Evidence-Based
School Support Toolkit

School Support Pathways

How to get the right support in school in England, Scotland, Wales and Northern Ireland.
A guide for teachers, SENCOs, ALNCos and school leaders on how to get the right support for a pupil with FASD, possible FASD or similar needs. It covers routine support for learning needs, how this differs from safeguarding, and the main routes in England, Scotland, Wales and Northern Ireland.

Support Should Be Needs-Led

🧭
You do not need a diagnosis to give support
In all four nations, support in school should be based on what a pupil needs, not on a diagnosis. Waiting lists for FASD assessment can be long. Start support now and keep reviewing it (DfE guidance, IPSEA).
🩺If you think a health assessment may help
Schools do not diagnose FASD. Share what you have noticed with the parents or carers, and agree who will contact the GP, school nurse or health visitor. NICE QS204 says children and young people with probable prenatal alcohol exposure and significant physical, developmental or behavioural difficulties are referred for assessment (NICE QS204 Statement 3). Do not guess about alcohol exposure in pregnancy from a pupil’s behaviour, family or care history.
🤝Work with the family
Parents and carers know the pupil best. Many children with FASD live with adoptive, foster or kinship carers, who may not know the birth history. Listen to what they see at home, share good news as well as concerns, and agree a simple way to keep in touch.

SEN Support or Safeguarding?

These are two separate routes. A pupil may need one, the other, or both.

Routine support for learning needsSafeguarding or child protection
When to use itA pupil has difficulties with learning, communication, attention, behaviour, sensory needs or regulationYou think a pupil is being harmed, or is at risk of abuse, neglect or exploitation
Who leadsClass teacher with the SENCO or ALNCo (in Scotland, school staff with the named person)The designated safeguarding lead, person, coordinator or teacher
How quicklyPlanned, with regular reviewStraight away, the same day
ParentsInvolved at every stepFollow your safeguarding procedures on what to share and when
FASDPossible or diagnosed FASD is a reason to plan supportPossible FASD on its own is not a safeguarding concern
🛡️
If a child is in immediate danger
Call 999. Then follow your school’s safeguarding procedures. The name of the safeguarding role differs by nation (NSPCC Learning).

Pathways in Each Nation

England

1
Quality teaching and early adjustments
Class teachers adapt teaching for all pupils. Start with the ideas in the Classroom Support Plan Generator and talk to the family.
2
SEN support: assess, plan, do, review
If a pupil needs more than this, the SENCO and teacher agree SEN support with the family. The SEND Code of Practice describes a graduated approach of assess, plan, do and review, with progress reviewed at least termly. A diagnosis is not needed (DfE guidance for teachers).
3
Specialist advice
If progress is still limited, the school can ask for advice from an educational psychologist, speech and language therapist, occupational therapist or other specialists.
4
EHC needs assessment
If a pupil needs more support than the school can usually provide, the school or the parents can ask the local authority for an Education, Health and Care (EHC) needs assessment. Parents can find more detail in the School Advocacy Toolkit.
🛡️Safeguarding in England
Every school must have a designated safeguarding lead (DSL) from the senior leadership team, under Keeping Children Safe in Education. Tell the DSL straight away if you think a pupil is being harmed or is at risk of harm.
📞Free independent advice for families
IPSEA and the local SEND Information, Advice and Support Service (SENDIASS).

Changes ahead: The 2026 Schools White Paper proposes changes to SEND support in England. These need new laws and are not in place yet. The current system, including SEN support and EHC plans, still applies (DfE Education Hub, House of Commons Library).

Local processes and names can vary between local authorities, Education Authority regions and health boards. Check your local policies.

Useful Tools

📝Classroom Support Plan Generator
Build a needs-led plan for a pupil. Open the generator.
🔁Support-plan review form
Record what has worked and agree next steps. Download the review form (PDF).

Last reviewed: November 2026 by Dr Inyang Takon, Consultant Neurodevelopmental Paediatrician. For information only. This does not replace advice from professionals who know the pupil, or your school, local authority or health board policies.