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V5 13/11/2015

*delete borough logos as appropriate

EDUCATION,

HEALTH AND CARE PLAN

ANNUAL REVIEW REPORT

This is [Forename Surname]’s review

This review has been completed by

[name of SENCO]

Review datexx/xx

*delete CCG logos as appropriate

GENERAL INFORMATION

Please highlight any information that has changed from that which is provided in the current Education, Health and Care Plan

Name:
Home address:
Date of Birth: / Gender:
Ethnicity / Religion:
Languages spoken at home / Is interpretation required?
Name of parent 1:
Address:
Telephone: / Email address:
Name of parent 2:
Address (if different from above):
Telephone: / Email address:
Name of siblings:
Education establishment at time of assessment: / Key Stage at time of assessment.
Year Group at time of assessment: / Unique Pupil Number:
Name of GP: / NHS Number:
Address of GP: / CCG:
Is the child / young person… / Looked after by the Local Authority? / Yes / No
Subject to a Child Protection Plan? / Yes / No
Identified as a Child in Need? / Yes / No

Practitioners working with and supporting the child / young person and their family:

Name of Service and/or practitioner / Job title / Contact details / Invited to review / Attended?
Y/N / Y/N
Y/N / Y/N
Y/N / Y/N
Y/N / Y/N
Y/N / Y/N
Y/N / Y/N
Y/N / Y/N

SECTION A

ALL ABOUT ME

The past year:

My achievements and successes over the past year
Please use a range of person centred tools to gather the information for this section.
What my family would say are my key achievements and successes over the past year
Please use resources such as the ‘Person Centred Reviews for Parents’ book to develop the information for this section. Please contact the SEN Service for more information if required.
What my school / college would say are my key achievements and successes over the past year
Please use resources such as the ‘Person Centred Reviews for Schools’ book to develop the information for this section. Please contact the SEN Service for more information if required.

The future:

My aspirations and goals for the future: if they are now different from what is stated in my EHC Plan
Things I like about menow
Things others like about me now
Things I’m good at now
What is working well for me now
What isn’t working well for me now
Things I now like: if they are now different from what is stated in my EHC Plan
Things I now don’t like: if they are now different from what is stated in my EHC Plan
What I’d like to change
How I now need to be supported to be heard and understood: if this is now different from what is stated in my EHC Plan
Did anyone help me with this part? If so, what is their name and how did they help me?

IDENTIFYING ANY CHANGES TO MY

EDUCATION, HEALTH AND CARE NEEDS

SECTION B

EDUCATION

Cognition and learning
Strengths at time of review
Any changes to name’sspecial educational needs
Communication and interaction
Strengths at time of review
Any changes to name’s special educational needs
Sensory and/or physical
Strengths at time of review
Any changes to name’s special educational needs
Social, emotional and mental health
Strengths at time of review
Any changes to name’s special educational needs

SECTION C

HEALTH

Have the child’s / young person’s health needs changed in the last year? / Yes / No
Current health package is:
If the health needs have changed, please indicate how…

SECTION D

SOCIAL CARE

Have the child’s / young person’s care needs changed in the last year? / Yes / No
Current care package is:
If the care needs have changed, please indicate how…

HOW IS THE FUNDING CURRENTLY USED TO MEET THESE NEEDS

Please feel free to attach a provision map and outline any specialist equipment used at school or at home.

PROGRESS AND LEVELS OF ATTAINMENT OVER TIME

SATS or teacher assessments / Outcomes of any previous assessments / Date of previous assessments / Outcomes of most recent assessments / Date of most recent assessments
End of foundation stage assessments / baseline assessment
Reading
Writing
Comprehension
Mathematics
Science
Others – please specify (e.g. vocational courses / GCSEs etc…)

ATTENDANCE RECORD DURING THE PAST YEAR

Please provide percentage of unauthorised and authorised attendance, along with any other relevant information.

REVIEW OF OUTCOMESAND PROGRESS:

Outcome / Progress made over the past year in meeting this / Therefore, what is the outcome for the next year / stage?

CAN THE OUTCOMES FOR THE NEXT YEAR / STAGE BE MET THOUGH THE LOCAL OFFER?

YES / NO

IS AN EDUCATION HEALTH AND CARE PLAN STILL REQUIRED?

YES / NO

If ‘yes’ please complete the following section.

OUTCOMES FOR THE NEXT YEAR

Only complete this section if an education health and care plan is required

SECTION E

SUMMARY OF OUTCOMES

An outcome is described as “the benefit or difference made to an individual as a result of an intervention”.

Outcome 1
Outcome 2
Outcome 3
Outcome 4
Outcome 5

Add to this table as required

PROVISION REQUIRED

Outcome 1
Steps towards the outcome:
SECTION F
What is going to happen, who is going to do it, how often it will be made available / When it will be reviewed, and by whom
.
Outcome 2:
Steps towards the outcome:
SECTION F
What is going to happen, who is going to do it, how often it will be made available / When it will be reviewed, and by whom

Duplicate the table for each outcome

SECTION G

EDUCATION PLACEMENT

Name of current setting
Type of current setting
Is there evidence that the current placement is no longer appropriate? / Y/N
If so, please outline why the current placement / provision can no longer meet the needs Please provide Headteacher’s / Principal’s report including reasonable adjustments already made:
Is the child / young person due to move school at the end of the next academic year? / Y/N
Name of school / college / training provider (if known)
Date of expected transfer

SECTION H

PREPARATION FOR ADULTHOOD, EMPLOYMENT, INDEPENDENT LIVING AND PARTICIPATION IN THE COMMUNITY AND RELATIONSHIPS

What are the child / young person’s aspirations and plans for next steps to include further education employment and training (including voluntary work)
What support and advice does the child / young person need to achieve this, and how is this being addressed?
What are the child / young person’s aspirations for preparing for adulthood such as housing, independence, relationships, health and care support?
What support and advice does the child / young person need to achieve this, and how is this being addressed.

ADDITONAL OUTCOMES FOR ALL YOUNG PEOPLE IN YEAR 9 AND ABOVE

Delete if Year 8 or below

Preparation for Adulthood
Outcome 1
Outcome 2
Outcome 3
Outcome 4

ADDITIONAL OUTCOMES FOR ALL YOUNG PEOPLE IN YEAR 9 AND ABOVE

Do not fill out this section if the young person is in Year 8 or below and please delete.

This section covers Preparing for Adulthood Pathways

At least one outcome is required for each area:

Progression to further / higher education and/or employment
Independent Living and Housing
Friendships, relationships and being part of my community
Being as healthy as possible in adult life

Preparing for Adulthood Outcome 1:
Steps towards the outcome
SECTION I
What is going to happen, who is going to do it, how often it will be made available / When it will be reviewed, and by whom
Preparing for Adulthood Outcome 2:
Steps towards the outcome:
SECTION I
What is going to happen, who is going to do it, how often it will be made available / When it will be reviewed, and by whom
Preparing for Adulthood Outcome 3:
Steps towards the outcome:
SECTION I
What is going to happen, who is going to do it, how often it will be made available / When it will be reviewed, and by whom
Preparing for Adulthood Outcome 4:
Steps towards the outcome:
SECTION I
What is going to happen, who is going to do it, how often it will be made available / When it will be reviewed, and by whom

Duplicate the table for any further outcomes

SECTION J

PERSONAL BUDGET

Yes / No
Has a personal budget been requested by the parents/carers or young person?

SIGNED ON BEHALF OF THE SCHOOL / EDUCATION SETTING

Print name
Print job title
Signature
Date

APPENDIX 1

REPORTS AND ASSESSMENTS

Below is a list of all reports and assessments that have been used to help write this plan

Report / assessment / Name and role of who wrote the report / assessment and their contact details / Date it was written
Child and parent additional advice
Educational Advice
Medical Advice
Psychological Advice
Social Services Advice
Advice from others
Advice obtained by the authority since the last assessment of the child

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Child / young person’s name & DOB