Education Health and Care Plan
Xxx
Date of Birth: xx
Section A
Personal Details
Name of Child or Young Person (CYP)Preferred Name
Date of Birth
Male/Female
Religion
Preferred Method of Communication
Preferred Method of Contact (if appropriate)
Parent(s) Name / Relationships to CYP
Address
Telephone Number
Preferred Method of Communication
Preferred Method of Contact (if appropriate)
Parent Name (if different address) / Relationships to CYP
Address
Telephone Number
Preferred Method of Communication
Preferred Method of Contact (if appropriate)
Parental Responsibility / Relationships to CYP
Address
Telephone Number
Preferred Method of Communication
Preferred Method of Contact (if appropriate)
Tick if looked after child/ young person Yes No
Section A
Views, Interests and Aspirations
Xxx’s Story
Early history including relevant birth/ pre-birth information
Medical information
Learning information
Family unit at same address
Other important family members
Relevant circumstances
This is my Plan and I would like to contribute my views by
What people like and admire about me
What is important for me to be happy
What is important to keep me safe and well
What I enjoy doing
How do I feel I can contribute towards the plan
Xxx’s Aspirations
What is important for my future
Learning and employment
Independence and independent living
Keeping me healthy
Friendships and community
Xxx’s family has the following Aspirations
Learning and employment
Independence and independent living
Keeping me healthy
Friendships and community
Section A
Current Support
GP NameAddress
Telephone Number
Consultant Name
Address
Telephone Number
Educational Psychologist Name
Address
Telephone Number
Social Worker Name
Address
Telephone Number
School/Setting Name
Head teacher/Manager
SENCO/Main Contact
Address
Telephone Number
Any other significant professional involved Name
Role
Address
Telephone Number
Any other significant professional involved Name
Role
Address
Telephone Number
Any other significant professional involved Name
Role
Address
Telephone Number
Section B
Strengths and Special Educational Needs
The strengths and needs detailed below have been identified at ……
Communication and Interaction
StrengthsNeeds
Cognition and Learning
StrengthsNeeds
Emotional, Social and Mental Health
StrengthsNeeds
Sensory and/or Physical
StrengthsNeeds
Section C
Health Needs
All identified Health Needs especially those relating to their special educational needs or may require specialist management within a setting
StrengthsNeeds
Section D
Social Care Needs
All identified Care Needs especially those relating to their special educational needs or may require specialist management within a setting
StrengthsNeeds
Section E
Outcomes linked to the CYP and family aspirations
These should include aspirations and outcomes for adult life.
These Outcomes will help xxx’s family move towards achieving their Aspirations
Aspiration / Outcome / By whenAspiration / Outcome / By when
Aspiration / Outcome / By when
Aspiration / Outcome / By when
Monitoring the Outcomes of the Education and Health and Care Plan
Arrangements for setting shorter term targets
Appendix 7 contains the Short Term Targets annually. These will be reviewed at the Review meeting which will
- be coordinated by the setting
- bring together everything that everyone is going to do to enable the child or young person to make progress and achieve the outcomes.
- state who is going to address the outcomes and how
- include professionals from education, health and social care as appropriate.
- Look at the EHCP and ensure the information is still appropriate
- evaluate the targets in Appendix G and set the new targets for the following year
Section F
Special Educational Provision
General
OutcomeDetails of provision
Communication and Interaction
Outcomes to be achieved by…Outcomes to be achieved by…
Details of Provision / By Whom / Frequency
Cognition and Learning
Outcomes to be achieved by…Outcomes to be achieved by…
Details of Provision / By Whom / Frequency
Social, Emotional and Mental Health
Outcomes to be achieved by…Outcomes to be achieved by…
Details of Provision / By Whom / Frequency
Sensory and or Physical
Outcomes to be achieved by…Outcomes to be achieved by…
Details of Provision / By Whom / Frequency
Section G
Health provision reasonably required
Outcomes to be achieved by…Outcomes to be achieved by…
Details of Provision / By Whom / Frequency
Section H1
Social Care provision under Section 2 of the Chronically Sick and Disabled Person’s Act 1970
Outcomes to be achieved by…Outcomes to be achieved by…
Details of Provision / By Whom / Frequency
Section H2
Any other social care provision
Outcomes to be achieved by…Outcomes to be achieved by…
Details of Provision / By Whom / Frequency
Section I
Name and Type of Educational Setting
Type of Setting:
Name of Setting:
Does the setting have a duty to admit as stated in Clause 43 of the Children’s Act?
Yes
No
Section J
Personal Budget Details
To include personal budget and direct payment arrangements.See Appendix 8 for details as to how the outcomes and targets are met by Educational, Health, Social Care and Personal Budget.
Section K
Advice and Information Gathered
Contributors to the Assessment and Plan
Name / Role/Relationship / Contact details / Attended the meeting – type of meeting/date / Wrote a report or provided informationDate of first Plan ______Date of Current Plan ______
Signed on behalf of Blackpool Council ______
To be discussed with parents and delete as appropriate
This information should not be shared by professionals with anyone other than the people who have contributed to this assessment without asking the child/young person or family first. The family have the right to share it with whoever they wish.
Or
The child/young person and their family have agreed that this Education Health and Care Plan can be shared with other professionals if it is felt appropriate.
Arrangements for review
The lead professional responsible convening the review of this plan is / The designated SENCOContact details
Frequency of review / This EHCP will be reviewed on an annual basis.
People to be involved in the review
Appendices
1 – Information from initial Child Centred Planning Meeting
2 – Child/Family Advice
3 – Education Advice
4 – Health Advice
5 – Social Care Advice
6 – Educational Psychologist Advice
7 – Short term Action Plan
8 – Budget Monitoring
9 – Any reports issued after first Education Health and Care Plan
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