Education Health & Care Plan Review Form

V4 August 2017

This form is to be completed by the Educational Setting prior to the Annual Review meeting. The school should seek advice and information about the child or young person prior to the meeting from all parties invited and send any advice and information gathered (including this form) to all those invited at least two weeks before the meeting.

West Sussex County Council

Education Health & Care Plan/ Statement

Annual Review Educational Setting Report

It is important you refer to Chapter 9 of the SEN&D Code of Practice - Sections 9.166 to 9.185 for guidance regarding the review process and meeting.

Name of Child/Young Person
Home Address inc postcode
Date of Birth / Gender
Date of admission to this setting / Home Language
Current Year Group
Name of School/Setting/Provider / Academic Year / Date of Review

2. Progress towards outcomes identified in the EHCP

DETAILED COSTED PROVISION MAPS FOR THE CHILD/YOUNG PERSON MUST ALSO BE ATTACHED TO INDICATE THE PROVISION THROUGHOUT THE LAST TWELVE MONTHS (Appendix 1)You may attach as many as necessary to demonstrate provision changes

Child/Young Person

Cognition and Learning

Outcomes identified in the EHCP or Objectives in Statement / THIS SECTION MUST REFER TO THE OUTCOMES IN THE EHCP
Description of intervention and support provided / YOUR PROVISION MAP(S) SHOULD PROVIDE THIS.
Impact of Intervention on progress towards short term outcomes (including specific before/after measures) / YOU MAY ATTACH PREVIOUS INDIVIDUAL LEARNING PLAN(S) AND EVIDENCE OF WORK COMPLETED/ACHIEVEMENTS GAINED IN PAST YEAR
Short-term Outcomes for current/forthcoming term. / YOU MAY ATTACH CURRENT INDIVIDUAL LEARNING PLAN

Communication and Interaction

Outcomes identified in the EHCP or Objectives in Statement
Description of intervention and support provided
Impact of Intervention on progress towards short term outcomes (including specific before/after measures)
Short-term Outcomes for current/forthcoming term.

Sensory and/or Physical

Social, Emotional and Mental Health Difficulties

Educational Attainment

Early Years

Area of Learning & Development / Aspect / EYFS Stage on entry
Date: / Current EYFS stage
Date:
Prime Area
Personal, Social & Emotional Development / Making Relationships
Self-confidence & self-awareness
Managing Feelings & behaviour
Physical Development / Moving & Handling
Health & self-care
Communication & Language / Listening & attention
Understanding
Speaking
Specific Areas
Literacy / Reading
Writing
Mathematics / Numbers
Shape, Space & Measure
Understanding the World / People & Communities
The World
Technology
Expressive Arts & Design / Exploring & using media & materials
Being Imaginative

National Curriculum Levels/P Levels(levels for all years must be completed)

PRIMARY PHASE / SECONDARY PHASE
Year 1
Date: / Year 2
Date: / Year 3
Date: / Year 4
Date: / Year 5
Date: / Year 6
(SAT)
Date: / Year 7
Date: / Year 8
Date: / Year 9
Date: / Year 10
Date: / Year 11
Date:
English Reading
English
Writing
Maths
Science
SUPPORT FROM OTHER PRACTITIONERS
PLEASE INDICATE BELOW IF ANY OF THESE AGENCIES HAVE PROVIDED ASSESSMENT/ADVICE/OBSERVATION DURING THE PERIOD COVERED IN THIS REPORT
RELEVANT REPORTS SHOULD BE PROVIDED AS PART OF THIS ANNUAL REVIEW
Service/Agency / Dates of involvement
From To / Name of Practitioner / Consultation with Staff / Child/Young Person Assessment / Date of most recent report
Educational Psychology
Sensory Support Team
Social Communication Team
Learning and inclusion advisory Team
Social Care
Speech & Language Therapy
Physiotherapy
Occupational Therapy
CAMHS
Doctor or Paediatrician
Other
Other

If an age related transfer will occur during the forthcoming year please describe the arrangements in place to ensure a smooth transition.

Please attach the Transition Plan.

Any other comments

Signed:______

Name and Designation: ______

Date:______

ALL COMPLETED FORMS TO BE SENT/EMAILED TO INVITEES 2 WEEKS PRIOR TO THE MEETING

PLANNING CO-ORDINATORS WILL RECEIVE THIS REPORT VIA THE ONLINE FORM AFTER IT HAS BEEN SUBMITTED AND DO NOT NEED A COPY PRIOR TO THE MEETING.