Amended July 2006

SUMMARY OF ANNUAL REVIEW OF STATEMENT OF SPECIAL EDUCATIONAL NEEDS

Before completing this form please refer to Croydon’s guidance for annual reviews on Lgfl

Name of Pupil:...... D.O.B: ………………………………….

Address:...... LEA of residence……………………….

...... Gender: Male / Female

...... First Language…………………………

Telephone No:………………………………………… Ethnic Code: ……….. ………………..

Parent/Carer:...... Telephone No: ......

Address if different: ......

......

School:…………………………………...... Year group:………………………….…

Address:…………………………………………………. Displaced: YES/NO

…………………………………………………………… Attendance (%)………(attach printout)

...... Date of Admission:……………………

Date of Statement……………………...... Date of this Review…………………….

Date of Last Annual Review…………………………………………………………………………

Provision via delegated resources…………………………………………………………………..

Provision via Statement………………………………………………………………………………

Completed by: ………………………………… Date:………………………………

Approved by………………………………(Headteacher) Date:………………………………

Information from the IEPs should be used to inform this annual review. The IEPs should not be attached to the review summary.

  1. Summarise the special educational needs as detailed in the statement and specify any significant changes.
  1. List the objectives that were set in the statement of special educational needs.

3.List the targets that were set following the issue of the statement of special educational needs or at the last annual review.

  1. What special provision has been made to meet the above targets?

SUMMARY OF PUPIL PROGRESS – (Complete the appropriate page)

FOUNDATION STAGE - (Pre-School, Nursery & Reception)

and

PUPILS FOLLOWING HOME BASED PROGRAMMES

Please comment on the pupil’s achievements within the framework of the Foundation stage curriculum and the early learning goals. Reports may be attached, but progress towards targets set either after the statement was first issued, or at the last annual review should be reported in the relevant curriculum area below.

Personal, social and emotional development:

Communication, language and literacy:

Mathematical development:

Knowledge and understanding of the world:

Physical development:

Creative Development

SUMMARY OF PUPIL PROGRESS

NATIONAL CURRICULUM (Key stages 1 to 4)

Please comment on the pupil’s achievements within the framework of the national curriculum (NC) levels of attainment should refer to ‘P’ levels for pupils working below Level 1 of the national curriculum. Reports may be attached but progress towards targets set either after the statement was first issued or at the last annual review should be reported in the relevant curriculum area below. Where NC levels are not used in KS4 please include predicted GCSE Grades.

Core national curriculum

(a)ENGLISH

Speaking & listening NC. level

Comments:

……………………………………………………………………………………………..

……………………………………………………………………………………………..

……………………………………………………………………………………………..

ReadingNC. level

Comments…………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

Writing NC. level (including spelling and handwriting)

Comments………………………………………………………………………………….

………………………………………………………………………………………………

………………………………………………………………………………………………

(b)MATHEMATICS NC level

Comments:…………………………………………………………………………………

……………………………………………………………………………………………….

……………………………………………………………………………………………….

(c)SCIENCE NC. level

Comments:…………………………………………………………………………………..

…………………………………………………………………………………………………

…………………………………………………………………………………………………

(d)PERSONAL, SOCIAL AND EMOTIONAL DEVELOPMENT

(e)PHYSICAL SKILLS (including gross and fine motor skills)

(f)INDEPENDENT LIFE SKILLS (including travel training)

(g)OTHER AREAS OF THE CURRICULUM:

5.Summarise parent/carer’s views and comments on pupil’s progress for the past year and their aspirations for the future

6.Summarise pupil’s views on his/her needs, provision and progress for the past year and their aspirations for the future.

7.Note any contribution from agencies outside the school working with pupil since the last review or issue of statement.

8.Based on the evidence considered at this review which of the objectives of the statement have not been achieved?

Set Smart targets for the coming year

9.HOME TO SCHOOL TRAVEL – to be considered in conjunction with Croydon’s Home to School Travel Policy

(please note: all changes in circumstances i.e. home address & school/college placement require a new application for assistance with home to school travel. Such support is not guaranteed)

Current home to school travel arrangements under the policy

Does the pupil still need this provision? If so give reasons:

10.Recommendations

Please give reasons why the LA should not cease to maintain the Statement

Does the Statement need to be amended?

Please provide suggested amendments to the Statement

Is the placement appropriate?Yes/No

Is the current provision appropriate Yes/No

If not please provide evidence to support changes in provision:

Provision recommendations:

11.TRANSITION PLANNING (please see separate guidance notes for further information)

A Transition plan must be completed in Year 9 and all subsequent years attached to the review summary.

Circulation: (please note this document should be completed and submitted to the LA within two weeks of the review)

Case Manager (Local Authority)

Parent/Carer

Educational Psychologist

All those involved with the review

Any other relevant professional

Attachments: (e.g. Transition plan)

ANNUAL REVIEW OF STATEMENT: TRANSITION PLAN

Pupil Name………………………….. Date…………………………..

Issues/Key areas for Development:

ACTION PLAN

What (specific targets) / Who / By When / Achieved

Information on all agencies responsible for the implementation of the plan.

Name / Address / Tel: No. / Other e.g e-mail address

Date of interim review by personal advisor:……………………………………………………

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