- 190 mins = 3.17
- 195 mins = 3.25
- 200 mins = 3.33
- 205 mins = 3.42
- 210 mins = 3.50
- 215 mins = 3.58
- 220 mins = 3.67
- 225 mins = 3.75
- 230 mins = 3.83
- 235 mins = 3.92
- 240 mins = 4.00
-
Date
-
Person to cost for:
- Noreen Dixon
- Richard Greenwood
- Debbie Ireland
- Diane Hill
- Jane Hilton
- Jan Barker
- Pat Jenkinson
- Neil Evans
- Tina Southworth
- Louise Noblett
- Other
-
Time taken
- 5 mins = 0.08
- 10 mins = 0.17
- 15 mins = 0.25
- 20 mins = 0.33
- 25 mins = 0.42
- 30 mins = 0.50
- 35 mins = 0.58
- 40 mins = 0.67
- 45 mins = 0.75
- 50 mins = 0.83
- 55 mins = 0.92
- 60 mins = 1.00
- 65 mins = 1.08
- 70 mins = 1.17
- 75 mins = 1.25
- 80 mins = 1.33
- 85 mins = 1.42
- 90 mins = 1.50
- 95 mins = 1.58
- 100 mins = 1.67
- 105 mins = 1.75
- 110 mins = 1.83
- 115 mins = 1.92
- 120 mins = 2.00
- 125 mins = 2.08
- 130 mins = 2.17
- 135 mins = 2.25
- 140 mins = 2.33
- 145 mins = 2.42
- 150 mins = 2.50
- 155 mins = 2.58
- 160 mins = 2.67
- 165 mins = 2.75
- 170 mins = 2.83
- 175 mins = 2.92
- 180 mins = 3.00
- 185 mins = 3.08
- 190 mins = 3.17
- 195 mins = 3.25
- 200 mins = 3.33
- 205 mins = 3.42
- 210 mins = 3.50
- 215 mins = 3.58
- 220 mins = 3.67
- 225 mins = 3.75
- 230 mins = 3.83
- 235 mins = 3.92
- 240 mins = 4.00
-
Date
-
Person to cost for:
- Noreen Dixon
- Richard Greenwood
- Debbie Ireland
- Diane Hill
- Jane Hilton
- Jan Barker
- Pat Jenkinson
- Neil Evans
- Tina Southworth
- Louise Noblett
- Other
-
Time taken
- 5 mins = 0.08
- 10 mins = 0.17
- 15 mins = 0.25
- 20 mins = 0.33
- 25 mins = 0.42
- 30 mins = 0.50
- 35 mins = 0.58
- 40 mins = 0.67
- 45 mins = 0.75
- 50 mins = 0.83
- 55 mins = 0.92
- 60 mins = 1.00
- 65 mins = 1.08
- 70 mins = 1.17
- 75 mins = 1.25
- 80 mins = 1.33
- 85 mins = 1.42
- 90 mins = 1.50
- 95 mins = 1.58
- 100 mins = 1.67
- 105 mins = 1.75
- 110 mins = 1.83
- 115 mins = 1.92
- 120 mins = 2.00
- 125 mins = 2.08
- 130 mins = 2.17
- 135 mins = 2.25
- 140 mins = 2.33
- 145 mins = 2.42
- 150 mins = 2.50
- 155 mins = 2.58
- 160 mins = 2.67
- 165 mins = 2.75
- 170 mins = 2.83
- 175 mins = 2.92
- 180 mins = 3.00
- 185 mins = 3.08
- 190 mins = 3.17
- 195 mins = 3.25
- 200 mins = 3.33
- 205 mins = 3.42
- 210 mins = 3.50
- 215 mins = 3.58
- 220 mins = 3.67
- 225 mins = 3.75
- 230 mins = 3.83
- 235 mins = 3.92
- 240 mins = 4.00
-
Date