Graduated Response - Pre-school

The toolkit helps early years providers support children with SEND using practical guidance aligned with the SEND Code of Practice.

SEN support in settings

How the cycle works

  • Assess – Understand the child’s needs through observation and discussion.
  • Plan – Agree clear, achievable outcomes and strategies.
  • Do – Put the plan into action consistently.
  • Review – Check progress and adapt the plan if needed.

This cycle applies to all areas of need, including:

  • Speech and language
  • Social communication
  • Cognition and learning
  • Social, emotional and mental health
  • Hearing impairment
  • Visual impairment
  • Medical needs

Speech and language

Assess

  • Observe how the child communicates in different situations.
  • Talk to parents and carers about what they see at home.
  • Use age-appropriate checklists and screening tools.
  • Consider wider factors such as hearing and health.

Plan

  • Agree clear targets with parents and carers.
  • Plan activities that support speech and language development.
  • Include advice from speech and language therapists.

Do

  • Use agreed strategies consistently.
  • Adapt activities to encourage communication.
  • Model good language and give time for responses.

Review

  • Check progress regularly with parents.
  • Update observations and adjust the plan if needed.

Social communication

Assess

  • Observe how the child interacts with adults and peers.
  • Gather information from parents and carers.
  • Consider wider factors such as health and family circumstances.

Plan

  • Agree achievable targets.
  • Use strategies like visual prompts, clear routines, and turn-taking activities.

Do

  • Apply strategies daily.
  • Provide structured opportunities for interaction.
  • Keep the environment calm and predictable

Review

  • Review targets with parents.
  • Adapt or change the plan if progress is limited.

Cognition and learning

Assess

  • Gather information about development and learning.
  • Identify strengths and areas needing support.

Plan

  • Agree clear outcomes for learning and development.
  • Decide on strategies and resources.

Do

  • Put strategies into practice.
  • Adapt activities and the environment as needed.

Review

  • Check progress and record what worked well.

Social, emotional and mental health

Assess

  • Observe behaviour and emotional wellbeing.
  • Identify triggers or patterns.

Plan

  • Agree achievable outcomes.
  • Include calming techniques and routines.

Do

  • Apply strategies consistently.
  • Adapt routines and keep parents informed.

Review

  • Use feedback from staff and parents.
  • Update the plan if needs change.

Hearing impairment

Assess

  • Gather information about hearing and communication needs.
  • Identify how hearing loss affects learning.

Plan

  • Agree outcomes for learning and communication.
  • Include strategies like visual aids or assistive technology.

Do

  • Put strategies into practice.
  • Adapt activities and reduce background noise.

Review

  • Check progress and record changes.

Visual impairment

Assess

  • Gather information about vision and learning impact.
  • Identify barriers like lighting or layout.

Plan

  • Agree outcomes for learning and independence.
  • Include tactile materials or assistive technology.

Do

  • Adapt activities and the environment.
  • Keep parents informed.

Review

  • Check progress and update the plan.

Medical needs

Assess

  • Gather information about the child’s condition.
  • Review existing care plans.

Plan

  • Agree outcomes for health, safety, and learning.
  • Create an Individual Healthcare Plan if needed.

Do

  • Ensure staff are trained and confident.
  • Adapt activities to reduce risks.

Review

  • Update the plan if needs change.
  • Record what worked well.

Key points for all areas

  • The cycle is ongoing – repeat as needed.
  • Involve parents and carers at every stage.
  • Keep records clear and up to date.