Transition Document
Page 1 of 6
Copyright © London Borough of Harrow 2017
Revision 5 - 15/05/2020
Details
Child’s First name
Child’s Surname
Child’s Date of Birth
(dd/mm/yyyy)
Childs Gender
Male
Female
Parent/carer full name
Home address
Postcode
Additional parent/carer
full name (if known)
Home address (if
different)
Postcode (if different)
Name of setting
Name of key person
How long has the child
attended your setting
Point of Transition
Practitioner Assessment Development Matters
Personal, Social and Emotional Development
Making relationships
Current Development Range
Status within the range
Self-confidence and
self-awareness
Current Development Range
Status within the range
Managing feelings
and behaviour
Current Development Range
Status within the range
Note: Text entered will wrap on multiple lines please complete as required, if larger than box space a scroll bar will appear to review text.
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Tr
a
Physical Development
Moving and
handlin
g
Health and self-
care
Com
m
Listening and
attention
Understanding Speaking
Areas where
support is needed
a
nsiti
o
Current De
v
m
unicatio
n
Current De
v
o
n Do
c
v
elopment
R
n
and Lan
g
Current Development Range
v
elopment R
Further Information
c
ume
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C
R
ange
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uage
Range
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opyright ©
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London Bo
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ough of H
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Status wi
t
rrow 2017
t
Status within the range
Status within the range
hin the range
Current Development Range
Current Development Range
Status wi
thin the range
Status within the range
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Transition Document
Page 3 of 6
Copyright © London Borough of Harrow 2017
Revision 5 - 15/05/2020
Practitioner Checklist
Receives Early Years Pupil Premium
Yes No
Able to understand English
Yes Some Key vocabulary No
Able to speak English confidently
Yes Some Key vocabulary No
English as an additional language
Yes No
Uses Toilet
Independently With Support
Can put coat on
Independently With Support
Can put shoes on
Independently With Support
Can eat independently
Independently With Support
Good attendance (93
%+)
Yes No
Medical Conditions (please specify)
Allergies (please specify)
Dietary requirements
and/or eating
habits
F
urther information on the above
Inclusion
Special Educational Needs and Disabilities (SEND) and additional needs
On document submission p
lease attach any relevant information that will support the child’s inclusion
into the next
setting e.g. Individual Education Plans, target setting, details of adaptations.
On SEND Register
Yes
No
Dates
on
Register
dd/mm/yyyy
From
To
Type of SEND
Plans in place, funding received and child in care. Please select as appropriate
The child has
a
Support Plan
The child has
an
Education, Health and Care (EHC) Plan
Received Chi
ld Specific Inclusion Funding
Received Pathways to EHCP Inclusion Funding?
T
he child
is
loo
ked after by a local authority
T
he child has been in care at some
time in his/her life
Other professionals involved
Name
Contact number
P
lease provide further
information on services
engaged.
Please Select
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Transition Document
Page 4 of 6
Copyright © London Borough of Harrow 2017
Revision 5 - 15/05/2020
Child and Parent/Carer Comments
Child comments
What have they enjoyed? What they like doing? What they are looking forward to?
Is the child concerned or worried about anything?
Parent comments
How does your child feel about starting their new setting? What will help your child to settle?
As a parent/carer, what are your concerns about the child moving to the new setting?
Additional likes and dislikes not already mentioned.
Family environment
New baby
Yes
No
Suffered bereavement
Yes
No
Extended family in family home
Yes
No
Are there any family circumstances you
wish the new setting to be aware of?
What other home language is spoken?
Able to understand home language
Yes
Some Key Vocabulary
No
Able to speak home language
Yes
Some Key Vocabulary
No
Transition Document
Page 5 of 6
Copyright © London Borough of Harrow 2017
Revision 5 - 15/05/2020
Health Checks
Has your child had a Dental Check
Yes
No
If yes, date of last
check dd/mm/yyyy
If yes, please advise of the name of dentist
or dental practice
Has your child had an eye test
Yes
No
If yes, date of last
check dd/mm/yyyy
Has your child had a hearing test
Yes
No
If yes, date of last
check dd/mm/yyyy
Is your child up to date with their
immunisations
Yes
No
Please advise of name of GP (family
doctor) or GP surgery
Parent health concerns around the
child (please select as appropriate)
Visual impairment
Asthma/epilepsy/diabetes
Hearing impairment
Communication and language skills
Overweight Other learning difficulties
Underweight Emotional and behavioural difficulties
Growth development
Disability affecting mobility
Oral health
Temporary disability after illness
Social development
Self-help toileting and eating
Motor skills fine and
gross
Other physical disability
Immunisations
Other (please specify below)
Allergies
Further information on concerns
selected above:
Privacy Notice: - Parent
At Harrow Council we take privacy of data seriously.
This privacy notice tells you who we are and how you can contact us, our lawful basis and the
purposes for processing your children’s personal information. The notice explains our retention
periods, who it will be shared with and your rights on how we process the data.
Purpose
Information about your child will be provided to the Council as part of your consent with the provider
you chose. The information is entered into the council’s provider portal in order to assess entitlement
and communicate securely with the provider. The information is used to provide early years funding
(further information can be found at www.childcarechoices.gov.uk). Registered Ofsted providers can
provide early years services for children in Harrow under the early years foundation stage statutory
framework (EYFS) which sets standards for the learning, development and care of children from birth
to 5 years old.
Harrow Council requires the information to assist your child to receive their Early Education Funding
Entitlement which is distributed to the chosen provider.
Please review and tick the privacy notice (page 6 of this document) and email this form
through secure mail (Egress) to: the recipient school and cc eytransition@harrow.gov.uk.
NB: This document was written during the period of 'lock-down' due to the Covid 19 Crisis;
assessments reflect your child's attainment at the end of Spring Term 2020
Transition Document
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Copyright © London Borough of Harrow 2017
Revision 5 - 15/05/2020
Information is stored within the provider portal and may be used for the prevention and detection of
fraud and or criminal offences and or complying with another law such as the Health and Safety Act
1974.
Types of information to be shared
The information that is shared by the provider includes:
Childs personal information such as name, address, photograph (if required) date of birth
Name, address, ID or descriptions/photos of parents or guardians for the purpose of
identification including national insurance numbers if required for the purpose stated
Characteristics, such as ethnicity, language, nationality, country of birth and pupil premium
eligibility;
Medical information, for incident response or as part of the 2 year check;
Special educational needs information, whether on an EHC plan or support;
Assessment information, such as the 2 year old progress check, and the EYFS profile
outcomes at the end of the Reception year;
Transition Document, information when transitioning to other providers or school
Bank account details, payroll record and tax status information
Provider locations, business addresses or physical provider settings
Correspondence relating to the child
Sharing with third parties
We will only use your personal information for the purposes for which we collected it, unless the
reason is compatible with the original purpose in this case to ensure children are supported in
provider settings. Third parties we may share the information with can be the Department for
Education, HM Customs and Revenue, Quality Care Commission, OFSTED and other departments
within Harrow Council or contractors and designated agents.
Please note we may process your personal information without your knowledge or consent, in
compliance with the above rules, where this is required or permitted by law.
Security of information
We will only share information with or from Providers using a secure transfer method. Providers must
email Harrow Council using a secure email solution (Egress). The council agrees to securely hold
parent/carer/children’s data in accordance with our Information Governance and Security Policy and
data retention policy.
How long we store the information for
We retain children’s data relating to service provision for 25 years from the date Harrow Council
received the information. This is for record purposes and to deal with any enquiries or complaints
during this period. After the retention period expires we will delete the information held unless there is
a basis in law to retain data for a longer period. If this occurs we, or the provider will contact you as
the parent or guardian of the child to make you aware of this.
Right to complain or receive further information
Please contact us if you would like to know more about the information we hold about you and how
we use it: email FIS@harrow.gov.uk. You have a right to complain to us if you think we have not
complied with our obligation for handling your personal information; please visit our Compliments and
Complaints page. If you are not satisfied with the Council’s response you have a right to complain to
the Information Commissioner’s Office (ICO). You can report a concern by visiting the ICO website.
Tick the box to verify that in submitting this form the parent/carer has read and understood
the above Privacy Notice, which also appears on their parent/carer declaration form.