RefocusED baseline and review referral
Thank you for completing this short RefocusED baseline and review referral. It takes about 2 minutes and helps us understand the pupil’s current needs before support begins, then measure progress after the intervention finishes. Please answer only what you can based on your classroom experience, if something is not relevant, leave it blank and submit.
Behaviour referral and progress tracker
Staff report snapshot, it does not diagnose.
Baseline
Complete baseline before intervention. Repeat at follow up to show change.
Student ID
Referrer name and role
Assessment point
Baseline and follow up only.
Date
Safeguarding and risk flags, tick any
Fast behaviour snapshot
Behaviour type, tick any
If Other is ticked, add 1 short description.
Frequency, duration, severity
Frequency
Typical duration
Severity, 1 low level, 5 learning cannot continue
Most common pattern
Trigger before it happens, tick any
What the student does, tick any
What usually happens next, tick any
Other pattern details, optional
0 of 140
Impact on learning
Minutes of learning lost per lesson
Who is impacted, tick any
Removal from lesson
Presenting concerns
Tick any that apply
If Other is ticked, add 1 short description.
Support requested from SEND
Tick any
Strengths and what helps
Strengths, interests, motivation
0 of 120
What helps most, tick any, optional note
0 of 140
Ratings
Higher scores mean stronger skills and fewer barriers.
Brief note, max 2 lines
0 of 180
Results
Need by area
Percent shows the barrier level for access to learning, based on the rating selected.
Need profile radar
Higher values indicate higher barriers. Baseline and follow up show when both exist.
Heatmap table
Shading shows need level. Green 0 to 29, Amber 30 to 59, Red 60 to 100.
Scores table
RAG is based on need percent, Green 0 to 29, Amber 30 to 59, Red 60 to 100.