Education, Health and Care Plan
Annual Review Form
Pupil Name: / DoB: / Name of parents/carers
Contact details
Address:
Has address changed since previous AR?
Remember to check this and ensure we have the correct data on database and any hard files. / Yes No
If yes, alert to Home School Transport (HST) Team as they will need to be reassessed for eligibility
Remember to update Impulse, hard files and electronic file as well as address section on any new EHCP issued
Setting/School/College Name and Address:
School DfE number: / If not provided can be found on
Are there any data sharing restrictions? Yes No / If Yes, please provide details of any data sharing restrictions (as well as a copy of any court orders)
Remember you must secure evidence of the restrictions and check this carefully . If there are restrictions in place remember to mark the hard copy file (with a red X) and ensure this is recorded on the electronic file
Previous Annual Review Date (if applicable):
Date this Annual Review meeting took place: / Was this an Early Annual ReviewYes No If yes please provide brief details
This information is needed so you can complete the LADS form
Average attendance of CYP over last academic year: %
Has the CYP has been on a part time time-table.Yes No / If below 95% please give brief details of reasons and actions taken to improve attendance
If yes record reason and expected date the CYP will return to Full time education. Provide a copy of part time agreement. Remember to follow up with the provider is this information is not provided
Names of Attendees and Contributors: / Role: / Contact Details: (Email, telephone or address)
  1. How well do the parents/ feel they have been involved this review (co-production)
How well does the YP feel they have been involved this review (co-production) / Fully Partially Not at all
Fully Partially Not at all
This information is essential and will be used to provide evidence as part of Local Area Inspections from Ofsted. If not at all you need to seek further information from the provider
  1. Has a new Section A been completed and attached?
/ Yes No remember to insert into the EHCP. If provider has not sent you must go back to them and get this
  1. Where required for a specific decision, has a Mental Capacity assessment taken place?
/ Yes No (if Yes, please attach detail).
  1. Are there requests for change in Section B?
If yes caseworker must check all and be clear about which requests will be agreed and the reasons for any requests not agreed when sending out the proposed EHC Plan – see AR guidance /CoP 2015/CFA 2014/SEND Regulations 2014 for details / Yes No
Are you requesting a change of need type? Yes No
If yes, please ensure you have provided evidence i.e. new information/diagnosis
Caseworker to go back to provider if there is insufficient evidenceto secure this e.g. copy of Diagnosis made by the appropriate professional (not simply reported). Refer to Area Manager and if agreed, update Impulse.
  1. Please give details of current attainment and progress and provide a comment in relation to the CYPP’s rates of progress.
/ This is essential information and you must go back to the provider immediately if not completed to get this information. Remember they need to comment on rates of progress (is it better than last year or has it slowed down? If it has slowed down what are the reasons?
  1. Are there requests for change in Section C?
/ Yes No
  1. Are there requests for change in Section D?
/ Yes No
  1. Please record name of Social Worker (if relevant)

  1. Is the CYP on track to achieve the Outcomes in the agreed timeframe?
Enter percentage on spreadsheet. If the provider does not record this information the caseworker must make contact to ensure this is provided. This is needed for Local Area Inspections data / All / 50% or more / Less than 50% / None
  1. Is the CYP on track to achieve any Health Outcomes
/ Yes No Not applicable If there is need identified in Section C there must be a corresponding outcome in Section E
  1. Is the CYP on track to achieve any Social Care Outcomes?
/ Yes No Not applicable If there is need identified in Section C there must be a corresponding outcome in Section E
  1. Are there requests for change in Section E?
/ Yes No Remember if the CYP is making less than 50% progress toward achieving their outcomes we would generally expect to see changes in this section or section F. Check that there are amendments to Section E if less than 50% or none has been ticked in 9.
  1. Are there requests for change in Section F?
/ Yes No
Please attach this year’s evaluated Provision Plan and the draft Provision Plan for coming year.
If provision plans are not submitted the caseworker must go back to the provider to get this.
13a. Please confirm that all provision as specified in Section F of the EHC Planhas been in place since the last Annual Review / Yes No
Name, role and signature of person confirming this on behalf of the provider
This is essential information and the provider must sign this. If it has not been completed caseworker to go back to provider to get this. This is to ensure we have evidence that we are fulfilling our statutory duties to monitor the provision and that the provider has secured their statutoryduties inrelation to section 66 of the CFA 2014 (Best Endeavours)
  1. Are there requests for change in Section G?
/ Yes No
  1. Is action required by Health services?
/ Yes No Please provide details, including whether this has been agreed by provider. Caseworker to ensure CCG is aware and has agreed or see evidence of agreement (e.g. children’s or adult Continuing Care package agreement)
  1. Are there requests for change in Section H1 and H2?
/ Yes No
  1. Is action required by Social Care services?
/ Yes No Please provide details, including whether this has been agreed by provider
Caseworker to ensure evidence is provided (e.g. short breaks package agreed) or follow it up with the relevant SS manager
SEND CoP 9.184 “All reviews taking place from Year 9 at the latest and onwards must include a focus on preparing for adulthood, including employment, independent living and participation in society. This transition planning must be built into the EHC plan and where relevant should include effective planning for young people moving from children’s to adult care and health services. It is particularly important in these reviews to seek and to record the views, wishes and feelings of the child or young person”
  1. Please confirm that the AR has included discussion in relation to preparing for adulthood as outlined above
Please confirm that a transitional outcome has been developed / Yes No
Yes No
Name, role and signature of person confirming this on behalf of the provider
  1. Has Independent Careers, Advice and Guidance been sought?
/ Yes No
If no confirm when this will be arranged. Caseworker to advise provider of their legislative duties in this regard see Careers guidance and inspiration in schools
Statutory guidance for governing bodies, school leaders and school staff, March 2015
  1. For pupils changing educational provider
  • Are the current school and new provider making transitional arrangements?
  • Has relevant information relating to the child’s SEN been shared with the new provider? (with parental consent)
/ Yes No Provider please provide details:
Yes No If No Provider to ensure this happens.
Transport
  1. Where eligible, would parents prefer to be considered for a direct payment for transport (PTB)?
/ Yes No If yes, refer to HST
  1. Have the child’s needs changed sufficiently that they require a review of their current transport?
/ Yes No If yes, ensure you have sufficient details and refer to HST
  1. Year 10 AR: Would independent travel training support the CYP’s transition? If yes would you like to be referred for consideration of Independent Travel Training?
/ Yes No If yes, refer to HST
  1. Year 11 AR:
  • Is the YP and/or their parents/carers aware that post-16 transport is different?
  • Have the parents/carers been advised to contact the home school transport team re post-16 transport and alternatives – i.e. independent travel training
/ Yes No
Yes No If no advise the parent/carer to contact HST team for advice
  1. Year 13/14 AR:
  • If the young person is going on to further education have they been advised to contact the home school transport team re post-16 transport and alternatives – i.e. independent travel training.
/ Yes No
If no advise the parent/carer to contact HST team for advice
Transport Profiles: The LA is trialling the use of transport profiles. The next question is only applicable if a CYP in your school is participating
  1. Does the CYP’s Transport Profile require updating
/ Yes No If yes, refer to HST
Funding (questions 24 and 25 applicable to all, except Special Schools or Mainstream SRP’s)
  1. For school age pupils:has the school’s spending exceeded the nationally prescribed threshold (£6000) this year?
Is Pupil Premium is being used to support the pupil / Yes No
Yes No Please give brief details how this is being used
  1. If HNF has been awarded please give total amount and date of award. (FE give Total Funding amount).
/ Amount: (Top-up + Notional SEN Top-up).Ask the provider if they have this – they may not if the amount is less than £6,000. Of £6k+ the HNF officercan provide / Date awarded
  1. If all the Outcomes that relate to the CYP’s education and/or training needs have been achieved, should the EHC Plan be ceased?
/ Yes No If yes, start cessation process and ensure this is in accordance with the legislative framework.
  1. Is a request for change of placement being made?
/ Yes No If yes, on what grounds? Please detail the reasonable adjustments and provision (Best Endeavours) in place to meet the needs of the CYP
If yes, refer to Area Manager/DL. Ensure you have all the relevant information to enable them to make a decision
  1. Has there been any disagreements?
/ Yes No If yes, please give details.
Ensure this section has been completed by provider
  1. Additional Comments

  1. Name, role and signature of person signing on behalf of the provider.

  1. Parent/CarerSignature
/ Young PersonSignature
  1. Checklist of documents
/ Section A / Yes No
EHCP (with requests for change highlighted) / Yes No
Evaluated Provision Plan / Yes No
Draft Provision Plan / Yes No
Satisfaction feedback form (Parent) / Yes No
Satisfaction feedback form (Young person) / Yes No
Satisfaction feedback form (School) / Yes No
Other evidence – please list

EHC Annual Review Form for settings, schools and colleges January 2017 Page 1 of 6