APPENDIX B
BUCKINGHAMSHIRE COUNTY COUNCIL
ACCESS & INCLUSION
EDUCATIONAL ADVICE ON A CHILD/YOUNG PERSONWHO MAY HAVE SPECIAL EDUCATIONAL NEEDS
Note:(a)THIS ADVICE IS THE RESPONSIBILITY OF THE HEADTEACHER/PRINCIPAL.
(b)IF AN EHC PLAN IS ISSUED AS A RESULT OF THIS EHC NEEDS ASSESSMENT THE INFORMATION ON THIS FORM WILL BE COPIED AS AN APPENDIX AND WILL BE MADE AVAILABLE TO THE PARENT/CARER, CHILD/YOUNG PERSON, ALL CONTRIBUTING PROFESSIONALS AND, IN THE EVENT OF AN APPEAL, TO THE SPECIAL EDUCATIONAL NEEDS & DISABILITY TRIBUNAL.
CHILD
SURNAME
/ OTHER NAMESDATE OF BIRTH / GENDER
HOME ADDRESS / RELIGION
HOME LANGUAGE
CHILD/YOUNG PERSON’S PARENT OR GUARDIAN
SURNAME / OTHER NAMES
HOME ADDRESS / RELATIONSHIP TO CHILD
NAME OF SCHOOL/SETTING
SIGNATURE
/ ROLENAME
/ DATE(PLEAS(PLEASE PRINT IN CAPITALS)
Please attach ONLY YOUR Headteacher/PRINCIPAL’s report to thISAppendix B cover sheet.(This can be copied from the original request form under sections 3A - C. Please note that as all paperwork is now scanned, no original hard copies are retained. Thank you.
On completion, please return this form to:SEN New Referral Team
SEN Team, Access & Inclusion, 1st Floor, County Hall, Aylesbury, HP20 1UZ, Email:
Focus should be towards achieving desired outcomes and the child/young person’s responses to interventions as well as significant learning difficulties and strengths/capabilities should be summarised under the following headings, where appropriate:
Communication and Interaction
Cognition and Learning
Social, Emotional and Mental Health
Sensory and Physical (including medical)
Independence and Community Involvement
Note: Authors of appendix advice are reminded that the information supplied will be made available to the parents/carers, child/young person. It would also be helpful if this form is completed in black ink or, preferably, typed.
Educational Advice (Appendix B)
Child’s Name:Address:
Date of Birth:
Age:
School/Setting:
Strengths/Capabilities / Areas for Development
Communication and Interaction
Cognition and Learning
Social, Emotional and Mental Health
Sensory and Physical (including medical)
Independence and Community Involvement
The outcomes sought for the child / The special educational provision required by the child
What help do I need to achieve this? / Who will do it? / When will it happen?
Summary of educational resources and facilities required in order to achieve the outcomes outlined:
Signed:…………………………………………….…………………….Date:…………………………………………….
Name:…………………………………………….…………………….Role:…………………………………………….