Specialist Step

What is expected to happen at specialist step?

Image of specialist cycle assess, plan, do, review


Specialist Step - Specialist Assessment

Assess: Assess child’s learning as described in the statutory Early Years Foundation Stage (EYFS), draw conclusions. If necessary, start using Development Journal (Early Support) to measure progress over time.

Plan: Follow the steps: gather all evidence of support given to the child, setting’s evidence of their inclusive practice -impact of strategies used and changes of environment, such as impact of audits completed, training attended, Inclusion Planning Meetings discussions, any trained and tested targeted support, SEND Support Plan (with clear tracking of smart targets with evaluation), attach up- to -date reports and recent assessments such as progress summaries, Ages and Stages (A&S) questionnaires from Health Visitors/Community Nursery Nurses (if possible A&S monitoring tool).

Do: Make referral to the Bridge by completing a page in the EHAT system.

Review: Start liaising with the Bridge specialist regarding progress the child is making. Negotiate with professionals at the Bridge who is best placed to take the role of the lead professional.


Step: Specialist Assessment

Review: Consider if the child requires Enhanced SEND Support or Educational Health Care Needs Assessment


Early years Quality & Inclusion Team, Send Gateway, The Bridge Centre, Early Years Hub, Acorns School Teaching Alliance, St Helens Council, Nasen, Focus On

Specialist Therapy Services

Speech & Language Therapy Support and care for children and adults who have difficulties with communication, or with eating, drinking and swallowing.
Physiotherapy Helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce risk of injury.
Occupational Therapy Treatment of injured, ill, or disabled individuals through the therapeutic use of everyday activities. The therapist can facilitate the development, recovery or improvement to maintain the skills needed for daily living and working.
Nurse Specialist A registered nurse with a focus on the management and improvement of nursing care within a particular clinical speciality. This can include areas such as epilepsy, allergy, asthma, diabetes, cancer and diabetes etc.
Community Children’s Nurse Provide clinical nursing skills and training to support children and young people within their own home and community settings Nursing specialist in the environment and care closer to home.
CAMHS  Child and Adolescent Mental Health Services. An NHS service that assesses and treats young people with emotional, behavioural or mental health difficulties. 
Dietician Assesses an individual’s nutritional needs and develop a food / fluid plans.

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The purpose of the Local Offer is to enable parents and young people to see more clearly what services are available for children with special educational needs and disabilities in their area, and how to access them.

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