Sensory and Physical – Physical Needs SEN support

Where limited or no progress is made using Universal strategies, further assessment of barriers should take place. This assessment will inform which strategies at both Universal and SEN Support should be put into place. Progress will be monitored through successive ADPR cycles.
	What can help?(Strategies and provision)
Physical access to the school	To include Universal support plus: For CYP with physical needs that requires SEN Support, an EHA referralshould be made to the PIMS Team for further advice and support. Information can be found on the SSE Website. Attend training: PDnet -Supporting Learners with Physical Disability, Level 2
Toileting and self-care	To include Universal support plus: For CYP with physical needs that requires SEN Support, an EHA referral should be made to the PIMS Team for further advice and support. Information can be found on the SSE Website. Referral to the SPOT Occupational Therapy team via Somerset Direct on 0300 123 2224 to be made if further advice and support needed for positioning on the toilet. Further information: SPOT Occupational Therapy Service Consider a referral to the continence team or school nurse. School Nurses cover Level 1 continence i.e. Primary Night-time wetting, Bladder and Bowel team cover most other aspects relating to school. For further information see the continence team information on the local offer website. The Children’s Bowel and Charity is the UK’s leading charity supporting all children and teenagers with a bowel or bladder problem A free telephone and email helpline Clinically correct information and digital resources Training courses for health and education professionals Support and information events for parent carers An online shop supplying a range of continence products for CYP
Sitting and seating	To include Universal support plus: Referral to the SPOT Occupational Therapy team via Somerset Direct on 0300 123 2224 to be made if further advice and support needed. For further information:SPOT Occupational Therapy Service Follow professional advice for reasonable adaptations and commercially available equipment. Consider referral to Physiotherapy in CYPTS if strategies have not supported progress. Further information and referral criteriacan be found on the service website.
Handwriting and fine motor skills	To include Universal support plus: Recording work Access to dedicated lap top or tablet for recording work Text to speech to assist reading Word prediction to support spelling Speech to text to quicken recording methods Learnt to type programme -Typing ClubLearn, Touch Typing Free -TypingClub Referral to SENATAS Development of Touch Typing skills using programmes such as https://www.doorwayonline.org.uk/typing or BBC dancemat Touch Typing https://englishtype.com/junior-type/ Regular programme of fine motor skills Activities individually or in small groups
Coordination and mobility	To include Universal support plus: Regular programme of motor coordination activities individually or in small groups such as: Learn to MoveSPOT-OT offer CYP-specific Manual Handling training. This will require a referral to the SPOT OT team plus prior attendance at the generic Moving and Handling Training course. Consider a referral CYPTS OT and Physiotherapy should further advice and support be needed. More information and referral criteria can be found on their website.