SEMH NURTURE PROVISION ENTRY CHECKLIST
The following evidence should accompany the standard application form for a place at … SEMH Nurture Provision	Evidence Provided
(please indicate Yes/No)	
Evidence of actions and strategies already implemented by school and those recommended by other professionals involved and the impact/outcomes of these.  For example;
•	Behaviour plan/targets/outcomes
•	Evidence of targets being monitored/reviewed.  
•	Baseline assessments (e.g. frequency charts, ABC logs, feelings diaries)  
•	Evidence of interventions (plan-do-review)  
•	Risk assessment/handling plan

	Yes 	No 	
The pupil’s perception of their own strengths and what they would like support with: 
•	Formats personal to school  
•	Pupil profile  	

	Yes	No	
Evidence that there has been exploration of and identification of contributing factors to the pupil’s needs and that the SEMH advisory teacher is aware of the referral e.g. SEMH Advisory Teacher assessments, SOLAR, learning assessments, specific diagnosis e.g. ADHD, Educational Psychology assessment. (Please include joint formulations or initial hypotheses where possible.)  
Copy of external agency reports where possible.	

	Yes	No	
Evidence of partnership work with parents and the outcomes of this.  Formats personal to schools, but it is essential that:  
•	Notes are sent from TAF/TAC meetings which have involved parents and external agencies.  
•	Within these notes agreement that XXXX is recommended to support the school to meet the child’s needs.	

	Yes	No	
Record of exclusions (fixed and internal).
Reduced timetable documentation- reintegration plan if applicable.  
Most recent attendance with date.	

	Yes	No	
Recent online Boxall profile
	Yes	No	
Referral form completed – discussed with and signed by parent/carer

	Yes	No