See what a useful writing grade looks like.

Developing

The referral is identifiable, but the action requested from the reader arrives too late.

“I am writing regarding Mrs Taylor…”

Try next: Name the referral reason and requested assessment in the first sentence.

Developing

The core deterioration and medication history are included; two unrelated details distract from urgency.

“Her breathlessness has worsened over the past week…”

Try next: Keep facts that change the recipient’s next clinical action; remove the remote ankle injury.

Developing

Mostly direct, with one paragraph carrying too many separate ideas.

“She lives alone and her daughter…”

Try next: Split social context from the clinical request and remove the repeated symptom summary.

Strong

The tone is professional and appropriate for a specialist referral.

“I would appreciate your urgent assessment…”

Try next: Keep this level of formality and use the recipient’s role consistently.

Developing

The sequence is logical, though the current condition should come before older background.

“In 2019, she was diagnosed…”

Try next: Use purpose → current condition → relevant history → requested action.

Strong

Meaning remains clear throughout with a few article and punctuation slips.

“She was commenced on the salbutamol…”

Try next: Remove unnecessary articles before medication names and shorten the longest sentence.