Regard will be given to the NatSIP guidelines, complemented by professional judgment.

Profound, Severe and Moderate Sensory Neural, Conductive or Mixed Hearing impairments will automatically trigger a visit or visits, leading to an assessment of need.  This will result in the identification of a baseline visit pattern informed by professional judgment supported by the NatSIP support matrix.

The National Sensory Impairment Partnership's (NatSIP) matrix is a framework used by hearing impaired services to support them in determining the level of support that an individual, child or young person will be provided with to meet their particular needs.  If the child's needs should change, for example in transferring from primary to secondary school, or the degree of deafness changes, the level of support provided can be adapted to reflect the change.

Mild hearing losses will trigger an initial visit for assessment purposes.  Based on professional judgment and with regard to the NatSIP criteria, a decision will then be made regarding visit patterns.  This may include placing the student's name on a currently inactive register, which allows for the student to be moved back to the active caseload if circumstances change, without recourse to a new referral.

It is recognised that need may fluctuate dependent on age of student, phase demands, transition issues, social and emotional issues.